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Growing Healthy Communities Initiative 成长健康社区倡议
Pub Date : 2018-12-01 DOI: 10.32398/CJHP.V16I2.2092
J. Snyder, A. Kanekar, B. Prince
A contributing factor to the U.S. national obesity epidemic is the built environment-the physical aspects of a community in which we live, work and engage in our everyday activities. Therefore, modifying the built environment can be a solution to address the epidemic. Such an example is the Arkansas Coalition for Obesity Prevention (ArCOP) Growing Healthy Communities (GHC) initiative. The GHC initiative encourages community health workers, health education specialists, government officials and other stakeholders to embrace community collaboration in efforts to improve built environments by equipping them with resources that increase community access to healthy foods and physical activities to help combat obesity. ArCOP to date has funded 100+ GHC communities in Arkansas. One of the five communities being highlighted by the authors for their GHC efforts includes: the University of Arkansas at Little Rock University District community, in which the authors have contributed to implementing various GHC projects for the residents of this community. The GHC, a state initiative, has implications for national and global use, and it is emerging as an exemplary best practice model. It provides communities with effective strategies to help address the health inequities of obesity, through prevention and intervention measures to improve health behaviors.
造成美国全国肥胖流行的一个因素是建筑环境——我们生活、工作和从事日常活动的社区的物理方面。因此,改造建筑环境可能是解决这一流行病的一种办法。这样一个例子就是阿肯色州预防肥胖联盟(ArCOP)发展健康社区(GHC)倡议。GHC倡议鼓励社区卫生工作者、健康教育专家、政府官员和其他利益攸关方开展社区合作,努力改善建筑环境,为他们提供资源,增加社区获得健康食品和体育活动的机会,以帮助对抗肥胖。迄今为止,ArCOP已经在阿肯色州资助了100多个GHC社区。作者在GHC工作中强调的五个社区之一包括:阿肯色大学小石城大学区社区,作者为该社区居民实施各种GHC项目做出了贡献。GHC是一项国家倡议,对国家和全球的使用都有影响,它正在成为典范性的最佳实践模式。它通过预防和干预措施改善健康行为,为社区提供有效战略,帮助解决肥胖造成的健康不平等问题。
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引用次数: 0
Training Dieters to Eat Intuitively with a Mobile Application 训练节食者直观地吃与移动应用程序
Pub Date : 2018-12-01 DOI: 10.32398/CJHP.V16I2.2091
L. Outland
Weight loss is commonly recommended to prevent cardiometabolic diseases like hypertension, heart disease, and diabetes. Rather than lead to a long-term healthy weight, dieting can result in weight cycling, which has been shown to be more harmful to health than being overweight. An emerging solution to prevent both excess weight gain and weight cycling is to avoid extremes of hunger and fullness by eating intuitively. Intuitive eating or mindful eating means tuning into interoceptive cues of hunger and fullness to guide when and how much to eat. Mindful eating has been linked to both heart, and metabolic health. It is, however, often labor intensive to retrain chronic dieters to intuitively eat what they need, and nothing more. This study describes a mobile health application that mimics an in-office intuitive eating coaching session. It utilizes homeostasis concepts, and components of the Health Belief Model; including, cues to action, phone prompts, minimal barriers to use, and self-efficacy through repeated immediate feedback. It is expected that this innovation could assist or replace the more labor-intensive in-person methods that exist to train previous dieters to eat intuitively. An enhanced description of this mobile application, the PaleoIntuitive app, is presented in this paper along with a discussion of its expected impact on health behavior.
减肥通常被推荐用来预防心脏代谢疾病,如高血压、心脏病和糖尿病。节食不会导致长期健康的体重,反而会导致体重循环,这比超重对健康的危害更大。一种防止体重增加和体重循环的新方法是通过直觉来避免极端的饥饿和饱腹感。直觉饮食或有意识饮食意味着调整到饥饿和饱腹的内在感受线索,以指导何时进食以及进食多少。正念饮食与心脏和代谢健康有关。然而,重新训练长期节食者直觉地只吃他们需要的,仅此而已,往往是一项劳动密集型工作。本研究描述了一个移动健康应用程序,模仿在办公室直观的饮食指导会议。它利用了内稳态概念和健康信念模型的组成部分;包括,行动提示,电话提示,最小的使用障碍,以及通过重复的即时反馈的自我效能。预计这项创新可以帮助或取代现有的更劳动密集型的面对面方法,以训练以前的节食者直观地进食。这一移动应用程序的增强描述,古直觉应用程序,在论文中提出,并讨论了其对健康行为的预期影响。
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引用次数: 0
Father’s Role in Secondhand Smoke Exposure During Pregnancy 父亲在怀孕期间接触二手烟中的作用
Pub Date : 2018-12-01 DOI: 10.32398/CJHP.V16I2.2090
Y. Huang
Background: The effects of smoke from tobacco products are harmful to pregnant mothers and their unborn children. The problem is not limited to mothers who themselves smoke; fathers who are smokers expose expectant mothers to secondhand smoke. This review identifies and examines the role fathers play in exposing pregnant mothers to passive smoke that leads to secondary medical conditions for women and their children. Methods: The study examined 70 articles from peer-reviewed journals in the following databases: Scopus, Science Direct, Wiley Online, MEDLINE, ProQuest Central, and PsycINFO. The literature search focused on articles with publication dates from 2006 to 2016. Results: A total of 10 articles provided evidence for various effects of secondhand smoke such as asthma, spontaneous abortions, stillbirths, congenital malformations, and low birth weight. Furthermore, the literature presented an extensive background regarding the paternal role in a pregnant mother’s exposure to smoke. Conclusion: Paternal smoking during pregnancy has a significant effect on the health of the mother and the child during pregnancy. Health care professionals should reinforce safety measures for pregnant women to prevent medical disorders resulting from exposure to smoking
背景:烟草制品产生的烟雾对孕妇及其未出生的孩子有害。这个问题不仅限于吸烟的母亲;吸烟的父亲会使孕妇暴露在二手烟中。本综述确定并审查了父亲在使孕妇暴露于被动吸烟中所起的作用,这种被动吸烟会导致妇女及其子女出现二次医疗状况。方法:本研究检查了来自Scopus、Science Direct、Wiley Online、MEDLINE、ProQuest Central和PsycINFO等数据库中同行评议期刊的70篇文章。文献检索的重点是发表日期为2006年至2016年的文章。结果:总共有10篇文章提供了二手烟的各种影响的证据,如哮喘、自然流产、死胎、先天性畸形和低出生体重。此外,文献提出了一个广泛的背景关于父亲的角色在怀孕母亲暴露于吸烟。结论:孕期父亲吸烟对孕期母婴健康有显著影响。卫生保健专业人员应加强对孕妇的安全措施,以防止因吸烟引起的疾病
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引用次数: 0
Evaluation of the Factors Influencing Participation in the National School Lunch Program (NSLP) for Latino Students During Middle School and High School Years 影响初高中拉丁裔学生参加国家学校午餐计划的因素评估
Pub Date : 2018-12-01 DOI: 10.32398/CJHP.V16I2.2087
D. Edens, Adriana L Lopez, L. Kessler, B. Burns-Whitmore
Background and Purpose: In California, approximately 3.2 million students participated in the National School Lunch Program (NSLP in 2015). It is estimated that Latino students received over 760,000 meals through the NSLP program. This study evaluates factors that influence middle and high school Latino students’ participation in the (NSLP). Methods: Study participants were a convenience sample of students (n = 232) utilizing a 22-question survey tool. The independent variables were grade level, gender, ethnicity, perceived social stigma, competitive foods served on and off campus, peer influences and parental influences. The dependent variable was participation in the NSLP. T-test, ANOVA, and Stepwise multiple regression were used to answer the research questions. Results: Latino students were not significantly different from non-Latino students in their participation rates in the NSLP. There were several significant predictors of NSLP participation for Latino students. Meal eligibility was the only significant predictor of participation in the NSLP for Latino students who are low-participators. Conclusions: Latino students are different from non-Latino students in the factors that influence their participation in the NSLP. Future research is needed to clarify the factors impacting Latino NSLP participation.
背景和目的:在加州,2015年大约有320万学生参加了国家学校午餐计划(NSLP)。据估计,拉丁裔学生通过NSLP计划获得了超过76万顿饭。本研究评估影响初高中拉丁裔学生参与(NSLP)的因素。方法:研究参与者为便利样本的学生(n = 232),使用22个问题的调查工具。自变量包括年级水平、性别、种族、感知到的社会耻辱、校内和校外提供的竞争性食物、同伴影响和父母影响。因变量为参与NSLP。采用t检验、方差分析、逐步多元回归等方法回答研究问题。结果:拉丁裔学生与非拉丁裔学生在NSLP的参与率上无显著差异。拉丁裔学生参与NSLP有几个重要的预测因素。膳食资格是参与低参与者的拉丁裔学生参与NSLP的唯一显著预测因子。结论:影响拉美裔学生参与NSLP的因素与非拉美裔学生不同。需要进一步的研究来澄清影响拉丁裔美国人参与非slp的因素。
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引用次数: 2
16.2 Table of Contents 16.2目录
Pub Date : 2018-12-01 DOI: 10.32398/cjhp.v16i2.2244
E. Board
.
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引用次数: 0
Promoting Physical Activity in Parks 促进公园内的体育活动
Pub Date : 2018-12-01 DOI: 10.32398/CJHP.V16I2.2088
K. Wilson, Brittany Kato, Elia Garcia
Background and Purpose: Adding outdoor gym equipment to a park has the potential to influence the physical activity of park users. This study piloted the feasibility of utilizing kinesiology students as physical activity coaches to promote physical activity and to motivate park users to use the outdoor exercise equipment in public parks. Methods: Pairs of student coaches (N=24) were placed in 10 parks throughout four cities for a total of 12 coaching sessions per week for 11 weeks. Students were trained in motivational interviewing techniques and behavior change skills to incorporate during their interactions with park users. Data was collected using attendance at the coaching sessions as well as the Systems for Observing Play and Recreation in Communities to scan park use before and after the pilot. Descriptive statistics and dependent t-tests were used to compare the difference in park use. Results: Students coached 205 residents and tracked 475 residents using the exercise equipment. There was no significant difference in park use (p=.066) or exercise equipment use (p=0.58), although numbers were lower after the pilot. However, the percentage of vigorously active users on the exercise equipment remained constant (37.9% vs. 36.3%, p=. 91). Conclusion: Despite no differences in use over time, the student coaches engaged with many users, supporting the feasibility of this approach.
背景和目的:在公园中增加户外健身设备可能会影响公园使用者的身体活动。本研究对利用运动机能学学生作为体育活动教练促进体育活动,激励公园使用者使用公园户外运动器材的可行性进行了试点。方法:对学生教练(N=24)被安排在四个城市的10个公园,每周共进行12次辅导,为期11周。学生们接受了动机性访谈技巧和行为改变技巧方面的培训,以融入他们与公园使用者的互动中。通过参加培训课程以及观察社区游戏和娱乐系统来收集数据,以扫描试点前后的公园使用情况。采用描述性统计和相关t检验比较公园使用的差异。结果:学生们指导了205名居民,并跟踪了475名使用健身器材的居民。在公园的使用(p= 0.066)和运动器材的使用(p=0.58)方面没有显著差异,尽管在试点后数字有所下降。然而,在运动器材上剧烈活动的用户比例保持不变(37.9% vs. 36.3%, p=。91)。结论:尽管随着时间的推移,使用情况没有差异,但学生教练与许多用户接触,支持该方法的可行性。
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引用次数: 1
Nutrition Campaign Knowledge and Dietary Behavior in Middle School Students. 中学生营养运动知识与饮食行为。
Pub Date : 2018-12-01 DOI: 10.32398/CJHP.V16I2.2086
Sarah E. Roth, Monique Gill, S. Puri, Alec M. Chan-Golston, C. Crespi, Stephanie L. Albert, Lindsay N. Rice, Michael L. Prelip
BackgroundFederal nutrition campaigns are designed to make dietary recommendations accessible but have not been extensively evaluated. This paper explores whether knowledge of nutrition campaigns is associated with dietary behavior among young adolescents.MethodsCross-sectional survey data were collected from 4,773 middle school students in Southern California. Hierarchical logistic regression models were used to assess the association between dietary behaviors and nutrition campaign knowledge, controlling for gender and ethnicity.ResultsKnowledge of the Fruit & Veggies-More Matters campaign was associated with increased odds of high fruit and vegetable consumption, knowledge of the MyPlate campaign was associated with neither, and both were associated with increased odds of not consuming soda.ConclusionOverall, low percentages of students demonstrated knowledge of nutrition campaigns, and knowledge was associated with some dietary behaviors. More research is needed to examine the impact of nutrition campaigns while also accounting for other psychosocial and environmental factors that may affect soda, fruit, and vegetable consumption.
背景:联邦营养运动旨在使膳食建议易于获取,但尚未得到广泛评估。本文探讨营养运动的知识是否与青少年的饮食行为有关。方法对南加州4773名中学生进行横断面调查。分层逻辑回归模型用于评估饮食行为和营养运动知识之间的关系,控制性别和种族。结果:“水果和蔬菜更重要”活动的知识与高水果和蔬菜消费的可能性增加有关,“我的盘子”活动的知识与两者都无关,两者都与不喝苏打水的可能性增加有关。结论总体而言,学生对营养运动的知晓率较低,且知晓率与某些饮食行为有关。需要更多的研究来检验营养运动的影响,同时考虑到其他可能影响苏打水、水果和蔬菜消费的社会心理和环境因素。
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引用次数: 4
Taking on a Community Solutions Process (Co-Solve) to the Pain and Opioid Epidemic 采取社区解决方案过程(共同解决)疼痛和阿片类药物流行
Pub Date : 2018-12-01 DOI: 10.32398/CJHP.V16I2.2093
A. Ramezani, Lori K. Roberto, Alex L. Andrade, C. Demesa, Ryan Carver, R. Khan, L. Aria, D. Rockers, Lisa A. Barry, C. Rasmussen, Saideh Malekafzali, Maji Singh Aurora, C. Cohen, Carrie G. Rogers, S. Lloyd
America’s healthcare providers and patients are challenged by an overwhelming high prevalence of chronic pain and opioid misuse. Approximately 23.4 million adults suffer from daily pain and in 2014, nearly 61% of Americans who died from drug overdoses used an opioid analgesic. Unrecognized addiction, untreated psychiatric comorbidity, and lack of training/education for providers and patients are factors associated with chronic pain and opioid misuse. Communication strategies and structures are required to enhance collaboration between multidisciplinary providers and institutions. On September 28, 2017, an open panel discussion with pain specialists from three major academic and medical institutes in Sacramento, California initiated an integrative community solutions process to optimize pain education best practices and to protect public health. The attendees represented a wide range of healthcare disciplines. This commentary describes ideas derived from dialogue between community attendees and panelists, which considers both healthcare provider characteristics and patients’ cultural backgrounds. Providers of most disciplines underscored the need to share information and institute cross-disciplinary training on pain and behavioral health treatments. In conclusion, we outline an integrative community-based framework, namely the Community Solutions Process (Co-Solve), to help other communities to implement and derive their own action-oriented solutions unique to their population.
美国的医疗保健提供者和患者面临着慢性疼痛和阿片类药物滥用的压倒性高患病率的挑战。大约有2340万成年人每天遭受疼痛的折磨,2014年,近61%的美国人死于药物过量使用阿片类镇痛药。未被识别的成瘾,未经治疗的精神合并症,以及对提供者和患者缺乏培训/教育是与慢性疼痛和阿片类药物滥用相关的因素。需要沟通战略和结构来加强多学科提供者和机构之间的协作。2017年9月28日,来自加利福尼亚州萨克拉门托三家主要学术和医疗机构的疼痛专家进行了公开小组讨论,启动了一个综合社区解决方案流程,以优化疼痛教育最佳实践并保护公众健康。与会者代表了广泛的医疗保健学科。这篇评论描述了来自社区参与者和小组成员之间对话的想法,其中考虑了医疗保健提供者的特征和患者的文化背景。大多数学科的提供者强调有必要就疼痛和行为健康治疗进行信息共享和跨学科培训。最后,我们概述了一个以社区为基础的综合框架,即社区解决方案进程(Co-Solve),以帮助其他社区实施并得出他们自己独特的以行动为导向的解决方案。
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引用次数: 0
Comparative De Novo Transcriptome Assembly of Notophthalmus viridescens RNA-seq Data using Two Commercial Software Programs. 使用两种商业软件程序比较Notophthalmus病毒RNA-seq数据的从头转录组组装。
Pub Date : 2018-06-01 DOI: 10.32398/cjhp_20181601
Jonathan Chacon, Math P Cuajungco

Background and purpose: The reduction of cost and ease of using core laboratories or commercial sequencing companies have allowed biomedical and health researchers alike to employ reference-based genomic or transcriptomic sequencing (RNA-seq) projects to expand their work. Non-reference based data analysis, in cases of inexperienced researchers, become more challenging despite the availability of many open source and commercial software programs.

Methods: We performed de novo assembly of RNA-seq data obtained from a non-model organism (Eastern Newt skin) to compare data output of two commercially available software workflows.

Results: Our results show that the software packages performed satisfactorily albeit with differences in how the annotated and novel transcripts were identified and listed.

Conclusion: Overall, we conclude that the use of commercial software platforms has a clear advantage to that of open source programs because of convenience with data analysis workflows. One caveat is that users need to know the software's basic algorithm and technical approach, in order to determine the precision and validity of the data output. Thus, it is imperative that researchers fully evaluate the software according to their needs to determine their suitability.

背景和目的:由于成本的降低和使用核心实验室或商业测序公司的便利性,生物医学和健康研究人员都可以采用基于参考的基因组或转录组测序(RNA-seq)项目来扩大他们的工作。尽管有许多开源和商业软件程序,但对于缺乏经验的研究人员来说,非参考数据分析变得更具挑战性。方法:我们对从非模式生物(东部蝾螈皮肤)获得的RNA-seq数据进行了从头组装,以比较两种市售软件工作流的数据输出。结果:我们的结果表明,尽管在如何识别和列出注释和新颖转录本方面存在差异,但软件包的表现令人满意。结论:总的来说,我们得出结论,使用商业软件平台比使用开源程序有明显的优势,因为数据分析工作流程更方便。需要注意的是,用户需要知道软件的基本算法和技术方法,以便确定数据输出的精度和有效性。因此,研究人员必须根据自己的需要对软件进行充分的评估,以确定其适用性。
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引用次数: 2
Big Data Science Training Program at a Minority Serving Institution: Processes and Initial Outcomes. 少数民族服务机构的大数据科学培训计划:过程和初步结果。
Pub Date : 2018-06-01 DOI: 10.32398/CJHP.V16I1.2118
A. McEligot, M. Cuajungco, S. Behseta, Laura Chandler, Harmanpreet Chauhan, S. Mitra, P. Rusmevichientong, S. Charles
Big Data refers to data that are so large and complex, making it difficult or impossible to manage with traditional computing/software and hardware (Frost 2015; Bellazzi 2014). The volume of electronic data worldwide, just in the healthcare field, is overwhelming with an estimate of nearly 1 billion terabytes of data, and continuing to exponentially grow to zetabytes of data (Cottle, Hoover, Kanwal, Kohn, Strome & Treister, 2013). Not only is the volume of Big Data staggering, but the variety and veracity of the various forms and types of data (structured and unstructured) make it a critical area for research, training and education (Cottle et al., 2013).
大数据是指如此庞大和复杂的数据,使得传统的计算/软件和硬件难以或不可能管理(Frost 2015;Bellazzi 2014)。全球范围内,仅在医疗保健领域,电子数据的数量就势如势利,估计有近10亿tb的数据,并继续以指数增长到zetabytes的数据(Cottle, Hoover, Kanwal, Kohn, Strome & Treister, 2013)。不仅大数据的数量惊人,而且各种形式和类型的数据(结构化和非结构化)的多样性和准确性使其成为研究,培训和教育的关键领域(科特尔等人,2013)。
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引用次数: 1
期刊
Californian journal of health promotion
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