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I focused on two fundamental questions: (i) what are the effects of anthropogenic environmental change on the abundance, diversity, distribution, and transmission of parasites and pathogens and (ii) how can we harness our knowledge of the ecological dimensions of disease agent transmission to address human disease burdens?
Each focuses on different dimensions of disease severity with little attention to behavioral disturbances.
This method, which has increasingly been used in public health to support policy decision-making, combines several dimensions of disease and allows comparing hazards, diseases, years, and populations and offers ways to monitor public health issues [ 28].
Work by Haldar et al. showed that distinct clusters of adult asthmatics can be identified when studying two distinct dimensions of disease, i.e. asthma symptoms and eosinophilic inflammation [ 2].
An alternative approach that offers broadest applicability is that of focusing on vector species' geographic distributions via ecological niche modeling techniques now well tested [ 6- 8] within frameworks for reconstructing the geographic dimensions of disease transmission [ 9].
Together, these results suggest that the single-item global estimate of disease severity integrates more specific dimensions of disease severity and that its 5 response options reflect a broad range of severity.
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No significant differences were found for the 4 COPD, 3 diabetes, 7 epilepsy and 3 heart failure dimensions of disease-specific measures.> In response to the 'change in health' question, approximately half of the respondents reported their health to have stayed stable in the last year, with approximately a quarter reporting deterioration and another quarter reporting improvement (Table 5).
We also ignored the spatial dimension of disease spread, in particular the role of migration, and the differential behaviour in urban and rural areas.
The WOMAC does not assess this dimension of disease.
Raising physicians' awareness of the psycho-social dimension of disease, and of the impact of peer influence and role modeling, seems promising in this regard, too.
We group and introduce the eight papers under four categories to reflect the workshop panel themes: (1) Medical dimensions of chronic disease in Africa; (2) Psychological dimensions of chronic disease in Africa; (3) Role of communities in tackling chronic disease; and (4) National and international dimensions of fighting chronic disease.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com