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Fishing with skis, digging with noodles: Resolving task-and-tool mismatches in efforts to advance health equity 用滑雪板钓鱼,用面条挖掘:解决任务和工具不匹配的问题,努力促进卫生公平
Pub Date : 2024-12-01 DOI: 10.1016/j.dialog.2024.100200
Katrina Plamondon , Sana Z. Shahram
When it comes to advancing equity, across the health sciences, efforts repeatedly target interventions on those most burdened by inequities rather than the systems or structures that give rise to inequities. This mismatch, in and of itself, is an important determinant of equity. While many conceptual models draw collective attention to deeper, structural causes (e.g., social, political, and commercial determinants of health) as the 'what', inattention to questions of 'how'–or the collective practices that serve to connect what is known with what is done–are like a wedge holding this gap in place. In this article, we use an exaggerated metaphor of mismatched task-and-tool to provoke critically reflective dialogue about collective attachment to scholarship and practices incoherent with our own body of knowledge. We offer a set of five practices easily integrated in any aspect of work related to advancing equity, through everyday actions anyone (anywhere) can take to purposefully act from an evidence and equity-informed position.
在促进卫生科学领域的公平方面,努力一再将干预措施的目标对准那些受不公平负担最重的人,而不是导致不公平的系统或结构。这种不匹配本身就是公平的一个重要决定因素。虽然许多概念模型将集体注意力吸引到更深层次的结构性原因(例如,健康的社会、政治和商业决定因素)作为“什么”,但对“如何”问题的忽视-或用于将已知的与所做的联系起来的集体实践-就像楔子一样将这一差距固定在适当的位置。在这篇文章中,我们使用了一个夸张的比喻,即不匹配的任务和工具,以引发对与我们自己的知识体系不一致的学术和实践的集体依恋的批判性反思对话。我们提供了一套五种实践,可以轻松地整合到与促进公平相关的任何方面的工作中,通过任何人(任何地方)都可以采取的日常行动,从证据和公平知情的立场上有目的地采取行动。
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引用次数: 0
Blurred vision: The ophthalmological effect of smog in Pakistan 视力模糊:巴基斯坦烟雾对眼科的影响
Pub Date : 2024-11-19 DOI: 10.1016/j.dialog.2024.100199
Zoya Ejaz , Faizan Masood , Arsalan Nadeem , Abdullah Ahmed , Eeman Ahmad , Mahrukh Chaudhry
This article discusses the growing burden of smog in Pakistan, tracing its origins to vehicular emissions, industrial pollutants, and agricultural practices. It highlights current national initiatives and advocates for enhanced government interventions to mitigate smog's adverse effects on ocular health. It also emphasizes the need for collective action to safeguard ocular health amid rising smog pollution in Pakistan.
本文讨论了巴基斯坦日益沉重的烟雾负担,并追溯了其与车辆排放、工业污染物和农业生产方式的渊源。文章重点介绍了当前的国家举措,并倡导加强政府干预,以减轻烟雾对眼部健康的不利影响。报告还强调,在巴基斯坦烟雾污染日益严重的情况下,有必要采取集体行动来保护眼睛健康。
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引用次数: 0
Correlation between fall experience and life functions among community-dwelling older adults in Japan 日本社区老年人跌倒经历与生活功能之间的相关性
Pub Date : 2024-11-08 DOI: 10.1016/j.dialog.2024.100198
Koshi Sumigawa , Yuji Koike

Purpose

This study investigated the correlation between the risk of falls and life functions, including motor function, cognitive function, and urinary disorders, among older adults residing in small cities in the metropolitan areas of Japan and evaluated the contents of fall prevention instructions.

Methods

Sixty-nine older adults residing at home participated in this case-control study conducted between September and October 2019. The survey items included questions pertaining to the history of falls; grip strength; the 30-s Chair Stand Test (CS-30), Functional Reach Test (FRT), and Timed Up and Go Test (TUG) scores; mental and cognitive functions [Test Your Memory-Japanese version test (TYM-J)]; living conditions; and urination status [Core Lower Urinary Tract Symptom Score (CLSS)].

Results

Participants with a history of falls had significantly lower CS-30 and FRT scores, and significantly higher TUG scores and CLSS than those with no history of falls. Grip strength bore significant correlations with the CS-30 and TUG scores. The CS-30 scores were correlated with the FRT and TUG scores. The FRT scores were correlated with the TUG and French State Activity Index (FAI) scores. The TUG scores were correlated with the TYM-J and FAI scores. The CLSS showed no significant correlations with the remaining items. The FRT scores and CLSS exerted a significant effect on the risk of experiencing falls.

Conclusion

Both balancing ability and micturition status affect fall risk and should be considered in treatment strategies for urinary disorders in fall prevention programs for older adults.
目的 本研究调查了居住在日本首都圈小城市的老年人跌倒风险与生活功能(包括运动功能、认知功能和泌尿系统疾病)之间的相关性,并评估了预防跌倒指导的内容。方法 69名居住在家中的老年人参与了这项于2019年9月至10月间进行的病例对照研究。调查项目包括跌倒史、握力、30 秒椅子站立测试(CS-30)、功能性前伸测试(FRT)和定时起立行走测试(TUG)得分、精神和认知功能[Test Your Memory-Japanese version test (TYM-J)]、生活条件和排尿状况[Core Lower Urinary Tract Symptom Score (CLSS)]等相关问题。结果与无跌倒史者相比,有跌倒史者的 CS-30 和 FRT 分数明显较低,而 TUG 分数和 CLSS 则明显较高。握力与 CS-30 和 TUG 分数有明显的相关性。CS-30 评分与 FRT 和 TUG 评分相关。FRT 评分与 TUG 和法国状态活动指数 (FAI) 评分相关。TUG 分数与 TYM-J 和 FAI 分数相关。CLSS与其余项目无明显相关性。结论平衡能力和排尿状况都会影响跌倒风险,因此在老年人跌倒预防计划中,应将排尿障碍的治疗策略考虑在内。
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引用次数: 0
The association of combinations of social factors and SARs-CoV-2 infection: A retrospective population-based cohort study in Ontario, 2020-2021. 社会因素组合与SARs-CoV-2感染的关联:2020-2021年安大略省回顾性人群队列研究
Pub Date : 2024-10-29 eCollection Date: 2024-12-01 DOI: 10.1016/j.dialog.2024.100197
Sydney Persaud, Michael Fitzgerald, Steven Hawken, Peter Tanuseputro, Lisa Boucher, William Petrcich, Martin Wellman, Colleen Webber, Esther Shoemaker, Robin Ducharme, Simone Dahrouge, Daniel Myran, Ahmed M Bayoumi, Susitha Wanigaratne, Gary Bloch, David Ponka, Brendan T Smith, Aisha Lofters, Austin Zygmunt, Krystal Kehoe MacLeod, Luke A Turcotte, Beate Sander, Michelle Howard, Sarah Funnell, Jennifer Rayner, Kurtis Kitagawa, Sureya Ibrahim, Claire E Kendall

Objective: The COVID-19 pandemic highlighted and exacerbated health inequities worldwide. While several studies have examined the impact of individual social factors on COVID infection, our objective was to examine how interactions of social factors were associated with the risk of testing positive for SARS-CoV-2 during the first two years of the pandemic.

Study design and setting: We conducted an observational cohort study using linked health administrative data for Ontarians tested for SARS-CoV-2 between January 1st, 2020, and December 31st, 2021. We constructed multivariable models to examine the association between SARS-CoV-2 positivity and key variables including immigration status (immigrants vs. other Ontarians), and neighbourhood variables for household size, income, essential worker status, and visible minority status. We report main and interaction effects using odds ratios and predicted probabilities, with age and sex controlled in all models.

Results: Of 6,575,523 Ontarians in the cohort, 88.5 % tested negative, and 11.5 % tested positive for SARS-CoV-2. In all models, immigrants and those living in neighbourhoods with large average household sizes had greater odds of testing positive for SARS-CoV-2. The strength of these associations increased with increasing levels of neighbourhood marginalization for income, essential worker proportion and visible minority proportion. We observed little change in the probability of testing positive across neighbourhood income quintiles among other Ontarians who live in neighbourhoods with smaller households, but a large change in probability among other Ontarians who live in neighbourhoods with larger households.

Conclusion: Our study found that SARS-CoV-2 positivity was greater among people with certain combinations of social factors, but in all cases the probability of testing positive was consistently greater for immigrants than for other Ontarians. Examining interactions of social factors can provide a more nuanced and more comprehensive understanding of health inequity than examining factors separately.

目的:2019冠状病毒病大流行凸显并加剧了全球卫生不公平现象。虽然有几项研究调查了个体社会因素对COVID感染的影响,但我们的目标是研究在大流行的头两年,社会因素的相互作用与SARS-CoV-2检测呈阳性的风险之间的关系。研究设计和环境:我们对2020年1月1日至2021年12月31日期间接受SARS-CoV-2检测的安大略省居民进行了一项观察性队列研究,使用了相关的卫生行政数据。我们构建了多变量模型,以检验SARS-CoV-2阳性与关键变量之间的关系,包括移民身份(移民与其他安大略省人),以及家庭规模、收入、基本工人身份和少数族裔身份等社区变量。我们使用比值比和预测概率报告主效应和交互效应,并在所有模型中控制年龄和性别。结果:在队列中的6,575,523名安大略省人中,88.5%的人检测为阴性,11.5%的人检测为阳性。在所有模型中,移民和居住在平均家庭规模较大社区的人检测出SARS-CoV-2阳性的几率更大。这些协会的力量随着社区在收入、基本工人比例和少数族裔比例方面被边缘化程度的增加而增强。我们观察到,在居住在家庭规模较小的社区的其他安大略省居民中,不同社区收入五分位数的检测阳性概率变化不大,但在居住在家庭规模较大的社区的其他安大略省居民中,检测阳性概率变化很大。结论:我们的研究发现,在具有某些社会因素组合的人群中,SARS-CoV-2阳性更大,但在所有情况下,移民检测阳性的概率始终高于其他安大略省人。考察社会因素之间的相互作用,比单独考察各种因素,可以更细致、更全面地了解健康不平等。
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引用次数: 0
Breaking barriers: A gender-based quota system in nursing school admission in Bangladesh 打破障碍:孟加拉国护理学校招生中基于性别的配额制度
Pub Date : 2024-10-28 DOI: 10.1016/j.dialog.2024.100196
Shimpi Akter , Masuda Akter , Sopon Akter , Humayun Kabir
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引用次数: 0
Success rates and adherence to antiretroviral therapy among treatment-naïve patients in Davao City, Philippines: A ten-year retrospective cohort study 菲律宾达沃市未接受过治疗的患者抗逆转录病毒疗法的成功率和依从性:一项为期十年的回顾性队列研究
Pub Date : 2024-09-24 DOI: 10.1016/j.dialog.2024.100195
Reigner Jay B. Escartin , Rvin John T. Servillon , Jesille Mae A. Legarta , Stephanie Kate G. Arriola , Princess Faiqah A. Brahim , Dennis Louis M. Braza , Aireen V. Salva , Alfredo A. Hinay Jr

Background

Antiretroviral therapy (ART) has significantly improved the prognosis and quality of life of HIV/AIDS patients. However, ART success is greatly influenced by patient adherence to the treatment regimens. This study aimed to assess the association between patient adherence to ART and the treatment success rate among antiretroviral-naïve patients in Davao City, Philippines.

Methods

This study utilized a 10-year retrospective cohort design, including 517 antiretroviral-naïve patients from an HIV treatment hub in Davao City, the Philippines. Using strict inclusion criteria, 183 antiretroviral-naïve patients were analyzed.

Findings

The study found significant associations between the type of ART (p = 0.011) and the timing of ART initiation (p = 0.006) with both patient adherence and the ART success rate. Specifically, patients who achieved sustained viral suppression were predominantly those who initiated ART early, with 71.6 % (n = 131) of them prescribed a regimen consisting of 2 NRTIs and 1 NNRTI. Moreover, 73.8 % of patients demonstrated good adherence (<50 HIV copies/mL). Importantly, patient adherence to ART was strongly correlated with treatment success rate.

Interpretation

This study highlights the significance of adherence to antiretroviral therapy (ART) for successful treatment outcomes among antiretroviral-naïve patients living with HIV/AIDS. Early initiation of ART and consistent adherence to treatment regimens are essential for achieving sustained viral suppression and improving treatment effectiveness.
背景抗逆转录病毒疗法(ART)大大改善了艾滋病毒/艾滋病患者的预后和生活质量。然而,抗逆转录病毒疗法的成功与否在很大程度上取决于患者对治疗方案的依从性。本研究旨在评估菲律宾达沃市抗逆转录病毒疗法患者的治疗依从性与治疗成功率之间的关系。 本研究采用了 10 年回顾性队列设计,纳入了菲律宾达沃市艾滋病治疗中心的 517 名抗逆转录病毒疗法患者。研究发现,抗逆转录病毒疗法的类型(p = 0.011)和开始接受抗逆转录病毒疗法的时间(p = 0.006)与患者的依从性和抗逆转录病毒疗法的成功率都有显著关系。具体而言,获得持续病毒抑制的患者主要是早期开始抗逆转录病毒疗法的患者,其中 71.6% 的患者(n = 131)接受了由 2 种 NRTIs 和 1 种 NNRTIs 组成的治疗方案。此外,73.8% 的患者表现出良好的依从性(50 HIV 拷贝/毫升)。重要的是,患者坚持接受抗逆转录病毒疗法与治疗成功率密切相关。尽早开始抗逆转录病毒疗法并坚持治疗方案对于实现持续病毒抑制和提高治疗效果至关重要。
{"title":"Success rates and adherence to antiretroviral therapy among treatment-naïve patients in Davao City, Philippines: A ten-year retrospective cohort study","authors":"Reigner Jay B. Escartin ,&nbsp;Rvin John T. Servillon ,&nbsp;Jesille Mae A. Legarta ,&nbsp;Stephanie Kate G. Arriola ,&nbsp;Princess Faiqah A. Brahim ,&nbsp;Dennis Louis M. Braza ,&nbsp;Aireen V. Salva ,&nbsp;Alfredo A. Hinay Jr","doi":"10.1016/j.dialog.2024.100195","DOIUrl":"10.1016/j.dialog.2024.100195","url":null,"abstract":"<div><h3>Background</h3><div>Antiretroviral therapy (ART) has significantly improved the prognosis and quality of life of HIV/AIDS patients. However, ART success is greatly influenced by patient adherence to the treatment regimens. This study aimed to assess the association between patient adherence to ART and the treatment success rate among antiretroviral-naïve patients in Davao City, Philippines.</div></div><div><h3>Methods</h3><div>This study utilized a 10-year retrospective cohort design, including 517 antiretroviral-naïve patients from an HIV treatment hub in Davao City, the Philippines. Using strict inclusion criteria, 183 antiretroviral-naïve patients were analyzed.</div></div><div><h3>Findings</h3><div>The study found significant associations between the type of ART (<em>p</em> <em>=</em> 0.011) and the timing of ART initiation (<em>p</em> = 0.006) with both patient adherence and the ART success rate. Specifically, patients who achieved sustained viral suppression were predominantly those who initiated ART early, with 71.6 % (<em>n</em> = 131) of them prescribed a regimen consisting of 2 NRTIs and 1 NNRTI. Moreover, 73.8 % of patients demonstrated good adherence (&lt;50 HIV copies/mL). Importantly, patient adherence to ART was strongly correlated with treatment success rate.</div></div><div><h3>Interpretation</h3><div>This study highlights the significance of adherence to antiretroviral therapy (ART) for successful treatment outcomes among antiretroviral-naïve patients living with HIV/AIDS. Early initiation of ART and consistent adherence to treatment regimens are essential for achieving sustained viral suppression and improving treatment effectiveness.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"5 ","pages":"Article 100195"},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142323139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An overlooked risk for skin health: Less availability and higher cost of sunscreen for people with melanated skin 被忽视的皮肤健康风险:皮肤黑色素沉着者使用防晒霜的机会更少、成本更高
Pub Date : 2024-09-23 DOI: 10.1016/j.dialog.2024.100194
Emerson D. Basch , Grace C. Hillyer

Background

Sunscreen with a skin protection factor (SPF) of 30 or greater is recommended to reduce the risk of skin cancer and improve skin health for all people regardless of skin tone. Traditional sunscreen that creates a white cast on the skin is incompatible with melanated skin.

Methods

The number of products on the shelf, SPF level, application, coloration, and cost were recorded at three beauty supply chain stores and three pharmacy, health, and wellness stores in or near Harlem in New York City in the Spring of 2023. The number of skin tones for tinted sunscreen was visually matched to the Fitzpatrick Skin Phototypes scale.

Results

A total of 385 sunscreen products were identified; 78.7 % were traditional white sunscreen, followed by sheer (15.3 %) and tinted (6.0 %) products. Beauty supply stores offered more tinted sunscreen options than did pharmacy, health, and wellness stores (n = 17,15.3 % vs. n = 6, 2.2 %, p < 0.001). Of the tinted sunscreen products, 19 brands offered only a single tone. Tinted sunscreen was significantly more expensive with an average cost of $24.59 [SD $14.71] per ounce vs. $6.85 [SD 8.66] for traditional, and $9.38 [SD 8.92] for sheer suncreen.

Conclusions

Sunscreen that is tinted or sheer and compatible with melanated skin is less available and more costly than traditional white sunscreen in beauty and pharmacy chain stores in NYC. Availability and affordability of sunscreen matching the spectrum of skin tones are essential for optimal sun protection and skin health.
背景建议使用皮肤防护系数(SPF)为 30 或更高的防晒霜,以降低罹患皮肤癌的风险,并改善所有人的皮肤健康,无论其肤色如何。方法 2023 年春季,我们在纽约市哈莱姆区或附近的三家美容用品连锁店和三家药店、保健品店记录了货架上的产品数量、SPF 值、使用方法、颜色和成本。结果共发现了 385 种防晒产品;78.7% 是传统的白色防晒霜,其次是透明防晒霜(15.3%)和有色防晒霜(6.0%)。美容用品店提供的有色防晒产品比药店、保健品店多(n = 17,15.3 % 对 n = 6,2.2 %,p <0.001)。在有色防晒产品中,有 19 个品牌只提供单一色调。有色防晒霜的平均价格为每盎司 24.59 美元 [SD 14.71 美元] ,而传统防晒霜的平均价格为每盎司 6.85 美元 [SD 8.66 美元],透明防晒霜的平均价格为每盎司 9.38 美元 [SD 8.92 美元]。要想获得最佳的防晒效果和皮肤健康,就必须有适合各种肤色的防晒霜,而且价格要合理。
{"title":"An overlooked risk for skin health: Less availability and higher cost of sunscreen for people with melanated skin","authors":"Emerson D. Basch ,&nbsp;Grace C. Hillyer","doi":"10.1016/j.dialog.2024.100194","DOIUrl":"10.1016/j.dialog.2024.100194","url":null,"abstract":"<div><h3>Background</h3><div>Sunscreen with a skin protection factor (SPF) of 30 or greater is recommended to reduce the risk of skin cancer and improve skin health for all people regardless of skin tone. Traditional sunscreen that creates a white cast on the skin is incompatible with melanated skin.</div></div><div><h3>Methods</h3><div>The number of products on the shelf, SPF level, application, coloration, and cost were recorded at three beauty supply chain stores and three pharmacy, health, and wellness stores in or near Harlem in New York City in the Spring of 2023. The number of skin tones for tinted sunscreen was visually matched to the Fitzpatrick Skin Phototypes scale.</div></div><div><h3>Results</h3><div>A total of 385 sunscreen products were identified; 78.7 % were traditional white sunscreen, followed by sheer (15.3 %) and tinted (6.0 %) products. Beauty supply stores offered more tinted sunscreen options than did pharmacy, health, and wellness stores (<em>n</em> = 17,15.3 % vs. <em>n</em> = 6, 2.2 %, <em>p</em> &lt; 0.001). Of the tinted sunscreen products, 19 brands offered only a single tone. Tinted sunscreen was significantly more expensive with an average cost of $24.59 [SD $14.71] per ounce vs. $6.85 [SD 8.66] for traditional, and $9.38 [SD 8.92] for sheer suncreen.</div></div><div><h3>Conclusions</h3><div>Sunscreen that is tinted or sheer and compatible with melanated skin is less available and more costly than traditional white sunscreen in beauty and pharmacy chain stores in NYC. Availability and affordability of sunscreen matching the spectrum of skin tones are essential for optimal sun protection and skin health.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"5 ","pages":"Article 100194"},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genomic analysis of the SARS-CoV-2 variants circulated in the Philippines, 2020–2024 2020-2024 年菲律宾流行的 SARS-CoV-2 变种的基因组分析
Pub Date : 2024-09-12 DOI: 10.1016/j.dialog.2024.100193
Arnie Dimaano , Kiana Dominique Carreon , Giselle Sophia Camaya , Irvin Rondolo , Jarel Elgin Tolentino

Purpose

Genomic sequencing has been an invaluable tool to determine the evolution of SARS-CoV-2. In the present study, we provided a comprehensive description of the SARS-CoV-2 variants circulated in the Philippines.

Methods

The dataset from the human COVID-19 infections was acquired by downloading the sequences and their associated metadata spanning from March 2020 to April 2024. Then, we executed several filtering criteria to acquire the final dataset for the Philippine samples and performed spatial distribution analysis and phylogenetic tree construction of the reported SARS-CoV-2 sequences.

Results

A total of 16,679,203 SARS-CoV sequences were obtained, of which 17,393 (0.10 %) were sampled in the Philippines. Western Visayas reported the highest SARS-CoV-2 sequences (21.33 %), while the Bangsamoro Autonomous Region in Muslim Mindanao reported the least (0.48 %). The phylogenetic tree revealed the evolution of the detected SARS-CoV-2 variants circulating in the Philippines with 19 A as the first reported case (based on the GISAID submission), and 24 A (JN.1) as the currently circulating variant. Omicron variants have dominated the Philippines with 21 L (Omicron, BA.2) having 5102 cases (29.33 %), followed by 22B (BA.5) having 2184 cases (12.57 %). Using Pearson's Chi-square test of independence, we showed that there is a significant association between the age-groups and gender with the detection years.

Conclusion

Altogether, this analysis showed the updated epidemiological trends of the reported SARS-CoV-2 variants in the Philippines. This increases the importance of conducting surveillance on viral infectious diseases such as COVID-19 to provide the scope and trajectory of viral spread in a country.

目的基因组测序是确定 SARS-CoV-2 演变的重要工具。方法通过下载 2020 年 3 月至 2024 年 4 月期间的序列及其相关元数据,获得人类 COVID-19 感染的数据集。结果共获得16,679,203个SARS-CoV序列,其中17,393个(0.10%)在菲律宾采样。西米沙鄢报告的 SARS-CoV-2 序列最多(21.33%),而棉兰老穆斯林邦萨摩洛自治区报告的最少(0.48%)。系统发生树揭示了在菲律宾流行的已检测到的 SARS-CoV-2 变种的演变过程,其中 19 A 是第一个报告的病例(根据 GISAID 提交的资料),24 A(JN.1)是目前流行的变种。欧米克隆变种在菲律宾占主导地位,其中 21 L(欧米克隆,BA.2)有 5102 个病例(占 29.33%),其次是 22B(BA.5),有 2184 个病例(占 12.57%)。通过皮尔逊卡方检验(Pearson's Chi-square test of independence),我们发现年龄组和性别与检测年份之间存在显著关联。这增加了对 COVID-19 等病毒性传染病进行监测的重要性,以提供病毒在一个国家的传播范围和轨迹。
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引用次数: 0
Open-sourced modeling and simulating tools for decision-makers during an emerging pandemic or epidemic – Systematic evaluation of utility and usability: A scoping review update 在新出现的大流行病或流行病期间为决策者提供开源建模和模拟工具--对实用性和可用性进行系统评估:范围审查更新
Pub Date : 2024-09-03 DOI: 10.1016/j.dialog.2024.100189
Rebecca Sophia Lais , Julia Fitzner , Yeon-Kyeng Lee , Verena Struckmann

Introduction

The COVID-19 pandemic had devastating effects on health systems globally. Emerging infectious diseases and pandemics will persist as a global health threat and preparedness for an evidence based response becomes challenging for decision makers. Epidemiological modeling can and has supported decision-making throughout pandemics. This study provides an update of the review “Publicly available software tools for decision-makers during an emergent epidemic—Systematic evaluation of utility and usability”1.

Research question

What epidemiological modeling tools for decision-makers are open-sourced available for the usage in emerging epidemics or pandemics and how useful and user-friendly are these tools?

Methods

A scoping review was conducted. We identified relevant studies through a search of peer-reviewed (Medline Ovid, Embase Ovid, PubMed, Cochrane) and gray literature databases, search engines such as Google, searches through stakeholder websites as well as expert consultations.

Results

Of the 66 identified epidemiological modeling tools, 29 were included and qualitatively assessed using five-point-rating scales. The tools showed a good baseline of user-friendliness with variations in assessed components, features and utility. Room for improvement was found, specifically the capability to incorporate external data sources, detailed population descriptions, and geographic resolution.

Discussion

Development efforts should prioritize clear communication of uncertainties and expert review processes. Trainings for specific tools should be considered.

Conclusion

Tool usage can enhance decision-making when adapted to the user's needs and purpose. They should be consulted critically rather than followed blindly.

导言 COVID-19 大流行对全球卫生系统造成了破坏性影响。新出现的传染病和大流行病将持续威胁全球健康,如何做好准备,采取循证应对措施,对决策者来说具有挑战性。流行病学建模可以而且已经在整个大流行病期间为决策提供了支持。本研究对综述 "突发流行病期间供决策者使用的公开软件工具--实用性和可用性的系统评估 "1 进行了更新。研究问题哪些供决策者使用的流行病学建模工具是开源的,可用于突发流行病或大流行病,这些工具的实用性和用户友好性如何?我们通过搜索同行评审(Medline Ovid、Embase Ovid、PubMed、Cochrane)和灰色文献数据库、谷歌等搜索引擎、通过利益相关者网站搜索以及专家咨询等方式确定了相关研究。这些工具显示出良好的用户友好性基础,但在评估内容、特点和实用性方面存在差异。讨论开发工作应优先考虑明确沟通不确定性和专家审查过程。结论工具的使用如果能适应用户的需求和目的,就能提高决策水平。在使用工具时,应根据用户的需求和目的进行调整,以提高决策效率。
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引用次数: 0
The benefits of nursing professional governance nursing research and evidenced-based practice councils for new graduate nurses 护理专业管理护理研究和循证实践理事会对新毕业护士的益处
Pub Date : 2024-09-02 DOI: 10.1016/j.dialog.2024.100192
Cheryl Green, John Brennan, Lauren Koscal, Emma Sears, Jessica Munoz, Evelyn Jacovino, Lauren Thayer, Todd Allen Lane, Elizabeth Dos Santos

New graduate nurses are an untapped population for nursing professional governance and nursing research and evidenced-based practice councils. New graduate nurses can offer new insights into the management of patient care and nursing workflow. By educating new graduate nurses about the benefits of nursing research and evidence-based practice councils at the start of their careers, an early standard of excellence in the empowerment of applying evidenced-based practice principles to improve patient care quality can occur. This narrative literature inquiry explores new graduate nurses perspective of research and evidence-based practice councils, with the targeted goal of engagement for professional and personal growth as a nurse leader.

对于护理专业管理、护理研究和循证实践委员会来说,新毕业护士是一个尚未开发的群体。新毕业护士可以为患者护理管理和护理工作流程提供新的见解。通过在新毕业护士职业生涯之初对其进行有关护理研究和循证实践委员会益处的教育,可以在应用循证实践原则提高患者护理质量的授权方面形成早期的卓越标准。本叙事性文献调查探讨了新毕业护士对研究和循证实践委员会的看法,其目标是作为护士长参与专业和个人成长。
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引用次数: 0
期刊
Dialogues in health
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