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Healthcare
Special Issues
Public Health: Past, Present and Future
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Public Health: Past, Present and Future

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Environmental Factors and Global Health".

Deadline for manuscript submissions: closed (15 March 2022) | Viewed by 6483

Special Issue Editors

Dr. Giacomo Lazzeri

E-Mail Website
Guest Editor
Department of Molecular and Developmental Medicine, University of Siena, 53100 Siena, Italy
Interests: nutrition; public health; health behaviors
Dr. Gianmarco Troiano

E-Mail Website
Guest Editor
ASST Melegnano e Martesana, 20070 Melegnano, Italy
Interests: epidemiology; public health; hygiene; reviews and meta-analysis
Dr. Isabella Mercurio

E-Mail Website
Guest Editor
Forensic Science and Sports Medicine, University of Perugia, 06132 Perugia, Italy
Interests: forensic and legal medicine; healthcare management

Special Issue Information

Dear Colleagues,

We must realize that health is an investment for the future. The WHO is publishing a list of urgent global health challenges. This list, developed with the help of experts around the world, highlights how none of these problems are simple to solve, but solutions are nonetheless within reach:

  1. Increasing the focus on health in the climate debate;
  2. Ensuring health in cases of conflicts and crises;
  3. Making healthcare fairer and safer;
  4. Expanding access to medicines;
  5. Stopping infectious diseases;
  6. Preparing for epidemics;
  7. Protecting people from dangerous products and lifestyles;
  8. Investments in operators who defend health;
  9. Keeping teens safe;
  10. Earning the public’s trust;
  11. Taking advantage of new technologies;
  12. Protecting medicines that “are able to protect”;
  13. Keep healthcare “clean”.

The purpose of this Special Issue is, therefore, to collect interesting and innovative studies and research in the broad context of public health in order to create a constructive cultural exchange considering the challenges that animated the past, those that animate the present (such as the COVID-19 pandemic), and those that, plausibly, will represent the future.

Dr. Giacomo Lazzeri
Dr. Gianmarco Troiano
Dr. Isabella Mercurio
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • public health
  • global and environmental health
  • general hygiene
  • healthcare epidemiology
  • healthcare management

Published Papers (3 papers)

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Research

9 pages, 548 KiB  
Article
Patterns of Prescription Medicine, Illicit Drugs, and Alcohol Misuse among High-Risk Population: A Factor Analysis to Delineate Profiles of Polydrug Users
by Alessio Gili, Massimo Lancia, Isabella Mercurio, Mauro Bacci, Alessia Nicoletti, Chiara Pelliccia and Cristiana Gambelunghe
Healthcare 2022, 10(4), 710; https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare10040710 - 11 Apr 2022
Cited by 7 | Viewed by 1913
Abstract
Polydrug use is a serious health and social problem worldwide. Treatment remains a challenge because it requires planning based on estimates of the nature and extent of drug consumption and the characteristics of the population in need. To this end, 103 subjects, who [...] Read more.
Polydrug use is a serious health and social problem worldwide. Treatment remains a challenge because it requires planning based on estimates of the nature and extent of drug consumption and the characteristics of the population in need. To this end, 103 subjects, who voluntarily asked to begin rehabilitation treatment, were monitored through hair analysis to investigate the nature and extent of their polydrug use. A factor analysis was carried out to delineate polydrug user profiles based on the following variables: age, sex, type of illicit drug use, type of prescription drug misuse, and amount of alcohol consumption. Twenty-three percent of subjects tested positive to more than one illicit drug (mainly cocaine), 44% to unprescribed drugs (mainly benzodiazepines), and 66% were hard drinkers. The profiles of drug users outlined included “single drug cocaine user”, and “single drug opiate user”. Moreover, a particularly problematic profile of cocaine users, common between genders and age groups, who combine high levels of alcohol and unprescribed benzodiazepines and opiates, emerged (“hard polydrug abusers”). From a treatment policy perspective, these findings support the importance of preventive analysis before rehabilitation treatment begins in order to identify different patterns of drug abusers to implement personalized multidisciplinary measures. Full article
(This article belongs to the Special Issue Public Health: Past, Present and Future)
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12 pages, 2197 KiB  
Article
Clinico-Epidemiological Profile and Outcome of Children with IgA Vasculitis in Aseer Region, Southwestern Saudi Arabia
by Samy A. Dawood, Abdoh M. Abodiah, Saleh M. Alqahtani, Ayed A. Shati, Youssef A. Alqahtani, Mohammed A. Alshehri and Syed E. Mahmood
Healthcare 2021, 9(12), 1694; https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare9121694 - 07 Dec 2021
Cited by 1 | Viewed by 2256
Abstract
Introduction: Immunoglobulin A (IgA) vasculitis is one of the most common forms of primary vasculitis in children; it typically has a benign course but can be aggressive and require intervention. Aim of the work: The aim of this retrospective study was to evaluate [...] Read more.
Introduction: Immunoglobulin A (IgA) vasculitis is one of the most common forms of primary vasculitis in children; it typically has a benign course but can be aggressive and require intervention. Aim of the work: The aim of this retrospective study was to evaluate the epidemiological and clinical profile and treatment modalities used for children with IgA vasculitis in the southwestern region of Saudi Arabia. Material and Methods: We reviewed the medical records of 89 children admitted to Abha Maternity and Children Hospital in the southwestern region of Saudi Arabia from January 2016 to December 2020 with a confirmed diagnosis of IgA vasculitis according to the European League Against Rheumatism/Paediatric Rheumatology International Trials Organisation/Pediatric Rheumatology European Society criteria. Results: Eighty-nine children had a confirmed diagnosis of IgA vasculitis, with 50 boys (56.2%) and 39 girls (43.8%; male-to-female ratio of 1.28:1) and a mean age at diagnosis of 5.87 ± 2.81 years. The mean hospital stay duration was 5.66 ± 4.72 days. Infections preceded 29.2% of the cases, with upper respiratory tract infections comprising 24.7%. Approximately 31.5% of the cases were diagnosed in summer, followed by autumn in 28% of the cases. Rash was present in 100%, arthritis in 72.2%, gastrointestinal tract involvement in 60.7%, and renal involvement in 23.5% of cases. Thrombocytosis and leukocytosis were found in 35% and 46% of all cases, and 52.3% and 47.6.25% of cases with renal involvement, respectively (OR = 2.035, 95% CI: 0.75–5.52 and OR = 1.393, 95% CI: 0.522–1.716, respectively). Approximately 26% of cases experienced relapses. Treatment was conservative in 23.6%, oral prednisolone in 23.6%, and pulse steroid in 45% of cases. Abdominal pain with lower gastrointestinal tract bleeding was the primary indication for initiating pulse steroid treatment. Conclusions: There were similarities and differences in the epidemiology and frequency of clinical manifestations of patients with IgA vasculitis compared to previous studies. Children presenting with such epidemiological and clinical profile need to be closely monitored and long-term follow-up is recommended to improve the outcomes. Full article
(This article belongs to the Special Issue Public Health: Past, Present and Future)
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13 pages, 423 KiB  
Article
Using a Socio-Environmental Approach to Explore the Determinants for Meeting the Recommended Physical Activity among Adults at Risk of Diabetes in Rural Indonesia
by Fransiskus Xaverius Widiantoro, Jing-Jy Wang, Yi-Ching Yang, Cheng-Chen Chou and Chi-Jane Wang
Healthcare 2021, 9(11), 1467; https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare9111467 - 29 Oct 2021
Viewed by 1454
Abstract
Moderate-to-vigorous physical activity (PA) is recommended to mitigate the risk of diabetes. This study explored the PA of adults at risk for diabetes in rural Indonesia and determined the requirements for meeting the recommended PA level. In total, 842 adults were screened using [...] Read more.
Moderate-to-vigorous physical activity (PA) is recommended to mitigate the risk of diabetes. This study explored the PA of adults at risk for diabetes in rural Indonesia and determined the requirements for meeting the recommended PA level. In total, 842 adults were screened using a diabetes risk test in a rural health centre; among them, 342 were at risk of diabetes. The level of PA was assessed using the International Physical Activity Questionnaire, whereas the associated factors underlying the three domains –individual, support, and environment—were determined by the Influences on Physical Activity Instrument. The data analysis included a three-step multiple linear regression (MLR) and logistic regression (LR). Overall, 40.6% of the participants met the recommended PA. According to the MLR analysis, among males, individuals who gave PA a higher priority and had enough time to perform PA were predicted to have a higher activity energy expenditure (MET-minutes per week). According to the LR analysis, men were more likely to meet the recommended PA, and people who gave PA a lower priority and had less access to space for PA were less likely to meet the recommended PA level. Strategies for promoting PA in rural Indonesia include focusing on women, people who prioritize PA less, and those who have less time and space in which to be physically active. Full article
(This article belongs to the Special Issue Public Health: Past, Present and Future)
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