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PubMed1999

[Social and economic impact of multiple sclerosis].

The evolution of multiple sclerosis is unforeseeable; it can induce disability and fatigue; thus, it has a socio-economical impact. Married and family life, relationships and work are the most affected areas. Financial problems can also occur. Counselling and aid services must be provided. All these social impacts induce an indirect cost which is the major component of the total cost of multiple sclerosis. Data show that there are great differences between countries and that the cost increases when there is a disability. The economic impact of the "new" drugs is unknown and must be assessed.

Counseling↗
PubMed2004

[Messy house syndrome].

The messy house syndrome (Diogenes syndrome) is present when, owing to a disordering of the personality structure, a person is unable to keep order, for example, in the household or his finances. Such persons are also referred to as "messies". Useless objects are hoarded in such quantities that the apartment can no longer be lived in. In many cases, the disorder is due to an underlying mental problem such as dementia, schizophrenia, ADHS or obsessive-compulsive disorders. The Prader-Willi syndrome is also associated with an unusual compulsion to hoard things or food. In the first instance, treatment is aimed at the underlying condition (neuroleptic agents, SSRI). New studies appear to suggest that the particular concomitant cognitive and emotional disturbances associated with hoarding respond to cognitive behavioral therapy.

Aged↗
PubMed2000

Financial incentives, participation in employer-sponsored health promotion, and changes in employee health and productivity: HealthPlus Health Quotient Program.

Employer-sponsored health promotion can improve employee health and morale and reduce medical claims and absenteeism. Effectiveness depends on the participation of those employees who are at increased risk of ill health. HealthPlus Health Quotient is an incentive/disincentive approach to health promotion. The employer's contribution to the employee cafeteria-plan benefit package is adjusted on the basis of an annual health risk appraisal. We evaluated whether this financial incentive/disincentive predicted participation in health promotion activities, and whether participation improved future health risk and productivity. In the first year, participation was proportional to overall health risk (P < 0.01). Participation in targeted programs was proportional to levels of body fat, cholesterol, and blood pressure. Participation in activity-related health promotion was proportional to prior-year activity or fitness scores. Health promotion participants improved their subsequent-year health risk more than did non-participants. Participation was associated with reduced illness-related absenteeism and (although inconsistently) with medical claims paid and short-term disability.

Absenteeism↗
PubMed2000

Sounds great, but what's in it for me? Helping employees understand their role in the retirement planning process.

The communication of retirement plans by employers to their workers has greatly improved, but in many cases still falls short of getting employees to understand their roles in planning for their own retirement. The author states that a well-designed personalized retirement savings education program encourages employees to take ownership of their retirement plan. Three employee profiles are examined in the context of the personalized retirement education process.

Community Participation↗
PubMedDate not supplied

Taking charge: a personal responsibility.

Women can adopt health practices that will help them to maintain good health throughout their various life stages. Women can take charge of their health by maintaining a nutritionally balanced diet, exercising, and using common sense. Women can also employ known preventive measures against osteoporosis, stroke, lung and breast cancer and accidents. Because women experience increased longevity and may require long-term care with age, the need for restructuring the nation's care system for the elderly becomes an important women's health concern. Adult day care centers, home health aides, and preventive education will be necessary, along with sufficient insurance to maintain quality care and self-esteem without depleting a person's resources.

Aged↗
PubMed1994

Presumptions respecting mental competence.

This paper addresses the role(s) played by presumptions regarding mental competence in the context of clinical assessment of decision-making capacity. In particular, the issue of whether or not the usual common law presumption of competence is appropriate and applicable in cases of reassessment of persons previously found incompetent is discussed. Arguments can be made for either retaining a presumption of competence or adopting a presumption of incompetence in reassessment cases. In addressing the issue and the arguments, the authors conclude that the question is really a public policy issue which requires legislative resolution. In writing this paper, the authors have drawn on their joint clinical experience at the Baycrest Competency Clinic. Though the authors' jurisdiction is the province of Ontario, their intent is to raise awareness and to prompt consideration of this issue both inside and outside Ontario.

Commitment of Persons with Psychiatric Disorders↗
PubMed2000

Dental care for children under general anaesthesia by private dental practitioners in New Zealand.

An overall reduction of approximately one-third in the availability of private dental care under general anaesthesia in New Zealand has occurred in the past 5 years. Private dentists providing dental care under general anaesthesia are disproportionately located in Auckland. Specialist anaesthetists or general medical practitioners are used to provide almost all the general anaesthetics; approximately half the dentists providing this service continue to use their dental surgeries for the procedure. Private dentists provide approximately one-third of the dental care under general anaesthesia for children each month in New Zealand, but utilise a greater number of sessions per month than the public-sector hospitals. Fees associated with dental care under general anaesthesia for children provided by private dentists are predominantly privately funded. Barriers to dental care for children provided by private dentists are primarily cost, difficulties for the dentists and anaesthetists to fit a general anaesthetic session into the practising day, and difficulties providing care for children under 3 years of age and for those with medical problems and disabilities.

Age Factors↗