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Retail Pharmacies are not just any Businesses - The lack of Public Discussion about the Death of Pharmacies (Letter to the Editor) 零售药房并非普通企业——公众对药店消亡缺乏讨论(致编辑的信)
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_11
R. Oehlmann
Retail pharmacies have been declining in regard to physical stores as well as value as perceived by the society. Even in the face of their declination there are little amendments or implementations made to avert this, most have turned out to be ineffectual to the occurrence. Alongside primary healthcare facilities such as hospitals, pharmacies can offer a decentralized healthcare system whereby they can divert some of the healthcare services and assist in the development of an effectual healthcare system. To create an effectual healthcare system former policies have to be altered and new ones which promote quality and affordable healthcare.
零售药店在实体店和社会感知的价值方面一直在下降。即使面对他们的拒绝,也很少有修改或实施来避免这种情况,大多数都被证明是无效的。除了医院等初级卫生保健设施外,药房还可以提供分散的卫生保健系统,从而转移一些卫生保健服务,并协助建立有效的卫生保健系统。为了创建一个有效的医疗保健系统,必须改变以前的政策,制定新的政策,促进高质量和负担得起的医疗保健。
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引用次数: 0
Deadly Synergy: between Postcovid & Posttrauma Stress Syndrome in Areas of Armed Conflicts in COVID-I9 Era (Note) 致命的协同作用:covid - 19时代武装冲突地区covid - 19后与创伤后应激综合征之间的关系(注)
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_03
A. Shahum, C. Mulama, P. Vaško, T. Rusnak, I. Kmit, M. Guľašová, M. Stachoň, D. Giertliova, M. Karvaj, M. Bednarikova, D. Barkasi, D. Hennel, M. Bakos, E. Haluskova, P. Bryndzak, B. Igliarova, M. Vladarova, A. Paulovicova, E. Vrankova, F. Radi, M. Katunska, V. Buc, H. Konosova, L. Roman, T. Román, J. Bozik, R. Barta, D. Morton
Postcovid syndrome affects 5-20% of all patients with symptomatic Covid-I9 infection, resulting in temporary or permanent disability for next weeks or months. The commonest syndromes after long Covid-I9, (or chronic fatigue syndrome after Covid, or as synonymum postcovid syndrome) are psychic or psychosomatic disorders known under the name Depression and Anxiety Syndrome. After the unrest and armed conflicts during the Covid era, clients or patients, mainly migrants of war, are also exposed to chronic post trauma syndrome related to previous or recent destruction of infrastructure, temporary homelesness and escape from affected regions/country. Cumulation of those 2 syndromes may have devastating consequences to both, individual health and economic losses due to permanent working and economy disabilities and consumption of health and social funds. After the unrest and armed conflicts during Covid era,clients or patients, mainly migrants of war, are also exposed to chronic post trauma syndrome related to previous or recent destruction of infrastructure, temporary homelesness and escape from affected regions/country.
在所有有症状的covid - 19感染患者中,有5-20%受到covid - 19后综合征的影响,导致未来数周或数月的暂时或永久性残疾。长期Covid- 19后最常见的综合征(或Covid- 19后慢性疲劳综合征,或同义词Covid- 19后综合征)是精神或心身疾病,称为抑郁和焦虑综合征。在疫情时期的动荡和武装冲突之后,服务对象或患者(主要是战争移民)还面临慢性创伤后综合症,这与之前或最近基础设施遭到破坏、暂时无家可归以及逃离受影响地区/国家有关。这两种症状的累积可能对个人健康和经济损失以及由于永久性工作和经济残疾以及卫生和社会资金的消耗造成毁灭性后果。在疫情时期的动荡和武装冲突之后,服务对象或患者(主要是战争移民)还面临与以前或最近基础设施遭到破坏、暂时无家可归和逃离受影响地区/国家有关的慢性创伤后综合症。
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引用次数: 1
Comorbidity of Migraine and Depression – Factors for an Efficient & Cross-sectoral Therapy 偏头痛和抑郁症的共病-有效和跨部门治疗的因素
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_08
J. Dixon, M. Luliak
Comorbidity is described as an illness that happens more frequently in connection with a specific condition than would be expected as a coincidental relationship in the general population. Depression, anxiety, stroke, epilepsy, sleep problems, and other pain illnesses are all common comorbidities with migraine. Furthermore, many common disorders occur concurrently (at the same time) with migraine, influencing therapy options (Anzola G.D, 1999). When individuals have comorbid or concurrent conditions, migraine therapy, and especially migraine prevention, can be difficult.
共病被描述为一种疾病在特定情况下比在一般人群中预期的巧合关系更频繁地发生。抑郁、焦虑、中风、癫痫、睡眠问题和其他疼痛疾病都是偏头痛的常见合并症。此外,许多常见疾病与偏头痛同时(同时)发生,影响治疗选择(Anzola G.D, 1999)。当个体有合并症或并发疾病时,偏头痛治疗,尤其是偏头痛预防,可能是困难的。
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引用次数: 0
Electromagnetic Fields as a Health Risk Factor 电磁场作为一种健康风险因素
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_10
V. Jakušová, K. Sladicekova, Katarina Hamza, Sladicekova
This study is a collection of findings of published articles from the Department of Medical Biophysics and Department of Public Health at the Jessenius Faculty of Medicine in Martin, Comenius University Bratislava (JFM CU) with the topic on epidemiology of electromagnetic fields. During 14 years, 13 principal publications were created, of which 11 studies deal with radio frequency signals from mobile phones (mainly GSM900 and GSM1800 standard); one study describes the construction of a new exposure system and the other deals with the effects of low frequency electromagnetic fields. The results showed that the electromagnetic fields can affect heart rate variability both in humans and animals; increasing the activity of the parasympathetic or sympathetic nerve systems depending on place of body exposure (head or thorax, respectively); may cause disorders of heart rhythm; loss of concentration; headaches; and/or burning sensations in the ear area. Parameters of exposition were compared with the values issued by the International Commission on Non-Ionizing Radiation Protection (ICNIRP). They had not exceeded the permitted limits. However, compared to data of the Bio Initiative Report, in some cases, our measured values exceeded their limits.
本研究收集了布拉迪斯拉发市马丁夸美纽斯大学(JFM CU)杰塞纽斯医学院医学生物物理系和公共卫生系发表的关于电磁场流行病学的论文。14年间,共发表13篇主要论文,其中11篇论文涉及移动电话射频信号(主要是GSM900和GSM1800标准);一项研究描述了一种新的暴露系统的构建,另一项研究涉及低频电磁场的影响。结果表明,电磁场可以影响人类和动物的心率变异性;根据身体暴露部位(分别为头部或胸部)增加副交感或交感神经系统的活动;可能引起心律失常;失去浓度;头痛;和/或耳朵区域有烧灼感。将辐照参数与国际非电离辐射防护委员会(ICNIRP)发布的数值进行了比较。他们没有超过允许的限度。然而,与《生物行动报告》的数据相比,在某些情况下,我们的测量值超出了极限。
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引用次数: 0
Traditional Chinese Medicine in Distance Physiotherapy of non-specific Back Pain during the COVID-19 Pandemic 新冠肺炎大流行期间非特异性腰痛的中医药远程物理治疗
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_12
E. Žiaková
This paper deals with the use of meridian exercises of Traditional Chinese medicine in physiotherapy. On a selected sample of 30 probands aged between 19 to 55 years who met the set criteria, the effect of exercises for non-specific pain in the cervical, thoracic and lumbar spine was examined. The pilot prospective study compares the intensity of pain in 3 areas of the back before the start of a 4-week cycle exercise at least 3 times a week and after the end of the exercise cycle. After a series of meridian exercises there was a statistically significant pain reduction in the cervical spine (p < 0.05), in the thoracic spine (p < 0.05) and on the level (p < 0.05) in the lumbar spine. The pain frequency during the week decreased by an average (p< 0.05) of a day. The pilot study unequivocally confirmed the positive effect of meridian exercises on reducing the intensity of pain in 3 back areas as well as on reducing the frequency of perceived pain. The addressed issue has a perspective both on the level of physiotherapeutic procedures and their diagnostic use and from the point of view of Traditional Chinese Medicine with the impact of meridian exercises on individual elements, such as organ systems.
本文论述中医经络练习在物理治疗中的应用。在30名年龄在19岁到55岁之间符合既定标准的先试者中,研究了锻炼对颈椎、胸椎和腰椎非特异性疼痛的影响。这项前瞻性先导研究比较了4周周期运动开始前(每周至少3次)和运动周期结束后背部3个区域的疼痛强度。经过一系列经络练习后,颈椎疼痛减轻(p < 0.05),胸椎疼痛减轻(p < 0.05),腰椎疼痛减轻(p < 0.05)。周内疼痛频率平均减少1天(p< 0.05)。试点研究明确证实了经络练习对减轻背部3个区域疼痛强度以及减少感知疼痛频率的积极作用。所讨论的问题既有物理治疗程序及其诊断用途的角度,也有中医的观点,即经络练习对个体元素(如器官系统)的影响。
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引用次数: 0
Public Health Law & The COVID-19 Pandemic (Letter to the Editor) 公共卫生法与COVID-19大流行(致编辑的信)
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_07
M. Costello
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引用次数: 0
Zero COVID 19 Occurrence among 206 of 1023 Migrants of War from Syria at the Czech Border (Rapid Research Note) 在捷克边境的1023名来自叙利亚的战争移民中,有206人没有感染COVID - 19(快速研究报告)
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_14
D. Hennel, J. Vallová, Jane Vallova, V. Buc, M. Oláh, M. Oláh, C. Olah, C. Olah, M. Jackulikova, Maria, Jackulikova, V. Krcmery, V. Krčméry, Z. Ondrúšová, Z. Ondrúšová, A. Doktorov, A. Doktorov, L. Roman, M. Vladarova, M. Vladarova, J. Bozik, Joseph Bozik, M. Valach, M. Valach, I. Hupkova, I. Hupkova, Alex Al Trad, A. Naddour, Annemarie, Naddour, M. Jurásek, M. Jurásek
Recent war conflicts in Europe and Middle East generate new refugee wawes and possible dissemination of Covid I9 variants from countries with low vaccination activity due to armed events.Therefore we have tested all migrants of war(206) coming via Hungarian Slovak Czech Border,within one week among 1023 refugees of war..who had symptoms of respiratory infection.None of tested symptomatic individuals was positive by rapid antigen test.Therefore the the risk ofCOVID I9 dissemination was not been confirmed.
最近欧洲和中东的战争冲突产生了新的难民潮,并且由于武装事件,疫苗接种活动较低的国家可能会传播Covid - 19变体。因此,我们在一周内对1023名战争难民中的所有通过匈牙利斯洛伐克-捷克边境的战争移民(206人)进行了测试。他们有呼吸道感染症状。有症状者经快速抗原试验均无阳性。因此,covid - 19的传播风险尚未得到确认。
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引用次数: 0
Comparison of Different self-defense Sprays in the Hands of paramedics – simulation Study 护理人员手中不同自卫喷雾的比较-模拟研究
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_09
J. Pekara, D. Peřan, P. Cmorej
Pepper spray is a self-defense tool used to prevent or stop aggressive behavior by quick and temporary incapacitation of the aggressor. The main aim of this study is to compare the effect of 2 different tools – Flashlight spray (Tool 1) and a gun shaped pepper spray (Tool 2) for paramedics in Prague. We performed a simulated test of the use of the tools with 10 paramedics (5 men, 5 women; the average age was 28 years) – nobody had been educated in using the mentioned self-defense tools. Using pepper spray (Tool 1) is faster and safer than using a pepper gun (Tool 2). There were discovered a lot of negative factors for recommendation for both of these tools: long time period for using against possible perpetrators; impossibility of the using in the space of ambulance. We found that neither tool is appropriate for paramedics.
胡椒喷雾是一种自卫工具,通过快速和暂时的丧失攻击者的能力来防止或停止攻击行为。本研究的主要目的是比较两种不同工具的效果-手电筒喷雾(工具1)和枪形胡椒喷雾(工具2)在布拉格的护理人员。我们对10名护理人员(5男5女;平均年龄为28岁)——没有人接受过使用上述自卫工具的教育。使用胡椒喷雾(工具1)比使用胡椒枪(工具2)更快更安全。我们发现这两种工具都存在很多负面因素:使用时间长,无法对付可能的肇事者;不可能在救护车空间使用。我们发现这两种工具都不适合护理人员使用。
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引用次数: 0
Social Pathology after Pandemia & Armed Conflicts: Abuse, Depression & other Psychosocial Disorders Importancy of legal Support to continue Vaccination 大流行和武装冲突后的社会病理学:虐待、抑郁和其他社会心理障碍法律支持对继续接种疫苗的重要性
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_01
M. Hardy, L. Roman, D. West, S. Szydlowski, M. Oláh
Another 4 papers are more optimistic, showing legal responses of major EU and US courts, unequivocally calling for respect for humans rights;putting the right to health protection and public health interests;upgrading them in front of other HR issues (Sikuta et al., Costello, Abdulaziz Naji, Shahum et al.), Brussels, EU and Saudi experience show that law in alll 3 systems - constitutional, custom, Islamic and Christian values are concerning law protection not only on one ,, rail,, but also to one direction, protection of public and individual health. Public Health Law & the COVID-19 Pandemic (Letter to the Editor), Clinical Social Work and Health Intervention, No.6, Vol 13,2022. Retail Pharmacies are not just any Businesses - The lack of Public Discussion about the Death of Pharmacies (Letter to the Editor), Clinical Social Work and Health Intervention, No.6, Vol 13, 2022.
另一个4论文更为乐观,显示主要欧盟和美国法庭的法律回应,明确呼吁尊重人权;把健康权保护和公共卫生利益;升级他们的其他人力资源问题(Sikuta et al ., Costello,阿卜杜勒阿齐兹纳吉·,Shahum et al。),布鲁塞尔,欧盟和沙特的经验表明,全3系统——宪法法律,习俗,伊斯兰和基督教价值观是有关法律保护不仅在一个铁路、,但也有一个方向,保护公众和个人健康。《公共卫生法与新冠肺炎大流行(致编辑信)》,《临床社会工作与卫生干预》,2022年第13卷第6期。零售药店不只是普通企业——关于药店死亡的公众讨论缺失(致编辑的信),《临床社会工作与卫生干预》,2022年第13卷第6期。
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引用次数: 0
Preventing the Burnout Syndrome by Creating a Healthy & Healing Environment 通过创造一个健康和愈合的环境来预防倦怠综合症
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_13
D. West, D. West, V. Krcmery, V. Krčméry, S. Szydlowski, Steve, Szydlowski, B. Ramírez, B. Ramirez, M. Costello, M. Costello
Occupational burnout is a significant global problem that has impacted clinical outcomes, patient safety, and patient-centered care across healthcare settings (World Health Organization) [WHO], 2019. The classic definition of burnout, as defined by Dr. Christina Maslach, is “a psychologic syndrome involving emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment (Maslach & Jackson, 1982). Burnout affects cognitive, behavioral and emotional aspects of human behavior. It also interferes with how individuals process and interact with others at an individual and organizational level. Others have noted that burn-out individuals tend to focus on negative things rather than positive emotions (Bianchi & Laurent, 2015). Nurse and physician burnout was recognized before the COVID-19 pandemic as a growing problem. Evidence now suggests that more than 50% of nurses, physician assistants and physicians report syndromes of burnout. The problem has become even more pronounced when the work environment contributes stressors associated with technological advancements, EMRs, increased patient acuity, and financial cost cutting measures. It is now recognized that individuals and organizations burnout. As a public health issue, burnout and well-being are multifactorial and recognize that individuals and organizations contribute significant factors to the burnout syndrome. It appears that burnout rates are rising across specialties and settings resulting in increase of costs to individuals and organizations (National Academy of Medicine [NAM]), 2018. What is needed is a clear map to make decisions on clinical burnout. Healthcare workers (HCW) need confidential access to wellness activities, support systems and mental health consultation. A new model is needed to further refine the work-life balance and create a caring corporate culture. Healthcare leaders need to rethink how to support employees across disciplines when it comes to burnout and well-being.
职业倦怠是一个重大的全球性问题,影响了医疗保健机构的临床结果、患者安全和以患者为中心的护理(世界卫生组织,2019年)。正如Christina Maslach博士所定义的,倦怠的经典定义是“一种心理综合症,包括情绪耗竭、人格解体和个人成就感降低”(Maslach & Jackson, 1982)。职业倦怠影响人类行为的认知、行为和情感方面。它还会干扰个人在个人和组织层面上如何处理和与他人互动。其他人注意到,精疲力竭的人倾向于关注消极的事情,而不是积极的情绪(Bianchi & Laurent, 2015)。在COVID-19大流行之前,护士和医生的职业倦怠被认为是一个日益严重的问题。现在有证据表明,超过50%的护士、医师助理和内科医生报告有过劳竭综合症。当工作环境带来与技术进步、电子病历、患者敏锐度提高和财务成本削减措施相关的压力时,这个问题变得更加明显。现在已经认识到个人和组织的倦怠。作为一个公共健康问题,职业倦怠和幸福感是多因素的,并且认识到个人和组织对职业倦怠综合症有重要的影响。职业倦怠率似乎在各个专业和环境中都在上升,导致个人和组织的成本增加(美国国家医学院[NAM]), 2018年。我们所需要的是一个清晰的地图,以便对临床倦怠做出决定。卫生保健工作者(HCW)需要获得保密的健康活动、支持系统和精神卫生咨询。需要一种新的模式来进一步改善工作与生活的平衡,创造一种关怀的企业文化。医疗保健领导者需要重新思考如何在职业倦怠和幸福感方面支持各个学科的员工。
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引用次数: 1
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Clinical Social Work and Health Intervention
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