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Evaluation of nutrition label reading habits and knowledge levels among Turkish consumers: Implications for healthier food choices 评估土耳其消费者的营养标签阅读习惯和知识水平:对健康食品选择的影响
Pub Date : 2023-10-01 DOI: 10.29333/ejeph/13392
M. Icer, M. Gezmen Karadağ
Objectives: Nutrition labels are increasingly seen as a crucial strategy to combat diet-related chronic diseases, especially obesity. This study, it is aimed to evaluate the nutrition label reading habits of Turkish consumers and their knowledge levels about nutrition labels and claims.Method: The population of the research consists of 1,195 volunteers, 597 males and 598 females, aged between 18-65 years. The data of the study were collected using a face-to-face interview technique through a questionnaire. With the questionnaire form, descriptive information of individuals, reading habits of nutrition labels, information about nutrition label content, and preferred information and statements on nutrition labels were questioned.Results: In the study, it was found that the rate of reading the packaging information, the need to research an ingredient in its composition after reading the nutrition label (p<0.001) and hearing some terms used frequently in the food industry (such as colorants, preservatives, sweeteners, etc.) (p<0.05) of those who find the label information important when purchasing food is higher than those who do not find it important in both genders and total participants. In addition, in the study, it was determined that those who knew the nutrition claims on the nutrition labels in all groups prefer more some nutrition claims such as “reduced energy” and “trans-fats free” among the most read nutrition claims (p<0.001).Conclusions: These results suggest that instilling the importance of reading nutrition labels and teaching nutrition claims to individuals in the community may be a cost-effective intervention to encourage consumers to make healthier food choices and acquire healthier eating habits.
目标:营养标签越来越被视为对抗与饮食相关的慢性疾病,尤其是肥胖的关键策略。本研究旨在评估土耳其消费者的营养标签阅读习惯以及他们对营养标签和声明的知识水平。方法:研究人群包括1195名志愿者,597名男性和598名女性,年龄在18-65岁之间。该研究的数据是通过问卷调查,采用面对面的访谈技术收集的。通过问卷形式,对个人的描述性信息、营养标签的阅读习惯、营养标签内容信息以及营养标签上的偏好信息和陈述进行了询问。结果:研究发现,在阅读了营养标签(p<0.001)和听到了食品行业中经常使用的一些术语(如着色剂、防腐剂、甜味剂等)(p<0.05)后,在购买食品时发现标签信息很重要的人比那些认为标签信息不重要的人更需要研究其成分,无论是在性别还是在所有参与者中。此外在本研究中,研究发现,在阅读量最大的营养声明中,那些知道所有群体营养标签上营养声明的人更喜欢一些营养声明,如“减少能量”和“不含反式脂肪”(p<0.001)。结论:这些结果表明,向社区中的个人灌输阅读营养标签和教授营养声明的重要性可能是成本效益高的干预措施,鼓励消费者选择更健康的食物,养成更健康的饮食习惯。
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引用次数: 0
A closer look at dementia patients’ barriers to telemedicine utilization during the COVID-19 pandemic 深入研究2019冠状病毒病大流行期间痴呆症患者利用远程医疗的障碍
Pub Date : 2023-10-01 DOI: 10.29333/ejeph/13408
Siddig Fageir, Omer Osman, Clifton Addison
During the COVID-19 pandemic, dementia patients faced reduced mental health support, more social isolation, and higher rates of depression. To assist, telemedicine emerged as a suitable alternative to physical physician consultations. However, the use of telemedicine for dementia care was impacted by numerous factors, including high costs, lack of suitable hardware, poor internet connectivity, and sensory impairment of the patient. This article is an attempt to analyze the use of telemedicine for dementia care during the COVID-19 pandemic and identify barriers to its usage from caregivers’ perspectives. The analysis focused on four identified categories of barriers related to technology, participant abilities, participant attitudes, and costs. The findings demonstrated that lack of suitable technology and digital literacy were major barriers to the adoption of telemedicine in dementia care.
在新冠肺炎大流行期间,痴呆症患者面临着心理健康支持减少、社会隔离加剧和抑郁症发病率升高的问题。为了提供帮助,远程医疗成为了物理医生咨询的合适替代方案。然而,远程医疗用于痴呆症护理受到许多因素的影响,包括高昂的成本、缺乏合适的硬件、较差的互联网连接以及患者的感觉障碍。本文试图分析新冠肺炎大流行期间远程医疗用于痴呆症护理的情况,并从护理人员的角度确定其使用的障碍。分析的重点是与技术、参与者能力、参与者态度和成本相关的四类已确定的障碍。研究结果表明,缺乏合适的技术和数字素养是在痴呆症护理中采用远程医疗的主要障碍。
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引用次数: 0
COVID-19: Lesson learnt and using technology to possibly mitigate the pandemic and other viral infections COVID-19:吸取教训并利用技术可能减轻大流行和其他病毒感染
Pub Date : 2023-10-01 DOI: 10.29333/ejeph/13391
B. Wong
COVID-19 has made its unexpected entrance into the world sometime in late 2019 causing much fear, economic disasters, suffering, and fatalities throughout the world. This paper examines the pandemic and introduces an aggressive intervention and strategy, for humanity should not let themselves be sitting ducks waiting for the virus to attack, and some possible technological methods for mitigating COVID-19 and other viral infections.
新冠肺炎在2019年末的某个时候出人意料地进入了世界,在世界各地造成了许多恐惧、经济灾难、痛苦和死亡。本文研究了这一流行病,并介绍了一种积极的干预和策略,因为人类不应该让自己成为等待病毒攻击的鸭子,以及减轻新冠肺炎和其他病毒感染的一些可能的技术方法。
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引用次数: 0
Infectious diseases prevention policies, strategies and measures: Literature review 传染病预防政策、策略和措施:文献综述
Pub Date : 2023-09-07 DOI: 10.29333/ejeph/13650
Constantinos Karamalis, Anastasia Panagopoulou, Spyridoula Pattakou, Michail Askoxylakis, Effie Simou
Introduction: Throughout the history, infectious diseases have been the most serious cause of morbidity and mortality of the population worldwide, as over the years there have been–and with the development of human activities–many significant outbreaks of infectious diseases. The threats they pose, including their resistance to antibiotics, make the review and development of public health policies a major issue.Aim: The main purpose of this article is to present most recent policies and strategies on infectious diseases prevention via a literature review and highlight the necessity of developing a holistic approach to the formulation of infectious diseases prevention policies. Moreover, through the most recent literature on this topic it is observed that there is a need to draw up innovative policies, to defend public health and enforce the one health.Methodology: For this literature review, a research in PubMed database and official organization was conducted and thus a total number (n=28) of articles and handbooks was collected. From PubMed database n1=15 articles were extracted while from websites of official organizations n2=13 was extracted. The final number of references that have been used for this paper was n=33 and were managed by using ZOTERO software.Conclusion: It is clearly observed that collective work for prevent, and control infectious diseases is mandatory. Also, there is a need for strengthen the already existed public health systems, in order to be well-prepared. A major public health tool is communication, it is very important to communicate strategies and policies to individuals in a proper and comprehensive way.
引言:纵观历史,传染病一直是全球人口发病和死亡的最严重原因,多年来,随着人类活动的发展,发生了许多重大的传染病疫情。它们构成的威胁,包括对抗生素的耐药性,使公共卫生政策的审查和制定成为一个重大问题。目的:本文的主要目的是通过文献综述介绍传染病预防的最新政策和战略,并强调制定传染病预防政策的整体方法的必要性。此外,通过关于这一主题的最新文献,可以观察到有必要制定创新政策,保护公共卫生并实施单一健康。方法:在这篇文献综述中,在PubMed数据库和官方组织中进行了一项研究,从而收集了总数(n=28)的文章和手册。从PubMed数据库中提取了n1=15篇文章,而从官方组织的网站中提取了n2=13篇文章。本文使用的最终参考文献数量为n=33,并使用ZOTERO软件进行管理。结论:人们清楚地看到,预防和控制传染病的集体工作是强制性的。此外,有必要加强现有的公共卫生系统,以便做好充分准备。一个主要的公共卫生工具是沟通,以适当和全面的方式向个人传达战略和政策非常重要。
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引用次数: 0
Variables associated with deterioration in quality of life among individuals living in permanent supportive housing in Quebec during the COVID-19 pandemic 新冠肺炎大流行期间居住在魁北克永久性支持性住房中的个人生活质量恶化相关变量
Pub Date : 2023-09-02 DOI: 10.29333/ejeph/13627
L. Gentil, M. Fleury
This study aimed to identify sociodemographic and clinical characteristics and service use associated with deterioration in quality of life (QoL) among individuals residing in permanent supportive housing (PSH) during the COVID-19 pandemic. Between 2020-2022, PSH residents (n=231) were recruited from congregate and scattered site PSH in Montreal (Quebec/Canada). Multivariate logistic regression was used to test associations between QoL and PSH characteristics. Most participants (62%) reported deterioration in QoL. Decreased in PSH follow-up care and biopsychosocial services other than those from physicians, especially in basic needs, having still mental disorders (MD) or COVID-19 were found the most associated with QoL deterioration. Residing in PSH for 10+ years versus <2 years, high satisfaction with PSH, and access to public specialized outpatient services were identified as protective factors against deterioration in QoL. The findings demonstrated that comprehensive services for PSH residents may be intensified during a pandemic to protect against deterioration in QoL.
本研究旨在确定新冠肺炎大流行期间居住在永久性支持性住房(PSH)中的个人的社会人口统计学和临床特征以及与生活质量(QoL)恶化相关的服务使用。2020-2022年间,PSH居民(n=231)从蒙特利尔(魁北克/加拿大)的PSH聚集和分散地点招募。多变量逻辑回归用于检验生活质量和PSH特征之间的相关性。大多数参与者(62%)报告生活质量恶化。除医生提供的PSH后续护理和生物心理社会服务外,尤其是在基本需求方面,患有精神障碍(MD)或新冠肺炎的患者的PSH跟踪护理和生物精神社会服务减少与生活质量恶化最为相关。在PSH居住10年以上(而不是<2年)、对PSH的高度满意度以及获得公共专业门诊服务被确定为防止生活质量恶化的保护因素。研究结果表明,在疫情期间,可能会加强对PSH居民的全面服务,以防止生活质量恶化。
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引用次数: 0
Prevalence of Legionella spp. in the water distribution systems of Northern Greece 军团菌在希腊北部配水系统中的流行情况
Pub Date : 2023-07-23 DOI: 10.29333/ejeph/13496
K. Papageorgiou, E. Chronis, Andreas Tzouanopoulos, Vasileios Steris, Dimitrios Koutsopoulos, I. Tzavaras, Konstantinos Paraskevopoulos, Symeon Karolidis
Legionella spp. are the etiological agent of legionnaire’s disease, a severe respiratory disease, which affects mostly the vulnerable groups of the population. In the present study, we investigated the presence of Legionella according to ISO 11731:2017 in water samples, collected from five regions of Northern Greece. The results showed that 64 (8.9%) out of the 595 collected samples were positive for Legionella. Furthermore, 23 (35.9%) and 14 (21.9%) out of the 64 isolated Legionella strains were confirmed as L. pneumophila serogroup 1 and L. pneumophila serogroup 2-15, respectively, while the remaining 27 (42.2%) isolates were characterized as non-pneumophila Legionella spp. The findings of this study offer proof that Legionella remains a significant public health concern. They will aid in enhancing our comprehension of Legionella’s epidemiology in Greece and assist in implementing efficient control measures to minimize its occurrence in water meant for human consumption.
军团菌是军团病的病原体,军团病是一种严重的呼吸道疾病,主要影响人口中的弱势群体。在本研究中,我们根据ISO 11731:2017在希腊北部五个地区收集的水样中调查了军团菌的存在。结果595份样本中军团菌阳性64份(8.9%)。64株军团菌分离株中分别有23株(35.9%)和14株(21.9%)被鉴定为嗜肺乳杆菌血清1组和2-15组,其余27株(42.2%)被鉴定为非嗜肺乳杆菌。它们将有助于加强我们对希腊军团菌流行病学的了解,并协助实施有效的控制措施,以尽量减少其在供人类饮用的水中的发生。
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引用次数: 0
A psychiatric clinical picture revealing moyamoya disease 揭示烟雾病的精神病临床图片
Pub Date : 2023-07-01 DOI: 10.29333/ejeph/13194
S. Stati, M. A. Baba, A. Kharbach, A. Achbani, Soufiane Bigi, Boukdir Asma, Siham Belbachir, A. Ouanass
Moyamoya disease (MMD) is a rare entity. It is a chronic cerebrovascular pathology characterized by stenosis and progressive occlusion of the termination of the carotid arteries. It is of reserved prognosis. Its diagnosis can be evoked on computerized tomography and magnetic resonance imaging (MRI) but is essentially based on arteriography. Its treatment must be early and essentially consists of revascularization surgery. We report the case of a patient admitted to the psychiatric emergency room for management of a behavioral disorder, mutism and auditory and visual hallucination, a cerebral MRI was performed urgently and the diagnosis of MMD was laid. Through this observation and a review of the literature, we discuss the characteristics of this rare condition, in particular the psychiatric comorbidity.
烟雾病(MMD)是一种罕见的疾病。这是一种慢性脑血管病,其特征是颈动脉末端狭窄和进行性闭塞。预后保留。它的诊断可以通过计算机断层扫描和磁共振成像(MRI)引起,但基本上是基于动脉造影。它的治疗必须是早期的,主要包括血运重建手术。我们报告了一例因行为障碍、缄默症、幻听和幻视而住进精神科急诊室的患者,紧急进行了脑部MRI检查,并确定了MMD的诊断。通过这一观察和文献综述,我们讨论了这种罕见疾病的特征,特别是精神病合并症。
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引用次数: 0
Corruption and political interventions in public health authorities–Hellenic Republic Region of Attica: Conceptual analysis study 公共卫生部门的腐败和政治干预——希腊共和国阿提卡大区:概念分析研究
Pub Date : 2023-07-01 DOI: 10.29333/ejeph/13171
I. Adamopoulos
The national public health services and the organizations carried out over the practice of policy interventions and changes in the functioning of government, public policy, and public health sector administration. This conceptual study analyses the public health services and anti-corruption management organizations have direct links with political intervention. They have a negative impact on society and partially effective responses, also in times of pandemic, with affected epidemiological factors in the protection of public health. Leadership in the services plays a key role in ensuring smooth functioning and transparency, and the influence on them of the government and administrative machinery in Greece by the government.A phenomenon and practice, where the laws are completely renewed every time the government changes with the introduction of a specific policy. It is necessary that the structure and functioning of the state, public officials, and personnel be outlined in the context of the implementation of minimizing corruption. The primary purpose for integrity, a particular problem with the appointments of supervisors in these departments by direct assignment to the posts of directors, without considering the relevant legislation and without merit-based procedures and review by the special service councils that appoint directors based on criteria and legislation governing the evaluation of employees. Digital health services and e-government is also determining factor with a positive impact, universally, also and in times of pandemics will give benefits in relation to the anti-corruption actions. In this study give necessary methodology, systematic literature reviews and principles to anti-corruption.
国家公共卫生服务机构和各组织对政府、公共政策和公共卫生部门管理的运作进行了政策干预和改革。本概念研究分析了公共卫生服务和反腐败管理组织与政治干预的直接联系。它们对社会产生消极影响,而且在大流行时期也不太有效,因为保护公众健康的流行病学因素受到影响。服务部门的领导在确保顺利运作和透明度以及政府对希腊政府和行政机构的影响方面发挥着关键作用。一种现象和做法,每次政府因出台特定政策而发生变化,法律就会完全更新。有必要在实施最小化腐败的背景下概述国家、公职人员和人员的结构和功能。廉正的主要目的是,在这些部门任命监督员时,没有考虑到有关的立法,也没有根据评价雇员的标准和立法任命董事的特别服务委员会的择优程序和审查,直接指派到董事的职位,这是一个特别问题。数字保健服务和电子政务也是具有积极影响的决定性因素,在普遍情况下以及在大流行病发生时都将有利于反腐败行动。本研究提出了必要的方法论、系统的文献综述和反腐败原则。
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引用次数: 1
Osteocalcin: A new phenomenon for type 2 diabetes and obesity 骨钙素:治疗2型糖尿病和肥胖症的新现象
Pub Date : 2023-07-01 DOI: 10.29333/ejeph/12799
T. Koçak, Nilüfer Acar Tek
Objectives: The molecular biology revolution has emerged with the determination that bone tissue is an endocrine organ that regulates many physiological processes, and osteocalcin (OCN), an osteoblast-derived protein that provides endocrine control, is a hormone that regulates glucose and energy homeostasis. By controlling gene expression in β-cells and adipocytes, OCN improves glucose intolerance, obesity, and insulin expression. In addition, OCN stimulates the secretion of adiponectin, a molecule that increases fatty acid oxidation and insulin secretion and sensitivity in adipose tissue and reduces adipose tissue accumulation. Recent research suggests that serum OCN increases the expression of peroxisome proliferator-activated receptor gamma coactivator-1α (PGC-1α) and uncoupling protein-1 (UCP1) genes, which play a role in thermogenesis in brown adipose tissue, it also affects insulin sensitivity by increasing adiponectin expression in white adipose tissue. OCN the target gene of insulin, and resting energy expenditure and mitochondrial biogenesis. With all these effects, OCN is a protein that has recently been found to be associated with diabetes and obesity components. Conclusions: This review aims to present an overview of understanding the interaction of OCN produced by osteoblasts with insulin, glucose metabolism, adipose tissue, skeletal and muscle tissue, and appetite metabolism in understanding the endocrine functions of bone. In addition, it was conducted to examine the role of OCN in energy metabolism and to evaluate the relationship of energy metabolism pathways affected by OCN with non-communicable chronic diseases such as type 2 diabetes mellitus and obesity.
目的:分子生物学革命已经出现,确定骨组织是调节许多生理过程的内分泌器官,骨钙素(OCN)是一种提供内分泌控制的成骨细胞来源的蛋白质,是一种调节葡萄糖和能量稳态的激素。通过控制β细胞和脂肪细胞的基因表达,OCN改善葡萄糖耐受不良、肥胖和胰岛素表达。此外,OCN刺激脂联素的分泌,脂联素是一种在脂肪组织中增加脂肪酸氧化和胰岛素分泌和敏感性的分子,减少脂肪组织的积累。最近的研究表明,血清OCN增加了棕色脂肪组织中参与产热作用的过氧化物酶体增殖因子激活受体γ共激活因子-1α (PGC-1α)和解偶联蛋白-1 (UCP1)基因的表达,并通过增加白色脂肪组织中脂联素的表达影响胰岛素敏感性。胰岛素、静息能量消耗和线粒体生物发生的靶基因OCN。考虑到所有这些影响,OCN是一种最近被发现与糖尿病和肥胖成分有关的蛋白质。结论:本文旨在概述成骨细胞产生的OCN与胰岛素、葡萄糖代谢、脂肪组织、骨骼和肌肉组织以及食欲代谢的相互作用,以了解骨的内分泌功能。此外,还研究了OCN在能量代谢中的作用,并评估了OCN影响的能量代谢途径与2型糖尿病和肥胖症等非传染性慢性疾病的关系。
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引用次数: 1
Determining the mothers’ first-aid self-efficacy in-home accidents in Turkey 土耳其家庭事故中母亲急救自我效能感的测定
Pub Date : 2023-07-01 DOI: 10.29333/ejeph/13376
Derya Can, Nukhet Bayer
Aim: This study aims to determine the first-aid self-efficacy of mothers with children aged 0-4 years.Methods: This descriptive study is conducted in a university hospital in Ankara, Turkey with 403 mothers who have children aged 0-4 years. The questionnaire method has been used to collect data in the study. The questionnaire consists of two parts. In the first part of it ‘‘the socio-demographic characteristics form’’ and in the second part of it ‘‘the first-aid self-efficacy scale’’, which is used to determine the mothers’ first-aid self-efficacy, were included. The analysis of the research data is performed with SPSS statistical program.Results: The age range of the participants in the study is 19-46 years and the mean age is 29.41±7.40 years. 46.2% of the mothers are 19-28 years old, 93.3% are married, 39.2% are graduated from high school, and 54.8% are housewives. 86.3% of the mothers state that they have not had the first-aid training and 42.9% of them state that they have encountered a situation requiring the first-aid resulting mostly (60.1%) in an injury. The mean score of the scale is 30.90±9.50.Conclusions: In our study, it is found that the first-aid self-efficacy of mothers is low. The mothers with an undergraduate degree have higher first-aid self-efficacy than the ones who graduated from a primary school and those who had the first-aid training have higher first-aid self-efficacy than the ones who did not receive the first-aid training. To increase the first-aid self-efficacy of mothers, the first-aid trainings should be organized by public/private health institutions and non-governmental organizations, practices should be made on models and repeated periodically. It is suggested that more centers and fathers to be included in these trainings in the future.
目的:本研究旨在确定0-4岁儿童母亲的急救自我效能感。方法:这项描述性研究在土耳其安卡拉的一所大学医院进行,共有403名母亲有0-4岁的孩子。本研究采用问卷调查法收集数据。问卷由两部分组成。第一部分为“社会人口学特征表”,第二部分为“急救自我效能量表”,用于确定母亲的急救自我效能。研究数据采用SPSS统计软件进行分析。结果:研究参与者的年龄范围为19-46岁,平均年龄为29.41±7.40岁。46.2%的母亲年龄在19-28岁,93.3%已婚,39.2%高中毕业,54.8%是家庭主妇。86.3%的母亲表示她们没有接受过急救培训,42.9%的母亲表示遇到过需要急救的情况,大部分(60.1%)是受伤。该量表的平均得分为30.90±9.50。结论:本研究发现,母亲的急救自我效能感较低。具有本科学历的母亲比小学毕业的母亲具有更高的急救自我效能感,受过急救培训的母亲比未受过急救培训者具有更高急救自我效能。为了提高母亲的急救自我效能,公共/私营卫生机构和非政府组织应组织急救培训,并在模式上进行实践,并定期重复。建议未来将更多的中心和父亲纳入这些培训。
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引用次数: 0
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European journal of environment and public health
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