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A model curriculum in sexual medicine for undergraduate education in Europe. 欧洲本科教育的性医学示范课程。
Pub Date : 2024-07-29 eCollection Date: 2023-01-01 DOI: 10.12688/openreseurope.16146.2
Carlo Matteo Di Dionisio, Johannes Bitzer, Marianne Greil-Soyka

Sexual health has been recognized as an essential component of the overall health and wellbeing. The current article aims, first, to review the current state of sexual health education in undergraduate medical curricula, identifying gaps, needs and challenges. The main part of this paper describes the development and content of an undergraduate sexual medicine curriculum based on a clear concept of the competencies students should learn regarding knowledge, skills and attitudes. The content is based on a biopsychosocial understanding of human sexuality elaborated by international experts from different European countries integrating basic knowledge in biology, psychology, sociocultural and political sciences, preventive medicine, and the various therapeutic approaches to help women, men and couples with sexual health problems on a primary care level. In order to enable students to learn the basic skills of sexual history taking and sexual basic counselling two educational videos were produced. The material presented is part of the European Collaboration in Science and Technology (COST) supported project European Sexual Medicine Network (ESMN). The material provided can serve universities to give the training as a 25-30 hours course equivalent to 1 ECTS.

性健康已被视为整体健康和福祉的重要组成部分。本文旨在首先回顾医学本科课程中性健康教育的现状,找出差距、需求和挑战。本文的主要部分介绍了性医学本科课程的开发和内容,该课程基于学生应学习的知识、技能和态度等能力的明确概念。课程内容基于欧洲不同国家的国际专家对人类性行为的生物-心理-社会理解,综合了生物学、心理学、社会文化和政治科学、预防医学的基础知识,以及在初级保健层面帮助有性健康问题的女性、男性和夫妇的各种治疗方法。为了让学生学习性史采集和性基本咨询的基本技能,我们制作了两部教育视频。所提供的材料是欧洲科技合作(COST)支持的欧洲性医学网络(ESMN)项目的一部分。所提供的材料可为大学提供 25-30 小时的培训课程,相当于 1 个 ECTS。
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引用次数: 0
Facilitating remote and virtual access provision by European research infrastructures – requirements, issues, and recommendations 促进欧洲研究基础设施提供远程和虚拟接入--要求、问题和建议
Pub Date : 2024-07-24 DOI: 10.12688/openreseurope.18023.1
Michael Raess, Omran Alhaddad, Johanna Bischof, John Dolan, Ayoub El Ghadraoui, Marco Galeotti, Ulla Lächele, Xavier Meyer, Oguz Ozkan, Ivan Rodero, Hannele Savela, John Shepherdson, Vanessa Spadetto, Valentina Tegas, Susanne Vainio, Alen Vodopijevec, Bonnie Wolff-Boenisch, Claudia Alan Amaro, Annika Thies
Research Infrastructures (RIs) are strategic assets facilitating innovation and knowledge advancement across all scientific disciplines. They provide researchers with advanced tools and resources that go beyond individual or institutional capacities and promote collaboration, community-building and the application of scientific standards. Remote and virtual access to RIs enables scientists to use these essential resources without the necessity of being physically present. The COVID-19 pandemic restrictions where a catalyst for the expansion and further development of remote and virtual access models, particularly in fields where physical access had been the predominant model. The eRImote project explores pathways for digital and remote RI access through targeted surveys, stakeholder workshops, expert groups discussions, and the analysis of specific use cases. This paper provides a definition of remote and virtual access and remote training and explores their implementation across various RIs, highlighting the implications for their operational processes and the dynamics of interaction between RIs and their user communities. It presents the identified advantages, obstacles, and best-practices, alongside strategies and recommendations to navigate and mitigate challenges effectively. Key issues and recommendations are summed up separately for remote access, virtual access, and remote training, complemented by general recommendations for facilitating remote and virtual access to RIs. These relate to budgeting and funding, the balancing of RI access models, the need for regulatory frameworks for sample shipments, collaboration among RIs, impact assessment of remote and virtual access on user interactions, operational efficiency and the environment footprint of RIs, and the adaption of data sharing policies. Stakeholders are broadly invited to give their feedback on the paper’s findings and conclusions, which will be integrated into improved versions of this paper.
研究基础设施(RI)是促进所有科学学科创新和知识进步的战略资产。它们为研究人员提供超越个人或机构能力的先进工具和资源,促进合作、社区建设和科学标准的应用。通过远程和虚拟访问 RI,科学家无需亲临现场即可使用这些重要资源。COVID-19 大流行病的限制推动了远程和虚拟访问模式的扩展和进一步发展,特别是在以实体访问为主要模式的领域。eRImote 项目通过有针对性的调查、利益相关者研讨会、专家小组讨论和对具体使用案例的分析,探索数字和远程 RI 访问的途径。本文提供了远程和虚拟访问以及远程培训的定义,并探讨了它们在各种区域机构中的实施情况,强调了对其操作流程的影响以及区域机构与其用户社区之间的互动动态。本文介绍了已确定的优势、障碍和最佳做法,以及有效驾驭和减轻挑战的战略和建议。报告分别总结了远程访问、虚拟访问和远程培训的关键问题和建议,并提出了促进远程和虚拟访问区域机构的一般性建议。这些问题涉及预算和资金、区域机构访问模式的平衡、样本运输监管框架的必要性、区域机构之间的合作、远程和虚拟访问对用户互动的影响评估、区域机构的运行效率和环境足迹,以及数据共享政策的调整。我们广泛邀请利益相关者对本文的研究结果和结论提出反馈意见,并将其纳入本文的改进版本中。
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引用次数: 0
Standard Operating Procedure for the determination of trace elements in hydrothermal fluids by Inductively Coupled Plasma Mass Spectrometry (ICP-MS) 利用电感耦合等离子体质谱法(ICP-MS)测定热液中痕量元素的标准操作程序
Pub Date : 2024-07-24 DOI: 10.12688/openreseurope.15699.2
Monica Correggia, Luciano Di iorio, A. Bastianoni, Mustafa Yücel, A. Cordone, D. Giovannelli
This standard operating procedure (SOP) validates an inductively coupled plasma mass spectrometry (ICP-MS) procedure for the determination of trace elements in hydrothermal fluids. Hydrothermal fluids are aqueous solutions with a wide range of temperature, salinity, pH and trace elements that can be used by a set of microbial proteins containing redox-sensitive transition metals as their catalytic core. Due to the high variability of these samples, we have developed this protocol taking into account the special features of the matrices analyzed. An ICP-MS 7900 Agilent system was used. Calibration curves are linear in the 0.01 to 100 μg/L concentration range.
本标准操作程序(SOP)验证了测定热液中痕量元素的电感耦合等离子体质谱法(ICP-MS)程序。热液是一种水溶液,其温度、盐度、pH 值和痕量元素的范围很广,可以被一系列含有氧化还原敏感过渡金属作为催化核心的微生物蛋白质所利用。由于这些样品的变异性很高,我们在制定该方案时考虑到了所分析基质的特殊性。使用的是安捷伦公司的 ICP-MS 7900 系统。校准曲线在 0.01 至 100 μg/L 浓度范围内呈线性关系。
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引用次数: 0
Public perception and acceptance of CCUS: preliminary findings of a qualitative case study in Greece. 公众对 CCUS 的看法和接受程度:希腊定性案例研究的初步结果。
Pub Date : 2024-07-24 eCollection Date: 2023-01-01 DOI: 10.12688/openreseurope.16663.3
Kostas Stavrianakis, Jacob Nielsen, Zoe Morrison

The development and implementation of carbon capture, utilisation and storage (CCUS) technologies plays an increasingly important part in European Union (EU) countries' decarbonisation policies and strategies. Several studies have shown the important role social acceptance plays in determining the outcomes of CCUS projects and how social acceptance is shaped by the national and local contexts. Yet most studies on CCUS and social acceptance have focused on a few northern European countries despite the increasing numbers of CCUS projects across the European Union. This study seeks to help address this gap by conducting a case study on how local dynamics shaped people's acceptance and awareness of CCUS in two separate Greek communities. Based on semi-structured interviews with community members near a CCUS pilot plant, and a focus group with community members from a potential storage site, this single case study explores the factors and dynamics that shaped the participants' perceptions of CCUS technologies. Our findings indicate that, despite the low level of awareness of CCUS technologies, participants could draw on their situated knowledge to identify potential drawbacks with their application. We identified scepticism regarding the adoption of new technologies and the organisations involved based on past experiences, and a notable lack of provision of technology and location-specific information as well as public engagement by the project consortium. Our recommendations for future projects and community engagement include the early involvement of the public in project development, location-based transparent information, appropriate channels to facilitate knowledge exchange, and educational initiatives to build communities' capability to influence projects.

碳捕集、利用与封存(CCUS)技术的开发与实施在欧盟(EU)国家的去碳化政策和战略中扮演着越来越重要的角色。多项研究表明,社会接受度在决定 CCUS 项目成果方面发挥着重要作用,而国家和地方环境又是如何影响社会接受度的。然而,尽管欧盟各国的 CCUS 项目数量不断增加,但大多数有关 CCUS 和社会接受度的研究都集中在少数几个北欧国家。本研究试图通过对希腊两个不同社区的地方动态如何影响人们对 CCUS 的接受度和认知度进行案例研究,帮助弥补这一空白。通过对 CCUS 试点工厂附近的社区成员进行半结构化访谈,以及对潜在储存地点的社区成员进行焦点小组访谈,本案例研究探讨了影响参与者对 CCUS 技术看法的因素和动态。我们的研究结果表明,尽管参与者对 CCUS 技术的认识水平较低,但他们可以利用自己的知识来发现这些技术在应用过程中可能存在的缺点。我们发现,基于过去的经验,人们对采用新技术和相关组织持怀疑态度,而且项目联合体明显缺乏提供技术和特定地点的信息以及公众参与。我们对未来项目和社区参与的建议包括:让公众尽早参与项目开发、提供基于位置的透明信息、提供适当的渠道促进知识交流,以及开展教育活动以培养社区影响项目的能力。
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引用次数: 0
Transforming European food Systems with multi-actor networks and living labs through the FoodSHIFT Approach 通过 FoodSHIFT 方法,利用多行为体网络和生活实验室改造欧洲食品系统
Pub Date : 2024-07-18 DOI: 10.12688/openreseurope.17982.1
Luke J. Schafer, Aida Anthouli, Alessandra Schmidt, Anita Beblek, Annika Fruehbeisser, Beatrice Walthall, Carla Mingolla, Catalina Rogozan, D. Petruzzella, Dirk Wascher, Francesca Volpe, Giordano Ruggeri, Gustavo Arciniegas, J. Vicente-Vicente, Katerina Riviou, Katerina Valta, Lena Marijke Wenzel, Lorenzo Labellarte, M. Crivits, M. Świąder, M. Lysák, Marta Sylla, Poppy Eyre, Raluca Barbu, Stefano Corsi, C. B. Henriksen
Our current global food system is facing extraordinary challenges in both size and severity, including a rise in unsustainable consumption behaviours, continued environmental degradation, growing food insecurity, and widening social inequalities. A food system transformation is now both critically important and overwhelmingly complex, requiring nothing less than a complete overhaul of the entire value chain. Everyone is needed: SMEs with technological solutions, NGOs with social innovations, researchers with novel methodologies, governments with food policy advancements, professionals with varying expertise, and last but not least, empowered and informed citizens with the ability and resources for better decision-making. Living Labs offer a holistic, place-based approach needed to facilitate multi-actor inputs on various levels, specifically Food System Living Labs (FSLLs) like the ones established as part of the FoodSHIFT 2030 Project. Nine front-runner Food System Living Labs were operationalised alongside a novel framework merging high-level interdisciplinary initiatives with a diverse set of innovative approaches towards food system transition. The FoodSHIFT Approach concept was praised by external evaluators for its ground-breaking framework, and the nearly completed project has been listed as a best practice. However, positive applications alone will not ensure a societal-wide food system transformation, and the following text offers a critical reflection coupled with experience-based solutions to further improve the FoodSHIFT Approach.
我们当前的全球粮食系统正面临着规模和严重程度都非同一般的挑战,包括不可持续的消费行为增多、环境持续恶化、粮食日益不安全以及社会不平等现象不断扩大。现在,粮食系统转型既极其重要,又极其复杂,需要对整个价值链进行彻底改革。我们需要每一个人:提供技术解决方案的中小型企业、进行社会创新的非政府组织、采用新方法的研究人员、推动粮食政策进步的政府、具备各种专业知识的专业人士,最后但并非最不重要的是,有能力、有资源做出更好决策的知情公民。"生活实验室 "提供了一种全面的、以地方为基础的方法,以促进多方参与者在各个层面的投入,特别是粮食系统生活实验室(FSLLs),如作为 "粮食转变 2030 "项目一部分而建立的实验室。九个领先的 "粮食系统生活实验室 "与一个新颖的框架一起运作,该框架将高层次的跨学科倡议与实现粮食系统转型的一系列创新方法结合在一起。粮食转型方法概念因其开创性的框架而受到外部评估人员的称赞,即将完成的项目已被列为最佳做法。然而,仅靠积极的应用并不能确保全社会粮食系统的转型,下文提供了批判性的反思以及基于经验的解决方案,以进一步改进 "粮食转变方法"。
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引用次数: 0
Demonstration of the potential use of off-grid renewable energy in agricultural production in rural Uganda 在乌干达农村地区示范离网可再生能源在农业生产中的潜在用途
Pub Date : 2024-07-16 DOI: 10.12688/openreseurope.17805.1
Agnes Mirembe, Ronah Nakiirya, Monica K. Kansiime
Background As the world's consciousness of the threats posed by the current state of climate change and its related consequences on food security increase, several nations, including Uganda, have modified their long-term plans for the shift to low-carbon economies and provision of affordable off-grid renewable energy (RE) sources especially in rural areas. Methods Through a citizen science initiative, this study examined the adoption of off-grid renewable energy in agricultural production in rural Uganda, with a focus on solar, charcoal briquettes, and biogas technologies. The study employed a cross-sectional study design and combined qualitative and quantitative data collection methods. Data were collected through structured interviews with 1,068 households and 20 key informants. An in-depth review of case studies of RE use in agriculture was also done. Results All respondents embraced at least one RE technology, predominantly solar (92% of respondents), highlighting its widespread adoption. Women exhibited higher adoption rates, particularly in solar and charcoal briquettes usage. The diverse applications of RE in agriculture were evident ranging from solar-powered irrigation, drying of produce, brooding, to biogas digesters for fertilizer production. Benefits associated with RE implementation were multifaceted, including time savings, enhanced health and safety, income generation, and environmental sustainability. Despite these advantages, barriers such as high initial costs and limited awareness persist. Conclusions This study highlights the significant potential of off-grid renewable energy in agricultural production in rural Uganda. Widespread adoption and scale-up of RE technologies requires strong collaborations between government, non-government organisations and private actors to build community awareness, train community resource persons on operation and management, and provide financing for the acquisition of RE technologies.
背景 随着世界对气候变化现状造成的威胁及其对粮食安全相关后果的认识不断提高,包括乌干达在内的一些国家已经修改了其向低碳经济转变的长期计划,并特别在农村地区提供负担得起的离网可再生能源(RE)。方法 通过公民科学倡议,本研究考察了乌干达农村地区在农业生产中采用离网可再生能源的情况,重点关注太阳能、炭砖和沼气技术。本研究采用横断面研究设计,并结合了定性和定量数据收集方法。通过对 1,068 户家庭和 20 名关键信息提供者进行结构化访谈收集数据。此外,还对可再生能源在农业中的应用案例进行了深入研究。结果 所有受访者都接受了至少一种可再生能源技术,主要是太阳能技术(92% 的受访者),这突出表明了该技术的广泛采用。妇女的采用率较高,尤其是在太阳能和炭砖使用方面。可再生能源在农业中的应用多种多样,从太阳能灌溉、农产品烘干、育雏,到用于肥料生产的沼气池,不一而足。实施可再生能源的好处是多方面的,包括节省时间、增强健康和安全、创收和环境可持续性。尽管有这些优势,但初始成本高和认识有限等障碍依然存在。结论 本研究强调了离网可再生能源在乌干达农村农业生产中的巨大潜力。要广泛采用和推广可再生能源技术,需要政府、非政府组织和私营部门之间的大力合作,以提高社区意识,对社区资源人员进行操作和管理方面的培训,并为获取可再生能源技术提供资金。
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引用次数: 0
Qualitative-archival research on migration is not just preservation 关于移民的定性-档案研究不仅仅是保护
Pub Date : 2024-07-16 DOI: 10.12688/openreseurope.17804.1
Federica Manzoli, Matteo Al Kalak, Maria Chiara Rioli
Qualitative-archival research is needed to support effective policies and the work of practitioners working in the field of migration. This Open Letter helps readers to understand how this happens in different contexts, as more than 150 stakeholders among researchers, policymakers, practitioners, migrant associations, governments, civil society/non-governmental organisations and migrants in seven countries around the Mediterranean contributed to discuss this topic, during the H2020 project ITHACA - Interconnected Histories and Archives for Migrant Agency. Three main key findings emerge. Qualitative-archival research is not just “preservation”: it shows the potential of providing dynamic and interlinked information, including legal frameworks, policy documents, historical context, and original narratives, capable of supporting policies in the long term. Besides this, it is a potential tool to foster the agency of migrants. Qualitative-archival research can be a powerful tool for social innovation, as conducting qualitative research, based on individual and collective narratives, is a necessary basis to non-emergency policies and to social work planning and evaluation. Research helps to explain the reasons behind the migration phenomena and to contextualise them where it is most needed, whether in political, educational, labour, health or reception settings. Space, time and people are the three main enablers. for better qualitative and archival research-policy relations: qualitative archival research offers contextual and comparative tools to investigate in-depth local features and to possibly extend them to the national and international levels.
需要开展定性-历史研究,以支持移民领域的有效政策和从业人员的工作。在 H2020 项目 "ITHACA--移民机构相互关联的历史和档案"(ITHACA--Interconnected Histories and Archives for Migrant Agency)期间,地中海周边七个国家的研究人员、政策制定者、从业人员、移民协会、政府、公民社会/非政府组织和移民中的 150 多名利益相关者参与了这一主题的讨论。得出了三大主要结论。定性档案研究不仅仅是 "保存":它显示出提供动态和相互关联信息的潜力,包括法律框架、政策文件、历史背景和原始叙事,能够长期支持政策。除此之外,它还是促进移民能动性的潜在工具。定性-历史研究可以成为社会创新的有力工具,因为基于个人和集体叙述的定性研究是非紧急政策以及社会工作规划和评估的必要基础。研究有助于解释移民现象背后的原因,并在最需要的地方,无论是在政治、教育、劳动、卫生还是接待环境中,对移民现象进行背景分析。空间、时间和人员是三个主要的促进因素。为了改善定性和档案研究与政策之间的关系:定性档案研究提供了背景和比较工具,以深入调查当地的特点,并有可能将其扩展到国家和国际层面。
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引用次数: 0
Investor demand in syndicated EFSF/ESM bond issuances. 投资者对 EFSF/ESM 联合债券发行的需求。
Pub Date : 2024-07-16 eCollection Date: 2023-01-01 DOI: 10.12688/openreseurope.15961.1
Martin Hillebrand, Marko Mravlak, Peter Schwendner

The European Financial Stability Facility (EFSF) and the European Stability Mechanism (ESM) were set up at the peak of the European sovereign debt crisis to issue bonds and lend to countries under current funding stress. This study analyses investor demand in syndicated bond issuances of EFSF and ESM from 2014 to 2020 on an unprecedented granularity level using a dataset of individual orders with statistical inference. Particularly, we investigate orderbook dynamics for three main aspects: first, we determine the main factors segmenting investor demand. Second, we analyse price dynamics in the transactions and their relation to investor demand. Third, we investigate whether any indications of orderbook inflation might explain the increased volatility in orderbook volume. We identify issuance tranche and tenor as the main determinants of investor demand that are largely anticipated in the notional. Further, we note that ESM is doing economical pricing, where the new issue premium tends to be lower in a market context with larger demand. Lastly, we find a mixture of an increasing number and an increasing volume of orders as drivers of large order books. This confirms that there are no indications of orderbook inflation tendencies in the analysed time period.

欧洲金融稳定基金(EFSF)和欧洲稳定机制(ESM)是在欧洲主权债务危机高峰期成立的,目的是向当前资金紧张的国家发行债券和提供贷款。本研究利用个人订单数据集和统计推断,以前所未有的粒度分析了 2014 年至 2020 年 EFSF 和 ESM 银团债券发行中的投资者需求。特别是,我们从三个主要方面研究了订单动态:首先,我们确定了细分投资者需求的主要因素。其次,我们分析了交易中的价格动态及其与投资者需求的关系。第三,我们调查是否有任何订单膨胀迹象可以解释订单量波动的增加。我们发现,发行档次和期限是投资者需求的主要决定因素,这在很大程度上是名义上的预期。此外,我们注意到,ESM 正在进行经济定价,在需求较大的市场背景下,新股溢价往往较低。最后,我们发现,订单数量的增加和订单量的增加共同推动了大额订单的产生。这证明,在所分析的时期内,没有迹象表明存在订单膨胀的趋势。
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引用次数: 0
Advancing research on Blastocystis through a One Health approach 通过 "一体健康 "方法推进对大疱菌的研究
Pub Date : 2024-07-12 DOI: 10.12688/openreseurope.18046.1
Anastasios D. Tsaousis, Eleni Gentekaki, C. R. Stensvold
Blastocystis is the most prevalent intestinal eukaryotic microorganism with significant impacts on both human and animal health. Despite extensive research, its pathogenicity remains controversial. The COST Action CA21105, "Blastocystis under One Health" (OneHealthBlastocystis), aims to bridge gaps in our understanding by fostering a multidisciplinary network. This initiative focuses on developing standardised diagnostic methodologies, establishing a comprehensive subtype and microbiome databank, and promoting capacity building through education and collaboration. The Action is structured into five working groups, each targeting specific aspects of Blastocystis research, including epidemiology, diagnostics, 'omics technologies, in vivo and in vitro investigations, and data dissemination. By integrating advances across medical, veterinary, public, and environmental health, this initiative seeks to harmonise diagnostics, improve public health policies, and foster innovative research, ultimately enhancing our understanding of Blastocystis and its role in health and disease. This collaborative effort is expected to lead to significant advancements and practical applications, benefiting the scientific community and public health.
Blastocystis 是最常见的肠道真核微生物,对人类和动物健康都有重大影响。尽管对其致病性进行了广泛研究,但仍存在争议。COST行动CA21105 "同一健康下的大肠囊虫"(OneHealthBlastocystis)旨在通过建立多学科网络来弥补我们认识上的差距。这项行动的重点是开发标准化诊断方法,建立一个全面的亚型和微生物组数据库,并通过教育和合作促进能力建设。该行动分为五个工作组,每个工作组都针对子囊虫研究的特定方面,包括流行病学、诊断学、'omics'技术、体内和体外调查以及数据传播。通过整合医学、兽医学、公共卫生和环境卫生方面的进展,该计划旨在协调诊断方法、改善公共卫生政策和促进创新研究,最终提高我们对大疱菌及其在健康和疾病中的作用的认识。这一合作努力有望带来重大进展和实际应用,造福科学界和公众健康。
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引用次数: 0
Promoting physical activity and healthy diets by modifying the social and/or physical environment at local level: a scoping review of evidence-based policy actions. 在地方一级通过改变社会和/或物质环境来促进体育锻炼和健康饮食:对循证政策行动的范围界定审查。
Pub Date : 2024-07-12 DOI: 10.12688/openreseurope.17770.1
Elisa Chilet Rosell, Marta Puig García, Blanca Lumbreras, María Pastor Valero, Ildefonso Hernández Aguado, L. A. Parker
Background We aimed to map evidenced-based policy actions proposed by public health institutes or organizations to promote physical activity and healthy diets by modifying the social and/or physical environment at the local level. Methods We conducted a scoping review to identify relevant evidence-based policy actions proposed by public health institutions. We used a two-step strategy to identify government-supported public health institutes or organizations that generate evidence-based recommendations for policy actions. We included policy actions if they 1) aimed at increasing physical activity or improving diet; 2) focused on modifying the physical or social environments; 3) were implemented at the local or community level; 4) were expressed as a concrete action rather than a general aim; and 5) were described explicitly as being based on evidence. Results Starting from 121 public health institutes, we identified 8 relevant organizations and reviewed 63 guidelines or reports that included actions to promote healthy diets and physical activity. Of the 540 proposed actions on diet and 358 on physical activity, 118 met the inclusion criteria. Given that many of the actions were recommended by multiple institutes, we synthesized the information in the infographics to provide recommendations on diet and physical activity in outdoor and indoor settings and schools. Conclusions Public health institutes have generated a wide range of evidence-based recommendations for the promotion of healthy diets and physical activity by modifying the physical and social environment that can be implemented in local settings. Future actions should address barriers to implementing these recommendations and analyze the determinants of local policy decisions.
背景 我们旨在绘制公共卫生机构或组织提出的循证政策行动图,以通过在地方层面改变社会和/或物理环境来促进体育锻炼和健康饮食。方法 我们进行了一次范围审查,以确定公共卫生机构提出的相关循证政策行动。我们采用了两步策略来确定政府支持的、为政策行动提出循证建议的公共卫生机构或组织。如果政策行动 1) 以增加体育锻炼或改善饮食为目标;2) 以改变物质或社会环境为重点;3) 在地方或社区层面实施;4) 被表述为具体行动而非一般目标;5) 被明确描述为基于证据,我们就将其纳入其中。结果 从 121 个公共卫生机构开始,我们确定了 8 个相关组织,并审查了 63 份包含促进健康饮食和体育锻炼行动的指南或报告。在 540 项有关饮食和 358 项有关体育锻炼的建议行动中,有 118 项符合纳入标准。鉴于许多行动是由多个机构推荐的,我们对信息图表中的信息进行了综合,为户外、室内和学校的饮食和体育活动提供了建议。结论 公共卫生机构已经提出了一系列以证据为基础的建议,通过改变物理和社会环境来促进健康饮食和体育锻炼,这些建议可以在当地环境中实施。未来的行动应解决实施这些建议的障碍,并分析地方决策的决定因素。
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