Journal articles on the topic 'Men – health and hygiene – social aspects'

Every religion and culture has its ideas about purity, cleanliness, and what constitutes good physical, personal, and mental cleanliness. The current Hindu society of today stands the same knowledge and customs, but they view hygiene from a different angle. Personal hygiene and sanitation are taken as significant aspects linked to Hindu society. Purity, faith, ritual, and cleanliness in Hindu society are based on the Hindu scriptures related to sanitation and hygiene patterns and the main objective of cleanliness and regular practice in the current society. The study is based on Hindu men and women above 35 years old. The study considers sanitation and hygiene in numerous aspects, including religion, social prestige, self-satisfaction, health, etc. The study includes toilet use, personal hygiene, safe drinking water, and household hygiene as variables. While sanitation and hygiene are prioritized in Hinduism, the modern Hindu community is evolving to recognize not only religious but also physical, social, and psychological well-being. The respondents had high knowledge, favorable attitudes, and good behavior about sanitation and hygiene. Hindu society has internalized and practiced sanitation and hygienic behavior from both religious and health perspectives. The Hindu community also agrees with the new approach to the relationship between Hindu rituals and hygiene and sanitation.

The article examines modern theories of economic development in the context of social aspects. The aim of the study is to generalize the social aspects of modern economic theories of development to determine the trajectory and possible directions of social policy. The essence and evolution of models of economic development according to the concepts of welfare are determined. Many well-known foreign researchers are interested in the causes of the wealth of some nations and the poverty and decline of others. Thus, D. Acemoglu and J. Robinson proved that the main condition for achieving the well-being of nations are economic institutions – rules that determine the social efficiency of the economy, incentives and motivations of people, rather than natural and geographical factors. Norwegian A. Reinert believes that rich countries have become rich through a combination of government intervention, strategic investment and protectionism, rather than free trade. American economist M. Olson pointed to the role of private property, taxation, public goods, collective action and contractual rights in economic development. N. Rosenberg and L. Birzdel, A. Sen, E. Duflo and A. Banerjee emphasize that the only issue they focus on is how to increase the material well-being of people, which is measured by the presence of most opportunities to choose and shape the quality of their own lives, to fight not with the consequences of poverty, but with its causes, that is, starting with public education, basic medicine and hygiene. New theoretical approaches to the interpretation of social factors of economic development and social transformations in Ukraine have also been formed in the works of Ukrainian researchers. It is established that a prerequisite for the successful development of the national economic system is to ensure the priority of man, education, health care, environmental protection, which, in turn, stimulate significant economic potential and long-term prosperity of society.

In many countries of the world, including Lithuania, suicide rates for men are several times higher than for women. Therefore, the phenomenon of men’s suicide is receiving a lot of attention in public, scientific, and political discourses. In contrast, much less attention is paid to tackling women’s suicides and women’s mental health problems. Lithuania has been among the countries with the highest suicide rates for both men and women in the world for several decades, but research on the social and demographic aspects of women’s suicide in Lithuania is lacking. This paper aims to examine the demographic losses that Lithuania suffers from women suicides and assess the socio-demographic differentiation of these losses. The empirical part of the study was based on the calculation of years of life lost methodology. The years of life lost method is acknowledged as an accurate measure for assessing the impact of specific causes of death on premature mortality. Data sources for this study were the World Health Organization, Institute of Hygiene, and Human Mortality Database. The results of our study show that the number of years of lives lost due to women’s suicide decreased statistically significantly from 376 [321; 431] in 2007 to 287 [238; 335] in 2020. In Lithuania, the total number of women suicide was the highest among the 80+ year age group, however, the number of years of life lost due to suicide was the highest among the 30-39 year age group. The change in women’s suicide rates was inconsistent and for women, the decline in demographic loss due to suicide was twice as slow as for men. Nevertheless, the number of years of lives lost due to women’s suicide was about 5 times smaller than that of men in 2020. In Lithuania, high rates of women’s suicide reflect the poor state of women’s mental health, which poses challenges to the country’s mental health policy and sustainable demographic development.

The paper presents a review and essays on the hygienic aspects of the problem of robotics. The absence of generally accepted international terminology is noted. There is given a definition of basic terms as a robot, an artificial intelligence system (AIS), and a cyber-physical system (CFS) - according to authoritative sources. In the literature, the term robot is often used to mean CFS. The origin of robots in Russia is briefly described. The role of AIS as the basis of a technological breakthrough is considered. There is represented statistical data on the scientific, economic, and social aspects of the introduction of robotics. Robots are believed to be more likely to replace tasks rather than jobs and create new types of them. The medical and social aspects of robotization based on the experience of the European Union, the USA, and South Korea are examined, and the prospects of creating "smart jobs" are emphasized. The types of robots and their application in industry and medicine for diagnosis, treatment, and rehabilitation are described. It is emphasized that robots are the most advanced machines. The dangers created by robots, their causes, and possible consequences from physical (noise, vibration), chemical, electrical, ergonomic, and other perils are described. The presence of both "traditional" and new risk factors is noted. The systematics of the stages of human-robot interaction is proposed: ethical aspects in the design, communication psychology, contacts with the machine during its use and safety aspects, human physiological responses, possible clinical manifestations of health disorders. The safety principles of robots and CFS are formulated, and that the "smarter" the robots, the greater the risks of program failures and breakdowns are noted. The role of information hygiene and the need for training and health education of workers and the population are examined. Estimates are given of the prospects for the robotization of the profession. The occupation of hygienists in the era of digitalization and robotization is noted to have a future.

Abstract Introduction Cardiometabolic Disease disproportionately impacts African American (AA) women with higher gestational diabetes risk compared to their White counterparts, often progressing to post-partum type 2 diabetes across the United States. Thus, pregnancy is a critical period to assess cardiometabolic health (CMH) in this population. This study aimed to explore the impact of Social Determinants of Health (SDoH) and sleep-related outcomes on insulin resistance. Methods Data from 70 AA pregnant women enrolled in the BETTER lifestyle counseling study (NCT05234125) who completed surveys and provided blood samples were analyzed. SDoH factors encompassed stress level (Perceived Stress Scale), social support perceptions (Multidimensional Scale of Perceived Social Support), and demographic indicators such as income and education. Sleep assessments included evaluations of sleep quality (Pittsburgh Sleep Quality Index), sleep apnea risk measuring the apnea-hypopnea index (Watch-PAT One), insomnia symptoms (Insomnia Severity Index), and sleep hygiene (Sleep Hygiene Index). Insulin resistance was quantified using the Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) as the outcome variable. Multiple regression analyses including demographic variables with a p< 0.2 in bivariate analyses were performed to determine the predictive capacity of SDoH and sleep variables on HOMA-IR. Results The mean age was 30.4 (SD 5.72; range:18.5-42 years); mean gestational weeks (GWs) was 18.03 (SD 3.021; range:10.6-23.1); and mean body mass index (BMI) was 33.09 kg/m2 (SD 5.63; range:16.2-47.1). After controlling for covariates (age, GWs, BMI, income, and education), higher stress (β=.251, p<.05), poor sleep quality (β=.279, p<.05), and higher insomnia symptoms (β=.248, p<.05) were significantly associated with higher insulin resistance. These results contribute important insights into the impact of both SDoH and sleep-related outcomes on insulin resistance among AA women during pregnancy. Conclusion SDoH and sleep, particularly stress and sleep disturbances, are linked to CMH, highlighting the importance of comprehensive assessment to address cardiometabolic disease risks for AA women during their pregnancy. Further research is needed to understand the causal aspects of these associations and develop targeted interventions to optimize the CMH, and enhance maternal and child health outcomes in this population. Support (if any) The National Center on Minority Health and Health Disparities at The National Institute of Health of the United States, R01MD015724.

Introduction: Pandemic H1N1 is respiratory disease that spreads through droplets and can be prevented by vaccination of high risk groups, hand hygiene and through targeted precautionary lifestyle measures. It is pertinent to gauge knowledge about various aspects of the disease amongst residents of Lahore so as to devise and improve health education strategy. Methodology: Cross sectional descriptive survey was conducted and 134 residents of Lahore were selected through convenient sampling and interviewed. Results: Study showed mean age of the respondents were 35 +/_ `9.7years, out of which 55(41.7%) were males and 79(58.3%) were females with education level at more than intermediate in 117(87.3%) respondents while rest were below it.128 (95.5%) has heard of swine flu, while 67(50%) heard about it from TV, 44(32.8%) from social media. 114(85.1%) identified that it can spread through sneezing and coughing , touching contaminated objects 64.6(47.8%), by inhaling contaminated air 95(70.9%), .57(42.5%) correctly identified cough as symptom of pandemic influenza, sneeze 20(14.9%), fever 43(32.1%), 91(67.9%) told that influenza is treatable while only 59(44%) knew that vaccine is available to prevent it. 101(75.4%) respondents said that it can be prevented using masks, 91(67.9%) said by maintaining hand hygiene and 85(63.4%) by isolating the patient. 97(72.4%) respondents said that they would see the doctor if they have symptoms of influenza. Conclusion: Consistency in health education strategies is required and its recommended that disease chapter may be included in curriculum

Background: The study sought to describe student time use and to analyse the effects of the COVID-19 pandemic (lockdown) on changes in the time use and their role within the context of health and social aspects. Material & Methods: The research was carried out every year from 2017 to 2020 in the same period of time. The study included 340 students of physical education. In their time budget diaries, the participants noted down the amount of time devoted to activities performed in a typical week. Results: The study showed that during the lockdown, students devoted less time to sports training, social meetings or cultural activities as compared to previous years. During the COVID-19 pandemic, the amount of time devoted to the majority of activities was different on weekdays and at weekends. The results also showed that women devoted more time to personal hygiene and individual study, while men spent more time doing sports training. Conclusions: The crisis sparked off by COVID-19 resulted in considerable changes in student time use. The findings show that the allocation of time to various activities depends on gender, days of the week, legal regulations and recipients.

Purpose: During adolescence, young people develop their adult identity, and move toward physical and psychological maturity. Puberty, marked by the onset of menarche, is recognized as an important stage, marking the transition from girlhood to womanhood. From this stage until menopause, reproductive health and basic menstrual hygiene practices are important aspects in their lives. The study examined the knowledge, attitude, and practices of menstrual hygiene management among orphan and vulnerable adolescents in Lagos State. Methodology: the study was cross sectional and used quantitative research methods. Semi-structured questionnaires were used to collect data from the female adolescent students aged 8-17 years. A total of 434 orphan and vulnerable female adolescents enrolled in the Integrated Child Health and Social Services Award (ICHSSA 2) project funded by USAID in Lagos State, Nigeria. The study was conducted across the 11 local government areas where the ICHSSA 2 project is being implemented. Adolescents were scored for their level of knowledge, attitude, and practices of menstrual hygiene management. Findings: the study found that the mean age at menarche is 12 years. Knowledge and menstruation about menstruation is appreciable. About 92% of the participants had knowledge about menstruation before experiencing it, Majority of the adolescent receive information on MHM first from their mother (62.7%) and 88.5% of the participants use sanitary pads using 3-4 pads per day. 94.5% of the participants have good Practices (WASH) of Menstrual Hygiene Management. Access to sanitary pads is challenging. Unique Contribution to Theory, Practice and Policy: Most of the orphans and vulnerable adolescent girls had good knowledge and practices of menstrual hygiene management. This demonstrates a need to design acceptable awareness creation and advocacy programs to improve the knowledge and promote safe hygiene practices of adolescent girls, in line with the SCT and KAP theory. Provision of MHM materials in schools and the inclusion of menstrual hygiene management into the school curriculum to achieve a near total coverage of safe hygiene practices among adolescent girls should also be prioritized as a matter of policy.

Background: The Coronavirus outbreak was declared a pandemic by the WHO in March 2020 and entire population was asked to self-isolate and live in home-confinement for several weeks to months. This has had collateral effects on many parameters of the isolatedindividuals health. A short term sedentary lifestyle is sufficient to induce insulin resistance and fat deposition which in turn increases the risk of multiple metabolic disorders. Aim: To investigate the potential physical health changes that occurred during the CoVID-19 quarantine/isolation period in Pakistan. Methods:A descriptive cross-sectional study was conducted during social isolation, from 27th May to 1st July, 2020. The study was initiated after approval from the institutional ethical review committee of Health Research Solutions. Stratified sampling technique was used to collect the data from the census organisation committee in Pakistan. Results: The sample of respondents in the data analysis included : N=553 (63.5% women 36.5% men). The findings explore the health impacts of several weeks of a reduction in physical activity and daily step-count combined with altered eating habits and sleep hygiene. Conclusion: The findings of the current study may contribute to a better understanding of the novel coronavirus effects on lifestyle especially physical activities and sedentary behaviour. It concludes that certain health aspects that have been explored in this research can be improved through methods developed to increase participation in activities during current and future pandemics. Keywords: CoVID-19 Coronavirus, WHO

Development of social and hygienic monitoring (SHM) system as a means of ensuring sanitary-epidemiological wellbeing of the population of Russian Federation is one of the main activities of the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing. The authors analyzed the current state of organization of SHM: lists of control points of human-environment factors and laboratory test findings; information collection techniques and systematization; procedural approaches to automation of data collection, processing and visualization.SHM is legally assigned to control measures, during which the interaction of state and municipal control bodies with legal entities and individual entrepreneurs is not required. The further SHM development is reported to be restrained by a number of organizational -technologic and financial- economic problems: analysis of sanitary-epidemiological wellbeing state among population has shown that according to SHM, interregional aspects are not taken into account; procedural approaches to the choice of control points and formation of environmental pollution indices lists, as well as the assessment procedure of social and economic efficiency of SHM, have not been properly worked out; the number of departments and experts specialized in SHM and responsible for it is decreasing, and etc. A model of interregional social-hygienic monitoring as a way of SHM improvement is suggested. Its aims include the quality increase of expert-and-analytical SHM data processing within the entire RF Arctic zone; consideration of factors affecting population health and having interregional character. Departments and Federal State Healthcare agencies named “Centers of Hygiene and Epidemiology” in various subjects of the Russian Arctic and the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing research institutions will participate in the interregional SHM. A concept of GIS portal of the Russian Arctic based on geo-information system and aimed to improve SHM is developed. It can be a comprehensive electronic database of human-environment factors and population health state, as well as an effective instrument with spatial analysis function for the assessment of sanitary and epidemiological wellbeing of the population.

Oral health among the elderly population is an integral part of their overall health. Good oral health facilitates effective chewing, contributes positively to speech, social confidence and is associated with better cognitive and functional capacity in the elderly. According to the World Health Organization (WHO) it is generally acceptable if older patients have about 20 functional teeth in the oral cavity. Toothlessness is today seen as a physical disability, as the imperative part of the body is lost and this in turn affects patients' personal satisfaction.The main goal of this research was to determinate the prosthetic status and the need for prosthetic rehabilitation at the elderly in the city of Strumica, Macedonia, and as specific goals were set as follows: to assess the overall oral health of patients, including the frequency of visiting a dentist, to determine oral hygiene habits; to determine the number of lost teeth associated with the patients’ age; to determine the type of prosthetic appliance and their current state in the patients' mouth; to indicate negative and positive criticism and the level of satisfaction of patients from prosthetic devices (in terms of aesthetics); to determine the type of diet and general health status of patients; to determine the status of total prostheses in terms of retention, stabilization, extension and occlusion.The study included 40 patients from Strumica aged 50 to 75 years, 18 women and 22 men. The presented data were obtained from the research conducted in the period from 20.06.2018 to 30.08.2018 in which the following procedures were performed: anamnestic data, clinical examination and completing a questionnaire by patients.Based on the data obtained, their analysis, and the results of our research, we can make the following conclusions: Hygiene habits and attitudes may be related to gender distribution, level of education, and they do not always produce positive results; Education is one of the most important factors contributing to patients' awareness of their health and the need for regular check-ups in dental practice and daily oral hygiene; General illnesses often play a major role in the oral cavity, and poor habits such as smoking, alcohol consumption and other harmful products, including diet, are major contributing factors to caries and periodontal disease leading to tooth loss; With increasing age, patients have a growing number of lost teeth and their awareness of replacing them is linked to both aesthetic and functional aspects; The dentist should always take care to preserve the natural teeth in the patient's mouth, to get the most out of the situation and to seek the most appropriate prosthetic rehabilitation and prosthetic compensation.

Aim. Examination of expert opinions and social and hygienic aspects of the activities of draft board doctors of the subjects of the Russian Federation. Methods. The results of an anonymous continuous survey of medical specialists of the military-medical commissions of the military commissariats of the subjects of the Russian Federation (n=646) are presented, who directly conduct military-medical examination of the studied contingent. Results. When interviewing experts, significant factors were found that affect the health of citizens of draft age and the quality of military medical expertise. Thus, experts assessed the state of health of modern young men as satisfactory in 84% of cases, and in 3.6% as unsatisfactory. 46.5% of medical specialists noted a positive trend in the level of moral and psychological training of the contingent. Over 14% of respondents noted a negative trend in the health status of young men of draft age over the past 5 years. 9.8% of specialists assess the level of treatment and preventive measures among persons of draft age as unsatisfactory, 25.3% of experts consider it necessary to expand the list of mandatory diagnostic studies when preparing citizens for military service. The reasons for the unsatisfactory work of the system for the prevention of diseases among citizens before being drafted for military service, according to medical specialists, are formalism in carrying out activities for the prevention of diseases, lack of subspecialists in health care organizations, especially in remote areas, and the elimination of adolescent service. The state of the regulatory framework governing the relationship of the parties during the medical provision of training and conscription to the military forces of the Russian Federation adversely affects the work of 43.6% of doctors. Conclusion. An expert opinion of the medical specialists of the military medical commissions of the military commissariats indicates that the main reserves for improving the quality of measures to prepare citizens for military service are the expansion of diagnostic and treatment and prophylactic measures carried out before military conscription.

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Background: This study aims were to develop the epidemiological profile of patients who received Pap smears during pregnancy, to describe aspects of cytological smears performed in pregnant women and to describe the therapeutic management in case of anomalies in the cervical smear during pregnancy.Methods: This was a prospective, descriptive and analytical study conducted from January 15, 2015 to June 31, 2015 at maternity of Nabil Choucair Health Centre and the Institute of Social Hygiene in Dakar. The Pap smear was performed in all patients who had given their consent to the experience. The parameters studied concerned socio-demographic aspects, gynecological and obstetric background, gestational age at the time of collection, cervico-vaginal smear results, diagnostic and therapeutic management of cytological and histological abnormalities. The data collected on a survey sheet prepared for this purpose were entered and analyzed through the version 3.5.3 of Epi info software.Results: During the study period, 67 pregnant women had received a Pap smear. The epidemiological profile of our patient was a paucipare gestity with an average of 3 with extremes ranging from 1 to 7, an average parity of 2.4 with extremes ranging from 1 to 7. The mean age of pregnancy was 15.4 weeks of amenorrhea (range of 6 and 32 weeks). Only 5 patients (7.4%) had already received a cervical-vaginal swab before the study. The smear was normal in 88.7% of the cases but got abnormalities in 11.3% of the cases. The abnormalities were mainly found in squamous cells and were divided into low-grade lesions (57.1%) and skew-cell abnormalities whose meaning was undetermined (42.1%). Colposcopy was performed in 8 patients. Colposcopy was normal and satisfactory in 4 patients (50%) and identified as atypical grade 1 transformation in 2 patients (25%) and an atypical grade 2 transformation in 2 patients (25%). From a therapeutic point of view, diathermic loop conduction associated with strapping was performed in one patient (12.5%) for severe dysplasia. In postpartum, all dysplastic cervical lesions diagnosed during pregnancy had declined.Conclusions: In the context of our study, where there is no organized screening policy for cervical cancer, antenatal clinics are an excellent screening opportunity to seize.

Introduction. The adverse effects of both production factors and the labour process affect the bone mineral density, increasing the risk of developing osteopenic syndrome in workers of harmful industries, which is an urgent social and hygienic problem due to the high prevalence and severity of medical and social consequences. Objective. The study of the state of bone tissue in miners whose occupational activities are associated with the impact of vibration (general and local). Materials and methods. For the period 2015-2022, there were examined three hundred twenty mining workers, whose activities were associated with exposure to general and local vibration (group 1). The average age of the workers was 46.64±2.33 years. The comparison group (Group 2) consisted of 290 men without identified pathology of the musculoskeletal system, not employed in production associated with exposure to general and local vibration and who gave voluntary consent to the study. The average age of the examined cases is 45.57±2.28 years. Markers of bone formation and bone resorption in body fluids were analyzed. The statistical data were expressed as an average value ± standard deviation. The differences were checked using the T-test. The values of p <0.05 were considered statistically significant. Results. The T-score in patients of group 1 ranged from -1 SD to -2.5 SD (-1.41±0.07*), which corresponded to osteopenia. Elevated levels of CRP (4.24±0.20 mmol/L), ESR (8.91±0.45 mm/h) and leukocytes (12.91±0.70×109 g/L) were revealed among patients of group 1. Changes in the state of calcium-phosphorus metabolism among patients of the 1st group were noted. The formation of osteopenic syndrome was accompanied by an imbalance between the processes of resorption and bone formation in group 1 patients (p<0.05). Limitations. The process under study was osteopenic syndrome, 310 workers - a quantitative parameter, mining production - a qualitative indicator. Conclusion. According to the results of laboratory and instrumental methods of research, osteopenic syndrome was revealed in workers in vibrio-hazardous occupations. Its early diagnosis, determination of a complex of specific treatment and rehabilitation techniques will prevent the progression of the pathological process and maintain professional orientation.

Digestive diseases are a very common pathology in children and adolescents. Analysis of risk factors for the development of diseases of the digestive system and prevalence of gastrointestinal symptoms in students of professional educational organizations are presented in the article. 265 students of vocational education organizations aged 15 to 18 years were examined. The study design was a one-time cross-sectional study (active screening). Standardized formalized maps were used (complaints, medical history, physical examination results, regime and nature of diets, lifestyle and social and economic aspects were studied) to assess frequency of gastrointestinal symptoms. Gastrointestinal Symptom Rating Scale (GSRS) – an internationally validated questionnaire for the study of quality of life developed by the Hassle Company (division of Astra) – was used to study gastrointestinal symptoms. Statistical data processing was carried out using «MS Excel 2002» program. The study was conducted in accordance with the requirements of bioethics, after receiving informed consent of adolescents and their parents. A number of adolescents who previously have been diagnosed with diseases of the digestive system are found; gastrointestinal symptoms are systematized and analyzed (symptom group according to the scales abdominal pain, reflux, dyspepsia diarrhoea, constipation) using the GSRS questionnaire; main risk factors for the development of digestive system diseases characteristic of adolescents are studied: (the nature and regime of diet, smoking, consumption of alcohol), awareness of students about the main factors of a healthy lifestyle were examined as results of the study. The results of the study must be taken into account when developing and implementing preventive and hygiene and educational measures that are aimed at maintaining health and improving the quality of life of the population and require an interdisciplinary approach.

The present study was conducted in Bikaner district. There are six panchayat samitis out of which Bikaner Panchayat Samiti was selected. Out of thirty one Gram Panchayat in Bikaner Panchayat Samiti four Gram Panchayat were selected namely Kilchoo Deodan, Ridmalsarpurohitan, Palana and Nalbari. One village from each selected Gram Panchayat was selected on the basis of random sampling technique. Thus, four villages were selected for the present investigation (Surdhanachauhanan, Raisar, Palana, Nalbari). A sample of one twenty rural women in the age group 15-45 years (30 rural women from each village). Interview Schedule was developed to collect the data regarding health and nutrition knowledge of rural women. The major findings of the present study revealed that in general information majority of the respondents belonged to middle age group, educated upto primary, belonged to 4001-6000/- monthly income group, nuclear family system, other backward caste, involved in agriculture occupation, had above 2.1-5 hectare of land holding, no membership of social organization, no participated in training programme and medium level of mass media contact, urban contact and extension contact. The overall knowledge of the rural women was medium. Out of eight aspects of health and nutrition the knowledge about the aspect of ‘Basics of foods and nutrition’ and ‘Environmental hygiene’ were ranked first with overall mean per cent score. On the basis of these findings it could be concluded that health and nutrition knowledge of rural women was medium.

We used anonymous questionnaires to assess the hygienic and sanitary aspects of game meat self-consumption in Eastern Spain as the first step towards a health risk assessment. The survey yielded 472 valid interviews from active hunters. The maximum possible score was 65 points (average 29 ± 8; range 1–52). Most participants were men (95%), but women achieved significantly better scores (p = 0.003). Hunters above 65 years old scored significantly lower results than younger groups (p = 0.007). The score increased with the educational level (p = 0.046). A 92% of the collaborators consumed game meat. Veterinary inspection and freezing were irregular among the participants. Most respondents declared carrying the animals in their personal vehicles. Of the dressing process, 61% of sites were outdoors, 68% of the participants declared using specific knives, 64% used the same clothes as in the field, and 42% used disposable gloves. The most usual way to dispose of the remains was garbage containers (41%); offal abandonment in the field was 33%, and 13% fed domestic animals using the remains. We conclude that public health authorities should increase their interest in the self-consumption of game meat. Clear guidelines about domestic dressing facilities and hygienic habits should be published, these being essential when looking for synergies with hunter associations.

ABSTRACT. Unsettling statistics of poisoning resulting from the use of wild-growing mushrooms necessitates a more detailed study of the life-threatening causes in human and determination of preventive measures. Objective. Analysis of the structure, changes over time and causes of poisoning by wild-growing mushrooms among the population of Kyiv and the Region of Kyiv in recent years. Materials and Methods. Cases of mushroom poisoning (ICD–T62.0) among the adult population of Kyiv; statistic data from the Ministry of Health of Ukraine, the State Emergency Service of Ukraine and the toxicological centre of the Kyiv City Clinical Emergency Hospital. Study methods used: analytical, systemic and comparative analysis. Results and Discussion. In the general structure of acute poisoning, cases of mushroom poisoning account for 3%. The average hospital mortality rate is 9.3%. Among the aetiological factors, poison amanita prevails, conditionally edible mushrooms are in the second place, and edible mushrooms, which acquired toxic properties due to anthropogenic pollution of the environment are in the third place. The following abnormal conditions were found in poisoned persons: toxic gastroenterocolitis (81.4%), toxic neuropathy (2.1%), toxic hepatonephropathy (16.2%). It was established that the risk groups for poisoning associated with mushrooms are the population with a lack of understanding of the possible danger of eating mushrooms: unskilled workers, unemployed, school and preschool children and inhabitants of large cities who have no stranger in picking mushrooms (mainly men). In general, poisoned persons showed a low level of awareness of the danger and lack of knowledge about the means of preventing poisoning at the stages of picking, sorting and preparation of mushrooms and the rules of primary health care. Low efficacy of prevention against seasonal mushroom poisoning remains one of the factors of high morbidity and mortality. Conclusion. The study revealed that seasonal poisoning with wild-growing mushrooms remains an important medical and social problem in most regions of Ukraine. In recent years, measures of sanitary supervision and control in the field of prevention of seasonal mushroom poisoning have been significantly worsened. The situation requires the restoration of an integrated approach to preventive actions to prevent harm to life and health when eating wild-growing mushrooms. Key Words: sanitary and hygienic monitoring, mushroom poisoning.

WHO estimates health as complete physical, mental and social well-being. Clinical indicators of oral diseases are not entirely suitable to capture this concept of health. Standardized questionnaires have been developed to evaluate the physical, psychological, and social impact of oral conditions on an individual. Oral health-related quality of life (OHRQoL) identifies the impact of oral health on aspects of everyday life in terms of a person’s functional, social, and psychological well-being. The oral health impact profile (OHIP) is widely used to measure OHRQoL in adults, its short version includes 14 items (OHIP-14). The aim was to investigate how self-reported and clinically-assessed parameters of oral health are related to OHRQoL measured by OHIP-14 in dental students of UMSA. 101 third- and fourth-year dental students aged 19–26 years attending UMSA in Poltava, Ukraine, took a questionnaire in Ukrainian. The first part of the questionnaire includes information on age, sex, self-assessed oral health, self-assessed dental aesthetic, satisfaction with mouth and teeth, and oral health behaviour. Questions on oral health behaviour included regularity of dental visits and frequency of tooth brushing. All these items were categorized into different groups. The question on dental aesthetic had the response option “difficult to answer”. When that response was chosen (n = 2 questionnaires), this data was considered missing and the students were excluded from the analysis. The second part of the questionnaire included the OHIP-14 to measure OHRQoL. There were seven dimensions of negative impact on OHRQoL: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. There were two items for each dimension, which added up to a total of 14 items. Participants rated the frequency with which they experienced each of these items in the last 12 months using a 5-point Likert scale (“never” = 0, “hardly ever” = 1, “occasionally” = 2, “fairly often” = 3, and “very often” = 4). In addition, each item had the response option “I do not know”. When a student missed one answer or chose the option “I do not know” (for at least one item), the data was considered missing, and the student was excluded from the analysis (n=2). A clinical dental examination was performed. All permanent teeth were taken into consideration to measure dental caries experience using the DMF index. The Green-Vermillion index was applied for oral hygiene estimation. To assess the extent of gingivitis, the PMA index was used. The chi-square test was applied to compare the percentage of students with low and high OHRQoL between categories of self-reported oral health characteristics, and oral health behaviour. When comparing data on clinically-assessed oral health (the DMF, Green-Vermillion, and PMA indices), the Mann–Whitney U test was used for the two independent groups (with low and high OHRQoL). p-values<0.05 were considered as statistically significant. A total of 97 students were included in the statistical analysis, 43 of which were males and 54 were females. The highest mean scores in OHIP-14 were observed for the dimensions of physical pain (39,17%). Students with poor self-assessed oral health, poor self-assessed dental aesthetic, and who reported dissatisfaction with mouth and teeth more frequently fell into the group with low OHRQoL (p<0,05). The mean DMF was 5,41, Green-Vermillion hygienic index was 0,54, and РМА – 4,48%. However, a higher DMF index score, high Green-Vermillion index, and high PMA in students were not associated with low OHRQoL (р>0,5). In this study, the self-reported assessment of oral health affects the dental students' quality of life, while the clinical characteristics do not. Physical pain was the most frequently reported OHIP-14 dimension with an impact on OHRQoL. Poor self-assessed dental aesthetic and dissatisfaction with mouth and teeth were the strongest factors associated with low OHRQoL. The line of research pertaining to other parameters of oral health in youth that impact dental aesthetic and oral health, and thus oral health-related quality of life, is considered promising.

An aviation lecturer in the new normal world of learning have to understand the changes surrounding aneducational circumstance in the aspects of economy, society, politics, administration, environment, and technology, together with the pandemic of COVID-19 which causes a new normal way of living. The concept of new normal way of living are wearing face mask and carrying alcohol gel, enforcing social distancing measures, using technologies and digital system, decreasing social meeting or meeting in a small group instead, avoidingunnecessary touch, and giving precedence to health and hygiene. The aviation lecturers in the new normal world of learning need to understand the learning concept in the 21st century which focus on making learners achieve 21st century skills, i.e., critical thinking&problem-solving skill, creativity & innovation skill, cross cultural understanding skill, collaboration/teamwork & leadership skill, communications/information & media literacy skill, computing & ICT literacy skill, and career & learning skill. Roles and duties of aviation lecturers have to be modified in many roles as a citizenship of the 21st century, a good member of a group, a co-leaner/co-investigator/guide or facilitator, an educational developer, a technology man, a creator of Professional Learning Community (PLC) and a professional aviation personnel. Necessary skills of aviation lecturer in the new normal world of learning include 21stcentury skills, professional lecturer skill, learning design skill, multi teaching skill, critical thinking skill, technology skill, teamwork skill, communication skill, service skill/service mind, multicultural skill and aviation professional skill.

Purpose. In wartime, individual behavior significantly affects the health status of citizens, as the basic conditions of health are constantly under attack, and the usual way of life is under the destructive influence of various traumatic factors. Understanding the factors, conditions, and trends in promoting a healthy lifestyle (HLS) in wartime realities requires empirical research. The purpose of the article is to conduct a frequency analysis of the data from the survey “Healthy Lifestyle of Ukrainians during War” to incorporate them into the HLS promoting strategies. Methods. Data collection (end of 2023—beginning of 2024) was conducted through surveys (random and panel online samples) containing seven blocks and using Google Forms; 6042 cases were included in the analysis. Results. 1) Sociodemographic characteristics of the sample: men predominate (60%); average age – 38 years; education – mostly higher education (almost 50%) and variations of secondary (40%); professional occupation – most in the field of civil security (44,6%) and social and behavioral sciences (17,9%); geography – predominantly regions in Ukraine distant from the frontline (57,6%) and near-frontline areas (20%); family status – majority lives in families (62%), and alone – 13,2%; monthly income is predominantly low (60%) and average (31,3%); time of taking the survey due to massive missile attacks on Ukraine – mostly during attack-free days (77,5%). 2) Features of HLS: leading health preservation factors – lifestyle (99,8%) and social environment (95,5%); over 50% of respondents currently adhere to HLS; the greatest difficulties in maintaining HLS – during anxiety period, from February to May 2022 (47,7%); almost 40% of respondents understand HLS as both harmful habit cessation, existing beneficial habits adhering, and forming of new ones, while another 28,3% prioritize only harmful habits cessation; leading incentives for HLS adherence – signs of health deteriorating (38,3%), pursuit of personal goals (34.1%), awareness on the destructive impact of chronic stress (31,4%); leading barriers – lack of material resources (46,9%), unfavorable emotional state (26%), and adverse environmental conditions (24,8%); the most challenging aspects of HLS adherence – work-rest regimen (35,1%), rational nutrition (31,1%), physical activity (21,5%). 3) Leading health maintenance (care) practices: making plans, setting goals (80,4%); adhering to a regular work schedule (77%); independent search for information on overcoming psychological difficulties (68,8%); trustful communication with close surroundings (64,5%); attention to hygiene and appearance (61,4%); contributing money to volunteer fundraising (57,9%); keeping informed of news from close circles (56%) and moderate use of expert sources (49,8%); watching movies /series (53,3%) and taking walks (43,3%); prayer (37,4%); awareness on playback theatre (19,6%). 4) Digital well-being: manifested at a moderate level, digital engagement overall fosters positive communication and accompanies respondents’ pursuit of personal goals. 5) Attitudes toward uncertainty: women, those with experience of past failures, and those requiring social support are more sensitive to uncertain conditions. 6) Existential motivations: most realized ones – the ability to value moments of life, respect oneself, and orientation toward the future, yet anxiety, stress, and exhaustion are still the case. 7) Experience related to full-scale invasion: forced displacement (25%); psychological (33,4%), human (death, missing persons) (27,6%), material, financial (27%) losses; law enforcement activity (21,6%); changes in life priorities (71,2%), awareness on the ability to cope independently with life difficulties (58,5%). Conclusions. The results require further processing and will be used to develop HLS promotion strategies in various settings and population categories.

Background: The World Health Organization (WHO) had reported COVID-19 disease as a pandemic in March 2020, following which India witnessed more than 29,451 cases on 29th April. Correct knowledge about the disease, the right attitude, and response to infection control recommendations among people is of utmost importance to limit the contagion.Methods: A Cross-Sectional, web-based online study was conducted for five days. The responses (N= 1231) were collected across social networks using snowball sampling. The survey questionnaire assessed the knowledge, attitude, and practical aspects of participants for COVID-19. Knowledge items assessed the causative agent of COVID-19, it’s clinical symptoms, routes of transmission, preventive measures etc. Positive or negative attitudes towards mask usage and restriction compliance were assessed. Socio-demographic data and scores were de-identified and analyzed using appropriate statistical tests.Results: The mean age of participants (N=1231) was 32.3±13.7 years and 60.9% were males. High knowledge years and 60.9% participants were males. High knowledge accuracy rate of 84.5% and a mean score of 10.19±1.6 out of 12 was observed. Mean attitude and practice scores were 2.33±0.66 (3) and 1.97±0.16 (2) respectively. A significantly higher knowledge status was observed among females, medical workers, students, and homemakers. Similarly, better attitudes were noticed in males, adults (30-60 years), graduates, and those in job/service. As for practices, no such difference was noticed as more than 98% of participants were compliant to lockdown restrictions and practiced proper distancing and personal hygiene measures.Conclusions: Satisfactory awareness and response were observed owing to the public awareness campaign. Knowledge gaps, poor attitudes, and prevailing myths need to be addressed through targeted communication strategy.

Analysis, based on publications and scientific research of Lithuanian and foreign authors, presents the realia of health status and physical activity of young people. Scientific evidence has become compelling that sedentary lifestyle carries a risk for the development of coronary artery diseases, obesity, hypertension and other chronic diseases of adulthood. This article introduces the basic health–promoting activities and the Project “February – the month of Fitness“ implemented in Vilnius Jonas Basanavičius gymnasium. It is being organised for five years and involves all members of school society, guests and members of various educational institutions and non-governmental organizations. Guest from „ECO point“ and Vilnius University Faculty of Medicine took part in seminars and events organised during the projects. Those, who wanted to avoid heart and coronary artery diseases, were introduced to a booklet „The code of healthy European“. Consequently, in order to reinforce physical education also one of the key subjects at school is constantly looking for various ways to meet the student`s innate need to move, experience the joy of movement and to provide more opportunities through sports events and other projects. Indeed, it is aimed to involve the entire school community in this activity. Interest in physical activity is developed through socialisation and communication. Key words: health, physical activity, healthy lifestyle, project, socialisation.

Background The COVID-19 pandemic has presented significant challenges to health care systems, particularly impacting the older population due to their vulnerability and increased susceptibility to severe complications. Many of the most vulnerable individuals rely on informal caregivers, who play a vital role in enabling them to continue living in their homes. However, social isolation and limited access to health services during the pandemic have made caregiving more difficult. In response, massive open online courses (MOOCs) have emerged as a training and support solution for caregivers. This study focuses on a MOOC developed to assist caregivers during the pandemic, aiming to enhance their knowledge of COVID-19 and prevention measures and promote effective self-care practices. Objective The study’s aim is to develop and validate a MOOC integrating personal and housing hygiene measures to be adopted in self-care–related activities, surveillance, and monitoring by caregivers of the most vulnerable home-dwelling–dependent people, to provide safe care and prevent SARS-CoV-2 infection. Methods A methodological study was developed. The content of the MOOC was developed based on scientific evidence and a Delphi study. The course was organized into 9 modules, addressing aspects related to safe self-care assistance and minimizing the risk of contagion. A convenience sample of 33 informal caregivers was recruited through a caregivers’ association to verify the adequacy of the course. Knowledge questionnaires were administered before and after the course to assess the impact on caregivers‘ knowledge. The Family Caregiving Factors Inventory was used to evaluate caregiver resources, knowledge, expectations, and difficulties. Additionally, the technology acceptance model was applied to assess participants’ satisfaction with the MOOC. Results Prior to attending the MOOC, participants demonstrated an average knowledge level score of mean 14.94 (SD 2.72). After completing the course, this score significantly increased to mean 16.52 (SD 2.28), indicating an improvement in knowledge. Caregivers found the course accessible, valuable, and applicable to their caregiving roles. Feedback regarding the MOOC’s structure, illustrative videos, and language was overwhelmingly positive. Participants perceived the course as a valuable resource for decision-making in care delivery, leading to enhanced self-esteem and confidence. Conclusions The MOOC has proven to be an effective tool for increasing caregivers’ knowledge and empowering them in their roles. Remarkably, even low-literacy caregivers found the course valuable for its clear and understandable information. The MOOC demonstrated its adaptability to challenges faced during the pandemic, ensuring access to relevant information. This empowering strategy for caregivers has yielded positive outcomes. The MOOC represents a tool to support and empower informal caregivers, enabling them to provide optimal care during difficult times.

Background & Aims: Maintaining patient safety (PS) is one of professional and ethical duties of health care providers. Nurses, as the largest professional group in the health system, have a potential and significant power in influencing the health care quality. Their competency in PS is essential to ensure quality and safe care. Education plays a vital role in improving PS and providing high quality nursing care. Due to the prevalence of COVID-19 and the need to observe social distancing, it is not possible to hold face-to-face courses. Hence, e-learning is a valuable option during this pandemic. This study aims to evaluate the effectiveness of online PS education on the competence of nurses in intensive care units (ICUs). Materials & Methods: This is a single-group quasi-experimental study with a pre-test/post-test design that was conducted in 2020 in Tehran, Iran. Participants were 50 nurses working in the ICUs of Hazrate Rasoole Akram Hospital and Firoozgar Hospital affiliated to Iran University of Medical Sciences, who were by a proportional stratified sampling method. The content of the educational program was prepared using clinical guidelines and the literature which included materials about (1) PS and its different aspects (medication error, hemovigilance, pressure ulcer, fall, nosocomial infections, hand hygiene, surface and equipment disinfection, and waste management), (2) PS culture, (3) the effects of human factors and teamwork on error incidence, (4) importance of communication with patients before and after the occurrence of errors and giving appropriate feedback on errors, (5) root cause analysis of errors, (6) activity analysis after an adverse event, and (7) risk management. The program was prepared using Storyline version 3 software. Educational content was provided to participants on Telegram application. Before and three months after the intervention, data were collected using the Patient Safety Competency Self-evaluation (PSCSE) questionnaire. Data were analyzed by descriptive statistics (frequency, mean, and standard deviation) and inferential statistics (paired t-test) in SPSS software, version 22. Results: The mean scores of PS knowledge (21.75±3.28), attitude (61.52±4.19) and skill (84.66±53.7) after the intervention were significantly higher compared to their pretest scores (P<0.001). The mean of total competency score (167.93±11.61) was also significantly higher after the intervention. Results showed that the educational program improved the nurses' competence by 17.86%. The education had the highest effect on PS knowledge, followed by PS skills and attitudes. Conclusion: Online education can increase PS knowledge, skills, and attitudes in ICU nurses and can ultimately promote their competence in PS. Nursing managers can use e-learning method to provide in-service training and retraining courses on familiarity with PS concepts, which can help manage medical errors caused by nurses. This learning method is recommended for nurses working in ICUs, especially during the COVID-19 pandemic.

Maintaining the health of children, especially those born prematurely, is one of the major challenges of modern society. For more information about the health of premature babies need to use different methods of statistics. In this regard, social and hygienic studies play an indispensable role, as cover all aspects of human activity.

In contemporary society child health is perceived as socially significant and its promotion and care includes knowledge from the psychological, pedagogical, social, medical and biological sciences. The overall children’s upbringing is aimed at promoting a healthy and active way of life. An essential aspect of preschool upbringing is the care for physical health and mental well-being. The present article discusses some medical and social aspects related to healthcare of preschool children. Some of the most important aspects of promoting the health of preschool children are physical activity, personal hygiene and body conditioning. Furthermore, the healthy lifestyle of the parents is of crucial importance. The child undergoes an important part of his/her development until the age of 7 which is related to his/her physical health as well as to his/her personal traits. This imposes the necessity for creating a solid background of knowledge and skills to lead a healthy lifestyle.

Pubic hair grooming is a growing phenomenon and is associated with body image and sexual activity. A nationally representative survey of noninstitutionalized adults aged 18 to 65 years residing in the United States was conducted. Differences in demographic and sexual characteristics between groomers and nongroomers were explored. Four thousand one hundred and ninety-eight men completed the survey. Of these men, 2,120 (50.5%) reported regular pubic hair grooming. The prevalence of grooming decreases with age, odds ratio = 0.95 (95% confidence interval [0.94, 0.96]), p < .001. Adjusting for sexual frequency and sexual orientation, grooming is associated with performing and receiving oral sex. The majority of men report grooming in preparation for sexual activity with a peak prevalence of 73% among men aged 25 to 34 years, followed by hygiene (61%) and routine care (44%). The majority of men who remove their pubic hair groom the hair above the penis (87%), followed by the scrotum (66%) and the penile shaft (57%). Overall, pubic hair grooming is common among men aged 18 to 65 years in the United States. Younger ages are associated with greater rates of pubic hair grooming. Many men groom for sex, in particular oral sex, as well as for routine care and hygiene.

Sex and gender related health disparities in oral health remain an underappreciated and often over looked aspect of well-being. The goal of this narrative review is to identify sex and gender related oral health disparities by summarizing the current literature related to differences in oral health between men and women. The review identified that men are more likely to: ignore their oral health, have poorer oral hygiene habits, and experience higher rates of periodontal disease, oral cancer, and dental trauma. Men also visit dentists less frequently and compared to women seek oral treatment more often for an acute problem and less often for disease prevention. Women exhibit more positive attitudes about dental visits, greater oral health literacy, and demonstrate better oral health behaviors than men. Men disproportionately develop periodontal diseases due to a combination of biological and gender related reasons including immune system factors, hormone differences, poorer oral hygiene behaviors, and greater tobacco use. There is a male to female ratio of 2:1 for oral cancer, largely attributable to more tobacco use, heavier use of alcohol, and longer sun exposure. Minority men experience a disproportionate burden of oral health disparities because of both their gender and race/ethnic identities. In conclusion, this review identifies several differences between men and women related to oral health and highlights the need for further research to better understand these disparities and how to incorporate them into developing prevention, education and treatment strategies to improve oral health in men.

In 1934, Alfonso López Pumarejo, the recently elected president of Colombia, announced that expanding government programs in public health and education would be a priority for his administration. This article analyzes this period’s cultural transformation programs, examining the establishment and operation of sanitary units, mixed healthcare centers, and itinerant rural health commissions in the 1930s and the 1940s. It proposes a two-part argument. First, it demonstrates how reformers, intellectuals, and doctors associated with Latin America’s first wave of social medicine transformed existing institutional spaces to serve the aims of the government’s new public health model, designing and implementing programs to extend healthcare into the countryside. They proposed shifting from campaigns focused on eradicating a single disease to campaigns that tackled multiple diseases and also advocated for an increase in national, departmental, and municipal fiscal contributions to public health programs. Second, it touches upon the fiscal and resource-related challenges that limited these programs’ reach. These challenges illustrate the fractured and fragmented nature of the Colombian state and its lack of capacity to effectively integrate the countryside by reaching often neglected remote rural areas.

In this work, sociological, laboratory, medical and statistical research methods. The population of the city of Vladivostok was chosen as the object of the study from 2019 to 2022. For the study, the points of measurement of noise generated by a commercial port, motor transport, railway near residential buildings and social facilities located in close proximity to the noise source were determined in the conditions of the existing residential development. During the study period, 202 measurements of the actual noise level were carried out.Based on the calculations of the levels of risk to public health, the existing noise levels in the territory of the city of Vladivostok, the probability of an adverse effect from the nervous system and hearing aid is estimated as a moderate risk to health, from the cardiovascular system is close to extreme. Based on the results obtained, measures are needed to organize constant monitoring of the noise load on the residential territory of the city of Vladivostok. It is recommended to develop measures to reduce the noise load taking into account the medium and short term (1–3 years). When assessing the impact of traffic noise on the health of the population of the city of Vladivostok, within the framework of social and hygienic monitoring, it is necessary to take into account the combined effects of chemical and physical factors. Based on the results obtained, measures are needed to organize constant monitoring of the noise load on the residential territory of the city of Vladivostok.

This study aims to describe and analyze the relationship between hygiene behavior, social capital, and family financial management to the condition of family welfare. The problem is focused on the condition of family welfare in rural communities which is often considered low. Then the government's development policy was blamed for not paying attention to remote areas. However, many factors affect welfare conditions. Some of the most frequently associated come from economic, social, and health aspects. In this article, we will show related factors from these 3 aspects, namely hygiene behavior, social capital, and family financial management. The data were collected through descriptive methods and analyzed with a quantitative approach. The research respondents were 400 family heads living in Babakan Madang District, Bogor Regency. This study concludes that there is a significant relationship between hygiene behavior, social capital, and family financial management on family welfare conditions.

The results of a comprehensive multi-factor analysis of updated information about the demographic situation in rural settlements of the Russian Federation and working conditions in the agricultural sector of the economy are presented. It is shown that in the period from 2010 to 2018, stable population growth was registered only in 20.8 % of rural municipalities, while 79.2 % of settlements were characterized by a decrease in rural residents. Along with depopulation, critical for the sustainable development of rural areas is a prevailing explicit deformation of the age structure of the population and associated growth of demographic burden on the able-bodied rural population due to low birth rate and high death rate of men of working age, as well as the continuing migration outflow of the economically active population in the regional and Federal centers of Russia. The main place of employment in rural areas remains the production of agricultural products. Despite the differences characteristic of technological processes in certain types of agricultural activities, the specifics of labor in the agricultural sector have common aspects related to the impact of harmful factors of the production environment, the severity and intensity of the labor process. The number of people working in the agricultural sector in harmful and dangerous working conditions in the period from 2011 to 2017 decreased by 19.2 %, while the share of this category of people in the total structure of those employed in agricultural production decreased by 4.4 % to 29.4 % in 2017. According to the results of inspections of territorial bodies of Rospotrebnadzor in the period from 2011 to 2017, the share of jobs that do not meet sanitary and hygienic standards at agricultural enterprises decreased from 35.7 to 30.4 %, which indicates a trend of improvement in the sanitary and hygienic situation.

OBJECTIVE: To determine the impact of the physical and social surroundings of the neighborhood, which are presented as facilitators or barriers for the social participation of Brazilian older adults. METHODS: The study was conducted in a probabilistic representative sample of the Brazilian population aged 50 years and older and who lived in urban areas (n = 7,935). The response variable was social participation, which was defined from two questions about activities performed with other persons: visited friends or relatives in their homes in the last 12 months (yes, no); went out with other persons to public places, such as restaurant, movies, club, park, in the last 12 months (yes, no). The explanatory variables included fear of falling because of defects in sidewalks, concern about the difficulty to get on a bus, subway, or train, difficulty to cross streets, and perception of violence in the neighborhood. Potential confounding variables included age, marital status, education level, self-rated health, living in an asphalted or paved street, time living in the municipality, and socioeconomic position score. Prevalence ratios and respective confidence intervals were estimated using Poisson regression. RESULT: Difficulty to cross streets presented an independent association with restricted social participation (PR = 0.95; 95%CI 0.93–0.98) among both women (PR = 0.96; 95%CI 0.92–0.99) and men (PR = 0.94; 95%CI 0.90–0.99). Concern about the difficulty to get on a bus, subway, or train was associated with the outcome only among men (PR = 0.95; 95%CI 0.91–0.99). The fear of falling because of defects in sidewalks and the perception of violence in the neighborhood were not associated with social participation. CONCLUSIONS: Urban characteristics that hinder the crossing of streets and accessibility to public transport can be inferred as important barriers for the social participation of Brazilian older adults.

Despite the rapid progress of modern medical science and the introduction of scientific results into the practice of health care in Ukraine, life expectancy is steadily decreasing and life quality is deteriorating. The causes of this discrepancy lie first and foremost in the social plane. Currently, the Ukrainian health care system is taking the first steps out of its crisis at the national level; in particular, the increase in morbidity and mortality of the population in Ukraine is recognized as a priority for the state policy in the field of healthcare, as well as the improvement of the environmental conditions, housing and occupational condition of the population. EU investments are being attracted, new forms and methods of providing medical assistance to the population in many fields of medicine are being introduced. Nevertheless, social aspects of occupational medicine have not received adequate coverage. Among them there are such sections of occupational hygiene and disease prevention as occupational physiology, occupational hygiene, occupational pathology and some others. Today, despite the wide coverage of the clinical picture, pathomorphology and methods of treatment of occupational skin diseases and the social aspects of occupational medicine have not been thoroughly investigated. Problem of social analysis of the problem of occupational skin diseases occupies a prominent place. Therefore, the health care system of Ukraine requires urgent and radical reformation in general and in the field of dermatology in particular.

There is a paucity of recent research on direct water quantity measurement for personal and domestic hygiene. We aimed to measure the water quantity used for personal and domestic hygiene and to explore the reasons and determinants for variation of water usage. We conducted this study from September 2014 to June 2016 in a low-income urban community in Dhaka. In 12 households, the team conducted a day-long bimonthly ethnographic observation for one year to measure the volume of water used per activity per person. They conducted 28 in-depth interviews to explore the reasons for changes of water usage. Participants used a median of 75 L (61–100) of water per capita per day (LCPD) and of this 75 LCPD they used a median of 39 LCPD (26–58) for personal hygiene. Women used less water than men. Individual and social norms, beliefs, and weather determinants determined personal hygiene. Water availability determined domestic hygiene (e.g., washing dishes, toilets and bathrooms). This study helps to elucidate a range of determinants of water usage of the participants from the participants’ perspective. The quantity of water used for domestic and personal hygiene and its relationship to fecal-oral transmitted disease can be explored in future research.

ABSTRACTEarth‐eating is common among primary school children in Luoland, western Kenya. This article describes the social significance and meanings attributed to it. Earth‐eating is practised among children before puberty, irrespective of their sex, and among women of reproductive age, but not usually among adult men or old women. To eat earth signifies belonging to the female sphere within the household, which includes children up to adolescence. Through eating earth, or abandoning it, the children express their emerging gender identity. Discourses about earth‐eating, describing the practice as unhealthy and bad, draw on ‘modern’ notions of hygiene, which are imparted, for example, in school. They form part of the discursive strategies with which men especially maintain a dominant position in the community. Beyond the significance of earth‐eating in relation to age, gender and power, it relates to several larger cultural themes, namely fertility, belonging to a place, and the continuity of the lineage. Earth symbolises female, life‐bringing forces. Termite hills, earth from which is eaten by most of the children and women, can symbolise fertility, and represent the house and the home, and the graves of ancestors. Earth‐eating is a form of ‘communion’ with life‐giving forces and with the people with whom one shares land and origin. Earth‐eating is a social practice produced in complex interactions of body, mind and other people, through which children incorporate and embody social relations and cultural values.

Food security is one of the health problems in Indonesia which is related to the lack of knowledge of how the production process, the hygiene and health of the food. This study aims to describe the sanitary and hygienic conditions of food sold by merchant in Cibiru, Bandung City, West Java. The study was conducted in May-June 2017 by determining five sampling location based on the number of merchant in Cibiru. Data was obtained through questionnaire filling of 40 respondents at each sampling point which was then analyzed to find out the characteristics of social-demographic of the respondents, personal hygiene, and support of environmental sanitation. The results shows that the sanitation and hygiene of food in the aspect of knowledge of personal hygiene showed that the food handler was experienced food processors (88%) and 12% had no experience even though their last education was not linear with their trading profession. In addition, respondents' knowledge of individual hygiene shows that out of the nine aspects observed, 33% are in the high category, 11% are moderate and 56% are in the low category. Aspects of environmental sanitation and other support of food sanitation show that the conditions are in the clean and adequate category. All of these aspects can be used as a basic consideration in further counseling about food hygiene and food processing so that it can avoid unpredictable outbreaks.

Abstract Self-neglect among older adults is characterized by inattention to hygiene and one’s immediate living conditions, and may reflect unmet needs from social relationships. We therefore determined if social isolation was associated with self-neglect and how the association differed by gender. We used data from the National Social Life, Health, and Aging Project (NSHAP) Wave 3 (2015), a nationally-representative survey of 3,677 community-dwelling older adults. Social isolation was determined using a 12-item scale assessing household contacts, social network interaction, and community engagement. Self-neglect was assessed in-person and included 1) body neglect (lowest quintile of bodily self-presentation related to clothes and hygiene) and 2) household neglect (lowest quintile of household building condition, cleanliness, odor and clutter). Logistic regression was used to determine the adjusted probability of self-neglect by social isolation, and interaction terms with gender. Results indicated the association between social isolation and self-neglect differed by gender (p-values for interaction: body neglect: 0.02, household neglect: 0.20). Among women, social isolation was associated with a higher risk of body neglect (social isolation: 26% vs no isolation: 14%, p=0.001) and household neglect (23% vs 17%, p=0.05). For men, social isolation was not associated with body neglect (27% vs 23% p=0.2) or household neglect (23% vs 22%, p=0.8). In summary, social isolation was associated with body and household neglect among women, but was not associated with neglect among men. Future work should investigate mechanisms for gender differences and interventions to address or prevent self-neglect through enhancing social connectedness.

Abstract Introduction. Urinary incontinence refers to men and women, no matter what age they are. Due to the anatomical structure and biological function of women, they suffer from urinary incontinence more often than men. This disorder occurs widely, affecting many women, mainly in the perimenopausal age, and it increases with age. Aim. Analysis of the problem of urinary incontinence among women on the base of not systematic review of the literature. Summary. In the literature, it is highlighted that urinary incontinence of women is linked between the quality of life and the onset of symptoms, including functioning limitations on daily basis. It is a serious health and social problem among women. Conservative treatment in early stage of urinary incontinence may be an effective form of therapy. There is a need to prevent and educate the society in terms of shaping appropriate attitudes and behavioral health, including conservative methods in the treatment of urinary incontinence.

Physical education, health improvement and health-preserving activities are closely related and intertwined, since they are aimed at achieving and maintaining a person’s physical, mental and social well-being. Preserving and strengthening public health is an important task not only for individuals, but also for society as a whole and any modern state. This is facilitated by a healthcare system whose main goal is to improve the health and well-being of the population by providing comprehensive, high- quality and accessible care to all people, thereby ensuring the sustainability of the development of the country as a whole. Maintaining health at the individual level presupposes the choice of such forms of activity that contribute to the preservation and strengthening of human health. This choice is determined by the level of a person’s culture, acquired knowledge and life attitudes, such as: maintaining an optimal movement regime, taking into account gender, age and physiological characteristics; balanced, regular, rational nutrition; cessation of self-destructive behavior: cessation of smoking, use of psychoactive substances, alcohol abuse; compliance with the rules of personal and public hygiene; compliance with the rules of psychoprophylaxis and psychological hygiene; increasing the level of medical knowledge, mastering the skills of self-monitoring of one’s own health. The article analyzes the scientific literature on preserving and strengthening the health of the population through physical education and health activities. The increased interest of scientists in this problem is due to the increased social demand for the formation of a value-based attitude among the population towards their own health; formation of motivation aimed at health-saving activities of each person through physical activity.

Randomized trials have shown that voluntary medical male circumcision (VMMC) significantly reduces HIV acquisition risk in men. We sought to identify subpopulations of Botswanan men with high levels of VMMC uptake by comparing an observational cohort of men presenting for circumcision services at two high-volume clinics in Botswana's capital city, Gabo-rone, with a matched, population-based random sample of uncircumcised men. Among these high uptake VMMC subpopulations, we then examined the immediate factors that play a role in men's decision to seek VMMC services. As compared to their population-based controls, men choosing to undergo circumcision were more likely to be ages 24–34, more highly educated, to have a religious affiliation, and in a serious relationship. Our results suggest that married men and highly educated men were more likely to pursue circumcision for personal hygiene reasons. These findings have direct implications for targeted demand creation and mobilization activities to increase VMMC uptake in Botswana.

In Nigeria, the National Agency for Food and Drug Administration and Control (NAFDAC) guides the inspection and production of beef meat and prescribes the good practices pertinent to beef products’ handling, processing, and packaging. Specifically, good hygiene practice (GHP) assures beef product safety and consumer protection, whereas good storage practice (GSP) assures the continuity of hygiene activities within the storage stages. Relevant literature about butchers’ knowledge and perception of good hygiene and storage practices within Nigeria slaughterhouses remains scant. This current study, therefore, assessed butchers’ knowledge and perception of good hygiene and storage practices through a cattle slaughterhouse case analysis. The selected cattle slaughterhouse serves the increasingly thriving Nsukka beef market in Enugu State, Nigeria. Content validation was utilised to authenticate the questionnaire items, which were administered face-to-face to the respondents (i.e., the butchers). The questionnaire included a total of 30 questions. The results showed that the butchers were male (Freq. = 100%, n = 50), acquired their knowledge informally (Freq. = 88%, n = 44), were largely with more than 5 years of slaughterhouse experience (Freq. = 82%, n = 41), and were strongly (p < 0.0001) familiar with good hygiene (Freq. = 96%, n = 48) and storage (Freq. = 98%, n = 49) practices. The butchers provided examples that demonstrated knowledge and perception aspects of GHP and GSP. The perception aspects of GHP and GSP were correlated more, compared to knowledge and knowledge versus perception. Very conscious of their knowledge and perception of good hygiene and storage practices, the butchers herein have to strive for continuous improvement in their slaughterhouse activities to assure beef quality and consumer safety.

The article examines the issues related to the provision of social services to the elderly in their home environment. The author of the article examines the practice and evaluates its effectiveness and impact on the lives of senior citizens. The article discusses the main types of in-home services, including medical care, assistance with tidiness and personal hygiene, as well as social support. The importance of the practice of in-home social services for the elderly is emphasized. It has been found that this practice allows senior citizens to maintain independence, dignity, and quality of life, as well as prevents social isolation.

Objective: Alcoholic men-women ratio has ranged from 14:1 to 2:1, suggesting that female alcoholism should be further studied. The purpose of the current study was to compare alcohol dependence severity and treatment outcome between alcoholic men and women. Methods: In this longitudinal study, 114 male and 57 female alcoholics (ICD-10 criteria), who started treatment between 1990 and 1994 at the Botucatu Medical School Outpatient Clinic, were retrospectively and prospectively assessed up to July 1997. Semi-structured interviews were conducted and the severity of alcohol dependence was assessed (Short Alcohol Dependence Data -- SADD). Results/Conclusions: The results showed poorly structured families, 55.6% of women and 65.7% of men reported relationship problems and 74.1% of women and 61.1% of men reported domestic violence. When compared to men, women started abusing alcohol later in life (p=0.01) and, usually, with their husbands (p=0.00). The course of treatment did not differ between genders. Regardless of gender, the main factors associated with a better response to treatment were: degree of alcohol dependence severity (mildly and moderately dependent users had 5.59-fold better chances of improvement than those severely dependent), religious practice (2.3-fold better chances of improving) and follow-up length, which was negatively associated with chance of improvement (0.68-fold less chance of improvement than those who remained under shorter treatment).

Today, street food vending is becoming a dynamically developing food industry in Europe, including Poland. Lifestyle changes and socioeconomic factors, especially among young consumers, make it a convenient food alternative, even in countries without this tradition. The aim of the study was to evaluate hygiene conditions and practices in selected street food facilities in Poland. The study was carried out in accordance with an observation checklist developed on the basis of the hygienic requirements of the European Union. The study covered 550 randomly selected street food vendors in Poland in 10 cities. The hygiene of street food outlets was assessed in three aspects: ensuring proper production conditions, hygiene of production and distribution, and hygiene of personnel. The evaluation of street food outlets showed that the level of hygiene was not fully acceptable. A small percentage of the examined objects satisfactorily fulfilled the requirements of the production conditions, production and distribution hygiene, and staff hygiene. The proposed hygienic checklist for quick daily monitoring of street food outlets can be used to perform internal and external inspections. It seems that specific codes of conduct for European street foods facilities are necessary.

Abstract. Background: The Province of Quebec, Canada (PQ), witnessed a drastic rise in suicide among adult men between 1990 and 2000, followed by a continuous drop since then. At the end of the 1990s, men's suicide became recognized as a social issue, leading to implementation of gender-responsive strategies focusing on positive aspects of masculinity. Many of these strategies received positive assessments. Aims: This article offers a critical overview of the evolution of social responses to men's suicide in PQ. Method: We highlight elements of success with examples of interventions targeting men directly, professionals who work with men, and natural support networks of men. Results: Results and discussion suggest the benefits to shift towards salutogenic, gender-transformative approach to men's suicide prevention. Conclusion: Closing remarks question the current gaps and upcoming challenges in suicide prevention among men.

This review paper explores the use of miswak, a teeth-cleaning twig made from the Salvadora persica plant, in maintaining oral hygiene and preventing oral diseases. Various aspects of miswak are analyzed, including its historical significance, chemical composition, pharmacological characteristics, and beneficial effects on oral health. The paper also investigates the Islamic perspective on oral hygiene and the use of miswak, as well as the socio-medical aspect of oral disease prevention. While there are studies that point out potential drawbacks of miswak usage, proper application and combination with conventional oral hygiene methods can result in good oral health. Considering its cost-effectiveness and the need for affordable oral hygiene methods, further research on the use of miswak is valuable and necessary. This paper provides an overview of modern and relevant scientific literature on miswak and its significance in maintaining oral health, highlighting its journey from tradition to paradigm. Keywords: miswak, oral health, social medicine.