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Personal Healthcare Data Records Analysis and Monitoring using The Internet of Things and Cloud Computing 使用物联网和云计算的个人医疗保健数据记录分析和监控
IF 5 Pub Date : 2023-04-02 DOI: 10.5339/avi.2023.4
Atef Zaguia
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引用次数: 2
A crisis within a crisis: Role of COVID-19 pandemic in poor compliance of Community-based Management of Severe Acute Malnutrition among children younger than five years in Pakistan 危机中的危机:新冠肺炎大流行在巴基斯坦五岁以下儿童严重急性营养不良社区管理中的作用
IF 5 Pub Date : 2023-01-05 DOI: 10.5339/avi.2023.2
Munnaza Batool, Javeria Hassan, Ruhma Shahzad, S. Iqbal, Muhammad Salman Butt, S. Haider
Introduction In order to attain Sustainable Development Goal 2 (SDG-II) of eradicating malnutrition among children by 2030, Pakistan has initiated a Community-based Management of Severely Acute Malnutrition (CMAM) program. This program has been established at the public level to detect and treat uncomplicated Severely Acute Malnourished (SAM) children at an early stage. However, during the outbreak of COVID-19, very poor compliance with the CMAM program was observed. Consequently, the nutritional quality of children's diets has deteriorated, with malnutrition rates expected to rise. Therefore, this study has been set up to evaluate the effect of the COVID-19 lockdown on the health of SAM children and compliance with the CMAM program. Methodology This study used a multicenter cross-sectional design in District Dera Ghazi Khan's rural areas located in the Southern Province of Punjab. Data were collected from the parents/guardians of SAM children through the researcher-administrated questionnaire. The sample size was 196, and data were analyzed through SPSS version 25. Results The majority of the children enrolled were males (52.5%), had fathers aged between 41 and 50 years (52.0%), mothers aged between 21 and 30 years (52.5%), had illiterate fathers (40.1%), illiterate mothers (73.8%) and had a monthly household income of PKR <15,000 (91.1%). All of the respondents mentioned that COVID-19 affected them in one way or the other (100.0%), with a majority of them did not visit the hospital during COVID-19 for their SAM child (52.5%) as they were afraid of COVID-19 (63.2%) and/or they lacked access to transport for visiting a hospital (93.4%). Bivariate analysis revealed that the father's age (P = 0.02) and income (P = 0.00) is associated with the perceived effect of COVID-19 on income. In contrast, only the gender of the child (P = 0.00) is related to the visit to the hospital, and the gender of the child (P = 0.01) and mother's literacy (P = 0.00) is associated with the choice of treatment from any other setup, including Hakeem and Peer. Conclusion This study concludes that health emergencies like the COVID-19 pandemic pose a significant barrier to access to healthcare services and subject a more vulnerable state to already vulnerable groups like SAM children. To lessen their vulnerability, initiatives like mobile health care services should be introduced, especially for socially disadvantaged communities, localities, and groups on regular basis and for future emergencies.
引言为了实现到2030年消除儿童营养不良的可持续发展目标2,巴基斯坦启动了一项基于社区的严重急性营养不良管理计划。该计划是在公共层面建立的,旨在早期发现和治疗无并发症的严重急性营养不良(SAM)儿童。然而,在新冠肺炎爆发期间,观察到对CMAM计划的遵守非常差。因此,儿童饮食的营养质量恶化,营养不良率预计还会上升。因此,本研究旨在评估新冠肺炎封锁对SAM儿童健康和遵守CMAM计划的影响。方法本研究采用多中心横断面设计,对位于旁遮普省南部的德拉加齐汗地区的农村地区进行研究。数据是通过研究人员管理的问卷从SAM儿童的父母/监护人那里收集的。样本量为196,数据通过SPSS 25版进行分析。结果被调查的儿童中,大多数为男性(52.5%),父亲年龄在41岁至50岁之间(52.0%),母亲年龄在21岁至30岁之间(5.25%),有不识字的父亲(40.1%),不识字的母亲(73.8%),家庭月收入低于15000 PKR(91.1%),他们中的大多数人在新冠肺炎期间没有为他们的SAM孩子去医院(52.5%),因为他们害怕新冠肺炎(63.2%)和/或他们缺乏去医院的交通工具(93.4%)。双变量分析显示,父亲的年龄(P=0.02)和收入(P=0.00)与新冠肺炎对收入的影响有关。相反,只有孩子的性别(P=0.00)与去医院就诊有关,孩子的性别和母亲的识字率(P=0.000)与从任何其他机构(包括Hakeem和Peer)选择治疗有关。结论本研究得出结论,新冠肺炎大流行等卫生紧急情况对获得医疗服务构成了重大障碍,并使SAM儿童等本已脆弱的群体处于更脆弱的状态。为了减少他们的脆弱性,应该引入移动医疗服务等举措,特别是定期为社会弱势社区、地方和群体提供服务,并应对未来的紧急情况。
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引用次数: 4
Highlights on the unavoidable impact of climate change on public health policy 气候变化对公共卫生政策不可避免的影响
IF 5 Pub Date : 2022-12-07 DOI: 10.5339/avi.2022.6
R. Isaifan, Chokri Kooli
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引用次数: 2
The decline in hepatitis B and C in women: A 5-year retrospective case study in Ha’il, Saudi Arabia 妇女乙型和丙型肝炎发病率下降:沙特阿拉伯哈伊勒的5年回顾性病例研究
IF 5 Pub Date : 2022-11-17 DOI: 10.5339/avi.2022.10
R. Zrieq, F. Algahtani, R. Ali, M. Al-Najjar, Shadi Suleiman, Fares Alshammari, B. Alsaif, M. Araúzo-Bravo
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引用次数: 3
Food preferences and eating behavior among children with autism spectrum disorder: A causal-comparativestudy in Lahore 拉合尔自闭症谱系障碍儿童的食物偏好和饮食行为:一项因果比较研究
IF 5 Pub Date : 2022-11-17 DOI: 10.5339/avi.2022.9
Minahil Amin, Syeda Iqra Faiyaz, Muhammad Salman Butt, A. Javed, J. Saleem, A. Saeed
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引用次数: 3
Effects of the COVID-19 pandemic on the uptake of routine immunization vaccines in Swat District in Pakistan 2019冠状病毒病大流行对巴基斯坦斯瓦特地区常规免疫疫苗接种的影响
IF 5 Pub Date : 2022-11-17 DOI: 10.5339/avi.2022.11
K. Ullah, J. Saleem, Muhammad Ishaq, Farhad Ali Khattak, Fatima Majeed
The COVID-19 pandemic affected life-saving childhood immunization globally and affected Vaccine-Preventable Diseases eradication and elimination efforts. During the initial phase of the pandemic, some countries temporarily stopped vaccination campaigns against measles, meningitis, polio, tetanus, typhoid, and yellow fever. This study was conducted to quantify the effect of COVID-19 on EPI vaccination. A cross-sectional study was conducted in the district Swat of Khyber-Pakhtunkhwa from June to August 2022. The data was extracted from the EPI Management Information System for the four months of the pre-pandemic period and four months of the lockdown period. The pre-pandemic four-month data was taken as a baseline and was compared with the four-months lockdown period. A 7-19% decrease was found during the lockdown period in various antigen coverage. Coverage of Penta-3 was most affected having a 19% decrease while measles coverage was less affected showing a 7% decrease during the lockdown period. BCG coverage was affected by 14%, PCV by 11 to 18%, Rota by 12 to 16%, and IPV by 18%. The vaccination coverage improved in the later months of the lockdown, but the number of defaulters and zero-dose children increased. To fill this gap, a robust strategy for vaccination is recommended.
COVID-19大流行影响了全球挽救生命的儿童免疫接种,也影响了疫苗可预防疾病的根除和消除工作。在大流行的初始阶段,一些国家暂时停止了针对麻疹、脑膜炎、脊髓灰质炎、破伤风、伤寒和黄热病的疫苗接种运动。本研究旨在量化COVID-19对扩大免疫接种的影响。2022年6月至8月在开伯尔-普赫图赫瓦的斯瓦特地区进行了一项横断面研究。从扩大免疫方案管理信息系统中提取了大流行前4个月和封锁期4个月的数据。以大流行前4个月的数据为基准,并与4个月的封锁期进行比较。在封锁期间,各种抗原覆盖率下降了7-19%。Penta-3的覆盖率受影响最大,下降了19%,而麻疹覆盖率受影响较小,在封锁期间下降了7%。卡介苗覆盖率下降14%,PCV下降11%至18%,Rota下降12%至16%,IPV下降18%。在封锁后的几个月里,疫苗接种覆盖率有所提高,但违约儿童和零剂量儿童的数量有所增加。为了填补这一空白,建议制定一项强有力的疫苗接种战略。
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引用次数: 3
Climate change vulnerability, adaptation assessment, and policy development for occupational health 气候变化脆弱性、适应评估和职业健康政策制定
IF 5 Pub Date : 2022-09-22 DOI: 10.5339/avi.2022.8
Muhammad Salman Butt, J. Saleem, Muhammad Ishaq, G. Bukhari, Joham Faryal
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引用次数: 3
Business ethics in the era of Covid 19: How to protect jobs and employment rights through innovation 新冠肺炎时代的商业道德:如何通过创新保护就业和就业权利
IF 5 Pub Date : 2022-09-12 DOI: 10.5339/avi.2022.7
Chokri Kooli, Melanie lock Son, Imene Beloufa
The pandemic situation generated by the novel coronavirus virus (COVID-19) created several moral and economic dilemmas. While trying to save many local and world economies, entrepreneurs, leaders, and policymakers faced the challenges of managing the resultant economic and financial disruptions and risks coupled with the moral obligation to observe business ethics. This research is based on a documental collection, revision, and analysis of relevant and emerging literature to catch the best practices and experiences adopted by various governments and businesses, especially in western countries, to protect the jobs and employment rights of workers. Among other things, this study urges social policymakers to adopt innovative mechanisms and programs to not only protect the rights of employees but also help maintain jobs during pandemic situations and economic crises The research suggests that adhering to business ethics will enhance the use of technology and boost the sense of innovation and creativity of both employees and their organizations. The importance of the collaboration between public Administrators, policymakers, entrepreneurs, and employees to maintain the fundamentals of business ethics and protect employees' rights is adjudged to be critical to a speedy recovery from the losses and disruptions caused by the pandemic.
新型冠状病毒(COVID-19)引发的大流行局势造成了若干道德和经济困境。在试图拯救许多地方和世界经济的同时,企业家、领导人和政策制定者面临着管理由此产生的经济和金融中断和风险的挑战,以及遵守商业道德的道德义务。本研究基于对相关文献和新兴文献的文献收集、修订和分析,以捕捉各国政府和企业(特别是西方国家)为保护工人的就业和就业权利而采用的最佳做法和经验。除其他外,本研究敦促社会决策者采用创新机制和方案,不仅保护员工的权利,而且在疫情和经济危机期间帮助维持就业。研究表明,遵守商业道德将提高技术的使用,增强员工及其组织的创新和创造意识。人们认为,公共行政人员、决策者、企业家和雇员之间的合作至关重要,以维护商业道德的基本原则并保护雇员的权利,这对于从大流行造成的损失和中断中迅速恢复至关重要。
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引用次数: 11
Evaluation of Occupational Exposure to Heat Stress and Working Practices in the Small and Mid-Sized Manufacturing Industries of Lahore, Pakistan 巴基斯坦拉合尔中小型制造业职业热应激暴露和工作实践评估
IF 5 Pub Date : 2022-09-06 DOI: 10.5339/avi.2022.5
Muhammad Salman Butt, K. Kuklane, J. Saleem, Rubeena Zakar, G. Bukhari, M. Ishaq
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引用次数: 5
Informed consent in a patient with aortic dissection and mild intellectual impairment 主动脉夹层合并轻度智力障碍患者的知情同意书
IF 5 Pub Date : 2022-02-22 DOI: 10.5339/avi.2022.4
W. Abdelghaffar, E. Lagha, F. Azaiez, N. Haloui, R. Rafrafi
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引用次数: 0
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