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Fighting COVID-19 in Freetown, Sierra Leone: the critical role of community organisations in a growing pandemic 在塞拉利昂弗里敦抗击COVID-19:社区组织在日益严重的大流行病中的关键作用
Pub Date : 2020-01-01 DOI: 10.1515/openhe-2020-0005
E. Osuteye, Braima Koroma, J. Macarthy, Sulaiman Foday Kamara, A. Conteh
Abstract As the COVID-19 pandemic spreads in Africa, attention is increasingly shifting to the potential and ongoing impact on informal settlements, which face considerable challenges around the implementation of conventional control measures of social distancing, hand washing and self-isolation. In Freetown, Sierra Leone, residents of informal settlements have relied on local community organisations and groups, and their resourcefulness to provide essential preparedness, response and on-going support to alleviate the public health and economic risks associated with the effects of the COVID-19 outbreak. This is also premised on lessons drawn from dealing with previous epidemics, notably the Ebola virus disease in 2014–2015. This paper will explain the nature and form of community organisation that can be galvanised and leveraged for COVID-19 preparedness and responses that are suited for informal settlements. Secondly, it highlights the critical contribution of community organisations in social protection measures that tackle deeply entrenched inequalities in rapidly urbanising contexts. Finally, the cases examined seek to provide evidence of the value of processes of continuous learning within community organisation that are essential for both humanitarian assistance and emergency management. Although situated in Freetown, the broad lessons drawn are relevant for urban-poor communities and informal settlements in many urban African centres.
随着2019冠状病毒病(COVID-19)大流行在非洲的蔓延,人们的注意力越来越多地转向对非正规住区的潜在和持续影响,非正规住区在实施社交距离、洗手和自我隔离等传统控制措施方面面临相当大的挑战。在塞拉利昂弗里敦,非正式定居点的居民依靠当地社区组织和团体及其足智多谋提供必要的准备、应对和持续支持,以减轻与COVID-19疫情影响相关的公共卫生和经济风险。这也是基于从处理以往流行病,特别是2014-2015年埃博拉病毒病中吸取的经验教训。本文将解释社区组织的性质和形式,这些组织可以被激发和利用,以适应非正式住区的COVID-19防范和应对。其次,它突出了社区组织在解决快速城市化背景下根深蒂固的不平等问题的社会保护措施方面的关键贡献。最后,所审查的案例试图提供证据,证明社区组织内持续学习进程的价值,这对人道主义援助和应急管理都至关重要。虽然位于弗里敦,但所吸取的广泛经验教训与许多非洲城市中心的城市贫困社区和非正式住区有关。
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引用次数: 13
Depression among patients admitted to medical wards: comparison between a university hospital and regional hospital 住院病人的抑郁症:大学医院与地区医院的比较
Pub Date : 2020-01-01 DOI: 10.1515/openhe-2020-0002
W. Hantrakul, Wittaya Wangsomboonsiri, Chutintorn Sriphrapradang
Abstract Objective: We aimed to determine the prevalence of depression and to find factors associated with depression in admitted medical patients. The differences in the pattern of depression between a university hospital (UH) and a regional hospital (RH) were determined as well. Methods: This is a cross-sectional study. The Patient Health Questionnaire-9 (PHQ-9) was administered among hospitalized patients in medical wards. PHQ-9 could not differentiate between the type of depressive disorder that could be from medical conditions, adjustment disorder with depressed mood, major depressive disorder, or dysthymia. Results: A total of 343 patients (191 in UH, 152 in RH group) with age of 52.1 ± 16.9 years were included. Timing of interview was 4.3 ± 1.4 days after admission. The prevalence of depression (PHQ-9 score ≥ 9) was 12% (7.3% in UH vs 17.8% in RH, p < 0.005). According to PHQ-9 scoring, the prevalence of moderate-to-severe depression was 3.8%. Mean PHQ-9 score in RH was significantly higher than in UH (p < 0.001). Multiple baseline characteristics were analyzed by logistic regression and found no factors associated with depression. There was no difference in baseline characteristics of UH patients with depression compared to RH, except for universal health coverage plan. Conclusions: The prevalence of depression was 1 in 10 patients and was found to be more frequent and severe in RH than UH. All patients were at equal risk to develop depression during admission.
摘要目的:了解住院患者抑郁的患病率,并探讨与抑郁相关的因素。在大学医院(UH)和地区医院(RH)之间的抑郁症模式的差异也被确定。方法:这是一个横断面研究。采用病人健康问卷-9 (PHQ-9)对住院病房的病人进行调查。PHQ-9不能区分抑郁症的类型,可能是医疗条件、抑郁情绪的适应障碍、重度抑郁症或心境恶劣。结果:共纳入343例患者(UH组191例,RH组152例),年龄52.1±16.9岁。访谈时间为入院后4.3±1.4天。抑郁症患病率(PHQ-9评分≥9)为12% (UH组为7.3%,RH组为17.8%,p < 0.005)。根据PHQ-9评分,中度至重度抑郁症的患病率为3.8%。RH组平均PHQ-9评分显著高于UH组(p < 0.001)。通过logistic回归分析多个基线特征,未发现与抑郁相关的因素。除了全民健康保险计划外,犹他大学抑郁症患者的基线特征与RH相比没有差异。结论:抑郁症的患病率为1 / 10,RH患者比UH患者更为频繁和严重。所有患者在入院期间患抑郁症的风险相同。
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引用次数: 2
Mask material: challenges and virucidal properties as an effective solution against coronavirus SARS-CoV-2 口罩材料:作为冠状病毒SARS-CoV-2有效解决方案的挑战和病毒特性
Pub Date : 2020-01-01 DOI: 10.1515/openhe-2020-0004
D. Gope, Aditya Gope, P. C. Gope
Abstract COVID-19 viruses are primarily transmitted between people via respiratory droplets generated from an infected person while coughing, sneezing, exhaling or close contact. Hence, the use of masks are part of prevention and control measures to limit the spread of COVID-19. A comprehensive study on various materials used in masks is required. The filtration efficiency of cotton masks increases with increase in thread count and number of layers, but breathability is affected and therefore a risk for longer durations. Cotton-based masks have filtration efficiency ranging from 5% to 80% depending on the number of layers. Combinations of different hybrid fabric materials and design have an efficiency ranging from 37% to 97%. Bio-cellulose, which is derived from cellulosic biomass by synthesis techniques involving various physical and chemical processes followed by refining techniques, possesses remarkable properties including biodegradability, biocompatibility, low toxicity, etc., making it the most suitable mask material. Masks made of bio-cellulose have an important property of hydrophilicity which makes it adhere to the face tightly, giving a cooling effect to the face. Use of nanocellulose masks can help attaining filtration efficiency up to 99.9980–99.9995% along with other desirable properties. Hence, there is an immediate need to address the issues and challenges of mask materials and work towards the design and development of low cost masks to overcome these shortcomings by the researchers and manufacturers.
COVID-19病毒主要通过感染者咳嗽、打喷嚏、呼气或密切接触时产生的飞沫在人与人之间传播。因此,使用口罩是限制COVID-19传播的防控措施的一部分。需要对口罩使用的各种材料进行综合研究。棉口罩的过滤效率随着纱数和层数的增加而增加,但透气性受到影响,因此使用时间越长,就越有风险。棉基口罩的过滤效率根据层数的不同,从5%到80%不等。不同混合织物材料和设计的组合的效率从37%到97%不等。生物纤维素是从纤维素质生物质中经过多种物理和化学合成工艺,再经过精制工艺得到的,具有可生物降解性、生物相容性、低毒性等显著特性,是最合适的掩膜材料。由生物纤维素制成的面膜具有重要的亲水性,使其紧贴面部,起到冷却面部的作用。使用纳米纤维素膜可以帮助达到99.9980-99.9995%的过滤效率以及其他理想的性能。因此,研究人员和制造商迫切需要解决口罩材料的问题和挑战,并努力设计和开发低成本口罩,以克服这些缺点。
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引用次数: 9
"Using Crowd-Sourced Data to Explore Police-Related-Deaths in the United States (2000-2017): The Case of Fatal Encounters". “使用众包数据探索美国警察相关死亡(2000-2017):致命遭遇的案例”。
Pub Date : 2019-01-01 DOI: 10.5334/ohd.30
Brian Karl Finch, Audrey Beck, D Brian Burghart, Richard Johnson, David Klinger, Kyla Thomas

Objectives: We evaluated the Fatal Encounters (FE) database as an open-source surveillance system for tracking police-related deaths (PRDs).

Methods: We compared the coverage of FE data to several known government sources of police-related deaths and police homicide data. We also replicated incident selection from a recent review of the National Violent Death Reporting System.

Results: FE collected data on n = 23,578 PRDs from 2000-2017. A pilot study and ongoing data integration suggest greater coverage than extant data sets. Advantages of the FE data include circumstance of death specificity, incident geo-locations, identification of involved police-agencies, and near immediate availability of data. Disadvantages include a high rate of missingness for decedent race/ethnicity, potentially higher rates of missing incidents in older data, and the exclusion of more comprehensive police use-of-force and nonlethal use-of-force data-a critique applicable to all extant data sets.

Conclusions: FE is the largest collection of PRDs in the United States and remains as the most likely source for historical trend comparisons and police-department level analyses of the causes of PRDs.

目的:我们评估了致命遭遇(FE)数据库作为追踪警察相关死亡(PRDs)的开源监测系统。方法:我们将FE数据的覆盖范围与几个已知的与警察有关的死亡和警察凶杀数据的政府来源进行了比较。我们还从最近的国家暴力死亡报告系统的审查中复制了事件选择。结果:FE收集了2000-2017年n = 23,578名PRDs的数据。一项试点研究和正在进行的数据整合表明,比现有数据集的覆盖范围更大。FE数据的优点包括死亡的具体情况、事件的地理位置、所涉警察机构的识别,以及几乎可以立即获得数据。缺点包括遗属种族/族裔的高缺失率,旧数据中可能存在更高的缺失事件率,以及排除了更全面的警察使用武力和非致命性使用武力数据-这一批评适用于所有现有数据集。结论:FE是美国最大的PRDs收集,并且仍然是历史趋势比较和警察部门层面的PRDs原因分析的最有可能的来源。
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引用次数: 32
Seasonal Abundance of Fecal Indicators and Opportunistic Pathogens in Roof-Harvested Rainwater Tanks 屋顶雨水池中粪便指标和条件致病菌的季节性丰度
Pub Date : 2018-07-03 DOI: 10.5334/OHD.29
W. Ahmed, K. Hamilton, S. Toze, C. Haas
Here we provide seasonal data on the concentrations of total coliform, Escherichia coli and Enterococcus spp. and six opportunistic pathogens (Acanthamoeba spp., Legionella spp., Legionella pneumophila, Mycobacterium avium, Mycobacterium intracellulare, and Pseudomonas aeruginosa) of public health significance in 24 tank water samples over six monthly sampling events from August 2015 to March 2006. Quantitative PCR (qPCR) assays were chosen for the quantification of six opportunistic pathogens and culture-based methods were used for the enumeration of fecal indicators. The data fle has been stored in a publicly available repository. The data on concentrations of opportunistic pathogens in RHRW will provide information for rainwater users regarding potential seasonality of risks. Quantitative data presented in this study can be used to perform quantitative microbial risk assessment (QMRA) of RHRW for various potable and nonpotable uses. Data can be used by health regulators to develop guidelines related to RHRW. Funding statement: This research was undertaken and funded as part of a Fulbright-CSIRO Postgraduate Scholarship sponsored by the CSIRO Land and Water Flagship.
本文提供了2015年8月至2006年3月期间24个水箱水样中总大肠菌群、大肠杆菌和肠球菌以及6种具有公共卫生意义的条件致病菌(棘阿米巴、军团菌、嗜肺军团菌、鸟分枝杆菌、胞内分枝杆菌和铜绿假单胞菌)浓度的季节性数据。采用定量PCR (qPCR)法对6种条件致病菌进行定量,采用培养法对粪便指标进行计数。数据文件存储在一个公开可用的存储库中。RHRW中机会致病菌浓度的数据将为雨水使用者提供有关潜在季节性风险的信息。本研究提供的定量数据可用于各种饮用水和非饮用水RHRW的定量微生物风险评估(QMRA)。卫生监管机构可利用这些数据制定与RHRW有关的准则。资助声明:本研究是作为富布赖特-CSIRO研究生奖学金的一部分进行和资助的,该奖学金由CSIRO陆地和水旗舰赞助。
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引用次数: 4
VBORNET gap analysis: Mosquito vector distribution models utilised to identify areas of potential species distribution in areas lacking records. VBORNET缺口分析:蚊子媒介分布模型用于在缺乏记录的地区确定潜在物种分布区域。
Pub Date : 2016-12-19 DOI: 10.5334/OHD.27
F. Schaffner, V. Versteirt, W. Bortel, H. Zeller, W. Wint, N. Alexander
This is the first of a number of planned data papers presenting modelled vector distributions, the models in this paper were produced during the ECDC funded VBORNET project. This work continues under the VectorNet project now jointly funded by ECDC and EFSA. This data paper contains the sand fly model outputs produced as part of the VBORNET project. Further data papers will be published after sampling seasons when more field data will become available allowing further species to be modelled or validation and updates to existing models. The data package described here includes those sand fly species first modelled in 2013 and 2014 as part of the VBORNET gap analysis work which aimed to identify areas of potential species distribution in areas lacking records. It comprises four species models together with suitability masks based on land class and environmental limits. The species included within this paper are Phlebotomus ariasi, Phlebotomus papatasi, Phlebotomus perniciosus and Phlebotomus tobbi. The known distributions of these species within the project area (Europe, the Mediterranean Basin, North Africa, and Eurasia) are currently incomplete to a greater or lesser degree. The models are designed to fill the gaps with predicted distributions, to provide a) assistance in targeting surveys to collect ­distribution data for those areas with no field validated information, and b) a first indication of project wide distributions.
这是介绍建模向量分布的许多计划数据论文中的第一篇,本文中的模型是在ECDC资助的VBORNET项目期间产生的。这项工作在目前由ECDC和EFSA共同资助的VectorNet项目下继续进行。该数据文件包含作为VBORNET项目的一部分产生的沙蝇模型输出。进一步的数据论文将在采样季节结束后发表,届时将获得更多的实地数据,允许对更多的物种进行建模或验证和更新现有模型。这里描述的数据包包括2013年和2014年首次建模的沙蝇物种,作为VBORNET差距分析工作的一部分,旨在确定缺乏记录的地区的潜在物种分布区域。它包括四个物种模型以及基于陆地类别和环境限制的适宜性掩模。本文包括的种类有白蛉、白蛉、白蛉、白蛉和白蛉。这些物种在项目区域(欧洲、地中海盆地、北非和欧亚大陆)内的已知分布目前或多或少不完整。这些模型旨在填补预测分布的空白,提供a)协助有针对性的调查,以收集那些没有现场验证信息的地区的分布数据,以及b)项目范围内分布的初步指示。
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引用次数: 7
Physical Activity and Respiratory Health (PhARaoH): Data from a Cross-Sectional Study 身体活动和呼吸健康(法老):来自横断面研究的数据
Pub Date : 2016-12-05 DOI: 10.5334/OHD.28
M. Orme, D. Esliger, A. Kingsnorth, M. Steiner, Sally J. Singh, D. Malcolm, M. Morgan, L. Sherar
The dataset consists of a densely phenotyped sample of adults collected from March to August 2014. The dataset captures behavioural, physical, physiological and psychosocial characteristics of individuals with and without a General Practitioner diagnosis of chronic obstructive pulmonary disease (COPD). Data were collected at Glenfield Hospital on 436 individuals (139 COPD patients and 297 apparently healthy adults) aged 40–75 years, residing in Leicestershire and Rutland, United Kingdom. The dataset includes seven days of raw wrist-worn accelerometry, venous blood biomarkers, non-invasive point-of-care cardio-metabolic risk profiles, physical measures and questionnaire data.
该数据集由2014年3月至8月收集的密集表型成人样本组成。该数据集收集了有或没有被全科医生诊断为慢性阻塞性肺疾病(COPD)的个体的行为、身体、生理和社会心理特征。在格伦菲尔德医院收集了居住在英国莱斯特郡和拉特兰郡的年龄在40-75岁之间的436个人(139名COPD患者和297名表面健康的成年人)的数据。该数据集包括7天的原始腕带加速度计、静脉血生物标志物、非侵入性护理点心脏代谢风险概况、物理测量和问卷数据。
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引用次数: 9
Data from ‘Graphic Medicine’ as a Mental Health Information Resource: Insights from Comics Producers 作为心理健康信息资源的“图形医学”数据:来自漫画制作人的见解
Pub Date : 2016-08-30 DOI: 10.5334/OHD.25
A. Farthing, Ernesto Priego
This dataset contains the full text transcripts from 15 semi-structured interviews (approximately 44,100 words) conducted during November and December 2014 with participants involved in various aspects of the process of health-related comics production. These participants are authors and publishers and their work is publicly recognised in the comics community. The dataset has been deposited in the Open Health Data Dataverse repository as a zipped folder containing 15 individual simple text files corresponding to each interview and a ReadMe file containing contextual information and other metadata.  An initial domain analysis of the interviews was published as Farthing, A., & Priego, E. (2016). ‘Graphic Medicine’ as a Mental Health Information Resource: Insights from Comics Producers. The Comics Grid: Journal of Comics Scholarship, 6(1), 3. DOI: http://doi.org/10.16995/cg.74
本数据集包含2014年11月至12月期间进行的15次半结构化访谈(约44,100字)的全文记录,参与者涉及与健康相关的漫画制作过程的各个方面。这些参与者是作者和出版商,他们的工作在漫画界得到公开认可。数据集以压缩文件夹的形式存储在Open Health Data Dataverse存储库中,其中包含15个单独的简单文本文件,对应于每个访谈和一个包含上下文信息和其他元数据的ReadMe文件。对访谈的初步领域分析发表在Farthing, A.和Priego, E.(2016)上。“图形医学”作为心理健康信息资源:来自漫画制作人的见解。漫画网格:漫画学术杂志,6(1),3。DOI: http://doi.org/10.16995/cg.74
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引用次数: 6
Next Steps (formerly known as the Longitudinal Study of Young People in England) 下一步(以前称为英国年轻人的纵向研究)
Pub Date : 2016-02-25 DOI: 10.5334/OHD.16
L. Calderwood, C. Sanchez
Next Steps (formerly known as the Longitudinal Study of Young People in England – LSYPE) is a longitudinal study which follows a sample of around 16,000 people born in 1989/1990. Study members were recruited via schools in England when they were aged 13–14 in 2004. They were interviewed annually for seven waves until they were aged 19/20 in 2010. Co-resident parents were also interviewed in the first four waves of the study.
下一步(以前称为英国年轻人纵向研究- LSYPE)是一项纵向研究,追踪了1989/1990年出生的约16,000人的样本。研究对象是在2004年通过英国的学校招募的,他们的年龄在13-14岁之间。他们每年接受七次采访,直到2010年年满19/20岁。在研究的前四轮中,共同住院的父母也接受了采访。
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引用次数: 28
The European Distribution of Sus Scrofa . Model Outputs from the Project Described within the Poster – Where are All the Boars? An Attempt to Gain a Continental Perspective 芦笋属植物在欧洲的分布。海报中描述的项目模型产出-所有野猪在哪里?试图获得大陆视角
Pub Date : 2016-01-28 DOI: 10.5334/OHD.24
N. Alexander, G. Massei, W. Wint
Wild boar is a host of a number of arthropod-vectored diseases and its numbers are on the rise in mainland Europe. The species potentially impacts ecosystems, humans and farming practices and so its distribution is of interest to policy makers in a number of fields beyond that of the primarily epidemiological goal of this study. Three statistical model outputs describing the distribution and abundance of the species Sus scrofa (Wild boar) are included in this data package. The extent of this dataset covers continental Europe. These data were presented as a poster [1] at the conference Genes, Ecosystems and Risk of Infection (GERI 2015). The first of the three models provide a European map presenting the probability of presence of Sus scrofa, which can be used to describe the likely geographical distribution of the species. The second and third models provide indices to help describe the likely abundance across the continent. The two indices include “the proportion of suitable habitat where presence is estimated” and a simple classification of boar abundance across Europe using quantiles of existing abundance data and proxies.
野猪是许多节肢动物传播疾病的宿主,其数量在欧洲大陆呈上升趋势。该物种可能对生态系统、人类和农业实践产生影响,因此其分布在本研究的主要流行病学目标之外的许多领域都引起了决策者的兴趣。三个统计模型输出描述了物种Sus scrofa(野猪)的分布和丰度,包括在这个数据包中。这个数据集的范围涵盖了欧洲大陆。这些数据在基因、生态系统和感染风险会议(GERI 2015)上作为海报发布。三个模型中的第一个模型提供了一幅欧洲地图,显示了苏斯克罗法存在的可能性,这可以用来描述该物种可能的地理分布。第二个和第三个模型提供了指数来帮助描述整个大陆可能的丰度。这两个指数包括“估计存在的适宜栖息地的比例”,以及使用现有丰度数据和代理的分位数对整个欧洲野猪丰度进行简单分类。
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引用次数: 33
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