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Disasters as an Opportunity to Build Social Capital 灾难是建立社会资本的机会
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000270
Francisca Dussaillant, Eugenio Guzmán
An extensive literature on the role of social capital in disaster response highlights the regularity that more robust social networks support more effective coordination and recovery (Aldrich, 2012). Less attention has been paid to the persistent aftereffects of disasters on social capital. Disasters provide stricken communities with the opportunity to strengthen their social bonds by affecting social norms, attitudes, and behavior. We study the enduring impact of disasters on social integrity by examining the after effects of the 2010 earthquake and tsunami on interpersonal trust, a common proxy for social capital
关于社会资本在灾难响应中的作用的大量文献强调了更强大的社会网络支持更有效的协调和恢复的规律性(Aldrich, 2012)。人们对灾害对社会资本的持续影响关注较少。灾害通过影响社会规范、态度和行为,为受灾社区提供了加强社会纽带的机会。我们通过考察2010年地震和海啸对人际信任(社会资本的常见代理)的影响,来研究灾害对社会诚信的持久影响
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引用次数: 3
Relationship between Persistent Post-traumatic Stress Disorder and Human Remains Exposure for Staten Island Barge and Landfill Recovery and Clean-up Workers After 9/11 持久性创伤后应激障碍与史丹顿岛驳船和垃圾填埋场回收和清理工人人体遗骸暴露的关系
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000261
Monique A. Fairclough, Sara A Miller-Archie, J. Cone, T. Dechen, C. Ekenga, S. Osahan, S. Perlman, L. Gargano, J. Imasuen, M. Farfel
After the September 11, 2001 World Trade Center (WTC) disaster, recovery and clean-up efforts were concentrated at the WTC site and the Staten Island (SI) Fresh Kills landfill and barges. Research is limited regarding the long-term health effects of human remains exposure during clean-up and recovery work at the SI landfill and barges. We studied 1,592 WTC Health Registry enrollees who worked at the SI landfill, loading piers and barges after the 9/11/01 attacks to assess the relationship between remains exposure and persistent posttraumatic stress disorder (PTSD) 10-11 years later. A dose-response relationship was found between frequency of human remains exposure and persistent PTSD (adjusted odds ratio (AOR): every day (AOR) = 4.77; 95% confidence interval (CI): 2.00-11.52, almost every day (AOR) = 4.35; 95% CI: 1.75-10.80), and some days (AOR) = 2.98; 95% CI: 1.43-6.22). When exposed to human remains, sanitation workers had higher odds of persistent PTSD, compared to firefighters and police. In addition, respondents who scored lower on a social support scale had higher odds of persistent PTSD. The findings highlight the need for strategies to reduce the risk of PTSD associated with exposure to human remains in future disasters.
2001年9月11日世界贸易中心(WTC)灾难发生后,恢复和清理工作集中在世贸中心遗址和斯塔顿岛(SI) Fresh Kills垃圾填埋场和驳船。在SI填埋场和驳船的清理和回收工作期间,人类遗骸暴露对健康的长期影响的研究有限。我们研究了1592名世贸中心健康登记注册者,他们在911袭击后在SI垃圾填埋场工作,装载码头和驳船,以评估10-11年后残留物暴露与持续创伤后应激障碍(PTSD)之间的关系。人体遗骸暴露频率与持续性PTSD存在剂量-反应关系(调整优势比(AOR):每天(AOR) = 4.77;95%置信区间(CI): 2.00-11.52,几乎每天(AOR) = 4.35;95% CI: 1.75-10.80),部分天(AOR) = 2.98;95% ci: 1.43-6.22)。与消防员和警察相比,当接触人类遗骸时,环卫工人患持续性创伤后应激障碍的几率更高。此外,在社会支持量表上得分较低的受访者患持续性创伤后应激障碍的几率更高。研究结果强调,需要制定策略,以减少在未来灾难中与人类遗骸接触相关的创伤后应激障碍风险。
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引用次数: 2
Nursing Revolution in Australian Primary Mental Health 澳大利亚初级心理健康护理革命
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000246
P. Brown
In Australia, a revolution is in the offing in primary psychiatric service delivery. Mental health nurse specialists are moving out from crisis and community-care teams attached to the public hospitals and community psychiatric clinics. To-date, three levels of psychiatric nursing have evolved: traditional basic mental health nursing; novel advanced nursing; and, advanced nursing with prescribing rights (Keltner & Folks, 1999; Talley & Brooke, 1992). The advanced forms are partnering with primary care physicians in private practice (Fisher, 2005; Hurley et al., 2014). Psychiatrists are beginning to link up with these nurse specialists, at the GP clinics. They are their natural, professional partners, sharing roles and responsibilities (Elsom, Happell, Manias & Lambert, 2007) This article argues for the benefits of models of primary psychiatric care in which the psychiatric nurse is the lynchpin of service delivery.
在澳大利亚,一场初级精神病学服务的革命正在酝酿之中。精神健康护理专家正从隶属于公立医院和社区精神病诊所的危机和社区护理小组中抽调出来。迄今为止,精神病学护理发展到三个层次:传统的基础精神卫生护理;新型高级护理;高级护理与处方权(Keltner & Folks, 1999;Talley & Brooke, 1992)。高级形式是与私人执业的初级保健医生合作(Fisher, 2005;Hurley et al., 2014)。在全科医生诊所,精神科医生开始与这些护士专家联系起来。他们是他们天生的专业伙伴,分享角色和责任(Elsom, Happell, Manias & Lambert, 2007)。本文论证了精神科护士是服务提供的关键的初级精神科护理模式的好处。
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引用次数: 2
Assessing Physical Batterers and Sexual Predators: The Importanceof Finding the Offenders Pornography Stash 评估身体施暴者和性侵犯者:寻找罪犯藏匿色情物品的重要性
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000E197
S. Johnson
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引用次数: 0
Mental Health Needs of an Emerging Latino Community in a MidAtlantic City: The Case of Baltimore City (2012-2015) 大西洋中部城市新兴拉丁裔社区的心理健康需求:以巴尔的摩市为例(2012-2015)
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000378
Linda Bucay-Harari, N. Krawczyk, K. Page, Yvonne P. Robles, C. Castillo-Salgado
Over the last decade, Baltimore has become a non-traditional Sanctuary City, receiving an unprecedented influx of Latino immigrants. Undocumented immigrants, especially ones coming from Central America’s Northern Triangle, are often exposed to traumatic experiences before, during and after migration, increasing their risk of mental health distress. The purpose of the study was to explore the nature and frequency of healthcare utilization for mental health problems among Latinos who received outpatient care at the Johns Hopkins Hospital between July 2012 and June 2015. We performed a descriptive analysis of Latino participants in The Access Partnership of Johns Hopkins Medicine (TAP) program. The TAP program covers primary and specialty services to uninsured patients living within zip codes in the Johns Hopkins Hospital and Bayview catchment area without regard to documentation status. We assessed the frequency of visits for symptoms and conditions associated with mental health diagnoses. Among all health conditions, mental health disorder was the most common diagnostic category and accounted for 14.88% of all encounters. Within this category, mood disorders (78%) and anxiety disorders (16%) were the most prevalent diagnoses. This descriptive study presents a unique opportunity to explore the burden and nature of mental health disorders among an emerging Latino community for which health care information is rarely attainable. The high use of mental health services in this population highlights the need to develop culturally competent screening mechanisms and interventions to address the stressors faced by emergent Latino communities.
在过去的十年里,巴尔的摩已经成为一个非传统的庇护城市,接收了前所未有的拉丁裔移民涌入。无证移民,特别是来自中美洲北三角的无证移民,往往在移民之前、期间和之后经历创伤,增加了他们精神健康困扰的风险。本研究的目的是探讨2012年7月至2015年6月在约翰霍普金斯医院接受门诊治疗的拉丁美洲人的心理健康问题的性质和医疗保健利用频率。我们对约翰·霍普金斯医学院(TAP)项目的拉丁裔参与者进行了描述性分析。TAP计划涵盖居住在约翰霍普金斯医院和湾景集水区邮政编码范围内的无保险患者的初级和专业服务,而不考虑文件状态。我们评估了与心理健康诊断相关的症状和状况的就诊频率。在所有健康状况中,精神健康障碍是最常见的诊断类别,占所有遭遇的14.88%。在这一类别中,情绪障碍(78%)和焦虑症(16%)是最普遍的诊断。这一描述性研究提出了一个独特的机会,探讨负担和精神健康障碍的性质,在新兴的拉丁裔社区,卫生保健信息很少可获得。这一人群对精神卫生服务的高使用率突出表明,有必要制定具有文化竞争力的筛查机制和干预措施,以解决新兴拉丁裔社区面临的压力源。
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引用次数: 0
Bereaved Parents Experiences of Hospital Practices and Staff Reactions after the Sudden Unexpected Death of a Child 失去亲人的父母经历医院的做法和工作人员的反应后,突然意外死亡的孩子
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000385
R. Rudd, Lisa Capizzi Marain, L. Crandall
The purpose of this study was to examine the experiences of bereaved parents and caregivers, who experienced a sudden unexpected infant or child death, an infant death attributed to Sudden Infant Death Syndrome (SIDS) or a child death attributed to Sudden Unexplained Death in Childhood (SUDC), with hospital practices and staff upon the child’s arrival at the emergency department. A convenience sample of 139 parents, caregivers and guardians responded. Data collected were descriptive and narrative. Narrative data was analyzed using phenomenological qualitative analyses. The study addressed the parents’ experience with: the ambulance service, contact with professionals, information received about procedures, access to or holding the child, extended family’s access to the child, perceived respect and support of the hospital staff, obtaining keepsakes or the child’s belongings and the parent’s aftercare instructions upon leaving the hospital. Implications to improve or revise current hospital procedures are discussed.
本研究的目的是检查失去亲人的父母和照顾者的经历,他们经历了突然意外的婴儿或儿童死亡,归因于婴儿猝死综合征(SIDS)的婴儿死亡或归因于儿童期不明原因猝死(SUDC)的儿童死亡,在孩子到达急诊室时,医院的做法和工作人员。一个由139名家长、照顾者和监护人组成的方便样本做出了回应。收集的数据是描述性和叙述性的。叙事资料采用现象学定性分析。该研究涉及父母的经验:救护车服务、与专业人员的联系、收到的有关程序的信息、接触或抱着孩子、大家庭接触孩子、感受到的对医院工作人员的尊重和支持、获得纪念品或孩子的物品以及父母离开医院后的善后指示。讨论了改进或修订现行医院程序的意义。
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引用次数: 0
The Study of Professional Deformations of Doctors as Deviations of Their Professional Role 医生职业角色偏离的专业变形研究
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000300
Donika Ð.D
Improvement of medical care is the topical issue of the health care system; its solution requires significant economic investment, based on the results of sociological research. In this regard, the author conducted a comprehensive study of the social and psychological parameters of the doctor’s professional role with a view to explicate its possible deviations. The study was conducted within the sociology of medicine, using its qualitative and quantitative methods, as well as a number of psycho-diagnostic tests. The results showed that the discrepancy between the level of the neuro-emotional and physical stress of medical practice and the institutional and professional valuation parameters leads to deviations in the professional role of the doctor, which is explicated as professional deformations of two types: general professional and special.
改善医疗服务是卫生保健系统的热点问题;根据社会学研究的结果,它的解决方案需要大量的经济投资。对此,笔者对医生职业角色的社会心理参数进行了全面的研究,以期阐明其可能存在的偏差。这项研究是在医学社会学范围内进行的,使用了定性和定量方法,以及一些心理诊断测试。结果表明,医疗实践中的神经-情绪和身体应激水平与制度和专业评价参数的差异导致医生职业角色的偏差,表现为两种类型的专业变形:一般专业和特殊专业。
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引用次数: 4
Presence in Telepsychotherapy. Towards a Video-Interview Framework 远程心理治疗中的存在。走向视频采访框架
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000296
Lise Haddouk
The field of mental health has evolved a lot since 20 years, with the emergence of the ICT (Information and Communication Technologies) and in the context of cyberculture. Telepsychology is defined by APA (2013) as the provision of psychological services using telecommunication technologies. It includes many types of remote communication like written exchanges (tchat, emails, SMS), voice exchange (phone, VOIP) or videoconference. Technologies may augment traditional in-person services, or be used as standalone services (e.g., therapy or leadership development provided over videoconferencing). Different technologies may be used in various combinations and for different purposes during the provision of telepsychology services.
20年来,随着信息和通信技术(ICT)的出现以及网络文化的背景,心理健康领域发生了很大的变化。远程心理学被APA(2013)定义为使用电信技术提供心理服务。它包括许多类型的远程通信,如书面交流(tchat,电子邮件,短信),语音交流(电话,VOIP)或视频会议。技术可以增强传统的面对面服务,也可以用作独立的服务(例如,通过视频会议提供的治疗或领导力发展)。在提供远程心理服务的过程中,不同的技术可能以不同的组合和不同的目的被使用。
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引用次数: 7
Treatment Needs for Psychoactive Substance Use Disorders among Outpatients with Severe Mental Illness (SMI): A Comparative Study 重度精神疾病(SMI)门诊患者精神活性物质使用障碍治疗需求比较研究
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000351
Sowunmi Oa, Onifade Po, A. Ogunwale
Introduction: Research has shown that persons with schizophrenia and bipolar affective disorder constitute a significant proportion of patients with severe mental illnesses who have a risk of substance use disorders. There are few previous studies directly comparing level of risk for drug related adverse treatment outcomes and treatment needs for substance use disorders in these two disorders. The aim of the present study was to compare level of risk and treatment needs for substance use disorders between patients with schizophrenia and those with bipolar affective disorder. Methods: Equal number of participants (n = 75 per group) with SCHIZ and BAD at the outpatient clinic of the Neuropsychiatric Hospital Aro were interviewed with a socio-demographic questionnaire and the Alcohol smoking and substance involvement screening test (ASSIST). Result: Patients with bipolar disorder had higher risk for adverse effects of pain medication use, while schizophrenia patients had higher risk of adverse effects of tobacco, cannabis, stimulants, alcohol and sedatives. Age, sex, marital status and level of education had significant associations with elevated risk for psychoactive substance use disorders. Conclusions: Adverse treatment outcomes related to psychoactive substance use among individuals with severe mental disorders remain a burden in patient care. Routine screening for substance use at the out-patient department should evaluate risk for adverse effects of these substances and not only substance dependence.
研究表明,精神分裂症和双相情感障碍患者在严重精神疾病患者中占很大比例,他们有物质使用障碍的风险。在这两种疾病中,很少有研究直接比较药物相关不良治疗结果的风险水平和药物使用障碍的治疗需求。本研究的目的是比较精神分裂症患者和双相情感障碍患者的物质使用障碍的风险水平和治疗需求。方法:采用社会人口学问卷和酒精、吸烟和物质介入筛查试验(ASSIST)对Aro神经精神病院门诊的同等数量的SCHIZ和BAD参与者(n = 75 /组)进行访谈。结果:双相情感障碍患者使用止痛药产生不良反应的风险较高,精神分裂症患者使用烟草、大麻、兴奋剂、酒精和镇静剂产生不良反应的风险较高。年龄、性别、婚姻状况和受教育程度与精神活性物质使用障碍风险增加有显著关联。结论:与严重精神障碍患者使用精神活性物质相关的不良治疗结果仍然是患者护理的负担。门诊对药物使用的常规筛查应评估这些药物不良反应的风险,而不仅仅是药物依赖。
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引用次数: 0
Latin America is Prepared to Face the Challenges of an AgingPopulation 拉丁美洲准备面对人口老龄化的挑战
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000E181
C. Rubinstein.
when asked how older a person with mental illness, the answer is that these patients patient aging has the same characteristics as that of any other person, added to their disease risks, such as visual and hearing impairment, poor dental and oral health, excessive medication, difficulty in detecting associated problems, poor access to medical care and poor research of mental diseases of old age (World Health Organization, 2003).
当被问及患有精神疾病的人的年龄有多大时,答案是,这些患者的年龄与任何其他人的年龄具有相同的特征,增加了他们的疾病风险,例如视力和听力损伤、牙齿和口腔健康状况不佳、过度用药、难以发现相关问题、难以获得医疗保健以及对老年精神疾病的研究不足(世界卫生组织,2003年)。
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引用次数: 1
期刊
International Journal of Emergency Mental Health and Human Resilience
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