Articles: middle-aged.
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Int J Equity Health · Nov 2007
Can working with the private for-profit sector improve utilization of quality health services by the poor? A systematic review of the literature.
There has been a growing interest in the role of the private for-profit sector in health service provision in low- and middle-income countries. The private sector represents an important source of care for all socioeconomic groups, including the poorest and substantial concerns have been raised about the quality of care it provides. Interventions have been developed to address these technical failures and simultaneously take advantage of the potential for involving private providers to achieve public health goals. Limited information is available on the extent to which these interventions have successfully expanded access to quality health services for poor and disadvantaged populations. This paper addresses this knowledge gap by presenting the results of a systematic literature review on the effectiveness of working with private for-profit providers to reach the poor. ⋯ Few studies provided evidence on the impact of private sector interventions on quality and/or utilization of care by the poor. It was, however, evident that many interventions have worked successfully in poor communities and positive equity impacts can be inferred from interventions that work with types of providers predominantly used by poor people. Better evidence of the equity impact of interventions working with the private sector is needed for more robust conclusions to be drawn.
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To determine the effectiveness of low-energy extracorporeal shock wave therapy (ESWT) in the treatment of previously untreated lateral epicondylitis. ⋯ Low-dose ESWT did not have a clinically important effect in reducing pain, improving quality of life, or increasing pain-free grip strength in middle-aged patients with previously untreated unilateral or bilateral lateral epicondylitis.
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Rocz Panstw Zakl Hig · Jan 2012
[Physical activity of elderly people living in district Koprzywnica (Poland)].
Physical activity has good influence on health. The physical activity of elderly people may decrease, because of the health problems or think that with aging sport activity should be reduced. ⋯ In case of older persons the duration of physical activity was shorter and the active energy expenditure was lower than in case of younger persons. Both groups had the sedentary energy expenditure and the lying duration at the same level. Elderly people with higher BMI had lower total energy expenditure and lower intensity and shorter physical activity duration than elderly people with lower BMI.