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Multidisciplinary Perceptions and Considerations for Spiritual Care and Biblical Framework Counseling in Mental Health 心理健康中的精神关怀和圣经框架咨询的多学科观念和考虑因素
Q4 Medicine Pub Date : 2024-02-25 DOI: 10.15566/cjgh.v11i1.845
Valerie Oji, Bailey Powell
Background: Religious/Spiritual (R/S) care is often desirable by mental health clients for culturally sensitive, patient-focused treatment; yet providers may experience hesitancy or overlook this need and treatment guidelines are limited. The aim of this qualitative study was to explore existing R/S care, as well as perspectives on what support care would be considered for patients choosing BFC. This is part of a project to collaboratively extend population-based mental health care access in resource–constrained communities of both the US, a High-Income Country (HIC) and Low-to-Middle Income Countries (LMICs) in Africa.    Methods: A qualitative literature synthesis, then an online survey was conducted with 54 multidisciplinary participants recruited via snowballing. Survey participants were asked to review a case as described by a BFC provider and respond  anonymously to an open-ended questionnaire. The data collected was distilled with qualitative coding and thematic analysis.    Results: Literature synthesis identified multidisciplinary health professional provision of R/S, medical and/or psychological interventions as monotherapy or integrated strategies. There was a paucity of medical education guidelines. Qualitative themes included willingness to coordinate care for BFC clients, to what capacity should care be provided, and perceptions of BFC efficacy. R/S care was often integrated as part of a holistic treatment approach. Scheduled BFC patient follow-ups, ethical hand-offs or referrals were considered important for majority of survey respondents based on comfort-level with biblical counseling and perceived relapse potential. Spiritual growth and maintenance, medication management, and individual psychotherapy were recommended by survey respondents. There were contrasts in BFC and non-R/S provider perspectives on pertinent mental health history and inferences from the case. Significant information for patient support included symptoms and confirmatory diagnosis, medical comorbidities, relevant childhood issues, faith-health beliefs, family history and genetics, medication and therapy adherence, and substance use. Faith-health belief congruence of providers with BFC patients and ethical decision-making should be considered. Graduate Medical Education (GME) and other health professional programs may incorporate these considerations, existing R/S interventions, and multidisciplinary provider scope of practice as options for clinician training. Future research steps should include growing the body of anecdotal case reports, evidence-based case series and implementation science studies across a broader range of mental disorders.  
背景:宗教/精神(R/S)护理通常是心理健康服务对象所希望得到的文化敏感性高、以患者为中心的治疗;然而,服务提供者可能会犹豫不决或忽视这一需求,而且治疗指南也很有限。这项定性研究的目的是探讨现有的 R/S 护理,以及选择 BFC 的患者会考虑哪些支持性护理的观点。这是一个项目的一部分,该项目旨在通过合作,在资源有限的美国高收入国家(HIC)和非洲中低收入国家(LMIC)的社区中推广基于人口的心理保健服务。 方法:先进行定性文献综述,然后进行在线调查,通过滚雪球的方式招募了 54 名多学科参与者。调查参与者被要求回顾一个由 BFC 提供者描述的案例,并匿名回答开放式问卷。通过定性编码和主题分析对收集到的数据进行提炼。 结果:文献综述确定了多学科卫生专业人员提供的 R/S、医疗和/或心理干预作为单一疗法或综合策略。有关医学教育指南的文献很少。定性主题包括是否愿意为 BFC 客户协调护理、应提供何种程度的护理以及对 BFC 疗效的看法。作为整体治疗方法的一部分,R/S 护理通常被整合在一起。基于对圣经咨询的舒适度以及对复发可能性的认识,大多数调查对象都认为定期的圣经咨询病人随访、伦理移交或转诊非常重要。精神成长和维持、药物管理和个人心理治疗是调查对象推荐的治疗方法。对于相关的心理健康病史和病例推断,BFC 和非 R/S 提供者的观点截然不同。为患者提供支持的重要信息包括症状和确诊、并发症、相关的童年问题、信仰-健康信念、家族史和遗传学、药物和治疗的依从性以及药物使用。应考虑医疗服务提供者与 BFC 患者的信仰-健康信念一致性以及伦理决策。医学研究生教育(GME)和其他健康专业课程可将这些考虑因素、现有的 R/S 干预措施和多学科医疗服务提供者的执业范围作为临床医师培训的备选方案。未来的研究步骤应包括增加轶事病例报告、循证病例系列和实施科学研究的数量,涵盖更广泛的精神障碍。
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引用次数: 0
Faith-based Healthcare in Africa: Stylized Facts from Data Collected by the Catholic Church 非洲基于信仰的医疗保健:天主教会收集的数据中的典型事实
Q4 Medicine Pub Date : 2024-02-25 DOI: 10.15566/cjgh.v11i1.933
Q. Wodon
While research on faith-based healthcare in Africa covers a rich array of topics, we still need to better understand some of the basic features of the sector, including its size. This editorial provides a brief discussion of the size of the faith-based healthcare sector globally and in Africa and some of its characteristics based on data on the number of facilities operated by the Catholic Church in Africa, the largest provider of faith-based healtcare globally and on the continent. Africa is the region of the world where the number of Catholic health facilities operated by the Church has increased the most in the last 40 years, but there is a lot of heterogeneity between countries in terms of the number of Catholic facilities in operation.
尽管有关非洲信仰医疗的研究涵盖了丰富的主题,但我们仍需要更好地了解该行业的一些基本特征,包括其规模。本社论根据全球和非洲大陆最大的信仰医疗服务提供者--非洲天主教会运营的医疗机构数量的数据,简要讨论了全球和非洲信仰医疗行业的规模及其一些特点。在过去 40 年中,非洲是世界上由教会运营的天主教医疗设施数量增加最多的地区,但就运营中的天主教设施数量而言,各国之间存在很大差异。
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引用次数: 0
Faith Based Healthcare in Africa 非洲基于信仰的医疗保健
Q4 Medicine Pub Date : 2024-02-25 DOI: 10.15566/cjgh.v11i1.921
H. E. Larson
none
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引用次数: 0
Health Status Associated with SARS-CoV-2 Risk Perceptions in Sierra Leone and Zimbabwe 塞拉利昂和津巴布韦与 SARS-CoV-2 风险认知相关的健康状况
Q4 Medicine Pub Date : 2024-02-25 DOI: 10.15566/cjgh.v11i1.815
Dennis Kinyoki, Ruth Gemi, Gertrude Guveya, James Mukabi, Jaya Shreedhar, Fifi Manuel, Alex Anderson, Cougar P Hall, Josh West, Benjamin Crookston
Background & Aims. The COVID-19 pandemic had a significant impact on health in countries of every income level. While much is known about risk factors for COVID-19 severity, less is known about the relationship between COVID related risk perceptions and behaviors, particularly in low-income settings. The purpose of this study is to investigate the relationship between existing health status and COVID-19 risk perceptions and behaviors in Sierra Leone and Zimbabwe. Methods. Data for this study came from a cross-sectional survey conducted simultaneously among 1158 adults in Sierra Leone and 1154 in Zimbabwe during July and August of 2022. Respondents were recruited from among communities served by the Christian Health Association of Sierra Leone (CHASL) and Zimbabwe Association of Church-Related Hospitals (ZACH), both members of the Africa Christian Health Associations Network (ACHAP). Results. The relationship between health status and COVID-19 risk perceptions and behaviors varied significantly by health condition. Cardiovascular disease was significantly associated with heightened perceptions of COVID-19 risk, heightened perceived safety of COVID vaccines, and subsequent greater vaccine acceptance while cancer was likewise statistically significant in each of lower perceived susceptibility, perceived safety, and vaccination uptake. Similarly, obesity was associated with both lower perceived susceptibility of COVID-19 and decreased perceived safety of COVID vaccines. Conclusion. Results suggest that the association between health conditions and COVID perceptions and behaviors is neither clear nor consistent across a variety of NCDs. Hence, findings from this study may inform public health interventions aimed at reducing COVID-19 morbidity and mortality, including increasing vaccine acceptance and uptake in Sierra Leone and Zimbabwe. Further, findings potentially have broader implications for understanding how health status is associated with COVID-19 risk perceptions in other LMICs.
背景与目的。COVID-19 大流行对各个收入水平国家的健康都产生了重大影响。虽然人们对 COVID-19 严重性的风险因素了解很多,但对与 COVID 相关的风险认知和行为之间的关系却知之甚少,尤其是在低收入环境中。本研究旨在调查塞拉利昂和津巴布韦现有健康状况与 COVID-19 风险认知和行为之间的关系。研究方法。本研究的数据来自于 2022 年 7 月和 8 月同时对塞拉利昂的 1158 名成年人和津巴布韦的 1154 名成年人进行的横断面调查。受访者来自塞拉利昂基督教健康协会(CHASL)和津巴布韦教会相关医院协会(ZACH)所服务的社区,这两个协会都是非洲基督教健康协会网络(ACHAP)的成员。研究结果健康状况与 COVID-19 风险认知和行为之间的关系因健康状况而有显著差异。心血管疾病与 COVID-19 风险感知的提高、COVID 疫苗安全性感知的提高以及随后对疫苗接受度的提高有明显关系,而癌症在感知易感性、安全性感知和疫苗接种率的降低方面同样具有统计学意义。同样,肥胖也与 COVID-19 的易感性降低和 COVID 疫苗的安全性降低有关。结论。研究结果表明,在各种非传染性疾病中,健康状况与 COVID 感知和行为之间的关系既不明确也不一致。因此,本研究的结果可为旨在降低 COVID-19 发病率和死亡率的公共卫生干预措施提供信息,包括提高塞拉利昂和津巴布韦对疫苗的接受度和吸收率。此外,研究结果还可能对了解其他低收入和中等收入国家的健康状况如何与 COVID-19 风险认知相关联产生更广泛的影响。
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引用次数: 0
Effective Localization: Case Study of a Faith-based Health Partnership in Sierra Leone and Zimbabwe 有效的本地化:塞拉利昂和津巴布韦基于信仰的卫生合作案例研究
Q4 Medicine Pub Date : 2024-02-25 DOI: 10.15566/cjgh.v11i1.805
Dennis Cherian, Fifi Manuel, Rebecca Waugh, Nkatha Njeru, Cornelia Mukandi, Chikari Wedze, Gregory Hooke, Benjamin Crookston, Josh West, Cougar P Hall
Faith-based organizations (FBOs) and faith-based service providers play a critical role in public health prevention, promotion, treatment, and community development. Effective capacity strengthening efforts through FBO partnerships can make a vital contribution toward effective localization. This case study details the efforts and results of a writing and publishing workshop provided in partnership with Corus International (IMA World Health) and the Africa Christian Health Associations Platform (ACHAP) in March of 2023. This case study also reports on workshop participants’ perceptions of the partnership's approach to capacity strengthening. Three major and related themes emerged from the workshop’s informal Focus Group Discussion transcription: 1) a safe and nurturing environment, 2) openness and shared decision-making, and 3) organizational humility.
信仰组织(FBOs)和信仰服务提供者在公共卫生预防、促进、治疗和社区发展方面发挥着至关重要的作用。通过与信仰组织(FBO)建立伙伴关系,有效加强能力建设,可以为有效实现本地化做出重要贡献。本案例研究详细介绍了 2023 年 3 月与 Corus International(IMA 世界卫生协会)和非洲基督教健康协会平台(ACHAP)合作举办的写作和出版研讨会的工作和成果。本案例研究还报告了研讨会与会者对该伙伴关系的能力强化方法的看法。研讨会的非正式焦点小组讨论记录中出现了三大相关主题:1) 一个安全和良好的环境,2) 开放和共同决策,3) 组织的谦逊。
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引用次数: 0
Strengthening Organizational Capacity in Kenya, Malawi, and South Sudan 加强肯尼亚、马拉维和南苏丹的组织能力
Q4 Medicine Pub Date : 2024-02-25 DOI: 10.15566/cjgh.v11i1.765
Deirdre Church, M. Bormet, Evelyn Gathuru, Richard Guma, Gift Werekhwe
This reports on a US-AID-funded project which engages faith-based organizations to strengthen their organizational capacity as they implement reproductive, maternal, newborn
本报告介绍了美国国际开发署资助的一个项目,该项目促使宗教组织在实施生殖、孕产妇和新生儿服务时加强其组织能力。
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引用次数: 0
The Effect of an Attractant Toxic Sugar Bait (ATSB) incorporating Bacillus thuringiensis israelensis and Methoprene on Mosquito Populations 含有苏云金芽孢杆菌和甲氧苄啶的引诱剂毒糖诱饵 (ATSB) 对蚊子种群的影响
Q4 Medicine Pub Date : 2024-02-25 DOI: 10.15566/cjgh.v11i1.729
Thomas Kollars, Mustapha Debboun, Mark Carder, Lee P. McPhatter, JR
Background: The threat posed by mosquito-borne diseases continues to increase globally. The increase of pesticide resistance is impacting vector control and public health globally. The development and testing of new pesticides faces several challenges, e.g., time for development, high cost, and regulatory hurdles. Adapting pesticides that are currently used within integrated vector management can help alleviate these challenges. Methoprene has demonstrated reduction of larval populations and fecundity in adult mosquitoes. The objective of the study was to demonstrate the efficacy of ProVector Entobac with methoprene (Entobac M) on mosquito populations in rural sites in Southeastern Georgia.Methods: ProVector® Military Camouflage Tubes with ProVector Entobac M pesticide were placed in a grid at test sites. A positive control test site and a negative control site were used to compare results statistically. Mosquito diversity and evenness among sites were measured using Shannon Diversity Index and Equitability.Results: Deployment of ProVector® Military Camouflage Tubes with ProVector Entobac M pesticide was effective in reducing total mosquito populations. The mosquito species shared among the test sites and positive control site were similar, and the negative control site was least similar in diversity and evenness. There was variation of control within Aedes, Anopheles, and Culex genera. Discussion: The aim of the study was to demonstrate the efficacy of the ProVector Military Camouflage Tube delivery of Entobac with methoprene (Entobac M) on mosquito populations. Mosquito-borne diseases are an increasing threat to communities around the world due to invasive species and global warming. In previous studies, ProVector® Entobac™ has been validated in laboratory and field studies to control both adult and larval mosquitoes in the United States and several other countries. Application of ecofriendly and target specific pesticides with no-resistance is critical in reducing mosquito populations and the risk of vector-borne diseases. Our study demonstrated a significant decrease in adult mosquito populations due to the utilization of a target specific mosquito larvicide that has been adapted to kill adult mosquitoes.
背景:蚊媒疾病在全球范围内造成的威胁不断增加。杀虫剂抗药性的增加正在影响全球的病媒控制和公共卫生。新杀虫剂的开发和测试面临着一些挑战,如开发时间、高成本和监管障碍。调整目前在病媒综合管理中使用的杀虫剂有助于缓解这些挑战。甲氧苄啶已证明可减少幼虫数量和成蚊繁殖力。这项研究的目的是证明 ProVector Entobac 与甲氧苄啶 (Entobac M) 对佐治亚州东南部农村地区蚊虫种群的功效:将装有 ProVector Entobac M 杀虫剂的 ProVector® 军用迷彩管放置在试验地点的网格中。使用阳性对照试验点和阴性对照试验点对结果进行统计比较。使用香农多样性指数和等差数列测量了不同地点的蚊子多样性和均匀度:结果:使用 ProVector® 军用伪装管和 ProVector Entobac M 杀虫剂能有效减少蚊子的总数量。试验地点和阳性对照地点的蚊子种类相似,而阴性对照地点的多样性和均匀性最不相似。在伊蚊属、按蚊属和库蚊属中,控制效果存在差异。讨论:这项研究的目的是证明 ProVector 军用伪装管投放含有甲氧苄啶的 Entobac(Entobac M)对蚊子种群的功效。由于物种入侵和全球变暖,蚊子传播的疾病对世界各地社区的威胁日益严重。在以往的研究中,ProVector® Entobac™ 已在实验室和实地研究中得到验证,可在美国和其他一些国家控制成蚊和幼蚊。在减少蚊虫数量和病媒传播疾病的风险方面,应用无抗药性的环保型靶向杀虫剂至关重要。我们的研究表明,由于使用了专门针对蚊子幼虫的杀虫剂,成蚊数量大幅减少,而这种杀虫剂已经适应于杀灭成蚊。
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引用次数: 0
Kings and Queens on Mission: The Image of God in God’s Plan for Disability 王与王后的使命:神在残疾计划中的形象
Q4 Medicine Pub Date : 2023-10-30 DOI: 10.15566/cjgh.v10i2.723
David Deuel, Nathan Grills
All people God has called and gifted should participate in mission. After all, he crowned us at creation and commissioned us to care for his creation. The Fall sabotaged the creation mission both relationally and practically. But God’s image abides unchanged. In Christ, God renews us in his mission to redeem people. Also, we are a kingdom of families being renewed. Family support empowers impairment in mission. Our understanding of God’s Image corrects misunderstandings about people with disability in mission. It also increases our capacity to appreciate God’s hand in mission blessing.
所有蒙神呼召和恩赐的人都应该参与宣教。毕竟,他在创造时为我们加冕,并委托我们照顾他的创造。堕落在关系上和实践上都破坏了创造的使命。但神的形象是不变的。在基督里,神在祂救赎人的使命中更新我们。此外,我们是一个家庭正在更新的王国。家庭支持使使命受损。我们对神形象的认识,纠正了我们对残障人士在宣教中的误解。它也增加了我们欣赏神在宣教祝福中的能力。
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引用次数: 0
The Prevalence and Associated Factors for Anaemia in School Children in Bengaluru, Karnataka, India: A Cross-sectional Study 印度卡纳塔克邦邦班加罗尔学龄儿童贫血患病率及相关因素:一项横断面研究
Q4 Medicine Pub Date : 2023-10-30 DOI: 10.15566/cjgh.v10i2.773
Safder Husain, Arish Mohammad Khan Sherwani
Background and Objective: Anaemia is a common clinical condition that affects the majority of school aged children. Reduced resistance to disease, increased susceptibility to infection, impaired physical development, and poor school performance are all consequences of anaemia in this group. The present study was designed with the objective of estimating the prevalence of anaemia among school children in Bengaluru. This included identifying the associated factors or causes and consequences of anaemia. Methods: A school based cross-sectional study was conducted among children in schools from 3rd to 8th standard in Bengaluru Urban North Division Karnataka State, India, over a period of one year. 250 children were selected using convenience sampling. Results: The overall prevalence of anaemia among school going children was found to be 21.2%. Prevalence of anaemia was significant among variables like socioeconomic status, dietary habits, increased heart rate, breathlessness, lack of energy, dizziness, irregular menstrual cycles, jaundice, blood loss during menstruation, menstrual cycle pattern, pallor signs of palpebral conjunctiva, mucous membrane, and skin, splenomegaly and hepatomegaly, consumption of chicken, fish, citrus fruit, milk, Mizāj ‘Ām duration of menstrual flow, headache, poor wound healing, and chronic disease. Conclusion: The overall prevalence of anaemia in our study of school children in Bengaluru (21.2%) was lower than the prevalence in the data recently shown by NFHS-5. Prevalence of anaemia was highly significant among variables like low socioeconomic status, dietary deficiencies, blood loss, and chronic infections. There were also highly significant correlations with several clinical findings.
背景与目的:贫血是影响大多数学龄儿童的常见临床疾病。对疾病的抵抗力下降、对感染的易感性增加、身体发育受损以及学习成绩差都是这一群体贫血的后果。本研究的目的是估计班加罗尔学龄儿童中贫血的患病率。这包括确定贫血的相关因素或原因和后果。方法:以学校为基础的横断面研究对印度卡纳塔克邦班加罗尔城市北部地区三至八年级学校的儿童进行了为期一年的研究。采用方便抽样法抽取250名儿童。结果:学龄儿童贫血总体患病率为21.2%。在社会经济地位、饮食习惯、心率加快、呼吸困难、缺乏能量、头晕、月经周期不规则、黄疸、月经期间失血、月经周期模式、眼睑结膜、粘膜和皮肤苍白迹象、脾和肝肿大、食用鸡肉、鱼、柑橘类水果、牛奶、Mizāj ' Ām月经持续时间、头痛、伤口愈合不良和慢性疾病等变量中,贫血的患病率是显著的。结论:在我们的研究中,班加罗尔学童的贫血总体患病率(21.2%)低于最近NFHS-5数据显示的患病率。在低社会经济地位、饮食缺乏、失血和慢性感染等变量中,贫血的患病率非常显著。与一些临床发现也有高度显著的相关性。
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引用次数: 0
Injustice, Violence, and Social Determinants of Health 不公正、暴力和健康的社会决定因素
Q4 Medicine Pub Date : 2023-10-30 DOI: 10.15566/cjgh.v10i2.867
H Elliott Larson
none
没有一个
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引用次数: 0
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Christian Journal for Global Health
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