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The Effect of COVID on Child Maltreatment: A Review COVID对儿童虐待的影响:综述
Pub Date : 2021-11-20 DOI: 10.31579/2690-1919/201
A. Rokach, Sybil Chan
This article addresses child maltreatment during the period where COVID-19 entered our lives in 2020. Repeated lockdowns kept children at home, away from school, from their support systems, and from their routine. Economic difficulties and having to look after the children who were at home were quite onerous on parents. The article explores the reasons that ACE increased during that time, and highlights what can parents, teachers, and the educational system do about it.
本文讨论了2020年COVID-19进入我们生活期间的虐待儿童问题。反复的封锁让孩子们呆在家里,远离学校,远离他们的支持系统,远离他们的日常生活。经济困难,还要照顾家里的孩子,对父母来说是相当繁重的。这篇文章探讨了ACE在那段时间增加的原因,并强调了家长、老师和教育系统可以做些什么。
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引用次数: 0
Risk Factors for Early Neonatal Death despite Cesarean Section 剖宫产术后新生儿早期死亡的危险因素
Pub Date : 2021-10-26 DOI: 10.31579/2690-1919/202
E. Nkwabong, Manuella Frida Magnoui, F. Fouelifack Ymele
Objective: To identify the risk factors for early neonatal death (NND) despite cesarean section (CS). Methods: This case-control study was carried out between 1st February and 31st May, 2019. Files of women whose newborns died within seven days following CS and those of women whose newborns were alive seven days after CS were examined. The main variables recorded included maternal age, educational level, gestational age at delivery, number of antenatal visits done, whether the woman was referred or not, intrapartum fever or hemorrhage, indication of CS, decision delivery interval, birthweight and sex of newborn. Data were analyzed using SPSS 21.0. Fisher exact test, t-test and logistic regression were used for comparison. P<0.05 was considered statistically significant. Results: Our frequency of NND after CS was 4.8% (51/1053). Significant risk factors for NND after CS were birth weight <2000g (aOR 48.18, 95%CI 12.97-152.21), intra-partum hemorrhage (aOR 12.15, 95%CI 5.77-25.97), intra-partum fever (aOR 5.64, 95%CI 1.81-17.66), ˂4 antenatal visits (aOR 4.13, 95%CI 2.71-6.74), arrival ˃1h after referral (aOR 3.09, 95%CI 1.67-5.71) and primary school education level (aOR 2.39, 95%CI 1.16-4.92). Conclusion: From the risk factors identified above, we can recommend that women, especially those with primary school education level, should be counselled to attend at least four antenatal visits to allow the diagnosis and treatment of some diseases. Moreover, CS should be carried out as fast as possible in the cases of intrapartum hemorrhage. Women with intrapartum fever needs particular attention. Lastly, referral should be organized so that the woman arrives earlier.
目的:探讨剖宫产术后新生儿早期死亡的危险因素。方法:本病例对照研究于2019年2月1日至5月31日进行。对CS后7天内新生儿死亡的妇女和CS后7天后新生儿存活的妇女的档案进行了检查。记录的主要变量包括产妇年龄、教育水平、分娩时的胎龄、产前检查次数、是否转诊、产时发烧或出血、CS指征、决定分娩间隔、出生体重和新生儿性别。数据采用SPSS 21.0。采用Fisher精确检验、t检验和逻辑回归进行比较。P<0.05被认为具有统计学意义。结果:CS后NND发生率为4.8%(51/1053)。CS后NND的显著危险因素是出生体重<2000g(aOR 48.18,95%CI 12.97-152.21)、产后出血(aOR 12.15,95%CI 5.77-25.97)、产后发烧(aOR 5.64,95%CI 1.81-17.66)、4次产前检查(aOR 4.13,95%CI 2.71-6.74),转诊后1h到达(aOR 3.09,95%CI 1.67-5.71)和小学教育水平(aOR 2.39,95%CI 1.16-4.92)。此外,在产时出血的情况下,应尽快进行CS。产时发热的妇女需要特别注意。最后,应组织转诊,以便妇女能更早到达。
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引用次数: 0
Odontome- Revisted Odontome - Revisted
Pub Date : 2021-10-26 DOI: 10.31579/2690-1919/203
N. Jain, A. Pillai, A. Varshini, Dhwani Kawadkar, K. Dubey, Ajita D. Singh
Odontomas are benign odontogenic tumors subdivided morphologically into complex or compound odontomas. This paper describes the case of a complex odontoma in a 31-year-old male who complained of a painless swelling in right mandibular region which was diagnosed radiographically as complex odontome. Surgical enucleation of the lesion was done and sent for histopathological examination.
牙瘤是一种良性牙源性肿瘤,在形态上可细分为复杂或复合牙瘤。本文描述了一例31岁男性的复杂牙瘤,他抱怨右下颌区域无痛肿胀,经放射学诊断为复杂牙瘤。对病变进行了手术摘除,并送去进行组织病理学检查。
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引用次数: 0
Wondrous Stethoscope: A Potential Disseminator of Pathogens in Health-Care Settings 奇妙的听诊器:卫生保健环境中潜在的病原体传播者
Pub Date : 2021-10-26 DOI: 10.31579/2690-1919/199
I. Khan, Hamza Iltaf Malik
Stethoscope, the foundational clinical tool of medical profession, has been found to be a potential disseminator of infections in the healthcare settings (HAIs). Unfortunately, despite recognition of magnitude of the problem, its disinfection is an under-recognized, under-scored and grossly overlooked issue. The three life savior words “Wash your hands” were uttered, for the first time, by Hungarian Obstetrician Ignaz Semmelweis (1818-1865) at the podium of The Vienna Medical Society’s lecture hall on the historic day of May 15, 1850. Today, adequate hand hygiene has been recognized to be the single most important, feasible, doable, and least expensive tool in reducing the increasing toll of HAIs and the spread of antimicrobial resistance. However, efficacy of such a program would be undermined if the healthcare workers (HCWs) continue using unclean stethoscopes which have been found to harbor the same pathogens as on the hands of HCWs. WHO’s “Clean Care is Safer Care” guidelines promote hand hygiene before touching a patient. Likewise, the stethoscopes should be disinfected “before use on each patient”. The resultant synergistic effect would prevent the dissemination of identical pathogens among patients and the care of “clinician’s third hand” would certainly reduce burden of HAIs in healthcare settings.
听诊器是医学专业的基本临床工具,已被发现是医疗环境中感染的潜在传播者。不幸的是,尽管人们认识到这个问题的严重性,但它的消毒是一个被低估、被低估和被严重忽视的问题。1850年5月15日,匈牙利产科医生Ignaz Semmelweis(1818-1865)在维也纳医学会演讲厅的讲台上首次说出了“洗手”这三个拯救生命的词。如今,充分的手部卫生已被认为是减少日益增加的HAI死亡人数和抗微生物耐药性传播的最重要、可行、可行和最便宜的工具。然而,如果医护人员继续使用不干净的听诊器,这种计划的有效性将受到损害,因为已经发现听诊器携带的病原体与医护人员手中的病原体相同。世界卫生组织的“清洁护理是更安全的护理”指南提倡在触摸患者之前保持手部卫生。同样,听诊器在“每个病人使用前”也应进行消毒。由此产生的协同效应将防止相同病原体在患者中传播,“临床医生的第三只手”的护理肯定会减轻医疗环境中HAI的负担。
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引用次数: 0
Returning to the Hallmarks of Cancer: A Brief Review and Revision 回到癌症的特征:一个简短的回顾和修订
Pub Date : 2021-10-26 DOI: 10.31579/2690-1919/200
Kaushalendra mani Tripathi
The hallmarks of cancer represent principals and mechanisms on which, different types of cancers function and proliferate, These principals which also include the revised edition include sustained proliferative signaling, Evading growth suppressors , avoiding immune destruction, enabling replicative immortality, tumor promoting inflammation, activating invasion and metastasis, Inducing angiogenesis, genome instability and mutation, resisting cell death, deregulating cellular energetics. This article reviews these hallmarks and suggests any additional hallmark that can be further investigated and integrated into the revised edition , Hanahan and Weinberg’s hallmark of cancer are great pillars of understanding for modern cancer study and are open to modification , making it easily approachable ,critiqued and adds the possibility of additions in the near future. The role of exosomes are discussed with the potential to categorize drug resistance as a separate hallmark to assist us in developing therapeutics that can counter or bypass these mechanisms that assist cancer cells to proliferate even further.
癌症的特征代表了不同类型的癌症功能和增殖的原理和机制,这些原理包括修订后的版本,包括持续的增殖信号,逃避生长抑制因子,避免免疫破坏,使复制不朽,肿瘤促进炎症,激活入侵和转移,诱导血管生成,基因组不稳定和突变,抵抗细胞死亡,解除细胞能量调节。这篇文章回顾了这些标志,并提出了任何可以进一步调查和整合到修订版中的额外标志,Hanahan和Weinberg的癌症标志是理解现代癌症研究的重要支柱,并且对修改开放,使其易于接近,批评并增加了在不久的将来添加的可能性。我们讨论了外泌体的作用,并有可能将耐药性分类为一个单独的标志,以帮助我们开发能够对抗或绕过这些帮助癌细胞进一步增殖的机制的治疗方法。
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引用次数: 0
Minority Health and Health Disparities in the 21st Century: A Review 21世纪少数民族健康与健康差距研究综述
Pub Date : 2021-09-21 DOI: 10.31579/2690-1919/194
Mandal P, Devontenno K., Gary J., Grandville N., Hale D., Hayes A., M. M.
Powerful, complex relationships exist between health and biology, genetics, and individual behavior, and between health and health services, socioeconomic status, the physical environment, discrimination, racism, literacy levels, and legislative policies. These factors, which influence an individual’s or population’s health, are known as determinants of health. Today, health disparity is taking an in depth look at the differences in health status between different social groups, gender, race, ethnicity, education, income, disability, and sexual orientation. While on the other hand, health inequality is looking at the unjust and unfair treatment one gets because of their socioeconomic status and demographic area. Such a wide array of differences in health inequality and disparity is what contributes to the United States ranking in the bottom of industrialized western nations when it comes to life expectancy rate, and infant mortality rate. Even though over the years there have been great improvements and changes, there is still more work to be done to make health and equality for all.
健康与生物学、遗传学和个人行为之间,以及健康与卫生服务、社会经济地位、自然环境、歧视、种族主义、扫盲水平和立法政策之间存在着强大而复杂的关系。这些影响个人或人口健康的因素被称为健康决定因素。今天,健康差距正在深入研究不同社会群体、性别、种族、民族、教育、收入、残疾和性取向之间健康状况的差异。另一方面,健康不平等是指一个人因其社会经济地位和人口区域而受到的不公正和不公平待遇。在健康不平等和差距方面存在如此广泛的差异,导致美国在预期寿命和婴儿死亡率方面在西方工业化国家中排名垫底。尽管多年来取得了很大的进步和变化,但要使人人享有健康和平等,仍有更多的工作要做。
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引用次数: 0
Baseline Survey on the Fisheries of Tekeze Reservoir, Ethiopia 埃塞俄比亚Tekeze水库渔业基线调查
Pub Date : 2021-09-21 DOI: 10.31579/2690-1919/192
Dereje Tewabe, Erkie Asmare
This baseline survey was aimed to: (Amare, A et al, 2014) assess the role of fisheries of Tekeze in improving fisher’s livelihood; (Andersson J., et al 1998) assess household and individual involvement in fisheries and their inputs used; (Asmare, E., 2015) recommend means of interventions for sustainable use of the fishery resource of Tekeze. Data was collected from September to October 2017 by preparing structured questionnaire and checklists. In addition, mixtures of purposive and random sampling methods were employed to collect the data from 302 sampled households. Finally, the collected data were analyzed by using both descriptive and inferential statistics. Fishing in the study area is the main source of immediate cash income for the household next to crop production. Because of this, 50.33% of the respondents involve in a part time basis and the remaining 32.78% and 16.89% involves in a full time and seasonal basis of fishing respectively. Fishing in the study area is practiced by using both monofilament and multifilament gill nets, hooks, and hook and lines. In addition, the fishing boat, which mostly used are steel boat and planked boat. Mostly, fishers actively participate in fishing starting from October to May and some fishers involves even up to June. A highly significant difference in fishing input ownership were also observed between zones (t = 12.5). Even though highly significant difference in total annual gain from fishing is observed between zones and regions (t = 8.8), fishing plays a considerably important role for fishers (80941.46 ETB per a year on average) including part-time seasonal fishers and crop producer. On the other hand, fishing in the study area is highly gender-biased activity, which makes women’s participation negligible. However, destructive way of fishing by using 4cm stretched mesh sized monofilament gillnets; resource equity problem; poor infrastructure such as; road; and market competition problem are among the main problems in Tekeze fishery.
这项基线调查旨在:(Amare, A等人,2014)评估Tekeze渔业在改善渔民生计方面的作用;(Andersson J. et al . 1998)评估家庭和个人对渔业的参与及其使用的投入;(Asmare, E., 2015)建议可持续利用Tekeze渔业资源的干预手段。2017年9月至10月,通过编制结构化问卷和清单收集数据。此外,采用目的抽样和随机抽样相结合的方法,对302户抽样家庭进行数据收集。最后,对收集到的数据进行描述性统计和推理统计分析。在研究地区,捕鱼是仅次于农作物生产的家庭直接现金收入的主要来源。因此,50.33%的受访者从事兼职工作,其余的32.78%和16.89%分别从事全职和季节性捕鱼工作。在研究区域捕鱼采用单丝和多丝刺网、鱼钩、鱼钩和鱼线。此外,渔船,其中主要使用的是钢船和木板船。大部分渔民从10月开始到5月积极参与捕鱼,有些渔民甚至参与到6月。各区域之间在渔业投入物所有权方面也观察到非常显著的差异(t = 12.5)。尽管在不同区域和地区之间观察到捕鱼的年总收益有很大差异(t = 8.8),但捕鱼对包括兼职季节性渔民和作物生产者在内的渔民(平均每年80941.46 ETB)起着相当重要的作用。另一方面,研究区域的捕鱼是高度性别偏见的活动,这使得妇女的参与可以忽略不计。然而,破坏性的捕鱼方式是使用4cm拉伸网大小的单丝刺网;资源公平问题;基础设施较差,例如;路;市场竞争问题是特克泽渔业面临的主要问题。
{"title":"Baseline Survey on the Fisheries of Tekeze Reservoir, Ethiopia","authors":"Dereje Tewabe, Erkie Asmare","doi":"10.31579/2690-1919/192","DOIUrl":"https://doi.org/10.31579/2690-1919/192","url":null,"abstract":"This baseline survey was aimed to: (Amare, A et al, 2014) assess the role of fisheries of Tekeze in improving fisher’s livelihood; (Andersson J., et al 1998) assess household and individual involvement in fisheries and their inputs used; (Asmare, E., 2015) recommend means of interventions for sustainable use of the fishery resource of Tekeze. Data was collected from September to October 2017 by preparing structured questionnaire and checklists. In addition, mixtures of purposive and random sampling methods were employed to collect the data from 302 sampled households. Finally, the collected data were analyzed by using both descriptive and inferential statistics. Fishing in the study area is the main source of immediate cash income for the household next to crop production. Because of this, 50.33% of the respondents involve in a part time basis and the remaining 32.78% and 16.89% involves in a full time and seasonal basis of fishing respectively. Fishing in the study area is practiced by using both monofilament and multifilament gill nets, hooks, and hook and lines. In addition, the fishing boat, which mostly used are steel boat and planked boat. Mostly, fishers actively participate in fishing starting from October to May and some fishers involves even up to June. A highly significant difference in fishing input ownership were also observed between zones (t = 12.5). Even though highly significant difference in total annual gain from fishing is observed between zones and regions (t = 8.8), fishing plays a considerably important role for fishers (80941.46 ETB per a year on average) including part-time seasonal fishers and crop producer. On the other hand, fishing in the study area is highly gender-biased activity, which makes women’s participation negligible. However, destructive way of fishing by using 4cm stretched mesh sized monofilament gillnets; resource equity problem; poor infrastructure such as; road; and market competition problem are among the main problems in Tekeze fishery.","PeriodicalId":93114,"journal":{"name":"Journal of clinical research and reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48720247","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: 0
Correlation between Actual versus Perceived Body Mass Index using a 3D Avatar on Female Football and Rugby Athletes 用3D Avatar分析女性足球和橄榄球运动员的实际体重指数与感知体重指数的相关性
Pub Date : 2021-09-21 DOI: 10.31579/2690-1919/193
Claire Mills, Aimee Watson
Introduction: The pressures of body image can be considered as demoralising, especially within the female sporting environment, where female athletes often express the greatest number of negative thoughts and feelings towards their own body shape, appearance, and dissatisfaction. Research surrounding body image, body composition and body mass index (BMI) has shown that when participants use visual impressions, for perceived body image (PBI) they have failed to produce realistic images and often lacked body stimuli with realistic weight manipulations (Madrigal, 2000). To portray more realistic statistically probable weight manipulations of a personalised stimuli, a 3D Avatar can be used to establish how female athletes perceive their body image. Therefore, the main objective of this investigation is to determine the correlation between actual and perceived BMI using a 3D Avatar within female athletes. Method:n =18 female participants between the ages of 18–23 years of age and competing in football and rugby at club and university level were recruited. Stretched stature (m) and body mass (kg) were taken and values used to calculate actual (kg/m²) and perceived BMI. A computer generated (Unity Player) 3D Avatar, with a visual slide from an underweight to average to obese continuum, was used to assess participants perceived BMI. P value was set at < 0.05 and a Paired Student t-Test was used to test for the difference. A Pearson’s Correlation Coefficient was then used to test the strength of the correlation between the actual and perceived BMI. Results: Actual BMI ranged from 19.5 - 36.9 (x̄ 25.1 ± 4.7), whereas the perceived BMI ranged from 23.2 - 30.8 (x̄ 26.7 ± 2.6). A Paired Student t–test set at P < 0.05 suggested a significant difference between actual and perceived BMI (P = 0.023), and a Pearson’s Correlation Coefficient test confirmed a strong correlation of r = 0.875. Conclusion: Results indicated that perceived BMI was higher than the participants actual BMI and suggested that female athletes competing in football and rugby have a large amount of body dissatisfaction.
身体形象的压力可以被认为是士气低落,特别是在女性运动环境中,女性运动员经常对自己的身体形状、外表和不满表达最多的负面想法和感受。关于身体形象、身体组成和身体质量指数(BMI)的研究表明,当参与者使用视觉印象时,对于感知的身体形象(PBI),他们无法产生真实的形象,而且往往缺乏具有真实体重操纵的身体刺激(Madrigal, 2000)。为了描绘更真实的统计上可能的个性化刺激的体重操纵,3D Avatar可以用来建立女运动员如何感知自己的身体形象。因此,本研究的主要目的是利用女性运动员的3D Avatar来确定实际BMI和感知BMI之间的相关性。方法:n =18名年龄在18 - 23岁之间,在俱乐部和大学水平参加足球和橄榄球比赛的女性参与者。测量拉伸后的身高(m)和体重(kg),并用数值计算实际(kg/m²)和感知BMI。一个由计算机生成的(Unity Player) 3D化身,带有从体重过轻到平均到肥胖连续体的视觉幻灯片,被用来评估参与者感知到的体重指数。P值设为< 0.05,采用配对学生t检验检验差异。然后使用Pearson相关系数来测试实际BMI和感知BMI之间的相关性。结果:实际BMI范围为19.5 - 36.9 (x′25.1±4.7),而感知BMI范围为23.2 - 30.8 (x′26.7±2.6)。配对学生t检验集P < 0.05表明实际BMI与感知BMI之间存在显著差异(P = 0.023), Pearson相关系数检验证实相关性强(r = 0.875)。结论:研究结果表明,女性运动员的身体质量指数(BMI)高于她们的实际身体质量指数(BMI),表明她们在足球和橄榄球比赛中存在较大的身体不满意度。
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引用次数: 0
Which Self Represents Sapiens? Biological, Psychiatric, Psychological or Religious? 哪个自我代表了智人?生理的,精神的,心理的还是宗教的?
Pub Date : 2021-08-28 DOI: 10.31579/2690-1919/189
Ebrahim Khodadady
Background: The physical science of biology and social sciences of psychiatry, psychology and religion address “self” as one of their main themes of investigation. Objective: to find out which self-described by these sciences represents “sapiens” distinguished from all other organisms because of having wisdom. Methodology: a representative text of biology was chosen and subjected to textual and statistical analyses and contrasted to those of psychiatry, psychology and religion. Results: Biology, psychiatry and psychology employ the eight-taxon structure of Linnaeus [1] in which wisdom has no role to play and thus “sapiens” are treated as if they were similar, if not the same as, all other species of plants and animals. Religion, however, divides “sapiens” to three types of self-based on whether they exercise their wisdom or not. Conclusion: Biology, psychiatry and psychology render all selves including “sapiens” subject to life on the earth and justify whatever they do in terms of securing and enjoying it. Religion, however, lifts “sapiens” to the vicegerency of God and holds them responsible for the type of self they choose to become by extending life to hereafter.
背景:生物学的物理科学和精神病学、心理学和宗教的社会科学将“自我”作为研究的主题之一。目的:找出这些科学所描述的哪一种自我代表了“智人”,因为它具有智慧而区别于所有其他生物。方法:选择生物学的代表性文本,进行文本和统计分析,并与精神病学、心理学和宗教的文本进行对比。结果:生物学、精神病学和心理学采用了林奈[1]的八个分类单元结构,其中智慧没有任何作用,因此“智人”被视为与所有其他动植物物种相似,甚至不相同。然而,宗教根据“智人”是否行使智慧将他们分为三种类型的自我。结论:生物学、精神病学和心理学使包括“智人”在内的所有自我都服从于地球上的生命,并为他们所做的一切提供保障和享受。然而,宗教将“智人“提升为上帝的牺牲品,并让他们对自己选择的自我类型负责,将生命延续到未来。
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引用次数: 2
A Modern Approach to Assessing the Satisfaction of Medical Staff in a Psychiatric Institution with the Quality of Medical Services 精神病院医务人员对医疗服务质量满意度评估的现代方法
Pub Date : 2021-08-28 DOI: 10.31579/2690-1919/190
Aliyev Na
Purpose: The aim of the study is to develop a methodology for assessing the quality of mental health services. Research material - The participation of psychiatric staff in a sociological study of the availability and quality of mental health services. Refusal of psychiatric staff to participate in the survey. The necessary questionnaires were provided to record the psychiatric staff's responses to the survey. The questionnaires were completed by the surveyed nurses as workplace respondents. In order not to violate the anonymity of the survey, the last name or first name of the respondent should not be indicated in the questionnaire. The study involved 100 people. Results - A social survey of patients in psychiatric institutions is of great importance and highlights a number of questions aimed at improving it. Thus, in order to improve the work of the hospital, first of all, the results of a sociological survey conducted among psychiatric workers should be taken into account. Employees are very incompetent to involve family members in the treatment of patients - 20%. Conclusion - There is no doubt that future solutions to the main problems identified in this paper will help improve the quality of mental health care.
目的:本研究旨在制定一种评估心理健康服务质量的方法。研究材料-精神科工作人员参与对心理健康服务的可用性和质量的社会学研究。精神科工作人员拒绝参加调查。提供了必要的问卷,以记录精神科工作人员对调查的反应。问卷由被调查的护士作为工作场所的受访者完成。为了不违反调查的匿名性,调查问卷中不应注明受访者的姓氏或名字。这项研究涉及100人。结果-对精神病院患者进行的社会调查非常重要,并突出了旨在改进该调查的一些问题。因此,为了改进医院的工作,首先,应考虑在精神病工作者中进行的社会学调查的结果。员工非常没有能力让家人参与患者的治疗——20%。结论——毫无疑问,未来解决本文中发现的主要问题将有助于提高心理健康护理的质量。
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引用次数: 0
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