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Millennium Development Goals 千年发展目标
Pub Date : 2018-07-22 DOI: 10.3126/hprospect.v10i0.5657
P. Khanal
DOI: http://dx.doi.org/10.3126/hprospect.v10i0.5657Health Prospect Vol.10 2011, pp.57-60
DOI: http://dx.doi.org/10.3126/hprospect.v10i0.5657Health Prospect Vol.10 2011, pp.57-60
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引用次数: 1
Intersecting Mental Health and Sexual and Reproductive Health 心理健康与性健康和生殖健康交叉
Pub Date : 2018-07-14 DOI: 10.3126/HPROSPECT.V17I1.20564
A. Timilsina
Mental Health and Sexual and Reproductive Health are well-studied with accolades of literature on each topic; however, their interrelationships have been under-described. Mental Health problems can be result of concurrent or past Sexual and Reproductive Health ill event and vice versa. This article presents intersection between Mental Health and Sexual and Reproductive Health based on available literature. Intersections between Mental Health and Sexual and Reproductive Health and their impacts can be studied through life course perspective and needs prioritized attention in case of Gender Based Violence and for people living with disability. The article highlights the importance to explore other aspects such as emotions, gender and sexuality associated with Mental Health and to study and understand physiological and psychological context between Mental Health and Sexual and Reproductive Health. It also stresses the need of further research on intersection between Mental Health and Sexual and Reproductive Health.
心理健康和性与生殖健康得到了充分的研究,每个主题都有文献的赞誉;然而,它们之间的相互关系一直没有得到充分的描述。精神健康问题可能是同时或过去性和生殖健康疾病事件的结果,反之亦然。本文在现有文献的基础上介绍了心理健康与性与生殖健康之间的交集。心理健康与性健康和生殖健康之间的交叉点及其影响可以从生命历程的角度进行研究,在发生基于性别的暴力和残疾人的情况下,需要优先关注这些交叉点。这篇文章强调了探索与心理健康相关的其他方面,如情绪、性别和性行为,以及研究和理解心理健康与性健康和生殖健康之间的生理和心理背景的重要性。还强调需要进一步研究心理健康与性健康和生殖健康之间的相互关系。
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引用次数: 7
Humanitarian assistance: is it politically instrumentalized? 人道主义援助:是否被政治工具化?
Pub Date : 2018-07-14 DOI: 10.3126/HPROSPECT.V17I1.20563
Harikrishna Bhattarai, Ks Acharya, Anthony Land
Humanitarian assistance, increasingly being used as a strategic tool, to fulfill the political objectives has been a widely discussed issue at national and international levels. Non-governmental Organizations including United Nations and its agencies are questioned on their neutrality while providing the humanitarian assistance in many places and more often during the complex humanitarian emergencies. This has not only raised questions on humanitarian principles but also created a very negative and counterproductive situation and thus limits an impartial, neutral and effective humanitarian action. The deontological approach might not be applicable in every scenario. One size does not fit all. So, consequentialist approach together with the morality of the action itself needs to be adopted for expanding the horizon of humanity without compromising the core humanitarian principles. All actors should respect the humanitarian principles. Humanitarian assistance is to be impartial and not driven by the politics of the conflict, aimed only at alleviating the people’s suffering. The core humanitarian imperatives founded on neutrality and independence are the key tools to secure access to all communities in need; impartiality and humanity represent the essence of humanitarian philosophy and cannot be compromised.
人道主义援助日益被用作实现政治目标的战略工具,已成为国家和国际各级广泛讨论的问题。包括联合国及其机构在内的非政府组织在许多地方提供人道主义援助时,特别是在复杂的人道主义紧急情况下,其中立性受到质疑。这不仅对人道主义原则提出了问题,而且造成了非常消极和适得其反的局面,从而限制了公正、中立和有效的人道主义行动。义务论方法可能不适用于所有情况。一种方式不适合所有人。因此,为了在不损害人道主义核心原则的前提下拓展人道主义的视野,需要采用结果主义的方法以及行为本身的道德性。所有行为体都应尊重人道主义原则。人道主义援助应是公正的,不受冲突政治的驱使,其目的只是减轻人民的痛苦。建立在中立和独立基础上的核心人道主义要务是确保进入所有有需要的社区的关键工具;公正和人道是人道主义哲学的本质,不容妥协。
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引用次数: 0
Mental Health in low-and middle income countries (LMICs): Going beyond the need for funding 低收入和中等收入国家的精神卫生:超越资金需求
Pub Date : 2018-06-19 DOI: 10.3126/HPROSPECT.V17I1.20351
F. Alloh, P. Regmi, I. Onche, E. V. Teijlingen, Steve Trenoweth
Despite being globally recognised as an important public health issue, mental health is still less prioritised as a disease burden in many Low-and Middle-Income Countries (LMICs). More than 70% of the global mental health burden occurs in these countries. We discussed mental health issues in LMICs under themes such as abuse and mental illness, cultural influence on mental health, need for dignity in care, meeting financial and workforce gaps and the need for national health policy for the mental health sector. We highlighted that although mental health education and health care services in most LMICs are poorly resourced; there is an urgent need to address issues beyond funding that contribute to poor mental health. In order to meet the increasing challenge of mental health illness in LMICs, there is a need for effort to address cultural and professional challenges that contribute to poor mental health among individuals. We have a notion that mental health should be integrated into primary health care in LMICs. Creating awareness on the impact of some cultural attitudes/practices will encourage better uptake of mental health services and increase the ease when discussing mental health issues in these countries which can contribute to reducing the poor mental health in LMICs.
尽管全球公认精神卫生是一个重要的公共卫生问题,但在许多低收入和中等收入国家,精神卫生作为一种疾病负担仍未得到重视。全球70%以上的精神卫生负担发生在这些国家。我们在以下主题下讨论了中低收入国家的精神卫生问题:虐待和精神疾病、对精神卫生的文化影响、护理中需要尊严、弥补资金和劳动力差距以及为精神卫生部门制定国家卫生政策的必要性。我们强调,虽然大多数中低收入国家的心理健康教育和保健服务资源不足;除了资金之外,迫切需要解决导致心理健康状况不佳的问题。为了应对中低收入国家心理健康疾病日益严峻的挑战,需要努力解决造成个人心理健康状况不佳的文化和专业挑战。我们认为,精神卫生应纳入中低收入国家的初级卫生保健。提高对某些文化态度/习俗影响的认识,将鼓励人们更好地接受心理健康服务,并增加在这些国家讨论心理健康问题时的便利性,从而有助于减少中低收入国家心理健康状况不佳的情况。
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引用次数: 50
Retention of Urine After Radical Hysterectomy for Cervical Cancer 宫颈癌根治性子宫切除术后尿潴留
Pub Date : 2014-02-22 DOI: 10.3126/hprospect.v10i0.5636
Jyoti Rana, Shi Rong, S. Mehata
Background: Radical hysterectomy is the main treatment for cervical cancer. But must of the patients suffered from postoperative bladder dysfunction, such as retention of urine. Objective: To evaluate the retention of urine after radical hysterectomy for cervical cancer in the patients up to stages IA to IIB. Methodology: A cross sectional control study was conducted in the patients diagnosed with cervical cancer and treated with radical hysterectomy in the department of obstetrics and gynecology, first affiliated hospital, Zhengzhou University, P. R. of China to evaluate the postoperative retention of urine in 90 patients from 2003 to 2006. Result and Conclusion: A total of 90 patients with cervical cancer, who underwent radical hysterectomy were included in this study. 25 patients, i.e. 27.8% were menopausal and 11 patients, i.e. 12.2% had blood loss more than 500ml. The patients with retention of urine after radical hysterectomy was compared in relation with loss of blood volume intra- operatively, parity, and menopause; as the possible causes of retention of urine. The overall frequency of retention of urine among the patients who underwent radical hysterectomy for the cervical cancer was 42.2%. The statistical analysis showed that the relation of urine after radical hysterectomy for cervical cancer with loss of blood volume, parity and menopause was found to be nonsignificant. So, retention of urine after radical hysterectomy for cervical cancer might be related to the operative procedure which effects partial sympathetic and parasympathetic denervation during a radical dissection. DOI: http://dx.doi.org/10.3126/hprospect.v10i0.5636Health Prospect Vol.10 2011, pp.1-4
背景:根治性子宫切除术是宫颈癌的主要治疗方法。但绝大多数患者术后出现尿潴留等膀胱功能障碍。目的:评价IA期至IIB期宫颈癌根治性子宫切除术后尿潴留情况。方法:采用横断面对照研究方法,对2003 ~ 2006年郑州大学第一附属医院妇产科诊断为宫颈癌并行根治性子宫切除术的90例患者进行术后尿潴留评价。结果与结论:本研究共纳入90例行根治性子宫切除术的宫颈癌患者。绝经期25例,占27.8%;失血量大于500ml 11例,占12.2%。对根治性子宫切除术后尿潴留患者与术中失血量、胎次和绝经期的关系进行了比较;作为尿潴留的可能原因。宫颈癌根治性子宫切除术患者尿潴留的总发生率为42.2%。统计分析显示宫颈癌根治性子宫切除术后尿量与失血量、胎次及绝经期的关系不显著。因此,宫颈癌根治性子宫切除术后尿潴留可能与根治性切除过程中影响部分交感神经和副交感神经去神经的手术过程有关。DOI: http://dx.doi.org/10.3126/hprospect.v10i0.5636Health Prospect Vol.10 2011, pp.1-4
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引用次数: 3
Baby-Friendly Hospital Initiative: Situation in Nepal 爱婴医院倡议:尼泊尔的情况
Pub Date : 2013-01-22 DOI: 10.3126/HPROSPECT.V11I0.7436
N. Subedi
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7436 Health Prospect 2012;11:53-54
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7436 Health Prospect 2012;11:53-54
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引用次数: 3
Priority in Managing Health Intervention Program: A Critical View 管理健康干预计划的优先权:一个批判的观点
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7428
S. Nayak
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7428 Health Prospect 2012;11:30-32
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7428 Health Prospect 2012;11:30-32
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引用次数: 0
Elderly Abuse: An Emerging Public Health Problem 虐待老人:一个新出现的公共卫生问题
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7438
B. Sharma
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7438 Health Prospect 2012;11:57-60
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7438 Health Prospect 2012;11:57-60
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引用次数: 7
Opportunities in Integration of Family Planning in HIV/AIDS Services in Nepal 将计划生育纳入尼泊尔艾滋病毒/艾滋病服务的机会
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7440
Sr Mishra
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7440 Health Prospect 2012;11:63-64
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7440 Health Prospect 2012;11:63-64
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引用次数: 2
The Public Health Discipline: Career at the Crossroads 公共卫生学科:十字路口的职业
Pub Date : 2013-01-21 DOI: 10.3126/HPROSPECT.V11I0.7433
A. Banstola
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7433 Health Prospect 2012;11:45-46
DOI: http://dx.doi.org/10.3126/hprospect.v11i0.7433 Health Prospect 2012;11:45-46
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引用次数: 0
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