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CNS Repair in a girl with a Spinal Cord Injury 脊髓损伤女孩的中枢神经系统修复
Pub Date : 1900-01-01 DOI: 10.37722/APHCTM.2021101
G. Schalow
By medical malpractice, the 5.5-years-old Nefeli suffered an incomplete spinal cord injury at Th10/11 levels. At an age of 9, through 4 years of Coordination Dynamics Therapy, she re-learned walking, running, jumping and became continent again. At an age of 14, an orthopedic surgeon made the family believe that the walking performance could substantially be improved by a leg operation. Against the strong advice of the Author ‘to avoid the operation’, because such operations in spinal cord injury reduce the plasticity, necessary for repair, the parents decided for the operation. Till 6 weeks after the operation, the patient could not move the legs anymore because of extreme flexor spasticity, rigor and cramps. 3.5 months after the operation, including 8 weeks of intensive Coordination Dynamics Therapy with the Author, she could move the legs a bit again, but could not walk freely.6 months after the operation, she became able to walk a bit with orthoses and after 8 months she re-learned to walk a bit without orthoses. Through the operation, the patient lost approximately 2 years of movement-based learning therapy. It will be analyzed in detail that the orthopedic surgeon operated without sufficient knowledge in human repair-neurophysiology, necessary especially in spinal cord injury. The operationinduced extreme flexor spasticity made the standing and upright movements impossible. Only the Author was able, through administering Coordination Dynamics Therapy, to slowly reduce the extreme flexor spasticity and to make the spinal cord injury patient Nefeli walk again.
由于医疗事故,5.5岁的Nefeli在11月10日的水平上遭受了不完全性脊髓损伤。在9岁的时候,通过4年的协调动力学治疗,她重新学会了走路、跑步、跳跃,并再次变得独立。14岁时,一位整形外科医生让家人相信,通过腿部手术,行走能力可以大大提高。不顾笔者的强烈建议“避免手术”,由于此类手术对脊髓损伤的可塑性降低,需要修复,家长决定进行手术。直到术后6周,患者下肢均因极度屈肌痉挛、僵硬、痉挛而无法活动。手术后3.5个月,包括作者8周的强化协调动力学治疗,她的腿又可以活动了一点,但不能自由行走。手术6个月后,她可以用矫形器走路了,8个月后,她重新学会了不用矫形器走路。通过手术,患者失去了大约2年的运动学习治疗。我们将详细分析骨科医生在手术时缺乏足够的人体修复神经生理学知识,特别是在脊髓损伤方面。手术引起的极度屈肌痉挛使站立和直立运动无法进行。只有作者能够通过实施协调动力学疗法,缓慢地减轻极度屈肌痉挛,使脊髓损伤患者Nefeli再次行走。
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引用次数: 1
Health Promotion Program via Social Media for Hypertension and Diabetes Mellitus Patients 透过社交媒体促进高血压及糖尿病患者的健康计划
Pub Date : 1900-01-01 DOI: 10.37722/aphctm.2021302
P. Santiparp
To date, hypertension and diabetes mellitus are serious health problems because advance technology has led to consumerism of lifestyle transformation especially mobile smartphone. Social media is very popular now, so health promotion program via social media is interesting. The aims of this study were to synthesize and analyze the results of health promotion program via social media. It was divided into two phases; phase 1) the program development by literature reviewing was performed. Phase 2) quasi-experimental research (one group, pre-test and post-test) was conducted. The 31 volunteers were included in this program with 5 days by face to face meetings and further 28 days via social media. The finding showed that health literacy, attitude and self-care behaviors of participants were improved significantly by sign test (p-value < 0.01) before and after program implementation. The suggestion is health promoting program via social media with the principles of transformative learning used to raise awareness, change attitude and behavior to good behavior in lifestyle diseases should be considered.
到目前为止,高血压和糖尿病是严重的健康问题,因为先进的技术已经导致消费主义的生活方式的转变,特别是移动智能手机。社交媒体现在很流行,所以通过社交媒体的健康促进项目很有趣。本研究的目的是综合和分析通过社交媒体的健康促进计划的结果。它分为两个阶段;阶段1)通过文献综述进行程序开发。第二阶段进行准实验研究(一组,前测和后测)。31名志愿者参加了这个项目,其中5天是面对面的会议,另外28天是通过社交媒体。经符号检验,项目实施前后被试的健康素养、态度和自我保健行为均有显著改善(p值< 0.01)。建议应考虑通过社交媒体开展健康促进计划,采用变革性学习的原则,提高对生活方式疾病的认识,改变态度和行为,使其成为良好的行为。
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引用次数: 1
Gestational Diabetes Prevalence in North Italy. Trend 2012-2019 意大利北部妊娠期糖尿病患病率。2012 - 2019年的趋势
Pub Date : 1900-01-01 DOI: 10.37722/aphctm.2021301
S. Piffer, R. Pertile, M. Orrasch, F. Zambotti
The diagnostic criteria of GDM used in the province of Trento are those of the International Association of Diabetes and Pregnancy Study Group (IADPSG). The pregnancy monitoring data are recorded in the Childbirth Assistance Certificate (CedAP), a mandatory document in Italy for monitoring pregnancy, childbirth and the health of the newborn and to be completed by the midwife who assisted the birth. Based on the data recorded in the CedAP, the trend in the prevalence of GDM over time was retrospectively analyzed, on all pregnant women, on pregnant women of Italian and foreign citizenship. The prevalence of GDM was also analyzed in relation to the age group and educational level of pregnant women.
特伦托省使用的GDM诊断标准是国际糖尿病和妊娠研究小组协会(IADPSG)的诊断标准。妊娠监测数据记录在《助产证书》(CedAP)中,这是意大利监测妊娠、分娩和新生儿健康的强制性文件,由助产助产士填写。根据CedAP记录的数据,回顾性分析了所有孕妇、意大利籍孕妇和外国国籍孕妇GDM的流行趋势。分析妊娠期糖尿病患病率与孕妇年龄、受教育程度的关系。
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引用次数: 0
Changes In Partnership And Sexuality In Persons With Acquired Brain Injury (ABI) 获得性脑损伤(ABI)患者伴侣关系和性行为的变化
Pub Date : 1900-01-01 DOI: 10.37722/aphctm.2022404
Simona Tičar, Eva Ristič
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引用次数: 0
Comparing Two Different Methods of Communication by Assessing the Refinement in Knowledge Among Adolescent Girls on Menstrual Hygiene– A Comparative Interventional Study 两种不同沟通方式对青春期少女经期卫生知识完善程度的比较——一项比较介入研究
Pub Date : 1900-01-01 DOI: 10.37722/aphctm.2023101
D. ArumugaPerumal, Dharini Raveendiran
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引用次数: 0
Research On the Construction of Monitoring System for Responding to Major Public Health Emergencies in Border Areas of Yunnan 云南边境地区突发重大公共卫生事件应急监测体系建设研究
Pub Date : 1900-01-01 DOI: 10.37722/aphctm.2022501
Zhao Zeting, Zhou Jia Li Li, Pan Ying, Yang Siyi, Zhao Jianshu, Li Xiaoya, Liu Jianxing
Background - The special geographical position of Yunnan Province as the key area and frontline of "external prevention and importation", the difficulty and pressure of prevention and control in border areas is high, the prevention and control of the epidemic in Yunnan Province is crucial to the overall situation of the province and even the whole country. Covid-19 exposes alarming gaps in Infectious Disease Surverillance in Border Areas. Objectives - Infectious disease surveillance is an important tool for early identification and prevention and control of infectious diseases. Regular disease surveillance of emerging infectious diseases is essential to be able to respond to pandemics and control them early through the construction of infectious disease surveillance systems to build stronger and better health systems. Method - Summarize and sort out the existing monitoring system and problems using a combination of qualitative research methods such as literature methods, group interviews, and expert consultation. Using a combination of typical and stratified sampling methods, a questionnaire was used to analyze the current status of monitoring and management in border counties in Yunnan Province. Results - There is no statistical difference in surveillance and prevention between the state and county levels in response to major public health emergencies, and the current surveillance system is difficult for epidemic dissemination, prediction and timely and effective follow-up. Conclusion - The border areas of Yunnan Province have not established an effective epidemic surveillance system, lack of diversified channels and ways to disseminate epidemic information, difficulty in accurately grasping the progress and changing trends of the epidemic, and risk awareness has not been strengthened and transformed to the detriment of active prevention, control and management of infectious diseases.
背景——云南省作为“外防输入”重点地区和一线的特殊地理位置,边境地区防控难度和压力大,云南省疫情防控关乎全省乃至全国大局。2019冠状病毒病暴露了边境地区传染病监测方面的惊人差距。目标-传染病监测是早期发现和预防和控制传染病的重要工具。对新发传染病进行定期疾病监测至关重要,可以通过建立传染病监测系统来应对大流行并及早控制它们,从而建立更强大和更好的卫生系统。方法:结合文献法、小组访谈、专家咨询等定性研究方法,对现有的监测体系和存在的问题进行总结和整理。采用典型抽样与分层抽样相结合的方法,对云南省边境县监测管理现状进行问卷调查。结果——在应对重大突发公共卫生事件中,州、县两级的监测预防水平无统计学差异,现有的监测体系难以对疫情进行传播、预测和及时有效的随访。结论——云南省边境地区尚未建立有效的疫情监测体系,疫情信息传播渠道和方式缺乏多元化,难以准确掌握疫情进展和变化趋势,风险意识没有加强和转化,不利于积极预防、控制和管理传染病。
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引用次数: 0
Assessing the Efficacy of Covid-19 Policies in the Philippines 评估菲律宾Covid-19政策的有效性
Pub Date : 1900-01-01 DOI: 10.37722/aphctm.2021202
Lim Chris
This research assessed the efficacy of the Philippine government’s COVID-19 policies by calculating the regional and national effective reproduction number (Rt) after the implementation of government policies. Rt was obtained through using a model with a Bayesian framework, which is an approach that creates probabilistic models based on existing evidence. The model, known as “EpiEstim”, provides estimates through analyzing the daily incidence of cases within predefined time periods. The effects of stringency on nationwide transmissibility were determined by analyzing the bi-variate relationship between the Government Stringency Index (OxCGRT) with the estimated nationwide Rt values, between February 6, 2020 and March 3, 2021. This study is relevant because the Philippine government’s response to COVID-19 is known to be one of the most prolonged and stringent approaches to the pandemic, and a quantitative measure of the efficacy of the government’s policies can help determine whether these approaches can mitigate the impact of outbreaks in the future. Regionally, the implementation of government policies has led subsequent Rt values to approximately return to the critical threshold of 1.0 in 10 out of the 16 dates tested. These Rt values ranged between 0.82 and 3.05. Nationally, the level of stringency approximates a negative correlation with transmissibility, most notably between March 6, 2020 and April 6, 2020. Many of the government’s policies can be considered as delayed responses as they were implemented several days after Rt first deviated from the critical threshold of 1.0.
本研究通过计算政府政策实施后的区域和国家有效再生产数(Rt),评估了菲律宾政府新冠肺炎政策的有效性。Rt是通过使用具有贝叶斯框架的模型获得的,贝叶斯框架是一种基于现有证据创建概率模型的方法。这个被称为“EpiEstim”的模型通过分析预定时间段内的每日病例发生率来提供估计。通过分析2020年2月6日至2021年3月3日期间政府严格程度指数(OxCGRT)与全国Rt估计值之间的双变量关系,确定严格程度对全国传播率的影响。这项研究是相关的,因为菲律宾政府对COVID-19的反应是已知的最长期和最严格的大流行方法之一,对政府政策有效性的定量衡量可以帮助确定这些方法是否可以减轻未来疫情的影响。从区域来看,政府政策的实施导致随后的Rt值在16个测试日期中的10个中大约返回到1.0的临界阈值。这些Rt值在0.82和3.05之间。在全国范围内,严格程度与传播率呈负相关,最明显的是在2020年3月6日至2020年4月6日期间。政府的许多政策可以被视为延迟反应,因为它们是在Rt首次偏离关键阈值1.0之后几天实施的。
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引用次数: 0
COVID-19 Infection in Nepal: Epidemiological Analysis 尼泊尔COVID-19感染:流行病学分析
Pub Date : 1900-01-01 DOI: 10.37722/aphctm.2022502
Shambhavi Mishra, S. Marahatta, F. Boucher
Nepal saw its first COVID-19 case on January 23, 2020. Since then, Nepal has suffered from three waves of COVID-19. The goal of this paper is to conduct an epidemiological analysis of COVID-19 in Nepal and compare the changes in morbidity and mortality of COVID-19 over the course of two periods. The first period is defined as April 1, 2020- March 31, 2021. The second period is defined as April 1, 2021- March 31, 2022. Relevant variables were collected from Daily Situation Reports provided by the Ministry of Health and Population of Nepal. The main findings were the number of COVID-19 cases and deaths due to COVID-19 were higher in Period 2 in comparison to Period 1. Period 2 had a higher average recovery rate in comparison to Period 1. Majority of cases during both periods were male and in the 21-40 age category. The distribution of cases was more even amongst males and females in Period 2 in comparison to Period 1. Most cases reported during both periods were from Bagmati Province, which also had the most RT-PCR testing centers during both time periods. In terms of preventative measures, Period 2 had vaccination data reporting and a greater number of tests conducted in comparison to Period 1. Compared to the world, Nepal contributes a low mortality burden due to COVID-19. In addition, most Nepalese are vaccinated against COVID-19 (63.4%), which is comparable to India (62.50%) and the world (67.1%). The results from this study can be used to better implement prevention strategies in Nepal for future outbreaks.
尼泊尔于2020年1月23日出现了第一例COVID-19病例。自那以后,尼泊尔经历了三波新冠肺炎疫情。本文的目的是对尼泊尔的COVID-19进行流行病学分析,并比较两个时期内COVID-19发病率和死亡率的变化。第一个时期定义为2020年4月1日至2021年3月31日。第二个阶段定义为2021年4月1日至2022年3月31日。相关变量收集自尼泊尔卫生和人口部提供的《每日情况报告》。主要发现是,与第一阶段相比,第二阶段的新冠肺炎病例数和死亡人数更高。周期2的平均回收率高于周期1。这两个时期的大多数病例为男性,年龄在21-40岁之间。与第一阶段相比,第二阶段男性和女性之间的病例分布更为均匀。在这两个时期报告的大多数病例来自巴格马提省,该省在这两个时期也拥有最多的RT-PCR检测中心。在预防措施方面,与第一阶段相比,第二阶段报告了疫苗接种数据,并进行了更多的检测。与世界相比,尼泊尔因COVID-19造成的死亡率负担较低。此外,大多数尼泊尔人(63.4%)接种了新冠病毒疫苗,这与印度(62.50%)和世界(67.1%)相当。这项研究的结果可用于在尼泊尔更好地实施预防战略,以应对未来的疫情。
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引用次数: 0
Meditation Practice Effects in Subjects with Autistic Spectrum Disorder 冥想练习对自闭症谱系障碍患者的影响
Pub Date : 1900-01-01 DOI: 10.37722/aphctm.2022301
Gaston Descamps, P. Gaspar
Introduction: The objective of this study is to show the benefits of Meditation practice for young people with Autistic Spectrum Disorder. Method: The intervention study lasted for nine months, including two cycles, one of 8 weeks, and one of 4 months. Participants (n = 8; male = 7, female = 1) with average age of 21.5 years old (SD = 4.37). During both cycles, a weekly session of Meditation, which consisted of Mindfulness and Mantras exercises, was conducted in the center’s classroom, where the sample was following an administrative course. The participants were all invited to practice at home the different exercises when waking up and before sleeping for approximately 15 minutes. At the end of both cycles, we conducted semi-structured qualitative interviews with each participant, one of their closest family members, and their staff members from the center. Field notes were written at the end of each session. Results: Five out of the eight participants practiced at home, the practice became part of a habit for them. Those were the most susceptible to show results in stress and anxiety reduction, an increase in focuses, better emotional control, more pro-social behavior at home, and in the classroom. Discussion: We assume that family interest in the practice had an impact on the adherence of the participant to the program and consequence in better results. The participants who adopted our program as part of their daily life routine have shown results in a reduction of stress and anxiety and a better focus, prosocial improvements in the class environment, and better communication at home with family members.
本研究的目的是展示冥想练习对患有自闭症谱系障碍的年轻人的好处。方法:干预研究为期9个月,分为2个周期,一个周期为8周,一个周期为4个月。参与者(n = 8;男性7人,女性1人),平均年龄21.5岁(SD = 4.37)。在这两个周期中,在中心的教室里进行每周一次的冥想,包括正念和咒语练习,在那里,样本正在学习行政课程。所有参与者都被邀请在家里做不同的练习,在醒来和睡觉前做大约15分钟。在两个周期结束时,我们对每个参与者,他们最亲密的家庭成员之一,以及他们中心的工作人员进行了半结构化的定性访谈。每次会议结束时都写了实地记录。结果:8名参与者中有5人在家练习,练习成为他们习惯的一部分。那些最容易表现出压力和焦虑减轻、注意力集中、更好的情绪控制、在家和课堂上更亲社会的行为的人。讨论:我们假设家庭对实践的兴趣影响了参与者对项目的坚持,并产生了更好的结果。将我们的课程作为日常生活一部分的参与者已经显示出压力和焦虑减轻,注意力更集中,课堂环境亲社会改善,在家与家人沟通更好的结果。
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引用次数: 0
Effectiveness of Predictive Analytics in Precision Public Health in Strengthening Health System for Future Pandemics 精准公共卫生预测分析在加强卫生系统应对未来流行病方面的有效性
Pub Date : 1900-01-01 DOI: 10.37722/aphctm.2022402
Olatinwo Islamiyyat Adekemi, Olajide Damola Sheriff
Background: Several mortality causalities are responsible for millions of deaths yearly and decrease in life expectancy. The covid-19 pandemic has continued to increase these numbers since 2020 its emergence many public health measures have been put in place to flatten the curve. Public health has used data from different source to improve decision and policy making. In this era, precision public health among other developing field of health has shown great potential in strengthening health data systems. However, with predictive analytics been support systems in precision public health there is a need to evaluate the performance of these techniques. Method: A systematic review was conducted between November 2011 and January 2022 using studies from nine at database which included PubMed, TRIP, SCOPUS, and Cochrane. Grey literature and google scholar were searched. Eligible studies were selected using inclusion and exclusion criteria and finding from the included studies were summarized. Result: 17 studies from 11 countries published in English between 2011-2021 were selected demographic, environmental, social, and socio-economic data were gathered by the selected studies. Artificial intelligence with machine learning been the most common, was the major predictive analytics technique used by the research. Communicable and non-communicable diseases, prescription overdose and underdose, neonatal conditions, health disparities, substance abuse and motor vehicle injuries are public health areas in which the techniques were deployed. Discussion and conclusion: Studies in this review reported that predictive analytics techniques are effective and produced reasonably accuracies. Although, there are some limitations such as lack specific definition of sub-population and units of inference, use of one-dimensional data by some studies, some bias that can confound randomization predictive analytics in precision public health is a great call that requires more work for evidence-based foundation for its application.
背景:每年有数以百万计的死亡和预期寿命的缩短是由几种死亡原因造成的。自2020年covid-19大流行出现以来,这些数字继续增加,许多公共卫生措施已经到位,以使曲线趋于平缓。公共卫生利用来自不同来源的数据来改进决策和政策制定。在这个时代,在其他发展中的卫生领域中,精准公共卫生在加强卫生数据系统方面显示出巨大的潜力。然而,随着预测分析成为精准公共卫生的支持系统,有必要评估这些技术的性能。方法:在2011年11月至2022年1月期间对来自PubMed、TRIP、SCOPUS和Cochrane等9个数据库的研究进行系统评价。搜索灰色文献和谷歌学者。采用纳入和排除标准选择符合条件的研究,并对纳入研究的结果进行总结。结果:选取了2011-2021年间11个国家发表的17项英文研究,收集了所选研究的人口统计、环境、社会和社会经济数据。人工智能和机器学习是最常见的,是研究中使用的主要预测分析技术。传染病和非传染性疾病、处方过量和剂量不足、新生儿状况、健康差距、药物滥用和机动车伤害是使用这些技术的公共卫生领域。讨论和结论:本综述中的研究报告了预测分析技术是有效的,并且产生了合理的准确性。尽管存在一些局限性,如缺乏具体的亚群定义和推断单位,一些研究使用一维数据,一些偏差可能混淆随机化预测分析在精确公共卫生中的应用,这是一个很大的呼吁,需要更多的工作为其应用的循证基础。
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引用次数: 0
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Advances in Public Health, Community and Tropical Medicine
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