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Public compliance with environmental sanitation regulations in Ghana 加纳公众遵守环境卫生条例
Pub Date : 2022-01-01 DOI: 10.1515/openhe-2022-0001
Justice Mensah, P. Mattah, J. Amoah, M. M. Mattah
Abstract Due to the negative impacts of poor environmental sanitation (ES) on the environment, economy, public health, and livelihoods, various efforts are constantly being made in countries all over the world, particularly by their governments, to regulate public behaviour to conform to acceptable sanitation standards. However, public compliance with sanitation regulations is low in Ghana, culminating in the lowering of the country’s international image in recent years as far as sanitation is concerned. The study examined the phenomenon of low public compliance with ES regulations in Ghana. Qualitative data were collected from purposively selected experts and key informants in ES management, using in-depth interviews. Data were analysed using the thematic technique. The findings revealed that the low compliance phenomenon was due to ineffective law enforcement, inadequate public education and sanitation infrastructure, low capacity of implementing institutions, lenient penalties, and poor sanitation culture. Compliance management seemed linear in theory, as it appeared the government could simply compel everyone to comply; but in practice, it was a complex problem that required a multi-dimensional solution. The government and its implementing agencies should commit to strict law enforcement, provide adequate ES facilities, undertake intensive public education on sanitation, provide adequate funding, and build the capacity of the implementing institutions to enforce compliance. There was the need to strategically combine coercive and catalytic approaches to ensure compliance with the regulations. The study contributes to achieving Sustainable Development Goal 6 — access to water, sanitation, and hygiene — in Ghana.
由于恶劣的环境卫生(ES)对环境,经济,公共健康和生计的负面影响,世界各国,特别是其政府,正在不断做出各种努力,以规范公众行为,以符合可接受的卫生标准。然而,加纳公众对卫生法规的遵守程度很低,最终导致该国近年来在卫生方面的国际形象下降。该研究调查了加纳公众对环境法规的遵守程度较低的现象。定性数据收集有目的地选择的专家和关键线人在ES管理,使用深度访谈。使用专题技术分析数据。调查结果显示,低依从性现象是由于执法不力、公共教育和卫生基础设施不足、执行机构能力低、处罚从轻和卫生文化差。从理论上讲,合规管理似乎是线性的,因为政府似乎可以简单地强迫所有人遵守;但实际上,这是一个复杂的问题,需要多维度的解决方案。政府及其执行机构应承诺严格执法,提供充足的环境卫生设施,开展密集的公共卫生教育,提供充足的资金,并建设执行机构强制执行的能力。有必要在战略上把强制性和催化性方法结合起来,以确保条例得到遵守。这项研究有助于在加纳实现可持续发展目标6——获得水、环境卫生和个人卫生。
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引用次数: 3
The curious case of Neuropathic Pain and its management: An overview 神经性疼痛的奇特病例及其管理:概述
Pub Date : 2022-01-01 DOI: 10.1515/openhe-2022-0026
I. Ara, Mudasir Maqbool
Abstract Neuropathic pain is a condition that occurs as a result of neural system damage or lesions. It could be peripheral or central neuropathic pain, depending on the location of the damage. Diabetes, spinal cord injury, numerous infections, cancer, and autoimmune illnesses are all potential causes of this condition. According to estimates, chronic pain has a prevalence rate of roughly 3% -17% worldwide. In most cases, neuropathic pain is stated to be “idiopathic” in origin, which means that its specific etiology is unknown; hence, pharmaceutical care of this condition is limited to treating its symptoms. The medications used to treat neuropathic pain fall into three categories: tricyclic antidepressants, gabapentinoids, and serotonin-norepinephrine reuptake inhibitors (SNRIs). Anticonvulsants, opioids, and topical medications are examples of different types of medications. Strong opioids, neurotoxins, and surgical alternatives are also used in treatment. In general, pharmacotherapy is frequently accompanied with accompanied with high doses, which results in a number of side effects. These medications are typically delivered orally, and drug absorption in systemic circulation leads to dispersion throughout the body, resulting in high peripheral circulation and concomitant side effects. Enzymatic degradation reduces bioavailability, while hepatic metabolism converts medicines to inactive metabolites. In such circumstances, an adequate amount of drug is unable to reach the brain due to the blood brain barrier, which hinders drug molecule permeability.
神经性疼痛是由于神经系统损伤或病变而发生的一种疾病。可能是外周或中枢神经性疼痛,这取决于损伤的位置。糖尿病、脊髓损伤、多种感染、癌症和自身免疫性疾病都是这种情况的潜在原因。据估计,慢性疼痛在全世界的患病率约为3% -17%。在大多数情况下,神经性疼痛被认为是“特发性”的,这意味着其具体的病因尚不清楚;因此,对这种疾病的药物治疗仅限于治疗其症状。用于治疗神经性疼痛的药物分为三类:三环抗抑郁药、加巴喷丁类药物和5 -羟色胺-去甲肾上腺素再摄取抑制剂(SNRIs)。抗惊厥药、阿片类药物和局部用药是不同类型药物的例子。强效阿片类药物、神经毒素和外科手术也可用于治疗。一般来说,药物治疗经常伴随着高剂量,这导致了许多副作用。这些药物通常是口服给药,药物在体循环中的吸收导致在全身的分散,导致外周循环高,并伴有副作用。酶降解降低了生物利用度,而肝脏代谢将药物转化为无活性代谢物。在这种情况下,由于血脑屏障阻碍了药物分子的渗透性,使足够的药物无法到达大脑。
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引用次数: 0
Spatial analysis of economic predictors of under-five mortality in Nigeria 尼日利亚五岁以下儿童死亡率经济预测因素的空间分析
Pub Date : 2022-01-01 DOI: 10.1515/openhe-2022-0012
Richard Adeleke, T. Osayomi, A. Iyanda, Opeyemi Alabede
Abstract Globally, under-five mortality rates declined from 93 deaths per 1,000 live births in 1990 to 38 in 2019. Despite the remarkable progress in reducing under-five mortality globally, it is still significantly high in Nigeria with 117 deaths per 1,000 live births, meaning that 1 in 8 children die before the age of 5. The extant literature on the risk factors of under-five mortality in Nigeria have been largely limited to maternal socio-economic characteristics and environmental factors, with little known about the macroeconomic predictors within a spatial context. As a result, this study examines the macroeconomic predictors of under-five mortality in Nigeria. The data were analysed using spatial statistics. Results show that some parts of northern Nigeria are hotspots of under-five mortality. The study also discovers that inflation rate is a risk factor of under-five mortality in southern Nigeria while internally generated revenue is the predictor in the northern region. The study recommends region-specific interventions such as controlling the high rate of inflation and improving internally generated revenue to reduce under-five mortality in the country.
在全球范围内,五岁以下儿童死亡率从1990年的每1000例活产死亡93例下降到2019年的38例。尽管全球在降低五岁以下儿童死亡率方面取得了显著进展,但尼日利亚的死亡率仍然很高,每1 000例活产死亡117例,这意味着每8名儿童中就有1名在5岁之前死亡。关于尼日利亚五岁以下儿童死亡率风险因素的现有文献大多局限于产妇的社会经济特征和环境因素,对空间背景下的宏观经济预测因素知之甚少。因此,本研究审查了尼日利亚五岁以下儿童死亡率的宏观经济预测因素。利用空间统计学对数据进行了分析。结果显示,尼日利亚北部的一些地区是五岁以下儿童死亡率高的地区。该研究还发现,在尼日利亚南部,通货膨胀率是5岁以下儿童死亡的一个风险因素,而在北部地区,国内收入是预测因素。该研究建议采取针对具体区域的干预措施,例如控制高通货膨胀率和改善内部产生的收入,以降低该国五岁以下儿童的死亡率。
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引用次数: 0
Psychic consequences of infertility on couples: A short commentary 不孕不育对夫妻精神上的影响:简短评论
Pub Date : 2022-01-01 DOI: 10.1515/openhe-2022-0022
I. Ara, Mudasir Maqbool, Mehrukh Zehravi
Abstract Infertility is a reproductive system condition defined by the failure to carry a clinical pregnancy following a period of 12 months or more of unprotected regular intercourse. Despite the fact that infertility is not a life-threatening condition, it is still a stressful life event for couples or people owing to the high value placed on having a child by individuals or society in general. Infertile couples are dealing with a variety of emotional issues in addition to a medical ailment. Infertile couples’ emotions, feelings, and beliefs frequently alter as a result of their infertility diagnosis. Due to the extreme seclusion of the subject, infertile couples may resort to hiding the problem if they are under a lot of societal pressure. The inability to conceive has been regarded as a stressful situation for both the person and the couple. The news of infertility elicits the same emotional responses as a death or catastrophic sickness. The medical treatment of infertility causes anxiety and pain, and this suffering and anxiety can have an impact on the treatment’s outcomes. Failed attempts result in major narcissistic injuries, which are frequently compounded by sexuality issues and relationship difficulties.
摘要不孕症是一种生殖系统疾病,其定义是在12个月或更长时间的无保护的常规性交后未能进行临床妊娠。尽管不孕症并不是一种危及生命的疾病,但由于个人或整个社会对生育的高度重视,对于夫妇或人们来说,不孕症仍然是一件压力很大的生活事件。不孕夫妇除了要面对疾病之外,还要面对各种各样的情感问题。不孕夫妇的情绪、感觉和信念经常会因为他们的不孕诊断而改变。由于这个问题的极端隐蔽性,如果不育夫妇面临很大的社会压力,他们可能会求助于隐藏这个问题。无法怀孕被认为是一个对个人和夫妇都有压力的情况。不孕不育的消息引起的情绪反应与死亡或灾难性疾病一样。不孕不育的医学治疗会引起焦虑和疼痛,而这种痛苦和焦虑会影响治疗的结果。失败的尝试会导致严重的自恋伤害,这通常会与性问题和关系困难一起加剧。
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引用次数: 1
Knowledge, attitude, and practices on occupational health and safety principles among cleaners: the case of Tikur Anbassa Specialized Referral Hospital, Addis Ababa, Ethiopia 清洁人员关于职业健康和安全原则的知识、态度和做法:埃塞俄比亚亚的斯亚贝巴提库尔·安巴萨专科转诊医院的案例
Pub Date : 2022-01-01 DOI: 10.1515/openhe-2022-0004
G. D. Gebreeyessus
Abstract This study was conducted to determine the occupational risks of cleaners of healthcare institutions like Tikur Anbassa Specialized Referral Hospital, Addis Ababa, Ethiopia. A cross-sectional study was conducted to assess the knowledge, attitude and practice of cleaners focusing on occupational health and safety issues, including biological and chemical risks. Interview data were collected using a structured questionnaire that involved all the cleaners. Additionally, focus group discussions and use of observational checklists were applied to capture both administrative and the actual waste management aspects. The result of the study showed that all cleaners had a favorable attitude towards safety principles. However, the knowledge of cleaners on occupational safety was so poor to the level that all of them did not even know the meaning of nosocomial infection. Almost all of the cleaners, 69 (98.6%), had not taken any preemployment training by the time of the interview. All of the cleaners’ practices were not fully compliant with the universal precaution principles and the major proportion, 37 (53%), of them had instances of needlestick injuries ranging from one to four times. Furthermore, the wastes in the hospital were located indiscriminately and with an uncovered container. Though cleaners had a desirable attitude, the status of occupational safety awareness and practice were not to the expected level that it should be. This institution, and similar institutions, should give emphasis to occupational safety issues with healthcare waste management. Awareness training has to be given before employment as well as refreshment trainings after engagement.
摘要本研究旨在确定埃塞俄比亚亚的斯亚贝巴提库尔安巴萨专科转诊医院等卫生保健机构清洁人员的职业风险。进行了一项横断面研究,以评估清洁工对职业健康和安全问题(包括生物和化学风险)的知识、态度和做法。访谈数据是用一份涉及所有清洁工的结构化问卷收集的。此外,还采用了焦点小组讨论和使用观察性检查清单,以便掌握行政和实际废物管理方面的情况。研究结果表明,所有的清洁工都对安全原则持赞成态度。然而,清洁人员的职业安全知识却非常贫乏,甚至不知道医院感染的含义。几乎所有的清洁工,69人(98.6%)在采访时没有接受过任何职前培训。所有清洁人员的做法都不完全符合普遍预防原则,其中37人(53%)有1至4次针刺伤害的情况。此外,医院里的废物不分青红皂白地摆放在一个没有盖子的容器里。清洁工人的职业安全意识和职业安全实践的状况虽然良好,但并没有达到应有的预期水平。该机构以及类似机构应重视医疗废物管理方面的职业安全问题。在入职前必须进行意识培训,入职后必须进行茶点培训。
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引用次数: 2
Research on Suicide in Muslim majority countries: A bibliometric analysis 穆斯林占多数国家的自杀研究:文献计量分析
Pub Date : 2022-01-01 DOI: 10.1515/openhe-2022-0029
S. Arafat
Abstract Objectives. A bibliometric analysis of suicide would identify the potential research gaps in Muslim majority countries. For that purpose, the present study reviews articles on suicide in Muslim majority countries. Methods. The Scopus database was searched to identify publications from inception to the search date using search terms. Results. The search identified 154 articles published from 1970 to 2022 with a recent increase in the number of papers. The highest number of papers was published from Iran (38), followed by Bangladesh (32) and Turkey (23). No studywas found from 28 Islamic States. The highest number of papers was published by the Aga Khan University of Pakistan, followed by the Enam Medical College and Hospital of Bangladesh and theTehran University of Medical Sciences. The greatest number of papers (n=9) was published in the Asian Journal of Psychiatry, followed by the Iranian Journal of Psychiatry and Behavioral Sciences (n=7), and the Crisis (n=5). Conclusion. This analysis revealed that there is an extreme dearth of research on suicide in Muslim countries becausemore than half of the countries do not have published articles listed in Scopus.
抽象的目标。对自杀的文献计量学分析将确定穆斯林占多数的国家潜在的研究差距。为此目的,本研究回顾了有关穆斯林占多数的国家自杀的文章。方法。搜索Scopus数据库,以使用搜索词确定从开始到搜索日期的出版物。结果。该搜索确定了1970年至2022年期间发表的154篇论文,最近论文数量有所增加。发表论文数量最多的是伊朗(38篇),其次是孟加拉国(32篇)和土耳其(23篇)。没有发现来自28个伊斯兰国家的研究。发表论文数量最多的是巴基斯坦的阿迦汗大学,其次是孟加拉国的伊纳姆医学院和医院以及德黑兰医学科学大学。发表论文最多的是《亚洲精神病学杂志》(n=9),其次是《伊朗精神病学和行为科学杂志》(n=7)和《危机》(n=5)。结论。这项分析显示,对穆斯林国家自杀的研究极度缺乏,因为超过一半的国家没有发表在Scopus上的文章。
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引用次数: 0
Assessing the spatial-temporal clustering of HIV prevalence among adolescents and young adults across countries around the world 评估世界各国青少年和青壮年艾滋病毒流行的时空聚类
Pub Date : 2022-01-01 DOI: 10.1515/openhe-2022-0011
Hui-Peng Liew
Abstract To date, HIV infection among adolescents and young adults remains a challenging public health issue, especially for countries located in Sub-Saharan Africa but no empirical research known to date has provided a spatial- temporal cluster analyses to assess trends in HIV prevalence among this population. This study attempts fill in the gaps in research by examining how the prevalence of adolescents and young adults aged 15–24 living with HIV are clustered together and estimating the number of individuals infected with HIV and the effectiveness of disease control initiatives. The empirical work of this study is based on the UNAIDS estimates downloaded from the World Bank DataBank and data obtained from the United States Central Intelligence Agency. Findings suggest that trends in HIV prevalence among adolescents and young adults differed by region and the prevalence of HIV infection among these individuals will not surge but will somewhat fluctuate over time. Attempt to end AIDS as a public health threat by year 2030 can remain a challenge if the current antiretroviral therapy (ART) coverage, population growth rates, and AIDS-related death rates were to continue into the next decade.
迄今为止,青少年和年轻人的艾滋病毒感染仍然是一个具有挑战性的公共卫生问题,特别是在撒哈拉以南非洲国家,但迄今为止还没有实证研究提供时空聚类分析来评估这一人群中艾滋病毒流行趋势。本研究试图通过研究15-24岁感染艾滋病毒的青少年和年轻人的流行情况如何聚集在一起,并估计感染艾滋病毒的个人人数和疾病控制举措的有效性,来填补研究中的空白。本研究的实证工作基于从世界银行数据库下载的艾滋病规划署估计数和从美国中央情报局获得的数据。调查结果表明,青少年和年轻人的艾滋病毒流行趋势因区域而异,这些人的艾滋病毒感染流行率不会激增,但会随着时间的推移而有所波动。如果当前的抗逆转录病毒治疗(ART)覆盖率、人口增长率和艾滋病相关死亡率在下一个十年继续下去,那么到2030年结束艾滋病这一公共卫生威胁的努力可能仍然是一项挑战。
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引用次数: 0
Let us work together for enhanced tobacco control strategies! 让我们共同努力,加强烟草控制战略!
Pub Date : 2022-01-01 DOI: 10.1515/openhe-2022-0023
M. C. Sun
Abstract The global campaign by the World Health Organization in the context of the World No Tobacco Day 2022 bears the theme “Tobacco: A threat to environment”. It raises concerns on environmental issues related to tobacco use which is also a public health problem. This is a call to tobacco control advocates to work together with environment protection activists to federate multi-stakeholder collaborative advocacy work for stringent tobacco control strategies worldwide.
世界卫生组织在2022年世界无烟日背景下开展的全球运动的主题是“烟草:对环境的威胁”。它引起了人们对与烟草使用有关的环境问题的关注,这也是一个公共卫生问题。这是在呼吁烟草控制倡导者与环境保护活动人士共同努力,联合多利益攸关方的协作宣传工作,在世界范围内实施严格的烟草控制战略。
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引用次数: 0
Potential Role of Functional Foods in the Management of SARS-CoV-2 Omicron Variant 功能性食品在SARS-CoV-2基因组变体管理中的潜在作用
Pub Date : 2022-01-01 DOI: 10.1515/openhe-2022-0025
V. Venugopal, B. Deenadayalan, S. Poonguzhali, K. Maheshkumar
Abstract Omicron is a more contagious variant of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), commonly known as Coronavirus disease 2019 (COVID- 19). Dietary management of COVID-19 with functional foods plays a significant role in reducing cytokine storm and the viral replication and survival. A thorough literature search was performed in electronic databases such as PubMed and EMBASE using the keywords Coronavirus, COVID-19, Omicron, functional foods, and phytonutrient. In total, 77 research articles were identified; of those, 10 papers were included after title, abstract and full text review. Most commonly used phytonutrients for the management of COVID-19 include bromelain, curcumin, quercetin, gingerol and epigallocatechin gallate (EGCG). These phytonutrients possessed anti-inflammatory properties, and were effective in targeting the spike proteins and docking sites of the SARS-CoV-2 virus, thereby preventing viral replication and survival. To the best of our knowledge, this is the first published review indicating the significance of functional foods in reducing the severity of the Omicron variant.
Omicron是传染性较强的严重急性呼吸综合征冠状病毒2 (SARS-CoV-2),俗称冠状病毒病2019 (COVID- 19)。利用功能性食品进行COVID-19饮食管理对减少细胞因子风暴和病毒复制和存活具有重要作用。在PubMed和EMBASE等电子数据库中检索相关文献,检索关键词为冠状病毒、COVID-19、Omicron、功能食品和植物营养素。共确定了77篇研究论文;其中10篇论文经题目、摘要和全文审阅后被收录。管理COVID-19最常用的植物营养素包括菠萝蛋白酶、姜黄素、槲皮素、姜辣素和没食子儿茶素没食子酸酯(EGCG)。这些植物营养素具有抗炎特性,可有效靶向SARS-CoV-2病毒的刺突蛋白和对接位点,从而阻止病毒复制和存活。据我们所知,这是首次发表的综述,表明功能性食品在降低欧米克隆变异的严重程度方面的重要性。
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引用次数: 0
Medical trainees as agents of change in academic medicine and the health professions 医学学员作为学术医学和卫生专业变革的推动者
Pub Date : 2022-01-01 DOI: 10.1515/openhe-2022-0003
S. Shoib, Apeksha Gupta, S. Saleem, Fahimeh Saeed
Abstract Advances and change are inevitable in the health care sector, leading to the promotion and encouragement in medicine and research. Trainees are an excellent resource for evolution because they volunteer at all levels of research and have sufficient clinical experience. Therefore, we will discuss the role of medical trainees as agents of change in academic medicine and health professions overall.
卫生保健领域的进步和变化是不可避免的,从而促进和鼓励了医学和研究。受训者是进化的优秀资源,因为他们自愿参与所有层次的研究,并有足够的临床经验。因此,我们将讨论医学学员作为学术医学和卫生专业变革的推动者的作用。
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引用次数: 0
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