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American journal of medical research (New York, N.Y.)最新文献

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Incorporating Cognitive Artificial Intelligence Systems and Real-Time Data Analytics in Clinical Care Delivery 将认知人工智能系统和实时数据分析纳入临床护理服务
Pub Date : 2019-01-01 DOI: 10.22381/ajmr61201910
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引用次数: 4
Smart Healthcare Systems, Wearable Sensor Devices, and Patient Data Security 智能医疗保健系统、可穿戴传感器设备和患者数据安全
Pub Date : 2018-01-31 DOI: 10.22381/ajmr6120197
Vikas Kumar, B. Nag, P. Anand, N. Joshi, Renu Jain, Hod
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引用次数: 3
Older parents enjoy better filial piety and care from daughters than sons in China. 在中国,年长的父母得到女儿比儿子更好的孝顺和照顾。
Pub Date : 2016-01-01 Epub Date: 2016-04-20 DOI: 10.22381/AJMR3120169
Zeng Yi, Linda George, Melanie Sereny, Danan Gu, James W Vaupel

This study analyzes the unique datasets of the Chinese Longitudinal Healthy Longevity Survey using logistic regression and controlling for various covariates. Our analyses clearly demonstrate that disabled older parents are more satisfied with care provided by daughters than sons and that older parents enjoy greater filial piety from and better relationships with daughters than sons. The daughter-advantages of enjoying greater filial piety from and better relationships with children are stronger among the oldest-old aged 80+ than the young-old aged 65-79, and surprisingly more profound in rural areas than urban areas, while son-preference is much more prevalent among rural residents. We also discuss why China's rigorous fertility policy until October-2015 and much less-developed pension system in rural areas substantially contribute to sustaining traditional son-preference and a high sex ratio at birth (SRB) when fertility is low. We recommend China take integrative public health policy actions of informing the public that having daughter(s) is beneficial for old age care, developing the rural pension system and implementing the universal two-child policy as soon as possible. We believe that these policy actions would help to reduce son-preference, bring down the high SRB, and enable more future elderly parents to enjoy better care from their children and healthier lives.

本研究采用logistic回归方法对中国健康寿命纵向调查的独特数据集进行分析,并对各协变量进行控制。我们的分析清楚地表明,残疾的老年父母对女儿的照顾比儿子更满意,老年父母对女儿的孝顺比儿子多,与女儿的关系也比儿子好。80岁以上的老年人比65-79岁的年轻人更倾向于女儿,更喜欢子女孝顺子女,与子女的关系也更融洽。这种倾向在农村地区比城市地区更为明显,而重男轻女的倾向在农村居民中更为普遍。我们还讨论了为什么中国严格的生育政策直到2015年10月,以及农村地区欠发达的养老金制度在很大程度上有助于维持传统的重男轻女和低生育率时的高出生性别比(SRB)。我们建议中国采取综合公共卫生政策行动,告知公众生女儿有利于养老,发展农村养老保险制度,尽快实施全面二孩政策。我们相信,这些政策措施将有助于减少重男轻女现象,降低高性别比,让更多未来的老年父母享受到子女更好的照顾和更健康的生活。
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引用次数: 45
California Veterans Receive Inadequate Treatment to Address their Mental Health Needs. 加州退伍军人没有得到足够的治疗来满足他们的心理健康需求。
Pub Date : 2016-01-01 Epub Date: 2016-08-20 DOI: 10.22381/ajmr3220166
Linda Diem Tran, David Grant, May Aydin

Data from the 2011 to 2013 California Health Interview Survey (CHIS) were pooled to estimate prevalence of mental health need (serious psychological distress and impairment in one or more life domains), minimally adequate treatment (having four or more visits with a health professional in the past 12 months and use of prescription medication for mental health problems in the past 12 months), and suicide ideation among veterans living in California. Numbers and percentages were weighted to the CA population using a large sample size (N=6,952), and for comparison purposes, veterans and nonveterans were standardized to the age and gender distribution of veterans in the sample. Although differences in mental health need were similar between veterans and nonveterans after adjustment, over three-quarters of veterans did not receive minimally adequate treatment needed to address their mental health needs. Suicide ideation was significantly higher among veterans than nonveterans. Male veterans at all ages were more vulnerable to thinking about suicide compared to their nonveteran counterparts.

来自2011年至2013年加州健康访谈调查(CHIS)的数据汇集在一起,以估计居住在加州的退伍军人的心理健康需求(严重的心理困扰和一个或多个生活领域的损害),最低限度的适当治疗(在过去12个月内与卫生专业人员进行了四次或更多的访问,并在过去12个月内使用处方药治疗心理健康问题)和自杀意念的患病率。使用大样本量(N=6,952)对CA人口的数字和百分比进行加权,为了比较,退伍军人和非退伍军人按照样本中退伍军人的年龄和性别分布进行标准化。虽然调整后退伍军人和非退伍军人在心理健康需求方面的差异相似,但超过四分之三的退伍军人没有得到满足其心理健康需求所需的最低限度的充分治疗。退伍军人的自杀意念明显高于非退伍军人。与非退伍军人相比,所有年龄段的男性退伍军人都更容易想到自杀。
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引用次数: 1
Internet of Things-based Smart Healthcare Systems, Wireless Connected Devices, and Body Sensor Networks in COVID-19 Remote Patient Monitoring 基于物联网的智能医疗系统、无线连接设备和身体传感器网络在COVID-19远程患者监测中的应用
Pub Date : 1900-01-01 DOI: 10.22381/ajmr8120217
R. Rogers
(Poppas et al , 2020) Telemedicine can perpetuate access and stability of patient care, support frontline medical personnel, upgrade in-person services, and diminish infectious circulation of COVID-19 through wireless connected devices and body sensor networks Survey Methods and Materials The interviews were conducted online and data were weighted by five variables (age, race/ethnicity, gender, education, and geographic region) using the Census Bureau's American Community Survey to reflect reliably and accurately the demographic composition of the United States Study participants were informed clearly about their freedom to opt out of the study at any point of time without providing justification for doing so 5 Results and Discussion Patients with nonurgent medical conditions can harness their own smartphones or tablets to carry out a video visit with an emergency department provider, reducing exposure for patients and providers, and decreasing dispensable personal protective equipment utilization during the COVID-19 pandemic (Hirko et al , 2020) Screening individuals for possible participation in a trial, receiving informed consent, and clinical outcomes of volunteered subjects not requiring labs or checkup can be performed adequately by deploying remote monitoring tools and telehealth online consultations, thus configuring a more patient-centered, precautionary, interactive, and viable model of care by use of Internet of Things-based smart healthcare systems, wireless connected devices, and body sensor networks in COVID-19 remote patient monitoring
(Poppas et al ., 2020)远程医疗可以通过无线连接设备和身体传感器网络,使患者护理的可及性和稳定性永久化,为一线医务人员提供支持,升级面对面服务,并减少COVID-19的感染循环。调查方法和材料访谈在线进行,数据采用五个变量(年龄、种族/民族、性别、教育程度、和地理区域)使用人口普查局的美国社区调查可靠和准确地反映美国研究参与者的人口构成,明确告知他们在任何时候选择退出研究的自由,而无需提供这样做的理由。5结果和讨论患有非紧急医疗状况的患者可以利用自己的智能手机或平板电脑与急诊科提供者进行视频访问。在COVID-19大流行期间,减少患者和提供者的暴露,并减少不必要的个人防护装备的使用(Hirko等人,2020年)。通过部署远程监测工具和远程医疗在线咨询,可以充分筛查可能参与试验的个人,获得知情同意,以及不需要实验室或检查的志愿受试者的临床结果,从而配置一个更加以患者为中心的预防性,通过使用基于物联网的智能医疗系统、无线连接设备和身体传感器网络,在COVID-19远程患者监测中建立交互式、可行的护理模式
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引用次数: 9
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American journal of medical research (New York, N.Y.)
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