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Reviewer Acknowledgements for Global Journal of Health Science, Vol. 16, No. 4 全球健康科学杂志》第 16 卷第 4 期审稿人致谢
Pub Date : 2024-04-01 DOI: 10.5539/gjhs.v16n4p80
E. Grey
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 16, No. 4, 2024.
全球健康科学杂志》(Global Journal of Health Science)第 16 卷第 4 期(2024 年)审稿人致谢。
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引用次数: 0
Prevalence of Diabetes and the Relationship Between Wealth and Social Demographic Characteristics Across 6 Low-and-Middle Income Countries 6 个中低收入国家的糖尿病患病率以及财富与社会人口特征之间的关系
Pub Date : 2024-03-25 DOI: 10.5539/gjhs.v16n4p22
Gifty Marfowaa, J. Campbell, S. Nagavally, Aprill Z Dawson, R. Walker, Leonard E. Egede
BACKGROUND: As the global burden of diabetes persists, research is needed to understand the role of wealth and correlates of diabetes across regions of the world. The purpose of this study is to examine the prevalence and role of wealth and diabetes across 6 low- and middle- income countries while also accounting for independent correlates of diabetes by country. METHODS: Data from the Study on Global Ageing and Adult Health (SAGE), SAGE Wave 1 was used. Self-reported diabetes status was the primary dependent variable and wealth quintile, number of dwelling characteristics and possession of a set of assets, was the independent variable. Logistic regression models examined the relationship between wealth and presence of diabetes across 6 countries with the highest wealth quintile, quintile 1, serving as the reference group. RESULTS: Sample size by country included Ghana N = 5573, South Africa N = 4227, Russia N = 4947, Mexico N = 5448, India N = 12198, and China N = 15050. Average age across country ranged from 49 to 63 years of age. Prevalence of diabetes across country included 3.4% and 9.2% for Ghana and South Africa, respectively. In Russia, 8.3%; Mexico, 18.1%; India, 4.9%; and China, 5.9% of the sample reported having diabetes. In the adjusted logistic model, wealth was associated with higher odds of diabetes in Ghana (OR 2.26; CI 1.28; 4.13), South Africa (OR 4.57; CI 2.25; 10.32), Mexico (OR 2.00; CI 1.14; 3.60), India (OR 2.45; CI 1.60; 3.86), and China (OR 2.16; CI 1.62, 2.93). CONCLUSIONS: These findings add to the growing body of evidence in our understanding between wealth and diabetes. As diabetes persists as a leading cause of death globally, future work should focus on mechanisms underlying the relationship between wealth and diabetes while also developing interventions to mitigate his burgeoning disease affecting communities across low- and middle-income countries.
背景:随着全球糖尿病负担的持续加重,需要开展研究以了解财富的作用以及世界各地区糖尿病的相关因素。本研究的目的是调查 6 个中低收入国家的财富和糖尿病患病率及其作用,同时考虑各国糖尿病的独立相关因素。 方法:采用全球老龄化与成人健康研究(SAGE)的数据,SAGE 第 1 波。自我报告的糖尿病状况是主要因变量,财富五分位数、居住特征数量和拥有的一系列资产是自变量。逻辑回归模型检验了 6 个国家的财富与是否患有糖尿病之间的关系,以最高财富五分位数(五分位数 1)作为参照组。 结果:按国家分列的样本数包括加纳=5573、南非=4227、俄罗斯=4947、墨西哥=5448、印度=12198 和中国=15050。各国的平均年龄从 49 岁到 63 岁不等。加纳和南非的糖尿病患病率分别为 3.4% 和 9.2%。俄罗斯有 8.3%、墨西哥有 18.1%、印度有 4.9%、中国有 5.9%的样本报告患有糖尿病。在调整后的逻辑模型中,在加纳(OR 2.26;CI 1.28;4.13)、南非(OR 4.57;CI 2.25;10.32)、墨西哥(OR 2.00;CI 1.14;3.60)、印度(OR 2.45;CI 1.60;3.86)和中国(OR 2.16;CI 1.62,2.93),财富与较高的糖尿病几率相关。 结论:这些发现为我们了解财富与糖尿病之间的关系提供了更多证据。由于糖尿病一直是全球的主要死因,未来的工作应侧重于研究财富与糖尿病之间关系的内在机制,同时制定干预措施,以减轻这一影响中低收入国家社区的新兴疾病。
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引用次数: 0
Singing Habit Potentially Prevents the Oral Frailty of Japanese Healthy Middle-Aged and Elderly Individuals 唱歌习惯可预防日本健康中老年人的口腔衰弱
Pub Date : 2024-03-25 DOI: 10.5539/gjhs.v16n4p32
Naoko Inamura, Takehiko Kaneko
BACKGROUND: Focus has recently been placed on the importance of taking measures against the oral frailty of healthy elderly individuals. OBJECTIVE: To exploratorily examine the association of singing habit with the oral frailty of Japanese healthy middle-aged and elderly subjects. METHODS: Self-reported questionnaire surveys on singing habit, oral frailty, social isolation, and depressive tendency were conducted. Pearson’s correlation coefficients were calculated, and simple linear regression analysis assessed the association of an independent variable (singing habit scores) with a dependent variable [oral frailty index (OFI)-8 scores], while multiple linear regression analysis assessed the associations of independent variables (age, gender, as well as the presence or absence of singing habit, social isolation, and depressive tendency) with the OFI-8 scores. RESULTS: 32 subjects (6 males and 26 females; mean age, 69.0±5.6 years) participated in the surveys. The OFI-8 scores ranged from 0 to 11 points (mean score: 3.3±2.3 points), with the most predominant score of 4 points (8/32, 25.0%). Simple linear regression analysis (n=32) revealed that singing habit significantly lowered the OFI-8 scores (p=0.045), although no correlation was detected (R2=0.1269). Multiple linear regression analysis (n=31) revealed that singing habit showed a moderate inverse correlation (b, -1.73; r=-0.44) with and significantly lowered the OFI-8 scores (p=0.03), suggesting its potential of reducing the risk of oral frailty. Age, social isolation, and depressive tendency had no significant association with the OFI-8 scores. CONCLUSION: The present exploratory study does not provide conclusive evidence about oral frailty prevention by singing habit but affords underpinnings for further research. Keywords: Singing Habit, Oral Frailty, Depression, Social Isolation, Healthy Middle-Aged and Elderly Individuals, Self-reported Questionnaire Surveys
背景:最近,人们开始关注采取措施预防健康老年人口腔虚弱的重要性。 目的:探讨日本健康中老年人的唱歌习惯与口腔虚弱之间的关系。 方法:对唱歌习惯、口腔虚弱、社会隔离和抑郁倾向进行自我报告问卷调查。计算皮尔逊相关系数,用简单线性回归分析评估自变量(唱歌习惯得分)与因变量(口腔虚弱指数(OFI)-8 分值)之间的关系,用多元线性回归分析评估自变量(年龄、性别以及是否有唱歌习惯、社交孤立和抑郁倾向)与 OFI-8 分值之间的关系。 结果:32 名受试者(男 6 人,女 26 人;平均年龄(69.0±5.6)岁)参加了调查。OFI-8 评分从 0 分到 11 分不等(平均分:3.3±2.3 分),最主要的得分是 4 分(8/32,25.0%)。简单线性回归分析(32 人)显示,唱歌习惯显著降低了 OFI-8 分数(p=0.045),但未发现相关性(R2=0.1269)。多元线性回归分析(n=31)显示,唱歌习惯与 OFI-8 分数呈中度反相关(b,-1.73;r=-0.44),并明显降低了 OFI-8 分数(p=0.03),这表明唱歌习惯有可能降低口腔虚弱的风险。年龄、社会隔离和抑郁倾向与 OFI-8 评分无明显关联。 结论:本探索性研究并未提供通过唱歌习惯预防口腔虚弱的确凿证据,但为进一步研究提供了基础。 关键词唱歌习惯、口腔虚弱、抑郁、社会隔离、健康中老年人、自我报告问卷调查
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引用次数: 0
Acceptance of COVID-19 Vaccination in Children among Adults attending Selected Health Facilities in Kinondoni Municipality; Dar es salaam, Tanzania: A Cross Sectional Study 坦桑尼亚达累斯萨拉姆 Kinondoni 市部分医疗机构的成人对儿童接种 COVID-19 疫苗的接受程度:横断面研究
Pub Date : 2024-03-13 DOI: 10.5539/gjhs.v16n4p13
Nashon Mugobera, Leonard Malasa, Dharia Amour, Maulid Fataki, F. Rutachunzibwa, F. S. Kalabamu
BACKGROUND: Safe and effective vaccines are crucial for controlling and containing COVID-19 pandemic. However, poor acceptance and hesitance to vaccinate limit effective utilization. In Tanzania, COVID-19 vaccines have been in use with adequate coverage in adults from 18-years old, however, the acceptability of their use in children is not well understood. This study was aimed at determining the acceptability of COVID-19 vaccination in children among adults in Dar es salaam, Tanzania. METHODS: A cross section study was conducted among adults attending outpatient clinic in Dar es salaam and were having children below 18-years at home. A self-administered questionnaire was used to collect their demographic information and their opinions regarding COVID-19 vaccine use in their children. Data was analyzed using Statistical Package for Social Sciences (SPSS version 23). Level of acceptance and other categorical variables were calculated in frequency and percentages while factors associated with COVID-19 vaccination in children were determined using binary logistic regression analysis.  A type II error of less or equal to 0.05 was considered statistically significant. RESULTS: A total of 320 participants were recruited in the study. Among these, 289 (90.3%) were females. Out of all participants, 124 (38.57%) were willing for their children to receive COVID-19 vaccines upon availability and recommendation by respective authorities. Confidence in the safety of COVID-19 vaccines (Adjusted Odd Ratio= 0.03; 95% CI: 0.01-0.13; p=0.02, and perceived importance of COVID-19 vaccine use in children (AOR=0.29; 95% CI: 0.1-0.84; p=0.02) were independent factors associated with acceptance of COVID-19 vaccination in children. CONCLUSION: The level of acceptance of COVID-19 vaccination for children in this study was low (38.57%), with uncertainty around vaccine safety being the major concern. Therefore, to increase COVID-19 vaccines acceptance and uptake in children, effective public communication supported by data on safety and effectiveness of COVID-19 vaccines should be emphasized. 
背景:安全有效的疫苗对于控制和遏制 COVID-19 大流行至关重要。然而,对疫苗的接受度低和犹豫不决限制了疫苗的有效使用。在坦桑尼亚,COVID-19 疫苗已在 18 岁以上的成年人中得到充分使用,但儿童对其使用的接受度却不甚了解。本研究旨在确定坦桑尼亚达累斯萨拉姆成人对儿童接种 COVID-19 疫苗的接受程度。 方法:这项横断面研究的对象是在达累斯萨拉姆门诊就诊且家中有 18 岁以下儿童的成年人。研究采用自填问卷的方式收集他们的人口统计学信息以及他们对子女接种 COVID-19 疫苗的看法。数据使用社会科学统计软件包(SPSS 23 版)进行分析。接受程度和其他分类变量以频率和百分比计算,而与儿童接种 COVID-19 疫苗相关的因素则采用二元逻辑回归分析法确定。 小于或等于 0.05 的 II 型误差被认为具有统计学意义。 结果:研究共招募了 320 名参与者。其中 289 人(90.3%)为女性。在所有参与者中,124人(38.57%)愿意让他们的孩子接种COVID-19疫苗,前提是疫苗可用并得到相关部门的推荐。对 COVID-19 疫苗安全性的信心(调整后奇数比= 0.03;95% CI:0.01-0.13;P=0.02)和认为 COVID-19 疫苗在儿童中使用的重要性(AOR=0.29;95% CI:0.1-0.84;P=0.02)是儿童接受 COVID-19 疫苗接种的独立相关因素。 结论:在本研究中,儿童对接种 COVID-19 疫苗的接受程度较低(38.57%),疫苗安全性的不确定性是主要担忧。因此,为了提高儿童对 COVID-19 疫苗的接受度和接种率,应强调在 COVID-19 疫苗安全性和有效性数据的支持下进行有效的公众沟通。
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引用次数: 0
Profiles of Community Care Sites and provider Community Health Workers: A Case study at Gombe Matadi, Kenge and Kisantu Rural Health Zones in the Democratic Republic of Congo 社区医疗点和提供服务的社区医疗工作者概况:刚果民主共和国贡贝-马塔迪、肯盖和基桑图农村卫生保健区案例研究
Pub Date : 2024-03-05 DOI: 10.5539/gjhs.v16n4p1
John Mukulukulu Etshumba, D. N. Bebe, Jacques Emina, Célestin Nsibu Ndosimao
BACKGROUND: In sub-Saharan Africa, the DRC is ones of countries with high infant and child mortality. To solve this problem, the Ministry of Public Health has set up a new program: ICCM at the level of Community Care Sites managed by non-health professionals who are provider CHWs to serve Health Areas with difficult access. Since its implementation, there have not yet been many studies that concretely describe the functionality of CCS. To contribute to the extension of CCC in other Rural Health Zones, we conducted a study in 3 RHZ by choosing the Realistic Evaluation Approach to analyze the functionality of CCS in the DRC. METHODS: This is a cross-sectional study which is essentially a case study. Data were collected at the CCS level in these 3 RHZ chosen after multistage random sampling by mixed method (qualitative, quantitative). We used the following techniques: documentary review, direct observation at the CCS level, an in-depth interview with registered nurses and members of the health Zone management team and a survey using quantitative questionnaire with provider CHWs. The conceptual model that we developed is inspired by realist evaluation with an emphasis on Mechanisms. The relationship between the dependent variable (CCS functionality) and the independent variables was proven using Odds Ratio and Multiple Logistic Regression. RESULTS: CCS functionality and provider CHW profile were measured through the standards enacted for CCS implantation. At the significance level (p=0.05) has been in place for 3 years or more increases by 7 times chance that it is functional (OR = 6.7; p = 0.000). Has household been located less than 5 km from CCS increases by 4 times chance that the CCS is functional (OR = 7.04; p = 0.034). Has provider CHW is regularly trained and supervised increases by 10 times chance that the CCS is functional (OR = 10.01; p = 0.031). If provider CHW participate in Community cell animation meetings (OR = 4.34; p = 0.009) and CCS Management is done by CCS Management team increase by 4 times chance that this CCS is functional (OR = 3.6; p = 0.002). Finally, if there is an initiative for funding CCS increases by 8 times CCS functionality (OR = 8.69; p = 0.009). CONCLUSION: CCS are functional in the 3 RHZs. Their organization, establishment and operation are directly linked to the provision of services to populations living mainly in health areas with difficult access, the availability of inputs of three ICCM-C diseases management, namely uncomplicated malaria, diarrhoea and pneumonia as well as building provider community health workers capacity to ensure their management. This study shows an effective contribution of provider CHWs on CCS functionality in health areas with difficult access.
背景:在撒哈拉以南非洲地区,刚果民主共和国是婴幼儿死亡率较高的国家之一。为解决这一问题,公共卫生部制定了一项新计划:由非卫生专业人员管理的社区保健中心(ICCM),由社区保健工作者(CHW)为交通不便的卫生区提供服务。自该计划实施以来,尚未有许多研究对社区保健中心的功能进行具体描述。为了促进社区保健中心在其他农村卫生保健区的推广,我们在 3 个农村卫生保健区开展了一项研究,采用现实评估法对刚果(金)社区保健中心的功能进行了分析。 方法:这是一项横断面研究,本质上是一项案例研究。我们采用混合方法(定性、定量),在经过多阶段随机抽样后选出的这 3 个地区中央统计局一级收集数据。我们使用了以下技术:文献回顾、在社区保健中心层面的直接观察、对注册护士和保健区管理团队成员的深入访谈,以及对提供服务的社区保健工作者进行的定量问卷调查。我们开发的概念模型受现实主义评估的启发,强调机制。因变量(社区保健服务功能)与自变量之间的关系是通过比值比和多元逻辑回归来证明的。 结果:中央监控系统的功能性和提供商 CHW 的情况是通过为中央监控系统植入制定的标准来衡量的。在显著性水平上(p=0.05),已安装 3 年或更长时间的中央监控系统功能正常的几率增加了 7 倍(OR = 6.7;p = 0.000)。住户距离社区儿童服务中心少于 5 公里,社区儿童服务中心发挥作用的几率增加 4 倍(OR = 7.04;p = 0.034)。如果提供者的社区保健员定期接受培训和监督,则社区保健服务发挥作用的几率增加 10 倍(OR = 10.01;p = 0.031)。如果提供者社区保健工作者参加社区细胞动画会议(OR = 4.34;p = 0.009),并且由社区保健服务管理团队进行社区保健服务管理,则该社区保健服务发挥作用的几率增加 4 倍(OR = 3.6;p = 0.002)。最后,如果有资助中央案例研究的倡议,中央案例研究发挥作用的几率会增加 8 倍(OR = 8.69;p = 0.009)。 结论:社区文化中心在 3 个区域保健区都能发挥作用。它们的组织、建立和运行直接关系到能否为主要生活在交通不便的卫生区的居民提供服务,能否为三种 ICCM-C 疾病(即无并发症疟疾、腹泻和肺炎)的管理提供投入,以及能否提高提供者社区卫生工作者的能力以确保其管理。这项研究表明,在交通不便的卫生地区,社区保健员对社区保健服务功能的发挥做出了有效贡献。
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引用次数: 0
Low- and Middle-Income Country Perceptions of Global Health Engagements: A Scoping Review 中低收入国家对全球卫生参与的看法:范围审查
Pub Date : 2024-02-29 DOI: 10.5539/gjhs.v16n3p35
Erick Amick, Farzana Sharmin, Sherri Bucher, Beverly W. Henry
More than one million Americans are estimated to participate in global health engagements (GHEs) in low- and middle-income countries (LMICs) each year. A growing number of studies document perceptions of GHEs from the perspective of American and other high-income country (HIC) visitors traveling to LMICs, particularly regarding motivations and satisfaction relative to their participation in these activities. Far fewer studies examine perceptions of GHEs from the perspective of LMIC hosts and other local constituent groups. The purpose of this study was to identify and analyze studies that examined local stakeholder perspectives of global health engagements in LMICs around the world. We conducted a scoping review of PubMed and Google Scholar using the Population-Concept-Context (PCC) framework. Assessment and analysis of articles was conducted by a team of three reviewers (EA, FS, SB). A total of 31 relevant papers published between 2009 and 2021 provided local perspectives of GHEs, with participants falling into three stakeholder categories: providers of care, recipients of care, and community members. Analysis revealed that stakeholder groups often held complex and highly nuanced perspectives of GHEs, perceiving these activities as having both positive and negative implications in the host communities. Synthesis of the eligible studies’ findings resulted in three thematic categories: resources and perceived benefits derived from GHEs; perceived challenges associated with GHEs; and opportunities for improvement of GHEs. To our knowledge, this scoping review is among the first to identify and collectively analyze LMIC stakeholder perceptions of GHEs. Recommendations for future research are provided.
据估计,每年有超过一百万美国人参与中低收入国家(LMICs)的全球健康活动(GHEs)。越来越多的研究记录了前往中低收入国家(LMIC)的美国和其他高收入国家(HIC)游客对全球卫生参与的看法,特别是他们参与这些活动的动机和满意度。从低收入国家东道主和其他当地组成群体的角度研究对全球健康教育的看法的研究要少得多。本研究的目的是识别和分析那些考察当地利益相关者对全球健康活动的看法的研究。我们采用人口-概念-背景 (PCC) 框架,对 PubMed 和 Google Scholar 进行了范围审查。由三名审稿人(EA、FS、SB)组成的团队对文章进行了评估和分析。2009 年至 2021 年间共发表了 31 篇相关论文,这些论文提供了有关全球健康教育的本地观点,参与者分为三个利益相关者类别:护理提供者、护理接受者和社区成员。分析表明,利益相关者群体通常对普通保健和教育持有复杂和高度微妙的观点,认为这些活动对所在社区既有积极影响,也有消极影响。对符合条件的研究结果进行综合后,形成了三个主题类别:从普通保健教育中获得的资源和感知到的益处;感知到的与普通保健教育相关的挑战;以及改进普通保健教育的机会。据我们所知,本次范围界定综述是首次确定并集体分析低收入与中等收入国家利益相关者对全球健康教育的看法。本文还为今后的研究提出了建议。
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引用次数: 0
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 16, No. 3, 2024. 全球健康科学杂志》(Global Journal of Health Science)第 16 卷第 3 期(2024 年)审稿人致谢。
Pub Date : 2024-02-29 DOI: 10.5539/gjhs.v16n3p67
E. Grey
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 16, No. 3.
全球健康科学杂志》第 16 卷第 3 期审稿人致谢。
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引用次数: 0
Depression, and Drug Adherence in Type 2 Diabetes Mellitus in Primary Care in the Kingdom of Bahrain 巴林王国初级保健中 2 型糖尿病患者的抑郁和坚持服药情况
Pub Date : 2024-02-29 DOI: 10.5539/gjhs.v16n3p53
Basem Abbas Ahmed Alubaidi, Abrar Khalid Ali AlAnsari, Dhabia Majed Saleh AlDoseri, Amina Ahmed Busaibea, Hessa Abdulrahman Aldoseri, Hasan Abduljabbar Yusuf Ahmed Husain
Depression stands out as the predominant risk factor among Type 2 diabetes (T2DM) patients. Depression and its association with drug adherence in T2DM patients are lacking in Bahrain. The current study aimed to examine the association depression in relation to drug adherence in T2DM in primary care centers in the Kingdom of Bahrain. This was a cross-sectional study that enrolled 455 people with T2DM. Data on demographics, risk behavior, and diabetes details were noted. Measuring tools such as patient health questionnaire (PHQ-9) to measure depression severity, and General Medication Adherence Scale (GMAS) were used to assess medical adherence respectively. Categorical variables and continuous variables were presented in a frequency table and mean ± SD/ Median (Min, Max) respectively. The data was analyzed using SPSS 24.0 software. The statistical significance threshold was set at p=0.05. The study involved participants with an average age of 54.5 ± 11.5 (M±SD) years. The frequency of depression based on PHQ-9 and medical adherence as per GMAS among T2DM patients was 30.5% and 79.1% respectively. There was a significant association between the prevalence of depression and adherence (x2 =25.03; P=0.001). Age (r=-0.121; P= 0.010), education (r=-0.096; P=0.040), family income (r=-0.101; P=0.031), physical activity (r=-0.193; P=0.001), and self-rated diabetes control within the last visit (r=-0.200; P=0.001) were significantly negatively correlated with PHQ – 9 scale. Likewise, age (r=-0.231; p=0.001), education (r=-0.123; p=0.008), nationality (r=-0.185; p=0.001), physical activity (r=-0.108; p=0.021), and self-rated diabetes control within the last visit (r=-0.139; p=0.003) were significantly negatively correlated with the GMAS scale. Our findings suggest that medical adherence is linked to depression. Age, height, education, family income, physical activity, and self-rated diabetes control in the previous visit are all important factors that are correlated to depression and drug adherence.
抑郁症是 2 型糖尿病(T2DM)患者的主要风险因素。在巴林,抑郁症及其与 T2DM 患者服药依从性的关系尚缺乏研究。本研究旨在探讨巴林王国初级保健中心的抑郁症与 T2DM 患者服药依从性的关系。这是一项横断面研究,共招募了 455 名 T2DM 患者。研究记录了人口统计学、风险行为和糖尿病详情等数据。研究使用患者健康问卷(PHQ-9)和一般用药依从性量表(GMAS)等测量工具分别评估抑郁严重程度和用药依从性。分类变量和连续变量分别以频数表和均数±标准差/中位数(最小值、最大值)表示。数据使用 SPSS 24.0 软件进行分析。统计显著性阈值设定为 p=0.05。研究参与者的平均年龄为 54.5 ± 11.5 (M±SD)岁。根据 PHQ-9 和 GMAS,T2DM 患者的抑郁发生率分别为 30.5%和 79.1%。抑郁症患病率与依从性之间存在明显关联(x2=25.03;P=0.001)。年龄(r=-0.121;P= 0.010)、教育程度(r=-0.096;P=0.040)、家庭收入(r=-0.101;P=0.031)、体力活动(r=-0.193;P=0.001)和上次就诊时的糖尿病控制自评(r=-0.200;P=0.001)与 PHQ - 9 量表呈显著负相关。同样,年龄(r=-0.231;P=0.001)、教育程度(r=-0.123;P=0.008)、国籍(r=-0.185;P=0.001)、体力活动(r=-0.108;P=0.021)和上次就诊时自评的糖尿病控制情况(r=-0.139;P=0.003)与 GMAS 量表呈显著负相关。我们的研究结果表明,医疗依从性与抑郁有关。年龄、身高、教育程度、家庭收入、体力活动和上次就诊时自评的糖尿病控制情况都是与抑郁和用药依从性相关的重要因素。
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引用次数: 0
Glancing at School Nutrition Programs from the Perspective of Students: A Case Study of Primary Schools in Eastern Nepal 从学生角度看学校营养计划:尼泊尔东部小学案例研究
Pub Date : 2024-02-23 DOI: 10.5539/gjhs.v16n3p7
Dinesh Prasad Joshi Ratala, Sharaddha Rai, Aanchal Shrestha, Pratisha Joshi, Mahesh Sarki
INTRODUCTION/BACKGROUND: Developing nutritional awareness is paramount for school children as it significantly influences their knowledge, attitudes, and practices (KAP) towards nutrition, safeguarding them from deficiencies and malnutrition. Schools play a pivotal role in shaping children’s nutritional understanding, fostering positive attitudes, and cultivating healthy practices. Focusing on nutrition-related KAP can instill the right behaviors early on, paving the way for a healthier lifestyle. This approach not only enhances the well-being of children but also lays the foundation for a lifelong commitment to good nutrition, ensuring a healthier and more prosperous future. AIM/OBJECTIVE: The main objective of this study is to compare the Knowledge, Attitude, and Practices (KAP) among male and female school children and assess association of school models/types with KAP in Halesi Tuwachung Municipality of Khotang district, Nepal. METHODOLOGY: A cross-sectional survey in the field site in Eastern Nepal involved 187 school children drawn from four distinct educational institutions, collectively encompassing students enrolled in grades 4, 5, and 6. The data collection utilized a purposive sampling method to enhance the relevance and specificity, thereby ensuring the comprehensiveness and validity of the research findings. RESULTS: The research findings indicated that private institutions, namely YouMe School and Halesi Pathshala (Note 1), displayed notably higher average knowledge scores than public schools such as Shree Mahendradaya Secondary School and Shree Durchhim Secondary School. Furthermore, it was observed that female school students exhibited lower knowledge scores than their male counterparts. Regarding attitudes, no significant disparities were identified between school types, but, on average, female students demonstrated lower attitudes than their male counterparts. Regarding practices, the study revealed that female students tended to exhibit lower levels than their male counterparts. CONCLUSION: The study demonstrated notable differences in Knowledge, Attitudes, and Practices (KAP) concerning nutrition among children enrolled in schools with diverse educational models or types. This research offered valuable insights into how the educational environment across different school settings could influence the nutritional KAP of young students.
引言/背景:培养营养意识对学龄儿童至关重要,因为这将极大地影响他们对营养的认识、态度和做法(KAP),保护他们免受营养缺乏和营养不良的影响。学校在塑造儿童的营养认识、培养积极态度和健康行为方面发挥着关键作用。关注与营养有关的 KAP 可以尽早灌输正确的行为,为更健康的生活方式铺平道路。这种方法不仅能提高儿童的健康水平,还能为他们终身坚持良好营养奠定基础,确保他们拥有更健康、更繁荣的未来。 目的/目标:本研究的主要目的是比较尼泊尔 Khotang 县 Halesi Tuwachung 市男女学童的知识、态度和做法(KAP),并评估学校模式/类型与 KAP 的关系。 方法:在尼泊尔东部的实地进行了一项横断面调查,调查对象包括来自四所不同教育机构的 187 名在校学生,其中包括四年级、五年级和六年级的学生。数据收集采用了目的性抽样方法,以提高相关性和针对性,从而确保研究结果的全面性和有效性。 结果:研究结果表明,YouMe 学校和 Halesi Pathshala(注 1)等私立学校的平均知识得分明显高于 Shree Mahendradaya 中学和 Shree Durchhim 中学等公立学校。此外,还发现女学生的知识得分低于男学生。在态度方面,没有发现不同类型学校之间存在明显差异,但平均而言,女生的态度低于男生。在实践方面,研究显示女生的实践水平往往低于男生。 结论:这项研究表明,在不同教育模式或类型的学校就读的儿童在有关营养的知识、态度和做法(KAP)方面存在明显差异。这项研究为了解不同学校的教育环境如何影响青少年学生的营养知识、态度和做法提供了宝贵的见解。
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引用次数: 0
Electromagnetism - Properties of Erythrocytes 电磁学 - 红细胞的特性
Pub Date : 2024-02-23 DOI: 10.5539/gjhs.v16n3p16
M. Beraia, G. Beraia
At the onset of blood flow, red blood cells (RBCs) align along the central plane of the vessels. In capillaries, RBCs transform from a biconcave disk into a parachute shape. As blood transitions from the arterial to the venous end, the hemoglobin in erythrocytes alters its magnetic susceptibility. Within approximately 0.6-0.8 seconds, oxygen is displaced from RBCs through diffusion. This study explores the fundamentals and interconnections of these processes. Blood samples from 35 different healthy individuals were analyzed. The research examined magnetic field induction in ferromagnetic toroids, formed by the alternative electric field with a square wave signal, and studied the AC in the secondary coil - a tube filled with blood. This study discusses the impact of RBC geometry and hemoglobin allosteric transitions on electric signal generation and its relevance to cellular metabolic activity in the body. The findings suggest that the AC field, originating from the heart's rotational dipole, can generate a magnetic field in RBCs, facilitating the allosteric transformations of hemoglobin. Hemoglobin's thermoelastic expansion and magnetostriction cause biconcave membrane oscillations at ultrasound frequencies. The resulting electroacoustic wave rotates charges at the cell's z-potential area, aids RBC migration into the flow plane, and enhances trans capillary diffusion of substances. An electroacoustic standing wave emerges between the oscillating RBCs, coinciding with the wavenumber of externally penetrating infrared light. The synergic influence on hemoglobin in capillaries causes the RBC membrane to create a temporally frequency-modulated wave, carrying resonance molecular frequencies. This wave regulates biochemical processes within and outside body cells.
血流开始时,红细胞(RBC)沿着血管的中心平面排列。在毛细血管中,红细胞从双凹盘状变成降落伞状。当血液从动脉端过渡到静脉端时,红细胞中的血红蛋白会改变其磁感应强度。在大约 0.6-0.8 秒内,氧气通过扩散从红细胞中转移。本研究探讨了这些过程的基本原理和相互联系。 研究分析了 35 位不同健康人的血液样本。研究考察了铁磁环状体中的磁场感应(由方波信号的替代电场形成),并研究了次级线圈中的交流电--一个充满血液的管子。这项研究讨论了红细胞几何形状和血红蛋白异生转换对电信号产生的影响及其与体内细胞代谢活动的相关性。 研究结果表明,源自心脏旋转偶极子的交流场可在红细胞中产生磁场,促进血红蛋白的异生转化。血红蛋白的热弹性膨胀和磁致伸缩会在超声频率下引起双凹膜振荡。由此产生的电声波使细胞 Z 电位区的电荷旋转,帮助红细胞迁移到流动平面,并增强物质的跨毛细管扩散。 振荡的红细胞之间会产生电声驻波,与外部穿透红外光的波长相吻合。对毛细血管中血红蛋白的协同影响使红细胞膜产生一种时间频率调制波,携带共振分子频率。这种波调节人体细胞内外的生化过程。
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引用次数: 0
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Global journal of health science
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