BMC Public Health volume 24, Article number: 2055 (2024) Cite this article. Mental health in the elderly has multiple determinants, and studies indicate household and family composition, economic status, and family support are key factors. However, these are difficult to modify, and better lifestyle for the elderly can be a possible intervention. The current study examined the mediating role of lifestyle in the association between these three types of the household and family composition (living alone, living with a spouse, and living with children) and mental health in older adults.

The association between household and family composition and mental health of the elderly: mediating role of lifestyle

BMC Health Services Research volume 24, Article number: 865 (2024) Cite this article. Inadequate care within Tanzania’s primary health system contributes to thousands of preventable maternal and child deaths, and unwanted pregnancies each year. A key contributor is lack of coordination between three primary healthcare actors: public sector Community Health Workers (CHWs) and health facilities, and private sector Accredited Drug Dispensing Outlets (ADDOs). The Afya-Tek program aims to improve the continuity of care amongst these actors in Kibaha district, through a mobile-application based digital referral system that focuses on improving maternal, child and adolescent health. The digital system called Afya-Tek was co-created with users and beneficiaries, and utilises open-source technology in-line with existing government systems. The system guides healthcare actors with individualised decision support during client visits and recommends accurate next steps (education, treatment, or referral). From July 2020 to June 2023, a total of 241,000 individuals were enrolled in the Afya-Tek program covering 7,557 pregnant women, 6,582 postpartum women, 45,900 children, and 25,700 adolescents. CHWs have conducted a total of 626,000 home visits to provide health services, including screening clients for danger signs. This has resulted in 38,100 referrals to health facilities and 24,300 linkages to ADDOs. At the ADDO level, 48,552 clients self-presented; 33% of children with pneumonia symptoms received Amoxicillin; 34% of children with diarrhoea symptoms received ORS and zinc; and 4,203 referrals were made to nearest health facilities. Adolescents preferred services at ADDOs as a result of increased perceived privacy and confidentiality. In total, 89% of all referrals were attended by health facilities. As the first digital health program in Tanzania to demonstrate the linkage among public and private sector primary healthcare actors, Afya-Tek holds promise to improve maternal, child and adolescent health as well as for scale-up and sustainability, through incorporation of other disease conditions and integration with government’s Unified Community System (UCS).

Using digital technology as a platform to strengthen the continuum of care at community level for maternal, child and adolescent health in Tanzania: introducing the Afya-Tek program

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Total Apex Sports & Entertainment

How can Astrology tell you about your worst friends? Astrology is the concept of using the placement of the planets and their related astrological signs, or the Signs of the Zodiac, to determine the course of a life. These placements based on your birth date, time, and location can give you a wealth of information about your personality traits and character and predict events throughout your life based on your sign and current placements. Of course, this is a quick overview, and doing actual natal charts and horoscopes is much more complicated. But now you have a basic idea of what astrology is.

5 Zodiac Signs That Could Be Your Worst Friend

Blanco, TX

Brigid Pfeifer

There were a number of celebrities who passed away within the past week, including two notable actresses: Shelley Duvall and Shannen Doherty. Shelley Duvall passed away on Thursday July 11th at her home in Blanco, Texas. The cause of death was complications from diabetes and news of her death was confirmed by her partner Dan Gilroy.

Two Beloved Hollywood Actresses Have Passed Away This Week

Twilio has underperformed the broader market this past year, but it has started gaining momentum. Its integration of AI could help it win more business, and the stock remains cheaply valued. This cloud computing company could witness an improvement in growth thanks to the rising adoption of AI. The proliferation...

1 Incredibly Cheap Artificial Intelligence (AI) Stock to Buy Before It Skyrockets

What makes a Zodiac Sign low maintenance? Independence can make someone low maintenance. Someone who is reliable, dependable, and punctual, can make someone low maintenance. Someone who tends to want to do things on their own can be low maintenance. Low-maintenance people tend to be those people who do on their own but are not necessarily alone. They rarely need or ask for help. They are self-motivated, often energetic, and can be considered leaders is many cases. Now me, some say I am low maintenance and others say I’m high maintenance. Maybe I’m both. Let's see what zodiac signs are considered low-maintenance.

5 Zodiac Signs That Are Low Maintenance

Chicago, IL

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Foodie in Chicago

Shortly before 3 AM, people in the Chicago area may have felt their houses shake as a 3.4-magnitude earthquake occurred about 60 miles west of the city. (CHICAGO) The United States Geological Survey (USGS) reported a 3.4-magnitude earthquake around Somonauk, IL. Somonauk is in DeKalb and LaSalle Counties, 64 miles west of Chicago.

Did You Feel the Earthquake?

Denver, CO

Contributors represent independent, third-party users who have joined our contributor program and self-verified their accounts. They have also demonstrated their experience writing hard news for other outlets. Contributors are expected, like all users, to adhere to our Community Standards.

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David Heitz

A dangerous drug that is being mixed into fentanyl is causing those who inject it to develop a rash of sores that resembles a case of flesh-eating bacteria. People experiencing homelessness around Denver can sometimes be seen with these bloody, weeping wounds. I recently mentioned this phenomenon to a fentanyl user who told me about the xylazine connection.

Denver homeless people suffer sores as xylazine enters fentanyl supply

New York City, NY

Cheryl E Preston

Yesterday was the third time this year that an ad stating Chelsea Clinton lives in a beautiful Virginia home popped up on my laptop. My computer did not warn me this was a dangerous site, so this time, I clicked on the link.

Chelsea Clinton is rumored to be living in Virginia but probably still in NYC

In the midst of the perfect storm in senior care—complex patients, high expectations, tight budgets and limited infrastructure—the need for effective collaboration is more critical than ever. That collaboration must take place not only between providers and patients but also between multiple providers and patient family members. Senior...

Reimagining collaboration in senior care: A technology driven approach

Scituate, MA

Dianna Carney

The Scituate Animal Shelter of Massachusetts has announced a heartwarming and adorable event that will both raise money for the local animal shelter while also socializing a few of their tiniest furry friends. The local animal shelter explains, "We need help socializing 12 adorable kittens! Your job would be to hang out with them, play with them and pet them!"

Local Animal Shelter Announces Adorable "Play With Kittens" Event

UnitedHealthcare has completely revamped its provider search experience for millions of members, infusing new features that leverage claims and pricing data, along with AI-powered tools that provide more accurate results. "The company went through a transformation in the way that it operated and started thinking more about the end-to-end consumer...

Inside UnitedHealthcare's provider search revamp

Savannah, GA

Daily Coffee Press

Newly returned indictments in the Southern District of Georgia include felony charges for illegal firearms possession and drug distribution, while additional defendants have been sentenced to federal prison or await further proceedings after pleading guilty to federal gun charges.

Federal Charges in Southern GA: Indictments and Sentences for Firearms and Drug Offenses

Bucks County Beacon

Conservatives have done the United States a huge favor by explaining in detail what they’ll try to do if Donald Trump is reelected. Project 2025 , a “presidential transition project” of the Heritage Foundation, helpfully lays out how a group of former Trump officials would like to transform the country into a right-wing dystopia where the rich thrive and the rest of us die aspiring to be rich.

Project 2025’s Plan to Gut Medicare and Medicaid

Massachusetts State

Camilo Díaz

(MA) Meet Herk, a resilient puppy who has overcome a tragic past and is now looking forward to a bright future. This 1-year-old Lab and Boxer mix pup was found by a Good Samaritan who found him with his two back legs bound together, causing irreparable damage. The damage to his legs was so severe only way forward was surgery. Herk underwent a successful amputation and has since made a full recovery. He uses a wheelchair to move around and has mastered it with ease.

Pup Who Was Rescued With Bound Back Legs Now In Wheelchair And Looking For Love

(MA) Get ready to open your heart to a wiry bundle of love named Chunk. This 2-year-old Chihuahua and Yorkshire Terrier mix pup recently came into rescue for heartbreaking reasons. Though he started his life as a cared for and well-loved pup, Chunk's owner sadly passed away, leaving Chunk all by his lonesome.

Meet Chunk: A Little Chihuahua Who Lost her Owner Now Looking For Love

The electronic prescribing (e-prescribing) landscape continues to evolve and many positive advances have been made over the past decade. This blog post showcases the rapid growth in e-prescribing, steps taken towards laying the essential groundwork for the current state of e-prescribing, and what remains to be accomplished. This post is our third in the “A Decade of Data Examined” blog series.

A Decade of Data Examined: The Evolution of E-Prescribing

South Carolina State

Explore Beaufort SC

The mantis shrimp is one tough customer. Beautiful and deadly are two words you don’t typically use to describe shrimp, but the mantis shrimp is definitely in a class of its own; earning a reputation as the ‘savage boxer of the sea’ and one of the most fearsome creatures in the ocean. And, they're right at home here in South Carolina.

Savage Boxer of the Sea: The Deadly Beauty of Mantis Shrimp

Your private parts should stay private. There, I said it. Unfortunately, though, in a post-Roe world, your digital footprint runs the risk of being tracked by anti-choice groups, abusive partners, and authorities, so keeping your health information private is more important than ever. But what does that really mean? And how do you do it?

How to Keep Your Health Information Truly Private Online, According to Experts

Tennessee State

John M. Dabbs

NASHVILLE, Tenn. — The Tennessee Department of Health (TDH) has issued a health alert to clinicians statewide following reports of severe acute illnesses and adverse effects of consuming Diamond Shruumz™ brand chocolate bars, cones, and gummies. The warning comes after the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) received reports of serious health issues linked to these mushroom-containing edible products.

Tennessee Health Alert: Severe Illnesses Linked to Diamond Shruumz™ Products

NewsBreak

Use of an electronic wellness instrument in the integrated health and social care of older adults: a group concept mapping study

BMC Health Services Research volume 24, Article number: 864 (2024) Cite this article. Health system fragmentation directly contributes to poor health and social outcomes for older...

Use of an electronic wellness instrument in the integrated health and social care of older adults: a group concept mapping study

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