conclusions this study demonstrates that the mental states associated with specific diseases should not be ignored in evaluating health states. although there are benefits to relying on expert panels and the general population in evaluating various health states, attention to the particular health states of the patients (taking into account their associated mental well-being) should also be uti...

Persistent diarrhea (PD; duration >/=14 days) is a growing part of the global burden of diarrheal diseases. A 45-month prospective cohort study (with illness, nutritional, and microbiologic surveillance) was conducted in a shantytown in northeastern Brazil, to elucidate the epidemiology, nutritional impact, and causes of PD in early childhood (0-3 years of age). A nested case-control design was...

BACKGROUND Childhood cancer may radically change the daily lives of young survivors, particularly in school. Depending on the sense they derive from the experience of illness, survivors may go through profound transformations in the way they approach life. METHODS This exploratory study reports on school engagement of cancer survivors by examining their perceptions of benefits and burdens in ...

BACKGROUND Terminal illness imposes substantial burdens--economic and otherwise--on patients and caregivers. The cause of these burdens is not understood. OBJECTIVE To determine the mechanism for economic and noneconomic burdens of terminal illness and to identify potential ameliorating interventions. DESIGN In-person interviews of terminally ill patients and their caregivers. SETTING Six...

During the early stages of a serious illness, treatment is generally aggressive and the major goal of treatment is cure. As the illness progresses, the burdens of traditional medical therapies may begin to outweigh their benefits. The patient and/or physician may then emphasize different treatment goals. The transition period from traditional curative care to palliative care can be one of the m...

background: patients with end‑stage renal disease (esrd) who receive dialysis confront the burdens of long‑term illness and numerous physical problems. materials and methods: this was a quasi-experimental study. the selected patients from gorgan dialysis centre were randomly assigned into an empowerment group ( n = 40) and a control group ( n = 40). instruments comprised scales of empowerment a...

This article describes the Chronic Illness and Disability Payment System (CDPS), a diagnostic classification system that Medicaid programs can use to make health-based capitated payments for TANF and disabled Medicaid beneficiaries. The authors describe the diversity of diagnoses and different burdens of illness among disabled and AFDC Medicaid beneficiaries. Claims from seven States are analyz...

In its prescription of how food security among rural households can be attained and how problems such as AIDS can be addressed, the neoclassical utiliarian view envisions individual households making atomistic decisions in the use of their resources, goods, and services (entitlements). In exploring the effect of illness and death on household food security in rural Malawi amidst the AIDS epidem...