Anamnesis of a patient to evaluate the risk of disease due to environmental alteration
1 Department of Pathophysiology and Transplantation, Teacher Service at MGH (Master in Global Heath) at the Center for Multidisciplinary Research in Health Science, University of Milan, Via F. Sforza 35. 20122 Milan, Italy.
2 Department of Environmental Science & Policy, State University of Milan, via Celoria 2. 20133 Milano, Italy.
Research Article
World Journal of Advanced Research and Reviews, 2022, 16(02), 222–235
Article DOI: 10.30574/wjarr.2022.16.2.1135
Publication history:
Received on 26 September 2022; revised on 30 November 2022; accepted on 02 November 2022
Abstract:
Medical Doctors must repair the damages against human health but, being most of these damages due to environmental alterations going beyond pollution and being the physiology of an organism linked with internal and external/environmental life systems, they must collaborate with internal and external/environmental specialists (i.e., Ecojatra), arriving to an integrated therapy. But, to become an ecojatra, it is necessary to embody the systemic turn due to the scientific Paradigm shift, which can upgrade the impasse due to reductionism, as done by new upgrading disciplines, like Landscape Bionomics.
So, it is possible to propose a first suggestion for widening patient’s environmental anamnesis, presenting opportune questions and evaluation methods, derived from the main set of landscape syndromes. We need to measure the Risk of Disease % due to Environmental Stress produced by ethological alarm from environmental and behavioral alterations. This measure needs two or three steps:
· A preliminary value of Risk of Disease (%) given by the answers to 30 questions
· The estimation of the behavioral stress level (%), articulated in three set (family, work, social)
· The increase of Risk of Disease (x 1.5) when the behavioral stress level is more than 35% (cumulative impact): if this increased Risk of Disease goes beyond 60 %, the addition of the Premature Mortality Risk become necessary.
The contribution of Landscape Bionomics to a more systemic medicine emerges, also widening the education on public health and bioethics.
Keywords:
Anamnesis; Landscape Bionomics; Assessment Questionnaire; Risk of Disease; Stress; Cumulative Impacts
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