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Impact of Burning Incense/Joss Paper on Outdoor Air Pollution: An Interrupted Time Series Analysis Using Hanoi Air Quality Data in 2020 焚香/香纸对室外空气污染的影响:利用 2020 年河内空气质量数据的间断时间序列分析
Pub Date : 2024-02-23 DOI: 10.5539/gjhs.v16n3p27
Pham Thi Lan Chi, Vu Thi Hoang Lan, L. T. Hoang, Le Thi Thanh Huong, Bui Thi Tu Quyen
Burning joss paper and incense during religious and cultural ceremonies is common in Vietnam. This study aims to measure the impact of burning joss paper and incense during Vu Lai festival (full moon of July) in Vietnam. Data of Hanoi air quality in year 2020 was used. Interrupted time series analysis was employed to examine the changes in pattern of various air quality indicators before and after the festival period. The results revealed that burning joss paper and incense led to an immediate increase of 15.94 units in the air quality index on the first day, which gradually rose to 47.4 units by the end of the full moon period. Regarding NO2, PM10, and PM25, there was no significant immediate change at the start of the intervention period (August 29th, 2020). However, significant increases in levels and an upward trend were observed during the intervention time, followed by substantial decreases after the intervention period ended (September 3rd, 2020). This analysis did not find a significant impact on CO, SO2, and O3 due to burning joss paper and incense. These findings provide valuable insights for policymakers and stakeholders involved in managing and enhancing air quality in regions where such practices are prevalent.
在越南,在宗教和文化仪式中焚烧香纸和焚香很常见。本研究旨在测量越南武莱节(七月满月)期间焚烧香纸的影响。研究使用了 2020 年河内空气质量数据。研究采用了间断时间序列分析法来研究节日前后各项空气质量指标的变化规律。 结果显示,焚烧香纸和焚香会导致空气质量指数在第一天立即上升 15.94 个单位,并在满月期结束时逐渐上升至 47.4 个单位。至于二氧化氮、可吸入颗粒物(PM10)和可吸入颗粒物(PM25),在干预期开始时(2020 年 8 月 29 日)并没有立即发生显著变化。但是,在干预期间,观察到水平明显上升并呈上升趋势,干预期结束后(2020 年 9 月 3 日)水平大幅下降。本分析未发现焚烧香纸和焚香对一氧化碳、二氧化硫和臭氧产生重大影响。 这些研究结果为政策制定者和利益相关者提供了宝贵的见解,帮助他们管理和提高此类做法盛行地区的空气质量。
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引用次数: 0
Dental Pocket and Type 2 Diabetes among Elderly People Aged 88 in Japan 日本 88 岁老年人的牙槽和 2 型糖尿病
Pub Date : 2024-02-19 DOI: 10.5539/gjhs.v16n3p1
Mie Komoto, Satoshi Toyokawa, Keiichi Tonai, Shunsaku Mizushima, Seiichi Oda, Yoshihiko Hattori, Yukio Hattori, Tadashi Furuhata, Yukie Yanagisawa
BACKGROUND: This study aimed to clarify the relationship between periodontal pocket depth and type 2 diabetes in individuals aged 88. We examined the relationship between periodontal pockets and type 2 diabetes in 590 older adults aged 88 years in Japan. METHOD: The subjects of this study were 664 individuals who underwent a dental check-ups in Matsudo city for individuals aged 88 years. The periodontal pocket recorded by trained dentists was categorized as healthy and mildly equated pocket <5 mm. We performed univariate and multivariate binomial logistic regression analyses to examine the association of the type of dental pocket and type 2 diabetes. Unadjusted and covariate-adjusted odds ratios (ORs) and 95%confidence intervals (CIs) were calculated for the type 2 diabetes. RESULTS: Valid responses without missing data from 590 respondents were used in the analyses. The multivariate analysis indicated a significant association between deep periodontal pockets and type 2 diabetes (OR: 2.02, 95%CI: 1.13-3.59). CONCLUSION: This survey indicated the possibility that the prevalence of type 2 diabetes was high among older adults aged 88 years with deep periodontal pockets. A synergistic improvement effect can be expected from the health management for older adults in later stages, which includes glycemic control and oral health management. The study recommends that proper dental health check-up and maintenance of good oral health are important for preventing type 2 diabetes even in individuals aged 88.
背景:本研究旨在阐明 88 岁老年人牙周袋深度与 2 型糖尿病之间的关系。我们研究了日本 590 名 88 岁老年人的牙周袋与 2 型糖尿病之间的关系。 方法:本研究的对象是在松户市接受牙科检查的 664 名 88 岁老人。由训练有素的牙医记录的牙周袋分为健康和轻度等同袋<5毫米。我们进行了单变量和多变量二项逻辑回归分析,以研究牙周袋类型与 2 型糖尿病的关系。计算了2型糖尿病的未调整和协变量调整的几率比(ORs)和95%置信区间(CIs)。 结果:分析采用了 590 名受访者的有效回答,无数据缺失。多变量分析表明,深牙周袋与 2 型糖尿病之间存在显著关联(OR:2.02,95%CI:1.13-3.59)。 结论:这项调查表明,在牙周袋较深的 88 岁老年人中,2 型糖尿病的患病率可能很高。对老年人进行后期健康管理,包括血糖控制和口腔健康管理,可望产生协同改善效果。研究建议,即使是 88 岁的老年人,适当的牙齿健康检查和保持良好的口腔健康对预防 2 型糖尿病也很重要。
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引用次数: 0
Performance Services for COVID-19 with Private Medical College Hospitals 私立医学院附属医院 COVID-19 的绩效服务
Pub Date : 2024-01-04 DOI: 10.5539/gjhs.v16n1p46
S. Chowdhury, M. Miah, Md. Nazmul Islam, Taher Uddin, M. A. Selim, A. Samdany, Joarder Iftekhar Kashem, Md. Masud Aziz, Mohammad Abdul Hannan, Md. Sabbir Hossain, M. Nazrin, Syeda Umme Fahmida Malik, Guljar Ahmed, M. S. Ahmed, Abu Yousuf Md Nazim, Md Mahbubur Rashid
Corona is a pandemic disease to spread in the human body as a wide-reaching in the history of unwanted world. Yet Medical higher authorities are facing the undesirable spreading causes of this disease as a vital global issue to the present and rationalized generations. Everyone worries of its augmentation around the world and someone suffers from this disease but none can invent effective measures till date as per recovery system. The study aims to assess the management performance services of COVID-19 at North East Medical College and Hospital (NEMCH), as a private medical institution in Sylhet, Bangladesh. Quantitative and qualitative patients' data were obtained from hospital health information centre and secondary data were collected from diverse sources. Key health information instruments of COVID-19 patients and their sustained living status challenges in risks with health rights are highlighted. The research focuses the 41-60 aged group is 42.2%, which is the highest admitted patients and the ratio of male and female is 2:1.13. The study represents the 69.26% of suspected, 30.74% positive and 16.79% death, out of 911 admitted patients from June to August 2020. These findings reflect the health security that the physicians provide. Scientific healthcare knowledge is essential for corona treatment with clinical supports and modern technology but such knowledge is below par. The research suggests future research trajectories of a new alternative treatment options to stimulate the management performance on the priority of National Health Policy and Sustainable Development Goals 2030.
电晕是一种在人体内传播的流行病,在世界历史上影响广泛。然而,医学界的高层正视这种疾病的不良传播原因,将其视为当今和未来几代人面临的重要全球性问题。每个人都在担心这种疾病在全球范围内的蔓延,也有人深受其害,但到目前为止,还没有人能够根据康复系统制定出有效的措施。本研究旨在评估孟加拉国锡尔赫特私立医疗机构东北医学院和医院(NEMCH)的 COVID-19 管理绩效服务。研究人员从医院健康信息中心获得了患者的定量和定性数据,并从不同渠道收集了二手数据。重点介绍了 COVID-19 患者的主要健康信息工具,以及他们在健康权利风险方面面临的持续生活状况挑战。研究的重点是 41-60 岁年龄组,占 42.2%,是入院人数最多的年龄组,男女比例为 2:1.13。在 2020 年 6 月至 8 月收治的 911 名患者中,疑似病例占 69.26%,阳性病例占 30.74%,死亡病例占 16.79%。这些结果反映了医生提供的健康保障。科学的医疗保健知识对于利用临床支持和现代技术进行电晕治疗至关重要,但这些知识还达不到标准。这项研究提出了新的替代治疗方案的未来研究轨迹,以促进国家卫生政策和 2030 年可持续发展目标优先事项的管理绩效。
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引用次数: 0
Exploring Maternal and Child Health Among Tribal Communities in India: A Life Course Perspective 探索印度部落社区的母婴健康:生命历程视角
Pub Date : 2024-01-04 DOI: 10.5539/gjhs.v16n2p31
Minal Madankar, Narendra Kakade, Lohitha Basa, Bushra Sabri
India experiences high rates of maternal and infant mortality and morbidity, with tribal communities disproportionately affected. Tribal populations frequently live in unfavorable socio-economic conditions and deficient social health indicators, culminating in adverse health consequences. Using a life course perspective, this qualitative study explored risks over the life course that contribute to maternal and child health problems among tribal populations in India. Additionally, the study examined barriers to utilization of healthcare services during the pregnancy and postpartum periods. Data collection occurred between 2017 and 2019 through participant observation, key informant interviews (n = 7) and in-depth interviews (n = 68) and a focus group (n = 7) with tribal women from the Madia-Gond tribe in the Indian state of Maharashtra. Additionally, verbal autopsies were conducted with relatives of three deceased women and five infants from the tribe. Multiple risk factors operating at different socio-ecological levels and developmental stages of life were associated with maternal and child health problems among the tribe. These included adherence to traditional harmful practices, limited access to nutritional diet, women's health neglected due to the double burden of domestic and professional labor, and a lack of accessible and well-equipped medical facilities. Inaccesibility stemmed from factors including extreme poverty, geographical isolation, and suboptimal healthcare infrastructure. There is need for provisions to promote access to care and to promote education and awareness centered on evidence-supported healthcare, particularly targeted towards expectant mothers. The implementation of nutritional support programs may help mitigate high maternal and child mortality and morbidity rates prevalent among tribal populations.
印度的母婴死亡率和发病率很高,部落社区受到的影响尤为严重。部落人口经常生活在不利的社会经济条件下,社会健康指标不足,最终导致不利的健康后果。这项定性研究从生命历程的角度,探讨了导致印度部落人口母婴健康问题的生命历程风险。此外,该研究还探讨了孕期和产后利用医疗保健服务的障碍。数据收集工作于 2017 年至 2019 年期间进行,通过对印度马哈拉施特拉邦马迪亚-贡德部落妇女的参与观察、关键信息提供者访谈(n = 7)、深度访谈(n = 68)和焦点小组(n = 7)进行。此外,还对该部落三名死亡妇女和五名婴儿的亲属进行了口头尸检。不同社会生态水平和人生发展阶段的多种风险因素与该部落的母婴健康问题有关。这些因素包括坚持传统的有害习俗、获得营养饮食的机会有限、妇女的健康因家务和职业劳动的双重负担而被忽视,以及缺乏方便和设备齐全的医疗设施。无法就医的原因包括极端贫困、地理位置偏僻以及医疗基础设施不完善。有必要制定相关规定,促进医疗服务的可及性,并促进以证据支持的医疗保健为中心的教育和宣传,特别是针对孕妇的教育和宣传。实施营养支持计划可能有助于缓解部落人口中普遍存在的母婴死亡率和发病率高的问题。
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引用次数: 0
The Determinants of Dietary Diversity among Women of Reproductive Age in the Kolda Region in 2020 2020 年科尔达地区育龄妇女膳食多样性的决定因素
Pub Date : 2024-01-03 DOI: 10.5539/gjhs.v16n2p16
A. Tall, Agnès Kamoye Yade, N. M. Sougou, Anta Agne, A. Ndiaye, Ousseynou Ka
INTRODUCTION: The lack of dietary diversity among women of reproductive age (WRA) is a public health problem in Senegal, particularly in the southern regions. The good nutritional status of women is one of the factors in the fight against maternal mortality and thus promotes a healthy pregnancy. The aim of this study was to investigate the determinants of dietary diversity among WRA in the Kolda region. METHODS: The quantitative, descriptive and analytical cross-sectional study took place in January-February 2020 in the Kolda region. It covered 1231 women of reproductive age (15- 49 years) in the Kolda region. Data were collected at household level using a questionnaire administered after informed consent. Ordinal logistic regression was performed to identify factors associated with dietary diversity among WRA in the Kolda region. RESULTS: A total of 1,231 WRA were surveyed, of whom 59.5% were neither pregnant nor breastfeeding, 30.7% breastfeeding and 9.8% pregnant. The mean age of the women was 27.62 years, with a standard deviation of 7.2 years. The median age was 27. Most women surveyed lived in rural areas (72.1%) and 58.5% were uneducated. Taking classification into account, 44% of WRAs in the Kolda region had average dietary diversity, compared with 24.7% who had low diversity and 31.3% who had high diversity. Risk factors associated with dietary diversity in WRA after adjustment were living in an urban environment (OR=1.52 [1.29 ; 1.78]), breastfeeding (OR=1.43 [1.13 ; 1.82]), head of household with higher level of education (OR=2.59 [1.55 ; 4.41]), household income greater than or equal to minimum wage (OR=1.23 [1.04 ; 1.45]), existence of fruit trees in the household (OR=1.28 [1.06 ; 1.55]), the existence of funding or support for processing local produce (OR=1.56 [1.10 ; 2.22]), knowledge of micronutrient-rich foods (OR=1.39 [1.13 ; 1.71]), good level of knowledge of good nutritional practices (OR=1.61 [1.35 ; 1.92]), women's average level of information on good hygiene and care practices (OR=1.27 [1.08 ; 1.48 ]). CONCLUSION: the accessibility and availability of nutrient-rich foods, the level of education of the head of household, the household's standard of living, awareness-raising, access to financing and the empowerment of women all help to improve the dietary diversity of WRA. Consequently, in the fight against food insecurity and malnutrition, the synergy of actions across sectors such as health, agriculture, the economy and social development, in particular gender and women's empowerment, is paramount for good women's nutritional status.
导言:育龄妇女(WRA)缺乏饮食多样性是塞内加尔,尤其是南部地区的一个公共卫生问题。妇女良好的营养状况是降低孕产妇死亡率的因素之一,从而促进健康怀孕。本研究旨在调查科尔达地区 WRA 饮食多样性的决定因素。 方法:这项定量、描述性和分析性横断面研究于 2020 年 1 月至 2 月在科尔达地区进行。研究覆盖了科尔达地区的 1231 名育龄妇女(15-49 岁)。在获得知情同意后,通过问卷调查收集家庭层面的数据。采用正序逻辑回归法确定与科尔达地区 WRA 饮食多样性相关的因素。 结果:共调查了 1,231 名 WRA,其中 59.5% 既未怀孕也未哺乳,30.7% 正在哺乳,9.8% 已怀孕。妇女的平均年龄为 27.62 岁,标准差为 7.2 岁。年龄中位数为 27 岁。大多数受访妇女生活在农村地区(72.1%),58.5%未受过教育。考虑到分类因素,科尔达地区 44% 的 WRAs 膳食多样性一般,而 24.7% 的 WRAs 膳食多样性较低,31.3% 的 WRAs 膳食多样性较高。 经调整后,与 WRA 饮食多样性相关的风险因素有:居住在城市环境中(OR=1.52 [1.29 ; 1.78])、母乳喂养(OR=1.43 [1.13 ; 1.82])、户主受教育程度较高(OR=2.59 [1.55 ; 4.41])、家庭收入高于或等于最低工资(OR=1.23 [1.04 ; 1.45])、家中有果树(OR=1.28 [1.06 ; 1.55])、当地农产品加工是否得到资助或支持(OR=1.56 [1.10 ; 2.22])、对富含微量营养素食品的了解程度(OR=1.39 [1.13 ; 1.71])、对良好营养做法的良好了解程度(OR=1.61 [1.35 ; 1.92])、妇女对良好卫生和护理做法的平均了解程度(OR=1.27 [1.08 ; 1.48 ])。 结论:营养丰富的食物的可获得性和可利用性、户主的教育水平、家庭生活水平、提高认识、获得资金和妇女赋权都有助于改善妇女儿童营养不良症患者的膳食多样性。因此,在消除粮食不安全和营养不良的斗争中,卫生、农业、经济和社会发展等各部门的协同行动,特别是性别平等和妇女赋权,对于改善妇女的营养状况至关重要。
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引用次数: 0
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 16, No. 1 全球健康科学杂志》第 16 卷第 1 期审稿人致谢
Pub Date : 2024-01-01 DOI: 10.5539/gjhs.v16n1p54
E. Grey
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 16, No. 1, 2024.
全球健康科学杂志》(Global Journal of Health Science)第 16 卷第 1 期(2024 年)审稿人致谢。
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引用次数: 0
Interaction Opportunities in the Health Sector – Developing Professionals’ Counselling Methods 卫生部门的互动机会 - 发展专业人员的辅导方法
Pub Date : 2023-12-14 DOI: 10.5539/gjhs.v16n1p10
Linda Dalbom, Nella Hiivola, Sara Niemelä, Harry Köhler, P. Rautava
Promoting the customer’s change in lifestyle is considered important in health care, but professionals often feel that their methods are insufficient for effective lifestyle counselling. The study describes what kinds of interaction methods are used by health sector professionals in lifestyle counselling. The study aims to find out whether health sector professionals had adopted the method from the further training course on interaction as part of their own practices for customer encounters. The data consists of audio recordings, collected in 2018–2019, of discussions between diabetes specialist nurses who had participated in the interaction training (n 6) and customers (n 23). The method of analysis used was theory-based content analysis. The customer-centred interaction methods used in the appointment discussions were listening to the customer, giving space, open questions, challenging the customer and having a meaningfulness discussion. A general observation was that the methods were not used sufficiently, and they were not used throughout the appointment. The majority of professionals did not include the new way of operating as part of the appointment. Professionals need to have the skill to recognise the customer’s individual capabilities to reflect on their own health and to support these capabilities. These professional skills should be strengthened and their adoption should be supported.
促进客户改变生活方式被认为是医疗保健领域的重要工作,但专业人员往往认为他们的方法不足以提供有效的生活方式咨询。本研究介绍了卫生部门专业人员在生活方式咨询中使用的互动方法。研究旨在了解卫生部门的专业人员是否将互动进修课程中的方法作为自己与客户接触的实践方法的一部分。数据包括2018-2019年收集的参加过互动培训的糖尿病专科护士(6人)与顾客(23人)之间的讨论录音。采用的分析方法是基于理论的内容分析。在预约讨论中使用的以客户为中心的互动方法包括倾听客户、给予空间、开放式提问、挑战客户以及进行有意义的讨论。一个普遍的看法是,这些方法没有得到充分使用,也没有在整个预约过程中使用。大多数专业人员没有将新的工作方式作为预约的一部分。专业人员需要具备一定的技能,能够认识到客户在反思自身健康状况方面的个人能力,并为这些能力提供支持。应加强这些专业技能,并支持采用这些技能。
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引用次数: 0
“Creating a Generation of Equality”: A Stakeholder’s Perspective on Power Dynamics and Gender-Based Violence in Zimbabwe "创造平等的一代":利益攸关方对津巴布韦权力动态和性别暴力的看法
Pub Date : 2023-12-08 DOI: 10.5539/gjhs.v16n1p1
Thulani Runyararo Dzinamarira, Miriam Mutevere, Stephen Nyoka, E. Moyo, Lorcadia Muzenda, Fortunate Kakumura, T. Dzinamarira
Background: Gender-based violence (GBV) remains a significant public health concern in Zimbabwe, with 38% of women experiencing intimate partner violence. Rooted in the country's patriarchal structure, power imbalances contribute to this epidemic. This study aimed to investigate the perspectives of key stakeholders on the relationship between power dynamics and GBV in Zimbabwe, and as well as to explore potential interventions to address this issue. Methodology: A descriptive qualitative research design was used. We collected data from fourteen participants using three focus group discussions. Qualitative content analysis was used to analyze the data. Results: Three themes that emerged on power dynamics and GBV were economic inequality, gender stereotypes, and lack of access to justice. Two themes that emerged for recommendations were gender-transformative and economic empowerment programming. Conclusion: Findings from this study underscore the need to include men in designing and implementing gender-transformative programs alongside economic empowerment initiatives to effectively address GBV and dismantle patriarchal structures in Zimbabwe.
背景:在津巴布韦,基于性别的暴力(GBV)仍然是一个重大的公共卫生问题,38% 的妇女遭受过亲密伴侣的暴力侵害。植根于该国父权制结构的权力不平衡导致了这种流行病的发生。本研究旨在调查津巴布韦主要利益相关者对权力动态与性别暴力之间关系的看法,并探索解决这一问题的潜在干预措施。 研究方法:采用描述性定性研究设计。我们通过三次焦点小组讨论收集了 14 位参与者的数据。数据分析采用定性内容分析。 结果关于权力动态和性别暴力的三个主题是经济不平等、性别刻板印象和缺乏诉诸司法的机会。提出建议的两个主题是性别转变和经济赋权计划。 结论:本研究的结果强调,在设计和实施性别变革计划时,需要将男性纳入其中,同时实施经济赋权计划,以有效解决性别暴力问题,并打破津巴布韦的父权制结构。
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引用次数: 0
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Global journal of health science
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