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A Review of Public Health in Vietnam: 50 Years after Agent Orange was Sprayed 越南公共卫生回顾:橙剂喷洒50年后
Pub Date : 2019-01-01 DOI: 10.31488/heph.119
A. Young
Introduction For five decades there have been continuous controversies over the use of Agent Orange and other tactical herbicides sprayed for defoliation and crop destruction purposes during the Vietnam-American War (Vietnam War) from 1961 1971. Indeed, few occupational health issues have sustained such international attention as have the use of herbicides in Southeast Asia. The opening and establishment of normal relations in 1995 between the United States and the Socialist Republic of Vietnam provided an opportunity for scientists, public health experts, and the media to visit Southern Vietnam, and attempt to assess the long-term impact of the defoliation program. Since that time, there have been hundreds of negative and sensational stories circulated, hundreds of articles published, and an extensive propaganda campaign by the government of Vietnam and others. The search for facts and truths regarding public health in Vietnam as related to the use of Agent Orange has been lost among the continuous media coverage. This article attempts to analyze the public health threat that was posed by the spraying of Agent Orange over 50 years ago. Background To conduct an assessment of the potential public health threat that Agent Orange and its associated dioxin contaminant may have caused after the Vietnam War required documentation on the military herbicides that were used in the Vietnam War; how exposure occurred and was measured; the persistence of the dioxin contaminant; toxicology of the herbicides and dioxin contaminant; validity of the cause of diseases reported; and the politics associated with Agent Orange.
在1961 - 1971年的越南-美国战争(越南战争)期间,关于橙剂和其他用于落叶和作物破坏目的的战术除草剂的使用一直存在争议。事实上,很少有职业健康问题像在东南亚使用除草剂那样受到国际关注。1995年,美国和越南社会主义共和国开始建立正常关系,为科学家、公共卫生专家和媒体提供了访问越南南部的机会,并试图评估落叶计划的长期影响。从那时起,流传了数百个负面和耸人听闻的故事,发表了数百篇文章,越南政府和其他国家开展了广泛的宣传活动。对越南公共卫生中与使用橙剂有关的事实和真相的探索,在媒体的不断报道中消失了。这篇文章试图分析50多年前喷洒橙剂所造成的公共健康威胁。越南战争结束后,为了评估橙剂及其相关二恶英污染物可能对公众健康造成的潜在威胁,需要有关越南战争中使用的军用除草剂的文件;暴露是如何发生和测量的;二恶英污染物的持久性;除草剂和二恶英污染物的毒理学研究所报告疾病原因的有效性;以及与橙剂有关的政治。
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引用次数: 1
Readability and Suitability of Over-the-Counter Medication Labels 非处方药标签的可读性和适用性
Pub Date : 2019-01-01 DOI: 10.31488/heph.128
Y. R. Lee, C. Baker, G. G. Aguirre
Young R. Lee*, Christie L. Baker, Gilbert G. Aguirre Department of Pharmacy Practice, Texas Tech University Health Sciences Center School of Pharmacy, USA *Corresponding author: Young R. Lee, Pharm.D., BCPS, BCCCP, Associate Professor, Department of Pharmacy Practice, Texas Tech University Health Sciences Center School of Pharmacy, 1718 Pine Street Abilene, TX, USA 79601, Tel: 1-325-696-0449; Fax: 1-325-676-3824; E-mail: young.lee@ttuhsc.edu
Young R. Lee*, Christie L. Baker, Gilbert G. Aguirre,美国德州理工大学健康科学中心药学院药学实践系*通讯作者:Young R. Lee,药学博士。德克萨斯理工大学健康科学中心药学院,美国德克萨斯州阿比林松树街1718号,电话:1-325-696-0449,药学实践系副教授;传真:1-325-676-3824;电子邮件:young.lee@ttuhsc.edu
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引用次数: 0
Dance as Moderate Intensity Activity in the Stress Management among Teenage Girls 舞蹈作为中等强度活动在少女压力管理中的作用
Pub Date : 2019-01-01 DOI: 10.31488/heph.120
Ágnes Nagy, ViktoriaPremusz, B. Perjés, A. Duberg, G. Hegyi
Teenage Girls Agnes L. Nagy1, ViktoriaPremusz1,Beatrix Perjés1, Anna Duberg*2, Gabriella Hegyi1 1. DoctoralSchool of Health Sciences, Faculty of Health Sciences, University of Pécs, Hungary 2. University Healthcare Research Center, Region Örebro County, Örebro, Sweden *Corresponding author: Anna Duberg, University Healthcare Research Center, Region Örebro County, Örebro, Sweden, E-mail: anna.duberg@oru.se
少女Agnes L.Nagy1,Viktoria Premusz1,Beatrix Perjés1,Anna Duberg*2,Gabriella Hegyi1 1。匈牙利佩茨大学健康科学学院健康科学博士院2。瑞典Örebro地区Öreblo县大学医疗保健研究中心*通讯作者:Anna Duberg,瑞典Örepro地区Ölebro县大学卫生保健研究中心,电子邮件:anna.duberg@oru.se
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引用次数: 0
Exploring the Adequacy of Family Planning Services to Adolescents needs: Results of a cross-sectional Study from two settings in the emocratic Republic of the Congo 探索计划生育服务对青少年需求的充分性:来自刚果民主共和国两种情况的横断面研究结果
Pub Date : 2019-01-01 DOI: 10.31488/heph.111
Dieudonné Mpunga Mukendi, Faustin Chenge Mukalenge, Mapatano Mala Ali, G. Wembodinga, Utshudienyema
Results of a cross-sectional Study from two settings in the Democratic Republic of the Congo Dieudonné Mpunga Mukendi*1, Faustin Chenge Mukalenge2, Mapatano Mala Ali1, Gilbert Wembodinga Utshudienyema1 1. Kinshasa School of Public Health, University of Kinshasa, RDC 2. School of Public Health, University of Lubumbashi, RDC Corresponding author: Dieudonné Mpunga Mukendi, Kinshasa School of Public Health, Faculty of Medicine, University of Kinshasa, P.O. Box: 11850 Kinshasa I, Kinshasa, Democratic Republic of the Congo, Email: mpungadieudonn@yahoo.fr
来自刚果民主共和国两个环境的横断面研究结果:dieudonn Mpunga Mukendi*1、Faustin Chenge Mukalenge2、Mapatano Mala Ali1、Gilbert Wembodinga utshudienyem1。金沙萨大学金沙萨公共卫生学院,RDC 2。通讯作者:dieudonn Mpunga Mukendi,金沙萨大学医学院金沙萨公共卫生学院,邮箱:11850金沙萨一号,金沙萨,刚果民主共和国,电子邮件:mpungadieudonn@yahoo.fr
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引用次数: 3
Contributing Factors to Acute Diarrhea in Children Less than Five Years in Orotta Pediatric National Referral Hospital from 1st May to 30th June 2016 2016年5月1日至6月30日奥罗塔儿科国家转诊医院5岁以下儿童急性腹泻的影响因素
Pub Date : 2019-01-01 DOI: 10.31488/heph.127
Kidane, Chimar, Tesfu, Ghirmay, Kaleab, Fsehaye, and Andom
Introduction: Acute gastroenteritis (AGE) is a major cause of morbidity and mortality in children world-wide with the highest incidence in the economically transitioning countries like Eritrea. It kills more children than AIDS, malaria, and measles combined. Therefore, identifying the real and actual contributing factors of acute diarrhea in these population is of a great need. Objective: To determine the contributing factors associated with acute gastroenteritis among children less than five years in Orotta Pediatric National Referral Hospitalfrom 1st May to 30th June 2016. Methodology: A hospital‐based qualitative retrospective case–control study was done with N= 160, 80 cases and 80 controls of children who were admitted in the outpatient department of OPNRH. The data was gathered from the children health records and by interviewing the care givers of the children using objectively structured questionnaire. Collected data was entered in SPSS version 20 and analysis was performed with appropriate statistical tools like Chi‐square test and odds ratio to determine the significant associations. Results: A total of N= 160 children, 80 cases and 80 controls were enrolled in the study. Significant associations were found with child age, maternal age, washing breast before feeding the child, public latrine utilization, hand washing practice of mothers, storage of cooked food, and buying food from street vendors. Conclusion and recommendation: From this study we identified the contributing factors of acute diarrhea to be private or public latrine ownership, hand washing practices of mothers, storage of cooked foodand buying food from street vendors.Therefore,this study recommends that more emphasis should be given on sanitation practices (hand washing, food storage, and usage of latrines) and safety of purchased food from street vendors should be reassured.
简介:急性胃肠炎(AGE)是世界范围内儿童发病和死亡的主要原因,在厄立特里亚等经济转型国家发病率最高。它杀死的儿童比艾滋病、疟疾和麻疹加起来还要多。因此,确定这些人群急性腹泻的真实和实际因素是非常必要的。目的:了解2016年5月1日至6月30日在Orotta儿科国家转诊医院就诊的5岁以下儿童急性胃肠炎的相关因素。方法:一项以医院为基础的定性回顾性病例对照研究,在OPNRH门诊住院的儿童中,N= 160,80例和80例对照。数据收集自儿童健康记录,并通过使用客观结构的问卷采访儿童的照顾者。将收集到的数据输入SPSS版本20,并使用卡方检验和优势比等适当的统计工具进行分析,以确定显著相关性。结果:共纳入N= 160例儿童,80例病例和80例对照。与儿童年龄、母亲年龄、喂奶前清洗乳房、公共厕所使用情况、母亲洗手习惯、储存熟食以及从街头小贩处购买食品存在显著关联。结论和建议:从这项研究中,我们确定了急性腹泻的影响因素是私人或公共厕所的所有权,母亲的洗手习惯,熟食的储存以及从街头小贩那里购买食物。因此,本研究建议应更加重视卫生习惯(洗手、食物储存和使用厕所),并确保从街头小贩处购买的食品的安全性。
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引用次数: 1
Electromagnetic properties of the human blood circulation 人体血液循环的电磁特性
Pub Date : 2018-12-30 DOI: 10.31488/heph.110
M. Beraia, G. Beraia
Introduction Now is accepted, that the driving force in the circulatory system is the heart and the vascular system provides the blood to circulate in the vessels with the different functions. The earliest known writings on the circulatory system are found in the Ebers Papyrus (16th century BCE). The true history of the development of the blood circulation theory begins from the views of Galen, through the Islamic Golden Age, and up to William Harvey with his groundbreaking and accurate description about how the heart pumped blood throughout the body [1]. The basic provisions are unchanged for centuries. Humans, as well as other vertebrates, have a closed cardiovascular system. Blood flow through the vessel is determined Abstract
引言现在公认的是,循环系统中的驱动力是心脏,血管系统提供血液在具有不同功能的血管中循环。已知最早关于循环系统的著作见于埃伯斯纸莎草(公元前16世纪)。血液循环理论发展的真正历史始于盖伦的观点,贯穿伊斯兰黄金时代,直到威廉·哈维对心脏如何将血液泵送到全身的开创性准确描述[1]。几个世纪以来,基本条款没有改变。人类和其他脊椎动物一样,都有一个封闭的心血管系统。通过血管的血液流量已确定摘要
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引用次数: 0
Anxiety about ageing and related factors in Japan 日本的老龄焦虑及其相关因素
Pub Date : 2018-12-30 DOI: 10.31488/heph.106
K. Miyamoto, W. Seo, M. Iwakuma
Introduction In Japan, the world’s most super-aged country, 30% of the population will be 65 years old or older by 2025 [1]. The government program ‘Promoting the Dynamic Engagement of All Citizens’ calls on the elderly not to retire but to remain active [2], thus requesting them to play a continued active role in society and increasing interactions among generations. According to a meta-analysis by North and Fiske [3], East Asians take a more negative attitude towards the elderly than Westerners, South Asians, or Southeast Asians. A study of ageism compared attitudes towards the elderly in the UK and Taiwan [4]. The Taiwanese showed an ambivalent attitude towards the elderly: their admiration, envy, contempt, and active harm scores were greater than those of the UK residents. Vauclair et al. suggested that a possible reason for this ambiguity is the result of mixed feelings: cultural deference towards the elderly combined with negative views of older generations due to their refusal to transfer power or due to the burden of pension expenses [4]. Japan is in a similar state. Studies have suggested that negative attitudes towards the elderly that lead to ageism are caused by anxiety about ageing [5-7]. However, there have been few studies investigating anxiety about ageing in Japan. Lasher et al. called anxiety about ageing ‘a possible mediating factor in determining attitudes and behavior toward the elderly, or as a factor in adjustment to aging as an adult developmental issue’ [8]. They developed the Anxiety about Aging Scale (AAS), a multidimensional instrument to assess anxiety about ageing [8]. They Abstract
引言在世界上老龄化程度最高的国家日本,到2025年,30%的人口将达到65岁或以上[1]。政府的“促进所有公民的动态参与”计划呼吁老年人不要退休,而是保持活跃[2],从而要求他们在社会中继续发挥积极作用,并增加几代人之间的互动。根据North和Fiske[3]的一项荟萃分析,东亚人对老年人的态度比西方人、南亚人或东南亚人更消极。一项关于年龄歧视的研究比较了英国和台湾对老年人的态度[4]。台湾人对老年人表现出矛盾的态度:他们的钦佩、嫉妒、蔑视和主动伤害得分高于英国居民。Vauclair等人认为,这种模糊性的一个可能原因是复杂情感的结果:对老年人的文化尊重,加上老年人拒绝权力转移或养老金支出负担而产生的负面看法[4]。日本也处于类似的状态。研究表明,导致年龄歧视的对老年人的负面态度是由对衰老的焦虑引起的[5-7]。然而,在日本,很少有研究调查对衰老的焦虑。Lasher等人将对衰老的焦虑称为“决定对老年人的态度和行为的一个可能的中介因素,或者作为一个成人发展问题来适应衰老的一个因素”[8]。他们开发了衰老焦虑量表(AAS),这是一种评估衰老焦虑的多维工具[8]。他们抽象
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引用次数: 0
Care Preferences of Elderly People Living Alone in Japan 日本独居老人的护理偏好
Pub Date : 2018-12-30 DOI: 10.31488/heph.107
N. Kumagai
Introduction There is strong evidence that social isolation is a risk factor for poor mental and physical health [1], and is associated with increased mortality [2,3]. The most commonly studied outcomes of social isolation or loneliness are depression and cardiovascular health [1]. The risks of social isolation depend not only on who you are, but also on where you live [4], especially in urban areas, where there tends to be more elderly people with a higher degree of social isolation. Therefore, care problems arising from social isolation have emerged as a major concern for health policy. In Japan, the number of elderly people living alone has grown. In 2015, the proportion among those aged ≥65 years was 13.3% in males, and 21.1% in females. The proportion of elderly people living alone increased from 9.6% in 2000 to 15.5% in 2015. Most elderly living alone are likely to be socially isolated and to die alone if unable to receive long-term care insurance (LTCI) services when needing care. Demand for the LTCI service exceeds supply in urban areas. Staff shortage in the care sector has been found to be related to both the shortage of human resources and high land prices [5]. Moreover, excess demand for labor in the care sector depends on delayed adjustment of nursing care costs set by the Japanese government [6]. Thus, overcoming supply constraints in the care sector is considered difficult. Social isolation exacerbates the health issues of elderly persons who live alone, resulting in longer waiting times for LTCI services in Japan.1 Previous studies have found care preferences relating to individual healthcare or nursing care needs. Residents of a country with a strong national healthcare infrastructure are less likely to prefer family-based care [7]. In a previous study, nursing home care was most preferred for dementia care [8]. Another study pointed out that old, frail, and reclusive people who live alone may require home care [4].
有强有力的证据表明,社会孤立是精神和身体健康状况不佳的一个危险因素,并与死亡率增加有关[2,3]。社会孤立或孤独最常见的研究结果是抑郁和心血管健康问题。社会孤立的风险不仅取决于你是谁,还取决于你住在哪里,特别是在城市地区,那里往往有更多的老年人,他们的社会孤立程度更高。因此,由于社会孤立而产生的护理问题已成为卫生政策的一个主要关切。在日本,独居老人的数量有所增加。2015年,≥65岁人群中男性占13.3%,女性占21.1%。独居老人的比例从2000年的9.6%上升到2015年的15.5%。大多数独居老人很可能被社会孤立,如果在需要护理时无法获得长期护理保险(LTCI)服务,就可能孤独地死去。城市地区对LTCI服务的需求超过了供应。研究发现,护理部门人员短缺与人力资源短缺和土地价格高企有关。此外,护理部门对劳动力的过度需求取决于日本政府设定的护理成本调整的延迟。因此,克服护理部门的供应限制被认为是困难的。社会隔离加剧了独居老年人的健康问题,导致日本LTCI服务的等待时间更长。先前的研究发现,护理偏好与个人医疗保健或护理需求有关。拥有强大国家医疗基础设施的国家的居民不太可能喜欢以家庭为基础的护理。在之前的一项研究中,养老院护理是痴呆症护理中最受欢迎的。另一项研究指出,年老体弱和独居的人可能需要家庭护理。
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引用次数: 2
Improvement prediction process prevent chronic diseases from environmental threat: Integration omics to decision process in quality of health 改善预测过程预防慢性病的环境威胁:将组学整合到健康质量决策过程中
Pub Date : 2018-12-30 DOI: 10.31488/heph.109
Hong-Duck Kim, A. Ansehl, Y. J. Lee, P. Murthy, S. Warner, Laili Qiyam, L. Miranda, Carpenter, D. Heck
threat: Integration omics to decision process in quality of health Hong Duck Kim*1, Amy Ansehl1, Yoon Ju Lee2, Padmini Murthy2, Shana Warner3, Laili Qiyam3, Miranda L Carpenter1, and Diane E. Heck1 1. Department of Public Health, New York Medical College, Valhalla, USA 2. Division of Environmental Health Science, New York Medical College, Valhalla, USA 3. Health Policy Management, New York Medical College, Valhalla, USA 4. Epidemiology, School of Health Sciences and Practice, New York Medical College, Valhalla, USA *Corresponding author: HD Kim Ph.D, Department of Public Health, Division of Environmental Health Science, School of Health Sciences and Practice, New York Medical College, Valhalla NY 10595, USA, Fax: +1-914-594-4576, Tel: +1-914-594-4259, E-mail: hongduck_kim@nymc.edu
威胁:整合组学在健康质量决策过程中的应用Hong Duck Kim*1, Amy anseh1, Yoon Ju le2, Padmini Murthy2, Shana Warner3, Laili Qiyam3, Miranda L Carpenter1, Diane E. Heck1 1。美国瓦尔哈拉,纽约医学院公共卫生系2 .纽约医学院环境健康科学系,瓦尔哈拉,美国卫生政策管理,纽约医学院,瓦尔哈拉,美国通讯作者:HD Kim博士,纽约医学院卫生科学与实践学院公共卫生系,环境卫生科学部,纽约瓦尔哈拉10595,美国,传真:+1-914-594-4576,电话:+1-914-594-4259,E-mail: hongduck_kim@nymc.edu
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引用次数: 0
Future LTC needs of the elderly in Japan with some reference to Germany 未来日本老年人的LTC需求与德国有一定的参考
Pub Date : 2018-12-30 DOI: 10.31488/heph.108
T. Fukawa
Due to the highest life expectancy at birth among OECD member countries, the Japanese elderly face the risk of long-term care (LTC) needs. Japan and Germany have implemented public long-term care insurances, and both countries hoped that improving care in the community would lower nursing home usage and spending. After reviewing the LTC recipient rate of the elderly in Japan and Germany from international perspectives, the LTC recipient rate and expenditure among the Japanese elderly were estimated for the period of 2020-2070, using the results of the projection of the elderly by dependency level obtained from the INAHSIM (Integrated Analytical Model for Household Simulation) 2018 simulation. Long-term care expenditure is quite closely related to ageing and it is important to reduce the LTC recipient rate through prevention and putting the right incentives in the system.
由于日本是经济合作与发展组织成员国中出生时预期寿命最高的国家,日本老年人面临着长期护理(LTC)需求的风险。日本和德国已经实施了公共长期护理保险,两国都希望通过改善社区护理来降低养老院的使用率和支出。在从国际视角回顾日本和德国老年人LTC接受率的基础上,利用INAHSIM (Integrated Analytical Model for Household Simulation) 2018年模拟得出的老年人按抚养水平预测结果,对2020-2070年日本老年人LTC接受率和支出进行了估算。长期护理支出与老龄化密切相关,重要的是通过预防和在系统中采取正确的激励措施来降低长期护理费用接受者的比例。
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引用次数: 0
期刊
Health education and public health
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