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User Experiences and Perceptions of Internet Interventions for Depression 互联网干预抑郁症的用户体验和感知
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-3241-5.CH002
F. Drozd, C. Andersen, S. Haga, K. Slinning, C. Bjørkli
The purpose of this chapter is to review qualitative research on user experiences with internet interventions for depression and present original results from in-depth interviews from a preventive unguided intervention for postpartum depression. The first part reviews the literature on qualitative studies of client experiences and perceptions of internet interventions for depression. The next part describes original data from a study investigating participants' experiences using semi-structured interviews, following the modified SWOT-format (i.e., strengths, weakness, opportunities, and threats). In total, 10 pregnant and postpartum women aged 28 to 41 were interviewed. Insights from the current review and study are used as a point of departure for discussing future directions in research on internet interventions for depression. This chapter should be valuable for clinicians, researchers, and other health professionals interested in the applicability of internet interventions for their clients, design of future studies, and development of internet interventions.
本章的目的是回顾互联网干预抑郁症的用户体验的定性研究,并从产后抑郁症的预防性无指导干预的深度访谈中呈现原始结果。第一部分回顾了客户体验和网络干预抑郁症认知的定性研究文献。下一部分描述了一项研究的原始数据,该研究使用半结构化访谈调查参与者的经历,遵循改进的swot格式(即优势,劣势,机会和威胁)。共采访了10名28至41岁的孕妇和产后妇女。从当前的回顾和研究中获得的见解被用作讨论网络干预抑郁症研究的未来方向的出发点。本章对临床医生、研究人员和其他对互联网干预对其客户的适用性、未来研究的设计和互联网干预的发展感兴趣的卫生专业人员应该是有价值的。
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引用次数: 4
A Predictive Analytic Model for Maternal Morbidity 产妇发病率的预测分析模型
Pub Date : 1900-01-01 DOI: 10.4018/978-1-4666-9432-3.CH005
Edgardo Palza, Jorge Sanchez, G. Mamani, P. Pacora, A. Abran, Jane Moon
This chapter presents a predictive analytic model for preventing neonatal morbidity through the analysis of patterns of risky behavior regarding morbidity in newborns. The chapter presents the design and implementation of a forecasting model of Neonatal morbidity. The model developed is based on artificial intelligence using Bayesian Networks, Influence Diagrams and principles of traditional statistics. The model research is based on a repository of 10,000 medical records at a hospital in Peru. The model aims to identify the factors that are causes of morbidity in newborns, is based on data mining techniques and developed using the CRISP-DM methodology.
本章提出了一个预测分析模型,通过分析关于新生儿发病率的危险行为模式来预防新生儿发病率。本章介绍了新生儿发病率预测模型的设计和实现。该模型基于人工智能,使用贝叶斯网络、影响图和传统统计学原理。该模型研究基于秘鲁一家医院的1万份医疗记录。该模型旨在确定导致新生儿发病的因素,基于数据挖掘技术并使用CRISP-DM方法开发。
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引用次数: 1
An Emerging Model of Pregnancy Care 妊娠护理的新兴模式
Pub Date : 1900-01-01 DOI: 10.4018/978-1-7998-2351-3.ch002
C. Carissoli, D. Villani, G. Riva
Pregnancy is a very special time in a woman's life, a time of important and complex step that can lead to the fall the previous personal balances and looking for new. This phase potentially critical, is often accompanied by anxiety, negative emotions, worries and stress about themselves, the couple's life, the baby. Among the many interventions available for the welfare of pregnant women, new technologies are playing an increasingly important role, thanks to its spread, the lower costs and its peculiar characteristics (interactivity, sociality, customizability, ubiquity, multimediality, velocity, etc). Smartphones and tablets in particular are proving excellent tools to accompany women on this journey toward a healthy motherhood.
怀孕是女性生命中一个非常特殊的时期,这是一个重要而复杂的阶段,可能会导致之前的个人平衡下降,并寻求新的平衡。这个阶段可能很关键,通常伴随着焦虑、负面情绪、对自己、夫妻生活和孩子的担忧和压力。在众多可用于孕妇福利的干预措施中,新技术正发挥着越来越重要的作用,这要归功于它的传播、较低的成本和其特有的特点(互动性、社会性、可定制性、无处不在、多媒体化、速度等)。事实证明,智能手机和平板电脑是陪伴女性走向健康母亲之旅的绝佳工具。
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引用次数: 0
The MAMICare Project MAMICare项目
Pub Date : 1900-01-01 DOI: 10.4018/978-1-7998-2351-3.ch003
Juan C. Lavariega, Gustavo A. Córdova, Lorena G. Gómez, Alfonso Ávila
This chapter is an updated version of a previous work about the authors' project on monitoring pregnancy progress in rural areas and/or areas with poor support of medical services. The project is based on an information technology solution based on mobile devices and health sensors such as electrocardiogram, stethoscope, pulse-oximeter, and blood-glucose meter to automatically collect relevant health data for monitoring pregnancy. In this chapter, the authors provide a detailed description of the software architecture of the system. They include a description of the test they have been performing and the difficulties they have faced for the complete implementation of their system.
本章是作者先前关于监测农村地区和/或医疗服务支持不足地区怀孕进展的项目的工作的更新版本。该项目基于基于移动设备和心电图、听诊器、脉搏血氧仪、血糖仪等健康传感器的信息技术解决方案,自动采集相关健康数据,监测妊娠。在本章中,作者对系统的软件架构进行了详细的描述。其中包括对他们所进行的测试的描述,以及他们在完全实施他们的系统时所面临的困难。
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引用次数: 0
A Clinical Recommendation System to Maternity Care 产科护理的临床推荐系统
Pub Date : 1900-01-01 DOI: 10.4018/978-1-4666-9882-6.CH004
Eliana Pereira, Filipe Portela, A. Abelha
Nowadays in healthcare, the Clinical Decision Support Systems are used in order to help health professionals to take an evidence-based decision. An example is the Clinical Recommendation Systems. In this sense, a pre-triage system was developed and implemented in Centro Hospitalar do Porto in order to group the patients on two levels (urgent or outpatient). However, although this system is calibrated and specific to the urgency of obstetrics and gynaecology, it does not meet all clinical requirements by the general department of the Portuguese HealthCare (Direção Geral de Saúde). The main requirement is the need of having priority triage system characterized by five levels. Thus some studies have been conducted with the aim of presenting a methodology able to evolve the pre-triage system on a Clinical Recommendation System with five levels. After some tests (using data mining and simulation techniques), it has been validated the possibility of transformation the pre-triage system in a Clinical Recommendation System in the obstetric context. At the end the main indicators achieved with this system are presented in the Business Intelligence Platform already deployed. This paper presents an overview of the Clinical Recommendation System for obstetric triage, the model developed and the main results achieved.
如今在医疗保健,临床决策支持系统是用来帮助卫生专业人员采取循证决策。临床推荐系统就是一个例子。从这个意义上说,波尔图中心医院开发并实施了一个预分类系统,以便将患者分为两个级别(紧急或门诊)。然而,尽管该系统是针对妇产科的紧急情况进行校准和专门的,但它并不能满足葡萄牙卫生保健总局(Saúde总局)的所有临床要求。主要的要求是需要有一个以五级为特征的优先分诊系统。因此,已经进行了一些研究,目的是提出一种能够在具有五个级别的临床推荐系统上发展预分诊系统的方法。经过一些测试(使用数据挖掘和模拟技术),已经验证了在产科背景下将预分诊系统转换为临床推荐系统的可能性。最后在已经部署的商业智能平台上给出了系统实现的主要指标。本文介绍了产科分诊的临床推荐系统的概述,开发的模型和取得的主要成果。
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引用次数: 3
Breastfeeding, Authority, and Genre 母乳喂养,权威和类型
Pub Date : 1900-01-01 DOI: 10.4018/978-1-7998-2351-3.ch018
Alison A. Lukowski, Erika M. Sparby
This chapter is concerned with women's mis- or underrepresentation in knowledge creation, particularly when it comes to their bodies. In this chapter, the authors examine how Wikipedia's generic regulations determine that women's often experiential ethos is unwelcome on the site. Thus, women are often unable to construct knowledge on the “Breastfeeding” entry; their epistemological methods are ignored or banned by other contributors. This chapter also examines six breastfeeding-focused mommyblogs, proposing blogs as an alternative genre that welcomes women's ethos. However, the authors also recognize that such blogs are not a perfect epistemological paradigm. The chapter closes with an examination of the implications of this work for academic collaboration across fields and for women's agency.
这一章关注的是女性在知识创造中的错误或不足,特别是当涉及到她们的身体时。在这一章中,作者研究了维基百科的通用规则是如何决定女性通常的经验气质在网站上不受欢迎的。因此,妇女往往无法构建关于“母乳喂养”条目的知识;他们的认识论方法被其他贡献者忽视或禁止。本章还考察了六个以母乳喂养为重点的妈妈博客,建议博客作为一种欢迎女性气质的另类类型。然而,作者也认识到,这样的博客并不是一个完美的认识论范式。本章最后审查了这项工作对跨领域学术合作和妇女机构的影响。
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引用次数: 0
Complexity of Breastfeeding on Child/Maternal Health and Counseling Intervention 母乳喂养对儿童/孕产妇健康的复杂性及咨询干预
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-0148-0.CH027
O. J. Olurotimi
This chapter is a critical review of the complexities of breastfeeding and its attending effects on the health of the Mother and Child. The researcher employs a historical research approach to gather both theoretical and empirical facts on this issue. It was discovered that in spite of the pragmatic and frantic efforts by different individuals, organizations, governments and non-governmental bodies in establishing a universal, healthy and safest method of breastfeeding through research, publications, workshops and so on, based on the unavoidable and uncompromising importance and benefits to maternal and child health, it is on record that the maternal behaviour is still obviously at variance to the acceptability of full breastfeeding as promulgated and declared by World Health Organization (WHO). A serious, dedicated, pragmatic and coordinated counseling approach is therefore recommended to be adopted to revive and strengthening a positive behaviour in women to foster positive attitude towards breastfeeding to guarantee 100% morbidity and mortality rate in Maternal and Child health.
本章对母乳喂养的复杂性及其对母亲和儿童健康的影响进行了批判性的回顾。研究者采用历史研究的方法来收集关于这个问题的理论和实证事实。人们发现,尽管不同的个人、组织、政府和非政府机构基于对妇幼健康不可避免和毫不妥协的重要性和益处,通过研究、出版物、讲习班等,为确立一种普遍、健康和最安全的母乳喂养方法作出了务实和疯狂的努力,有记录表明,产妇的行为仍然明显不符合世界卫生组织(卫生组织)颁布和宣布的完全母乳喂养的可接受性。因此,建议采取认真、专门、务实和协调的咨询方法,恢复和加强妇女的积极行为,培养对母乳喂养的积极态度,以保证母婴保健的发病率和死亡率达到100%。
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引用次数: 0
An Analysis of Factors Affecting Postnatal Depression Intervention Adherence 产后抑郁干预依从性的影响因素分析
Pub Date : 1900-01-01 DOI: 10.4018/IJPHME.2017010101
Omobolanle Omisade, Alice Good, Tineke Fitch, J. Briggs
Adjunct mobile support for postnatal depression could promote treatment adherence and long-term maintenance of behavioural change. The aim of this article is to establish the factors that determine adherence to postnatal depression intervention and support. Also, this article is intended to establish attitudes that women have towards postnatal depression intervention and support. Eighty-four women with a previous diagnosis of postnatal depression completed an online questionnaire on their previous use of postnatal depression intervention and factors inhibiting adherence, as well as attitudes towards the intervention. Results showed that adjunct support and combining multiple interventions would improve adherence. The provision of treatment guidance will also positively enhance treatment uptake and retention. Therefore, these factors should be considered for the development of theory-based adjunct mobile application for postnatal depression.
产后抑郁症的辅助移动支持可以促进治疗依从性和行为改变的长期维持。这篇文章的目的是建立决定依从产后抑郁症干预和支持的因素。此外,本文旨在建立妇女对产后抑郁症的干预和支持的态度。84名先前诊断为产后抑郁症的妇女完成了一份在线问卷,调查内容包括她们先前使用产后抑郁症干预措施、抑制依从性的因素以及对干预措施的态度。结果显示辅助支持和联合多种干预措施可提高依从性。提供治疗指导也将积极提高治疗的吸收和保留。因此,在开发基于理论的产后抑郁症辅助移动应用程序时,应考虑这些因素。
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引用次数: 2
Scaling the Maternal and Newborn Survival Initiative (MANSI) 扩大孕产妇和新生儿生存倡议(MANSI)
Pub Date : 1900-01-01 DOI: 10.4018/978-1-7998-2351-3.ch010
D. Prabhu, R. Larson
The infant mortality rate (IMR) and maternal mortality ratio (MMR) are unacceptably high in many parts of rural India. This article focuses on a system analysis approach to the best practices for scaling and replicating of maternal and newborn survival initiative (MANSI), a field-tested pilot program for addressing high IMRs and MMRs. A system dynamics model of the village birthing system is used to understand the resources needed for the viability of scaling or replication, is constructed and incorporated in the analysis. The MANSI program is a public and private partnership between a few key players. Implemented in the Seraikela area of India's Jharkhand state, the program has achieved a 32.7% reduction in neonatal mortality, a 26.5% reduction in IMR, and a 50% increase in hospital births, which tend to have better health outcomes for women and newborns. The authors conclude with a discussion of the prospects for and difficulties of replicating MANSI in other resource-constrained areas, not only in India but in other developing countries as well.
在印度农村的许多地区,婴儿死亡率和产妇死亡率高得令人无法接受。本文重点介绍了扩大和复制孕产妇和新生儿生存倡议(MANSI)的最佳实践的系统分析方法,MANSI是一项针对高imr和mmr的现场测试试点计划。构建了一个村庄生育系统的系统动力学模型,以了解扩展或复制可行性所需的资源,并将其纳入分析。MANSI项目是几个关键参与者之间的公共和私人合作伙伴关系。该方案在印度贾坎德邦的Seraikela地区实施,使新生儿死亡率降低了32.7%,综合死亡率降低了26.5%,住院分娩增加了50%,这往往有利于妇女和新生儿的健康。作者最后讨论了在其他资源受限地区(不仅在印度,而且在其他发展中国家)复制MANSI的前景和困难。
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引用次数: 0
Health Effects of Pesticides on Pregnant Women and Children 农药对孕妇和儿童健康的影响
Pub Date : 1900-01-01 DOI: 10.4018/978-1-5225-6111-8.CH006
M. Youssouf, Arun Kalia, Z. Nabi, Z. Malik
Pesticides, along with hybrid seeds and fertilizers, are an integral part of the green revolution and are used to control and eradicate disease vectors for the improvement of agricultural production. Pesticides is an umbrella term for insecticides, nematocides, fungicides, herbicides, fumigants, repellents, and attractants. Pesticides are used against unwanted plants and animals to control diseases and losses. Efforts at different levels may help to reduce the impact of pesticides on newborn babies and on pregnant women. Different efforts can be considered at clinical, educational, and policymaking institutes. Use of risk assessment tools, encouragement of organic diets, educating parents working in agricultural fields from hazards of pesticides particularly in pregnancy and breast feeding, implementation of integrated pest management (IPM) programs, and encouraging policies supporting IPM can help in tackling the menace of pesticide hazards.
农药以及杂交种子和肥料是绿色革命的组成部分,用于控制和根除病媒,以改善农业生产。杀虫剂是杀虫剂、杀线虫剂、杀真菌剂、除草剂、熏蒸剂、驱虫剂和引诱剂的总称。杀虫剂用于对付不需要的动植物,以控制疾病和损失。不同层面的努力可能有助于减少农药对新生儿和孕妇的影响。临床、教育和政策制定机构可以考虑采取不同的措施。使用风险评估工具、鼓励有机饮食、教育在农业领域工作的父母了解农药的危害,特别是对怀孕和哺乳的危害、实施有害生物综合防治(IPM)计划以及鼓励支持IPM的政策,这些都有助于应对农药危害的威胁。
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引用次数: 1
期刊
Innovations in Global Maternal Health
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