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DHS Special Issue on “Ageing Humans, Ageing Societies” 国土安全部特辑:“人口老龄化,社会老龄化”
Pub Date : 2021-12-02 DOI: 10.1556/2066.2021.00046
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引用次数: 0
A review of patient safety communication in multicultural and multilingual healthcare settings with special attention to the U.S. and Canada 回顾在多文化和多语言的医疗环境中患者安全沟通,特别关注美国和加拿大
Pub Date : 2021-11-18 DOI: 10.1556/2066.2021.00041
Á. Horváth, P. Molnár
The present work aims to raise awareness of the issue of patient safety communication in multicultural and multilingual healthcare settings and to present strategies on how to overcome emerging cultural and language barriers and enable healthcare providers to reduce the risk of miscommunication, prevent inequalities and disparities, and provide their patients with safe and quality care. It also strives to present the policies and measures the United States and Canada have implemented and the strategies U.S. experts have developed to advance effective communication between provider and patient. The literature review was conducted on academic works and publications by health associations, institutes of health, and government departments in topics such as adverse events in health care and strategies to reduce cross-cultural miscommunications and on guides for hospitals. Cultural diversity in a patient population, language barriers, and a lack of effective communication can impose an increased threat on an individual's health. In order to radically decrease the incidence of adverse events, policies and systems on how to manage multinational and multilingual medical environments should be created at a national level. Cultural competence is also key to delivering care that meets patients' social and cultural needs; furthermore, developing a language access plan and providing language assistance (interpretation, translation) for those in need can greatly contribute to providing quality care. Clear communication is key to quality care and patient safety in multicultural and multilingual healthcare environments, but to significantly reduce the incidence of adverse events, policies and systems should be created at a national level.
目前的工作旨在提高对多文化和多语言医疗保健环境中患者安全沟通问题的认识,并就如何克服新出现的文化和语言障碍提出战略,使医疗保健提供者能够减少沟通不端的风险,防止不平等和差异,并为患者提供安全和高质量的护理。它还努力介绍美国和加拿大已经实施的政策和措施,以及美国专家制定的策略,以促进提供者和患者之间的有效沟通。文献综述是对卫生协会、卫生研究所和政府部门的学术著作和出版物进行的,主题包括卫生保健中的不良事件和减少跨文化误解的策略以及医院指南。患者群体的文化多样性、语言障碍和缺乏有效沟通会对个人健康造成更大的威胁。为了从根本上减少不良事件的发生率,应在国家一级建立关于如何管理多国和多语言医疗环境的政策和制度。文化能力也是提供满足患者社会和文化需求的护理的关键;此外,制定语言获取计划并为有需要的人提供语言援助(口译、笔译)可以大大有助于提供高质量的护理。在多文化和多语言的医疗环境中,清晰的沟通是优质护理和患者安全的关键,但要显著减少不良事件的发生率,应在国家层面制定政策和制度。
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引用次数: 3
The role of social factors in the successful ageing – Systematic review 社会因素在成功老龄化中的作用-系统回顾
Pub Date : 2021-11-18 DOI: 10.1556/2066.2021.00044
J. Takács, C. Nyakas
Ageing is a complex phenomenon that should be studied in a multidisciplinary approach examining the biological, psychological, and social determinants in it. There is a lack of understanding of how social factors contribute to a better and healthier way of ageing. Based on previous studies social factors have a more essential role in ageing successfully. These factors have a significant influence on mental and physical health as well. The present review aims to collect the most researched social factors related to successful ageing and to examine the associations revealed between social factors and successful ageing. We conducted a systematic review by the guidelines of the PRISMA statements. We examined the studies included by using a qualitative synthesis to identify the most important social factors and their role in successful ageing. In total, 18 original articles published in English between 2015 and 2020 were included in the review. The examined social factors related to successful ageing can be classified into four categories: Social engagement/participation, Social support, Social integration/network, and Socio-demographic/Socioeconomic factors. Social factors are modifiable and protective determinants, they could eliminate the negative effects of psychological factors while modifying the effects of physical determinants of ageing at the same time. Our results have implications for future studies, as successful ageing should be examined in a multidimensional way. They should provide further evidence for the mediating/moderating importance of social factors which also have relevance in practice. Social factors could provide a quality life for years to come.
老龄化是一个复杂的现象,应该用多学科的方法来研究,研究其中的生物、心理和社会决定因素。人们对社会因素如何促进更好、更健康的老龄化方式缺乏了解。根据先前的研究,社会因素在成功老龄化中起着更重要的作用。这些因素对心理和身体健康也有重大影响。本文旨在收集研究最多的与成功老龄化相关的社会因素,并探讨社会因素与成功老龄化之间的关系。我们根据PRISMA声明的指导方针进行了系统的审查。我们通过使用定性综合来检查包括的研究,以确定最重要的社会因素及其在成功老龄化中的作用。2015年至2020年间发表的18篇英文原创文章被纳入本次综述。有关成功老化的社会因素可分为四类:社会参与/参与、社会支持、社会融合/网络和社会人口/社会经济因素。社会因素是可改变的和保护性的决定因素,它们可以消除心理因素的负面影响,同时改变衰老的物理决定因素的影响。我们的研究结果对未来的研究具有启示意义,因为成功的衰老应该以多维的方式进行检查。他们应该为在实践中也具有相关性的社会因素的中介/调节重要性提供进一步的证据。社会因素可以在未来几年提供高质量的生活。
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引用次数: 2
Ageing and ocular problems 老化和眼部问题
Pub Date : 2021-11-18 DOI: 10.1556/2066.2021.00042
Z. Z. Nagy, I. Kovács
Ageing is a common problem in modern societies. Due to sophisticated new methods in medicine, the average life expectancy significantly increased in recent years. 70 is the new 50. The new principles of food intake and processing, more exercise, and less smoking contributed to a health benefits and a longer life span of human kind. Nevertheless, there are the special problems of ageing. Numerous dysfunctions of the body may arise affecting a broad range of organs and the musculoskeletal system. The eye can also be severely affected by ageing. Vision gained more importance recently especially during the COVID-19 pandemic. Elderly people who never used computers before, had to learn computer technology in order to communicate with their family and to accomplish their everyday tasks or pay their bills. Therefore, good near vision has become crucial for elderly people. In this review article the most common ageing problems of the eye, therapies and pathophysiology of ageing processes will be reviewed and discussed. There are physiological problems of ageing and there are ocular pathologies which can be treated efficiently in time to preserve near and far visual acuity.
老龄化是现代社会的一个普遍问题。由于先进的新医学方法,近年来平均预期寿命显著增加。70是新的50。新的食物摄取和加工原则,更多的运动,减少吸烟有助于健康和延长人类的寿命。然而,老龄化也带来了一些特殊的问题。许多身体功能障碍可能会影响到广泛的器官和肌肉骨骼系统。眼睛也会受到衰老的严重影响。最近,特别是在2019冠状病毒病大流行期间,视力变得更加重要。以前从未使用过电脑的老年人不得不学习电脑技术,以便与家人沟通,完成日常工作或支付账单。因此,良好的近视力对老年人来说变得至关重要。在这篇综述文章中,最常见的老化问题的眼睛,治疗和衰老过程的病理生理将进行回顾和讨论。有衰老的生理问题和眼部病变,可以及时有效地治疗,以保持远近视力。
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引用次数: 0
Pulsed EMF stimulation increased BDNF and activated S6 levels in the hippocampus of senescent rats 脉冲电动势刺激增加衰老大鼠海马BDNF和激活S6水平
Pub Date : 2021-10-22 DOI: 10.1556/2066.2021.00043
T. Téglás, R.G. Shoemaker, G. Dörnyei, P. Luiten, C. Nyakas
Low-frequency electromagnetic field (EMF) exposure in rat has positive effects on neuronal processes in vitro. Moreover, EMF improves learning-memory and psychomotor activity during advanced ageing, but the underlying molecular mechanisms are not known in the brain. In the present study we aimed to investigate the molecular effects of chronic EMF stimulation in the hippocampus of senescent rats in vivo.Thirty months old rats were treated for six weeks with different EMF doses of 45, 95, and 1,250 µT. After sacrifice the levels of Brain Derived Neurotrophic Factor (BDNF) and activated ribosomal protein S6 as measures for protein synthesis intensity in the hippocampus were determined by Western blot analysis.The results showed that chronic EMF exposure dose dependently increased BDNF and the amount of phosphorylated S6 protein at the highest dose. The effects on the two proteins positively correlated at individual level. The results indicate that EMF exposure may enhance neurotrophic processes indicated by increased BDNF expression in the hippocampus of senescent rats. Increased phosphorylated S6 protein suggests coupling to support molecular regulation of protein synthesis.In a broader perspective, these findings may support EMF as a beneficial alternative form of passive exercise in active, exercise-limited, aged individuals.
低频电磁场(EMF)暴露对大鼠体外神经元过程有积极影响。此外,电磁场还能改善老年人的学习记忆和精神运动活动,但大脑中潜在的分子机制尚不清楚。本研究旨在探讨慢性电动势刺激在体内衰老大鼠海马中的分子效应。30个月大的大鼠分别接受45、95和1250µT不同剂量的电磁场治疗6周。Western blot检测海马组织中脑源性神经营养因子(BDNF)和活化核糖体蛋白S6水平,以此作为蛋白质合成强度的测量指标。结果表明,慢性EMF暴露在最高剂量时,BDNF和磷酸化S6蛋白的量呈剂量依赖性增加。对两种蛋白的影响在个体水平上正相关。结果表明,EMF暴露可能会增强衰老大鼠海马中BDNF表达增加的神经营养过程。磷酸化S6蛋白增加表明偶联支持蛋白质合成的分子调控。从更广泛的角度来看,这些发现可能支持电磁场作为积极的、运动受限的老年人被动运动的有益替代形式。
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引用次数: 0
Sugar sweetened beverages consumption among female university students 女大学生对含糖饮料的消费
Pub Date : 2021-07-21 DOI: 10.1556/2066.2021.00038
B. C. Budai, A. Lichthammer
The aim of this study was to assess the consumption frequency of sugar sweetened beverages, physical activity, BMI values and their relationships among university students.The data collection has been carried out with the help of questionnaires. The target population were students between the ages of 18 and 30, who study at the Faculty of Health Sciences (67 students) or at the Faculty of Humanities (64 students). The frequency of beverage consumption was assessed with a Food Frequency Questionnaire (FFQ) designed for sugar sweetened beverages and physical activity with the short form of the International Physical Activity Questionnaire.The most frequently consumed sugar sweetened beverage was freshly squeezed or 100% fruit juice in both faculties. The difference between the average BMI of the two groups was statistically significant (P = 0.035). A non-significant relationship was found between BMI and sugar sweetened beverages consumption.The most consumed sugar sweetened beverage was freshly squeezed or 100% fruit juice, but it contains a lot of added sugar that contributes to developing overweight. Health education programmes are needed to teach the students of every faculty about healthy drink consumption.
本研究的目的是评估大学生饮用含糖饮料的频率、身体活动、身体质量指数及其之间的关系。数据收集是通过问卷调查的方式进行的。目标人群是18至30岁的学生,他们在健康科学学院(67名学生)或人文学院(64名学生)学习。采用《国际身体活动问卷》(简称《国际身体活动问卷》)设计的针对含糖饮料和身体活动的食物频率问卷(FFQ)对饮料消费频率进行评估。最常饮用的含糖饮料是鲜榨果汁或100%果汁。两组患者BMI均值比较,差异有统计学意义(P = 0.035)。BMI和含糖饮料的摄入量之间没有明显的关系。消费最多的含糖饮料是鲜榨果汁或100%果汁,但它含有大量的添加糖,会导致超重。需要开展健康教育项目,向各院系的学生传授健康饮酒知识。
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引用次数: 0
The application of salutogenesis to teaching and learning – A systematic review 健康发生学在教与学中的应用——系统回顾
Pub Date : 2021-07-21 DOI: 10.1556/2066.2021.00035
R. de Oliveira Olney, E. Kiss
The inclusion of salutogenic principles in education deepens and broadens the understanding of the teaching and learning process in a healthy way and opens the potential to create a sound educational environment characterised by the prevention of burnout, improved physical and mental health, and higher levels of achievement. The aim of this review is to fill the lack of comprehensive information regarding the relationship of salutogenesis, sense of coherence, and the process of teaching and learning.A literature search was carried out in Web of Science and Scopus electronic databases with the cutoff date of July 2020. Search words were sense of coherence, salutogenesis, education, school, academic performance, achievement, students, and their combinations. Altogether 62 articles were found on the relationship of salutogenesis, sense of coherence, and education but only 6 were related to salutogenic teaching/learning process. These were included in the present review.The studies included in this review presented salutogenic models related to teaching literacy as a learning process through life, building sustainable relationship between supervisor and students, improving transcultural competence, and being able to solve conflicts across cultures. Practical implications were demonstrated such as the use of drawing as an integration tool to improve self-expression and emotional recognition, realisation of teaching practice as an exercise for self-consciousness, and introducing the concept of teacher as a source of emotional security for students.The models bring different but equally valuable contribution to the salutogenic teaching process which strengthens the educational environments resulting in better academic performance, as well as physical and mental health.
在教育中纳入有益健康的原则,可以以健康的方式加深和拓宽对教学过程的理解,并为创造一个健全的教育环境开辟了可能性,其特点是防止身心疲惫,改善身心健康,提高成绩水平。这篇综述的目的是填补关于健康发生、连贯感和教与学过程之间关系的综合信息的不足。在Web of Science和Scopus电子数据库中检索文献,截止日期为2020年7月。搜索词是连贯感、健康生成、教育、学校、学业表现、成就、学生及其组合。共有62篇文章涉及健康发生、连贯感和教育的关系,但只有6篇文章涉及健康教学过程。这些都包括在本审查中。本综述中所包含的研究提出了一些有益健康的模型,这些模型涉及将读写能力作为一种贯穿一生的学习过程来教授,在导师和学生之间建立可持续的关系,提高跨文化能力,以及能够解决跨文化冲突。实践意义被证明,如使用绘画作为一种整合工具,以提高自我表达和情感识别,实现教学实践作为自我意识的锻炼,并引入教师作为学生情感安全来源的概念。这些模式为有益健康的教学过程带来了不同但同样有价值的贡献,这种有益健康的教学过程加强了教育环境,从而提高了学习成绩,以及身心健康。
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引用次数: 1
Ophthalmic signs and complications of the COVID-19 infection COVID-19感染的眼部体征和并发症
Pub Date : 2021-07-16 DOI: 10.1556/2066.2021.40001
Z. Z. Nagy
Coronavirus-19 infection caused a mysterious pandemic worldwide. Some people experienced flu-like symptoms, while others have died due to pulmonary complications. Besides droplet spread, other routes of infection started to be suspected, such as through eye contact. During the first phase of the pandemic, pulmonary symptoms were in focus, later other signs and symptoms were also published. Eyelid, anterior and posterior segment symptoms, neuro-ophthalmic complications, and orbital problems related to COVID-19 infections are discussed in this article. It is important to detect the serious signs and symptoms to prevent late, sight threatening complications of COVID-19 infection.
冠状病毒-19感染引发了一场神秘的全球大流行。一些人出现了类似流感的症状,而另一些人则死于肺部并发症。除了飞沫传播外,人们开始怀疑其他感染途径,例如通过眼睛接触。在大流行的第一阶段,重点是肺部症状,后来也公布了其他体征和症状。本文讨论了与COVID-19感染相关的眼睑、前后段症状、神经眼科并发症和眼眶问题。重要的是要发现严重的体征和症状,以预防COVID-19感染的晚期、威胁视力的并发症。
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引用次数: 1
The measurable parameters of balance trainings in case of young healthy adults: Improved balance confidence or better postural stability? A pilot study 年轻健康成人平衡训练的可测量参数:提高平衡自信还是更好的姿势稳定性?一项初步研究
Pub Date : 2021-07-10 DOI: 10.1556/2066.2021.00037
G. Posa, D. Farkasinszky, T. Margithazi, E. Nagy
The objective of this pilot study was to compare the effects of two parallel balance trainings on postural sway and balance confidence. The study was performed in different contexts with stable vs. unstable base of support and balance confidence was measured with a scale modified for young adults with higher functional level.Twenty healthy female physiotherapist students volunteered for the study and took part in a six-week balance training intervention. They were randomly assigned to two groups training on different support surfaces. Postural sway was recorded under various conditions: on different surfaces (firm, foam) and with different visual conditions (eyes open (EO), eyes closed (EC)). Modified Activities-specific Balance Confidence (mABC) scale was self-evaluated.Both types of training caused a significant improvement in the mABC scores. The sway path increased after the training in the less challenging balance situations. We found a tendency of decreasing sway path only in the more challenging balance situations, that is standing on foam mounted on force plate with EC.Considering the improved balance confidence in the case of both groups, we suggest that an increase in sway path after balance training may be the behavioural sign of the higher confidence in the less challenging balance situations.
本初步研究的目的是比较两种平行平衡训练对姿势摇摆和平衡信心的影响。该研究是在不同的背景下进行的,有稳定和不稳定的支持基础,平衡信心是用一个为年轻人修改的更高的功能水平的量表来测量的。20名健康的女性物理治疗师学生自愿参加了这项研究,并参加了为期六周的平衡训练干预。他们被随机分为两组,在不同的支撑表面上进行训练。在不同的条件下记录姿势摇摆:在不同的表面(坚固的,泡沫的)和不同的视觉条件(眼睛睁开(EO),眼睛闭上(EC))。改良的活动特定平衡信心量表(mABC)自评。两种类型的训练都显著提高了mABC分数。在不太具有挑战性的平衡情况下训练后,摇摆路径增加。我们发现只有在更具挑战性的平衡情况下,即站在安装有EC的力板上的泡沫上,才有减少摆动路径的趋势。考虑到两组的平衡信心都有所提高,我们认为平衡训练后摇摆路径的增加可能是在挑战性较低的平衡情况下更高信心的行为标志。
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引用次数: 1
The effects of a single dose of beta-alanine supplementation on the cardio-respiratory system of well-trained rowing athletes 单剂量补充β -丙氨酸对训练有素的赛艇运动员心肺系统的影响
Pub Date : 2021-05-26 DOI: 10.1556/2066.2020.00014
L. Suszter, Zsolt Szakály, F. Ihász, D. Nagy, Z. Alföldi, M. Bálint, E. Mák
Intensive exercise significantly lowers the pH of muscle and blood; beta-alanine supplementation can increase carnosine levels, the absence of which leads to an early acidosis and fatigue. The aim of our work is to investigate the effect of a single dose of beta-alanine supplementation on well-trained rowing athletes.The spiroergometric parameters of the participants (n = 28) were examined a total of four times (T1,T2,T3,T4). After measurement (T3), participants received a beta-alanine supplementation at a dose of 50 mg/kg−1 body weight. We compared the results of the four measurements as well as the blood lactate values obtained from the fingertip before and after the tests.The different load physiological parameters and the lactate values measured after the tests did not show any significant difference. The mean lactate value prior to test (T4) was 1.8 (mmol*L−1), which is significantly higher than the mean-value of the two previous studies: T1 = 1.6 (mmol*L−1); (P = 0.00), T3 = 1.55 (mmol*L−1); (P = 0.04).The higher lactate value measured before test (T4) was probably due to the longer time to return to the baseline values after the series load. In conclusion, a single dose of beta-alanine supplementation has no effect on performance. In order to elicit the ergogenic effect of beta-alanine, the use of short, intermittent diet therapy intervention is not recommended.
高强度运动显著降低肌肉和血液的pH值;补充β -丙氨酸可以增加肌肽水平,缺乏肌肽会导致早期酸中毒和疲劳。我们工作的目的是研究单剂量补充β -丙氨酸对训练有素的赛艇运动员的影响。对28例受试者(n = 28)进行T1、T2、T3、T4共4次肺活量测量参数检测。测量(T3)后,参与者接受50 mg/kg - 1体重剂量的β -丙氨酸补充。我们比较了四次测量的结果以及在测试前后从指尖获得的血乳酸值。不同负荷生理参数及试验后测定的乳酸值无显著差异。试验前平均乳酸值(T4)为1.8 (mmol*L−1),显著高于前两项研究的平均值:T1 = 1.6 (mmol*L−1);(P = 0.00), T3 = 1.55 (mmol*L−1);(p = 0.04)。测试前(T4)测量的较高乳酸值可能是由于系列负荷后较长时间恢复到基线值。综上所述,单剂量补充β -丙氨酸对生产性能没有影响。为了引起β -丙氨酸的人体原效,不建议使用短时间的间歇性饮食疗法干预。
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引用次数: 0
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Developments in Health Sciences
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