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Spotlight: An Interview with NCCIH Director, Dr. Helene M. Langevin, on Whole Person Health 聚焦:采访NCCIH主任Helene M. Langevin博士,关于全人健康
Pub Date : 2022-09-01 DOI: 10.3390/challe13020042
A. Logan, H. Langevin
In an ongoing series of spotlight interviews, Challenges Advisory Board Member and Nova Institute for Health Fellow, Alan C. Logan, meets with thought leaders, scientists, scholars, healthcare professionals, artisans and visionaries concerned about health at scales of persons, places and the planet. Here in the inaugural interview, the Director of the National Institutes of Health, National Center for Complementary and Integrative Health, Dr. Helene Langevin, responds to a set of questions posed by Challenges. Dr. Langevin discusses the emerging concept of whole person health, and in particular, how the concept intersects with the grand and interconnected challenges of our time.
在一系列正在进行的聚光灯采访中,挑战顾问委员会成员和新星健康研究所研究员艾伦·c·洛根会见了思想领袖、科学家、学者、医疗保健专业人员、工匠和有远见的人,他们关注人、地方和地球的健康问题。在首次采访中,美国国立卫生研究院、国家补充和综合健康中心主任海伦·朗格万博士回答了《挑战》提出的一系列问题。朗格万博士讨论了整个人健康的新兴概念,特别是,这个概念如何与我们这个时代的重大和相互关联的挑战相交。
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引用次数: 1
Zoonotic Spillover in an Era of Rapid Deforestation of Tropical Areas and Unprecedented Wildlife Trafficking: Into the Wild 热带地区快速砍伐森林和前所未有的野生动物贩运时代的人畜共患病溢出:进入野外
Pub Date : 2022-08-29 DOI: 10.3390/challe13020041
Y. Tajudeen, I. Oladunjoye, Ousman Bajinka, H. Oladipo
Rapid deforestation and unprecedented wildlife trafficking are important factors triggering the rate of zoonotic spillover from animals to humans. Consequently, this leads to the emergence and re-emergence of zoonotic infectious diseases among the human population. Deforestation is an important ecological disruption that leads to the loss of biodiversity. The loss of biodiversity results in the persistence of highest-quality hosts of zoonotic pathogens dominating the low-diversity communities, a process termed the dilution effect. Activities like intensive farming and logging that resulted in deforestation bring vulnerable people in close contact with these highest-quality reservoir hosts (wildlife). As a result of this vulnerability, there is an increased risk of spillover, leading to zoonotic infection in humans and eventually disease outbreaks during human–human transmission. One prominent example of a disease of wildlife origin is the ongoing SARS-CoV-2 (Severe Acute Respiratory Syndrome-Coronavirus 2), even though the original source has not been found. Another important factor facilitating the risk of spillover and emergence of zoonotic infectious diseases is wildlife trafficking. This involves illegal hunting and trading of wildlife and their products, which increases the risk of spillover as a result of exchange of bodily fluids and bloodmeals between humans and wildlife during the hunting and butchering of animals’ carcasses. Consequently, little or no hygiene protocol and poor handling practices during the wildlife-trade chain expose poachers, consumers, and local market sellers to the risk of zoonotic diseases. Despite the interventions on deforestation-induced spillover and wildlife trafficking-associated spillover, there are still knowledge and research gaps that need to be addressed towards preventing the outbreaks of future zoonotic infectious diseases. In response to this, there is a need for interdisciplinary and intersectoral collaborations among researchers from various fields as well as sectors in minimizing the risk of zoonotic spillover driven by deforestation and wildlife trafficking at the human–animal–environmental nexus. In addition, there is a need for integrated and unified evidence-based policy formulation that puts an end to deforestation and wildlife trafficking, especially in tropical areas such as Africa and Asia.
快速的森林砍伐和前所未有的野生动物贩运是引发人畜共患疾病从动物向人类蔓延速度的重要因素。因此,这导致人畜共患传染病在人群中出现和重新出现。森林砍伐是导致生物多样性丧失的重要生态破坏。生物多样性的丧失导致最高质量的人畜共患病原体宿主持续支配低多样性群落,这一过程称为稀释效应。集约化农业和伐木等活动导致森林砍伐,使脆弱的人们与这些最高质量的水库宿主(野生动物)密切接触。由于这种脆弱性,有更大的溢出风险,导致人类感染人畜共患疾病,并最终在人际传播期间爆发疾病。野生动物源性疾病的一个突出例子是正在进行的SARS-CoV-2(严重急性呼吸综合征-冠状病毒2),尽管原始来源尚未发现。助长人畜共患传染病蔓延和出现风险的另一个重要因素是野生动物贩运。这涉及野生动物及其产品的非法狩猎和交易,这增加了人类与野生动物在狩猎和屠宰动物尸体期间交换体液和血的溢出风险。因此,野生动物贸易链中很少或没有卫生协议和不良处理做法使偷猎者、消费者和当地市场卖家面临人畜共患疾病的风险。尽管针对毁林引起的外溢和与野生动物贩运有关的外溢采取了干预措施,但在预防未来人畜共患传染病爆发方面,仍有知识和研究方面的差距需要解决。为此,有必要在不同领域和部门的研究人员之间开展跨学科和跨部门合作,以尽量减少在人-动物-环境关系中由森林砍伐和野生动物贩运引起的人畜共患病溢出风险。此外,还需要制定综合和统一的基于证据的政策,以制止森林砍伐和野生动物贩运,特别是在非洲和亚洲等热带地区。
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引用次数: 6
Reproductive Effects of Medicinal Plant (Azadirachta indica) Used as Forage and for Ethnoveterinary Practices: New Insights from Animal Models 药用植物(印楝)用作饲料和民族兽医实践的生殖效应:来自动物模型的新见解
Pub Date : 2022-08-13 DOI: 10.3390/challe13020040
Ugochinyere J. Njoga, I. Jaja, Osita S. Onwuka, S. Ilo, I. Eke, K. O. Abah, C. Oguejiofor, I. Ochiogu
In some African and Asian countries, Azadirachta indica (AI) has been fed to livestock for decades and traditionally used to treat certain animal and human diseases. Recently, there are suspicions that the plant may possess anti-reproductive properties and concerns that the continued use of AI as forage or for folkloric medicine may detrimentally affect reproduction in the subjects. To address these challenges, this work determined the reproductive and fertility effects of a methanolic seed extract of AI (MSEAI) using adult female albino rats (AFARs) as an experimental model. Sixty-four AFARs were randomly assigned into four groups (A–D) of sixteen rats each. Group A was the control while groups B, C and D were treated daily with 50, 100 and 200 mg/kg of MSEAI respectively, for 28 consecutive days via oral gavage. Blood samples were collected for hormonal and biochemistry assays. Ovarian samples from the experimental rats were harvested for histopathological studies. Thereafter, the remaining experimental rats were bred, and certain fertility indices determined. The mean serum FSH and LH levels were significantly decreased (p ≤ 0.05) in the 100 and 200 mg/kg groups. The histopathological studies revealed massive follicular degeneration in the 100 and 200 mg/kg treatment groups. The fertility indices indicated that the post-implantation survival index was 100% in the control and 0% in the 200 mg/kg treatment group. No abortion occurred in the control and 50 mg/kg groups, but 25% and 100% of the pregnant does aborted in the 100 and 200 mg/kg treatment groups, respectively. Considering that high doses (100 mg/kg and 200 mg/kg) of MSEAI had significant anti-reproductive and antifertility properties, the use of AI as forage or for ethnoveterinary medicine in breeding females may adversely affect their reproductive potentials. However, the anti-reproductive and antifertility effects could be utilized in rodent depopulation programs in animal agriculture and as a contraceptive to limit the proliferation of stray dogs, known to be reservoirs of the rabies virus in developing countries. Moreover, the MSEAI could be further refined for human use as an effective, cheap, eco-friendly and acceptable alternative to synthetic/modern contraceptives, the use of which is limited in developing nations due to superstitious beliefs and their multiple side effects.
在一些非洲和亚洲国家,印度印楝(AI)几十年来一直被用来喂养牲畜,传统上用于治疗某些动物和人类疾病。最近,有人怀疑这种植物可能具有抗生殖特性,并担心继续将其用作饲料或民间药物可能会对受试者的生殖产生不利影响。为了解决这些挑战,本研究以成年雌性白化大鼠(AFARs)为实验模型,确定了AI甲醇种子提取物(MSEAI)对生殖和生育的影响。64只afar随机分为4组(A-D),每组16只。A组为对照组,B、C、D组分别给予50、100、200 mg/kg MSEAI每日灌胃,连续28 D。采集血样进行激素和生化分析。收集实验大鼠卵巢标本进行组织病理学研究。然后,对剩余的实验大鼠进行饲养,测定一定的生育指标。100和200 mg/kg组血清FSH和LH水平显著降低(p≤0.05)。组织病理学研究显示100和200 mg/kg治疗组有大量卵泡变性。生育指标显示,对照组着床后生存指数为100%,200 mg/kg处理组为0%。对照组和50 mg/kg组未发生流产,100和200 mg/kg组流产率分别为25%和100%。考虑到高剂量(100 mg/kg和200 mg/kg)的MSEAI具有显著的抗生殖和抗生育特性,将其作为饲料或民族兽药用于繁殖雌性可能会对其生殖潜力产生不利影响。然而,抗生殖和抗生育作用可用于动物农业的啮齿动物种群减少计划,并作为一种避孕措施来限制流浪狗的繁殖,在发展中国家,流浪狗是狂犬病病毒的宿主。此外,MSEAI还可以进一步改进,作为一种有效、廉价、环保和可接受的合成/现代避孕药的替代品,供人类使用。由于迷信和多重副作用,合成/现代避孕药在发展中国家的使用受到限制。
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引用次数: 2
Ecological Bodies and Relational Anatomies: Toward a Transversal Foundation for Planetary Health Education 生态体与相关解剖学:迈向行星健康教育的横向基础
Pub Date : 2022-08-09 DOI: 10.3390/challe13020039
R. Richter, Filip Maric
As planetary health education enters medical and health professional training, transversal implementation across curricula is critical in developing its full potential and enabling future health professionals to meet the social, environmental, and health challenges of current and future generations in an integrated manner. To advance the transversal implementation of planetary health education, our study proceeded through: (1) a sequence analysis of documents framing physiotherapy education to identify relevant nexus points; (2) an explorative implementation of planetary health into foundational anatomy and physiology modules identified as critical nexus points; (3) practical implementation during the 2021 autumn semester. Implementation in the operative foundations of healthcare education—anatomy and physiology—enables the emphasis of the ecological nature of human bodies and interconnection with our planetary environment. Musculoskeletal joints accentuate the relational nature of bodies highlighted across current research and traditional knowledges, as dynamically pervaded and in interaction with culture, technology, objects, ideas, plants, planets, etc. Teaching relational anatomies thus highlights planetary health as the transversal foundation of medical and healthcare education. Making this foundation more explicit will be critical for the transversal implementation of planetary health education and subsequent practice, as well as the fundamental shifts in our understanding of human lives and health they require.
随着地球卫生教育进入医学和卫生专业培训,跨课程的横向实施对于充分发挥其潜力和使未来的卫生专业人员能够以综合方式应对今世后代的社会、环境和卫生挑战至关重要。为了促进行星健康教育的横向实施,我们的研究进行了:(1)对构建物理治疗教育的文献进行了序列分析,以确定相关的联系点;(2)在确定为关键连接点的基础解剖学和生理学模块中探索性地实施行星健康;(3) 2021年秋季学期实际实施。在医疗保健教育的操作基础-解剖学和生理学中实施,可以强调人体的生态性质以及与我们的地球环境的相互联系。肌肉骨骼关节强调了当前研究和传统知识中强调的身体的关系性质,因为它动态地渗透并与文化,技术,物体,思想,植物,行星等相互作用。因此,教学关系解剖学突出了行星健康作为医学和保健教育的横向基础。使这一基础更加明确,对于全球健康教育和随后的实践的横向实施,以及我们对人类生活和健康的理解所需的根本转变至关重要。
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引用次数: 3
Community-Based Integrated Care System for People with Mental Illness in Japan: Evaluating Location Characteristics of Group Homes to Determine the Feasibility of Daily Life Skill Training 日本以社区为基础的精神疾病患者综合照护系统:评估团体之家的地理位置特征,以确定日常生活技能训练的可行性
Pub Date : 2022-08-08 DOI: 10.3390/challe13020038
Yutaka Nagayama, Hisao Nakai
As a global trend in mental health and welfare services, the community is increasingly considered to play a central role in the lives of people with mental illness. Group homes (GHs) are used globally as a means of promoting deinstitutionalization and establishing community life. The Japanese government issued a call to build Community-Based Integrated Care Systems for people with mental illness (CICSM). Therefore, we evaluated the location characteristics of GHs to determine the feasibility of daily life skills training, using a Geographic Information System (GIS). The target area was Ishikawa Prefecture. The size of everyday living areas (ELAs) for older adults was set at 1.8 km, and at 2.5 km for adults. We counted the number of service providers (SPs). Two GHs in the adult ELA and two GHs in the older adult ELA did not have SPs. Eight GHs had only one SP in their ELAs. Results showed that GHs with no or a few SPs in their ELAs are disadvantaged in shopping skills training. These findings may help people with mental illness in various countries develop support plans to effectively provide daily life training, considering the characteristics of the geographical environment and social resources around their living bases.
作为精神健康和福利服务的全球趋势,社区越来越被认为在精神疾病患者的生活中发挥核心作用。集体之家(GHs)在全球范围内被用作促进去机构化和建立社区生活的手段。日本政府呼吁为精神疾病患者建立基于社区的综合护理系统(CICSM)。因此,我们利用地理信息系统(GIS)评估了GHs的位置特征,以确定日常生活技能培训的可行性。目标区域是石川县。老年人日常生活区(ELAs)的大小设定为1.8公里,成年人为2.5公里。我们统计了服务提供商(sp)的数量。2例成人ELA的GHs和2例老年ELA的GHs没有SPs。8个GHs的ela中只有1个SP。结果表明,没有或很少有服务对象的家庭教师在购物技能培训方面处于不利地位。这些发现可能有助于各国精神疾病患者在考虑其生活基地周围的地理环境和社会资源特点的情况下,制定支持计划,有效地提供日常生活培训。
{"title":"Community-Based Integrated Care System for People with Mental Illness in Japan: Evaluating Location Characteristics of Group Homes to Determine the Feasibility of Daily Life Skill Training","authors":"Yutaka Nagayama, Hisao Nakai","doi":"10.3390/challe13020038","DOIUrl":"https://doi.org/10.3390/challe13020038","url":null,"abstract":"As a global trend in mental health and welfare services, the community is increasingly considered to play a central role in the lives of people with mental illness. Group homes (GHs) are used globally as a means of promoting deinstitutionalization and establishing community life. The Japanese government issued a call to build Community-Based Integrated Care Systems for people with mental illness (CICSM). Therefore, we evaluated the location characteristics of GHs to determine the feasibility of daily life skills training, using a Geographic Information System (GIS). The target area was Ishikawa Prefecture. The size of everyday living areas (ELAs) for older adults was set at 1.8 km, and at 2.5 km for adults. We counted the number of service providers (SPs). Two GHs in the adult ELA and two GHs in the older adult ELA did not have SPs. Eight GHs had only one SP in their ELAs. Results showed that GHs with no or a few SPs in their ELAs are disadvantaged in shopping skills training. These findings may help people with mental illness in various countries develop support plans to effectively provide daily life training, considering the characteristics of the geographical environment and social resources around their living bases.","PeriodicalId":91008,"journal":{"name":"Challenges","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82652287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
No Health without Mental Health: Taking Action to Heal a World in Distress—With People, Places, and Planet ‘in Mind’ 没有心理健康就没有健康:采取行动,治愈一个痛苦的世界——把人、地方和地球“放在心上”
Pub Date : 2022-08-04 DOI: 10.3390/challe13020037
S. Prescott, Jeffrey M. Greeson, M. El-Sherbini
The unprecedented global rise in mental anguish is closely linked with the erosion of our social fabric, economic and political systems, and to our natural environments. We are facing multiple new large-scale threats to health, safety, and security, with a growing lack of trust in others and in authorities. Pervasive stress, anxiety, depression, and uncertainty are of a nature and scale we have never seen before—manifesting in surging violence, community breakdown, domestic abuse, opioid and other drug overdoses, social isolation, and suicides—with alarming new mental health trends in children and young people. This has been made worse by the COVID-19 pandemic and amplified by an exponential increase in the amount and immediacy of information propagated through electronic media—often negative with manipulative intent aimed at dividing opinions through anger and fear. At the same time, there has been progressive erosion of kindness, civility, compassion, and social supports. Here, in this report from a “campfire” meeting held by the Nova Institute for Health, we discuss the importance of understanding the complexity of these interrelated threats which impact individual and collective mental health. Our dialog highlighted the need for efforts that build both individual and community resilience with more empowering, positive, and inspiring shared narratives that increase purpose and belonging. This includes placing greater value on positive assets that promote awareness and resilience, including creativity, spirituality, mindfulness, and nature connection—recognizing that ‘inner’ transitions contribute to shifts in mindsets for ‘outward’ transformation in communities and the world at large. Ultimately, these strategies also encourage and normalize mutualistic values that are essential for collectively improving the health of people, places, and the planet, by overcoming the destructive, exploitative worldviews which created so many of our current challenges in the first place.
精神痛苦在全球范围内前所未有的增加,与我们的社会结构、经济和政治制度以及我们的自然环境受到侵蚀密切相关。我们正面临健康、安全和安保方面的多重新的大规模威胁,对他人和当局的信任日益缺乏。无处不在的压力、焦虑、抑郁和不确定性的性质和规模是我们以前从未见过的——表现在激增的暴力、社区破裂、家庭虐待、阿片类药物和其他药物过量、社会孤立和自杀——在儿童和年轻人中出现了令人担忧的新的心理健康趋势。COVID-19大流行使情况变得更糟,并因电子媒体传播的信息数量和即时性的指数级增长而放大——这些信息往往是负面的,带有操纵意图,旨在通过愤怒和恐惧来分裂意见。与此同时,善良、礼貌、同情和社会支持也在逐渐消失。在这里,在Nova卫生研究所举行的“篝火”会议的这份报告中,我们讨论了了解这些影响个人和集体心理健康的相互关联威胁的复杂性的重要性。我们的对话强调,需要努力建立个人和社区的韧性,通过更赋权、更积极、更鼓舞人心的共同叙事来增强目标和归属感。这包括更重视促进意识和弹性的积极资产,包括创造力、灵性、正念和自然联系——认识到“内在”的转变有助于社区和整个世界的“外在”转变的心态转变。最终,这些战略还鼓励互惠价值观并使之正常化,这些价值观对于集体改善人民、地方和地球的健康至关重要,方法是克服破坏性和剥削性的世界观,正是这些世界观首先给我们带来了当前的许多挑战。
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引用次数: 4
Discovering Semantic Relations between Neurodegenerative Diseases and Artistic Behaviors 发现神经退行性疾病与艺术行为的语义关系
Pub Date : 2022-08-03 DOI: 10.3390/challe13020036
Adam Koletis, A. Markopoulos, Konstantinos I. Kotis
This paper aims to introduce the value of semantics for representing knowledge related to patients with brain neurodegenerative diseases (Parkinson’s, Alzheimer’s, and dementia) or behavioral disorders (i.e., schizophrenia) and artistic behavior. The ultimate goal is to facilitate an effective and efficient study of neurological and behavioral changes of patients, analyzing semantically interlinked data related to neurological/behavioral conditions and artistic behaviors. By mapping the neurologically affected areas of the brain in healthy and unhealthy individuals, and by modeling their particular characteristics at the level of both behavioral and neurological expressions, it may be possible to identify semantic similarities in high-level behavioral and brain characteristics that justify correlation and causation between diseases/disorders and artistic behaviors. In this concept paper, we present our view on two key points related to proposed research on a novel framework that will (a) verify if early biomarkers of the neurogenerative diseases can be identified via artistic behavior observations, and (b) correlate patients with delayed onset of the diseases/disorders with artists, at the molecular level, or at the level of brain regions. The proposed framework is evaluated with the development of a proof-of-concept expert system based on the representation of the relevant knowledge.
本文旨在介绍语义学在表示与脑神经退行性疾病(帕金森病、阿尔茨海默病和痴呆症)或行为障碍(即精神分裂症)和艺术行为相关的知识方面的价值。最终目标是促进对患者的神经和行为变化进行有效和高效的研究,分析与神经/行为状况和艺术行为相关的语义互连数据。通过绘制健康和不健康个体大脑中受神经系统影响的区域,并通过在行为和神经表达水平上对其特定特征进行建模,有可能确定高级行为和大脑特征的语义相似性,从而证明疾病/失调与艺术行为之间的相关性和因果关系。在这篇概念论文中,我们提出了与新框架研究相关的两个关键点的观点,该框架将(a)验证是否可以通过艺术行为观察来识别神经变性疾病的早期生物标志物,以及(b)在分子水平或大脑区域水平上将疾病/障碍延迟发作的患者与艺术家联系起来。通过开发基于相关知识表示的概念验证专家系统来评估所提出的框架。
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引用次数: 2
The Need to Prioritize Prevention of Viral Spillover in the Anthropopandemicene: A Message to Global Health Researchers and Policymakers 需要优先预防人类流行病中的病毒溢出:给全球卫生研究人员和政策制定者的信息
Pub Date : 2022-08-03 DOI: 10.3390/challe13020035
Y. Tajudeen, H. Oladipo, Rashidat Onyinoyi Yusuf, I. Oladunjoye, A. Adebayo, Abdulhakeem Funsho Ahmed, M. El-Sherbini
Increased anthropogenic activities including changes in land use and unrelenting ecosystem services related to animal husbandry, wildlife trade, and deforestation are driving the emergence of viral zoonosis. This is primarily due to human–animal interaction which is facilitating the spillover of viral zoonotic pathogens from animals (domestic and wildlife) to humans that could result in epidemics or pandemics. Scientific reports so far have revealed that viral epidemics and pandemics in recent years such as H1N1 Swine Influenza, H5N1 Avian Influenza, Ebola, Zika, Severe Acute Respiratory Syndrome (SARS), and the ongoing SARS-CoV-2 were all zoonotic, and their emergence has been linked with spillover events arising from human–animal interaction. This increased interaction and the increased spillover event could facilitate future pandemic risk, and the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services, “IPBES”, has declared this “the era of pandemics”. Furthermore, since future pandemics would be triggered by anthropogenic activities, we have called this “anthropopandemicene”, i.e., an era of pandemics driven by anthropogenic activities. To minimize the risk of future pandemics, it is important to prioritize the prevention of viral spillover events. Here, we outline five priority areas for global health researchers and policymakers. These areas include improvement of biosecurity at livestock farms, imposing a moratorium or strictly banning wildlife trade that poses a public health risk, conservation of biodiversity by halting deforestation, investing in community-based research for infectious disease control, and strengthening community healthcare systems in precarious ecosystems and infectious diseases hotspots. Finally, we acknowledge the efforts of other renowned global and legally binding frameworks such as IHR, the Paris Agreement, and CITES with regard to addressing the public health risk of infectious diseases, and we provide recommendations for their improvement.
人为活动的增加,包括土地利用的变化以及与畜牧业、野生动物贸易和森林砍伐有关的无情的生态系统服务,正在推动病毒性人畜共患病的出现。这主要是由于人与动物的相互作用,促进了病毒性人畜共患病原体从动物(家畜和野生动物)向人类的溢出,从而可能导致流行病或大流行。迄今为止的科学报告表明,近年来的病毒流行和大流行,如H1N1猪流感、H5N1禽流感、埃博拉病毒、寨卡病毒、严重急性呼吸系统综合症(SARS)和正在进行的SARS- cov -2,都是人畜共患的,它们的出现与人与动物相互作用产生的溢出事件有关。这种相互作用的增加和溢出事件的增加可能增加未来大流行的风险,生物多样性和生态系统服务政府间科学政策平台(" IPBES ")已宣布这是"大流行的时代"。此外,由于未来的大流行病将由人为活动引发,我们称之为"人类大流行病纪",即由人为活动驱动的大流行病时代。为了尽量减少未来大流行的风险,必须优先考虑预防病毒溢出事件。在这里,我们概述了全球卫生研究人员和政策制定者的五个优先领域。这些领域包括改善牲畜养殖场的生物安全,暂停或严格禁止构成公共卫生风险的野生动物贸易,通过停止砍伐森林来保护生物多样性,投资于以社区为基础的传染病控制研究,以及在不稳定的生态系统和传染病热点地区加强社区卫生保健系统。最后,我们承认其他著名的具有法律约束力的全球框架,如《国际卫生条例》、《巴黎协定》和《濒危野生动植物种国际贸易公约》在应对传染病的公共卫生风险方面所作的努力,并提出改进这些框架的建议。
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引用次数: 4
Pandemic-Related Tenure Timeline Extensions in Higher Education in the United States: Prevalence and Associated Characteristics 美国高等教育中与流行病相关的任期时间延长:流行程度和相关特征
Pub Date : 2022-07-28 DOI: 10.3390/challe13020034
R. Krukowski, Loneke T. Blackman Carr, D. Arigo
Many universities implemented pandemic-related tenure timeline extensions in response to productivity disruptions. However, little is known about the availability, nature, or uptake of these extensions, including which faculty were most likely to extend their timeline. Tenure-track faculty in the United States (n = 385, 64.4% women, 35.3% identifying with a National Institutes of Health-designated racial/ethnic minority group, 73.0% with children, 33.8% with non-child caregiving) completed a survey about their personal/career/institution characteristics, their institution’s pandemic extension policy (if any), and whether they extended their timeline. Overall, 94.0% reported that their institutions provided either an extension, unless faculty opted out, or an extension that could be requested. Most respondents (60.0%) elected to extend their tenure timeline due to the pandemic. Significantly greater proportions of respondents taking an extension were men (77.2%), identified with a NIH-designated racial/ethnic minority group (75.7%), reported non-child caregiving (86.3%), and had previously taken at least one timeline extension (82.4%). Pandemic-related extensions in tenure and promotion dossiers will be common, though they may not fully account for more than a year of disruption and may exacerbate disparities. Consequently, effective preparation for evaluating dossiers and other mitigation strategies are needed, to prevent the loss of faculty members who offer great value to their institutions.
许多大学实施了与大流行相关的任期延长措施,以应对生产力中断。然而,关于这些延长的可用性、性质或吸收,包括哪些教员最有可能延长他们的时间表,我们知之甚少。美国终身教职员工(n = 385, 64.4%为女性,35.3%为国家卫生研究院指定的种族/少数民族群体,73.0%为儿童,33.8%为非儿童看护)完成了一项关于其个人/职业/机构特征、其机构的流行病延长政策(如果有的话)以及他们是否延长了时间表的调查。总体而言,94.0%的受访者表示,除非教师选择退出,否则他们所在的院校要么提供延期,要么提供可以要求的延期。大多数答复者(60.0%)由于大流行选择延长任期时间表。接受延长的受访者比例明显更高的是男性(77.2%),被认定为美国国立卫生研究院指定的种族/民族少数群体(75.7%),报告非儿童看护(86.3%),并且以前至少接受过一次时间延长(82.4%)。与大流行病有关的任期延长和晋升档案将很常见,尽管它们可能无法完全解释一年多的中断,并可能加剧差距。因此,需要为评估档案和其他缓解策略进行有效准备,以防止对其机构提供巨大价值的教职员工的流失。
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引用次数: 0
The COVID-19 Pandemic and the Climate Crisis: A Call to Question the Mindset of Modernity 2019冠状病毒病大流行和气候危机:对现代性思维模式的质疑
Pub Date : 2022-07-25 DOI: 10.3390/challe13020033
F. Mazzocchi
Drawing a parallel between the COVID-19 pandemic and climate change, the article explores what can be learned from these crises using two axes of analysis. First, such events show some noteworthy structural analogies, being both typified by nonlinear dynamics. They exhibit latency periods and tipping points: at the beginning, things go slowly, but once a critical threshold is exceeded, suddenly escalate quickly; as a result, when we respond to them will make the difference. Second, it is crucial how complex crises are framed. It would be deceptive to concentrate only on their contingent aspects. Both cases should instead be seen as the symptom of a broader imbalance, i.e., a ‘crisis of modernity’. Consequently, the article investigates their possible common roots: not only their socioeconomic determinants, but also worldview assumptions, particularly a long-lasting dualism that contributed to generate an overall sense of separateness. It argues that this situation cannot be addressed through some superficial changes. Rather, it urges us to move toward some deeper shifts, regarding both our way of thinking and behaving.
本文将2019冠状病毒病大流行与气候变化相提并论,利用两个分析轴探讨了从这些危机中可以吸取的教训。首先,这些事件显示出一些值得注意的结构类比,都是非线性动力学的典型。它们表现出潜伏期和引爆点:一开始,事情进展缓慢,但一旦超过临界阈值,就会突然迅速升级;因此,我们什么时候回应他们将会产生影响。其次,如何构建复杂的危机至关重要。只关注它们偶然的方面是具有欺骗性的。相反,这两种情况都应该被视为更广泛的不平衡的症状,即“现代性危机”。因此,本文调查了他们可能的共同根源:不仅是他们的社会经济决定因素,还有世界观假设,特别是长期的二元论,它有助于产生整体的分离感。它认为这种情况不能通过一些表面的改变来解决。相反,它促使我们走向更深层次的转变,涉及我们的思维方式和行为方式。
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Challenges
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