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  • 简介:AbstractBackground:The One Health (OH) concept has been promoted widely around the globe. OH framework is expected to be applied as an integrated approach to support addressing zoonotic diseases as a significant global health issue and to improve the efficiency and effectiveness of zoonosis prevention and control. This review is intended to overview the social impact of the implementation of OH on zoonosis prevention and control.Methods:A scoping review of studies in the past 10 years was performed to overview the integration feature of OH in zoonosis prevention and control and the social impacts of OH. PubMed and Web of Science were searched for studies published in English between January 2011 and June 2021. The included studies were selected based on predefined criteria.Results:Thirty-two studies were included in this review, and most of them adopted qualitative and semi-qualitative methods. More than 50% of the studies focused on zoonosis prevention and control. Most studies were conducted in low- and middle-income countries in Africa and Asia. Applying OH approach in diseases control integrates policymakers, stakeholders, and academics from various backgrounds. The impact of OH on economic is estimated that it may alleviate the burden of diseases and poverty in the long term, even though more financial support might be needed at the initial stage of OH implementation. OH implementation considers social and ecological factors related to zoonosis transmission and provides comprehensive strategies to assess and address related risks in different communities according to regions and customs.Conclusions:Based on reviewed literature, although there seems to be a lack of guidelines for assessing and visualizing the outcomes of OH implementation, which may limit the large-scale adoption of it, evidence on the contributions of implementing OH concepts on zoonosis prevention and control indicates long-term benefits to society, including a better integration of politics, stakeholders and academics to improve their cooperation, a potential to address economic issues caused by zoonosis, and a comprehensive consideration on social determinants of health during zoonosis prevention and control.

  • 标签: One Health Zoonotic diseases Social impacts Social perspectives
  • 简介:AbstractViral infections during pregnancy are associated with adverse pregnancy outcomes, including maternal and fetal mortality, pregnancy loss, premature labor, and congenital anomalies. Mammalian gestation encounters an immunological paradox wherein the placenta balances the tolerance of an allogeneic fetus with protection against pathogens. Viruses cannot easily transmit from mother to fetus due to physical and immunological barriers at the maternal-fetal interface posing a restricted threat to the fetus and newborns. Despite this, the unknown strategies utilized by certain viruses could weaken the placental barrier to trigger severe maternal and fetal health issues especially through vertical transmission, which was not fully understood until now. In this review, we summarize diverse aspects of the major viral infections relevant to pregnancy, including the characteristics of pathogenesis, related maternal-fetal complications, and the underlying molecular and cellular mechanisms of vertical transmission. We highlight the fundamental signatures of complex placental defense mechanisms, which will prepare us to fight the next emerging and re-emerging infectious disease in the pregnancy population.

  • 标签: Trophoblasts Congenital infection Hepatitis B virus Human immunodeficiency virus Influenza A virus Severe acute respiratory syndrome coronavirus 2 Zika virus
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  • 简介:AIM:ToreviewvisionhealthsituationofIraniancommunity,analyzeitsdeterminants,anddiscusstheadoptedimprovementstrategiesbytheIranMinistryofHealthandMedicalEducation(MOHME).METHODS:Thiswasarapidsituationanalysiswithaqualitativeapproachinthreepartsofrecognition,orientationandimplementation.Thedataweregatheredviareviewofupstreamdocuments,nationalandinternationalexperiences,andexpertsandstakeholders’opinions.RESULTS:Eradicatingtrachoma,increasinghumanresources,increasingeducationalandresearchcentersandpromotionofophthalmictechnologieswereimportantachievementsinthefieldofvisionhealthinIran.Throughtheseachievements,itseemedthatthepatternofcausesofblindnessandlowvisionwassimilartothatofthedevelopedcountries.However,thereviewofIranians’visionhealthindicatorsshowedthataconsiderablepercentoftheblindnessandlowvisionwasavoidablethroughanationalprogramdemanding3typesofinterventionsinsocialdeterminantsofhealth(SDH),communityeducation,andincreasingtheaccesstohealthcareservicesbyintegratingthenecessaryservicesinprimaryhealthcaresystem.CONCLUSION:Managingtheissuerequiresattentionsfromanationalcommitteeforpreventingblindnesswithparticipationofallstakeholders,implementinganationalsurveyonvisionhealth,preparationoftheprimarylevelhealthcentersincludingemploymentandeducationofcommunityhealthworkers(Behvarzes),optometristsandgeneralpractitioners,fairdistributionofspecializedhumanresourcesandestablishingatleastonespecializedcenterineachprovinceforreferringpatientsfromtheprimarylevels.

  • 标签: VISION HEALTH POLICY document primary HEALTH
  • 简介:Depression/anxietyiscommonlypresentinpacedpatientsandisassociatedwithincreasedcardiovascularmorbidityandmortality.Thehighprevalenceofdepression/anxietyinpacedpatientssupportsastrategyofincreasedawarenessandtreatmentfordepression/anxietyinpacedpatients.Health-relatedqualityoflife(HRQoL)isbeingincreasinglyconsideredasanexpectedout-comeoftherapeuticinterventionsandrehabilitationprogramsinclinicalcardiologyincludingpatientsbeforeandafterpacemaker(PM)implantation.Thismultispecialtyconsensusdocumentreviewstheevidencelinkingdepression/anxietywitharrhythmiaandcardiacpacing;HRQoLandcardiacpacing,atthesametime,providesrecommendationsforhealthcareprovidersforthetreatmentofdepression/anxiety.

  • 标签: 生活质量 抑郁症 焦虑 患者 健康 关联性
  • 简介:稀罕、危及的种类Ammopiptanthusmongolicus(格言)的人口Chengf。在瓷器干旱区域和中亚很快衰退了。有迫切需要保护这种,它在在整个西北的中国的干旱区域维持生物多样性是特别地重要的。由基于植物蒸发转移系数分析红外线的热图象(h在)和光合的参数,我们成为量、精确植物生长和A的健康地位诊断。mongolicus。用一个LI-COR6400光合作用系统,我们测量了网络光合的率(Pn),有气孔的传导力(Gs),和蒸发率(Tr)。在这域里获得的红外线的热图象被ENVI4.8软件处理计算植物题目的表面温度。我们发现植物蒸发转移A的系数。mongolicus在旧植物的顺序>幼苗>中间的植物。年轻、中间、旧的植物的衰退健康层次被划分成三个范畴:<0.4,0.40.7,并且>0.7。系数与Tr,Gs,和P显示他们能同时反映植物生长的状态的n,。由建立h在在回归模型Y的和光合的参数?=?a-blnx,我们能精确地诊断植物生长和植物健康条件的衰落。

  • 标签: 中国西北部 健康诊断 红外热成像技术 沙冬青 珍稀濒危植物 保护生物多样性
  • 作者: Shen Yun Zhou Jian Hu Gang
  • 学科: 医药卫生 >
  • 创建时间:2020-08-10
  • 出处:《中华医学杂志(英文版)》 2020年第10期
  • 机构:Department of Endocrinology and Metabolism, Shanghai Clinical Center for Diabetes, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai 200233, China,Chronic Disease Epidemiology, Pennington Biomedical Research Center, Baton Rouge, LA, USA
  • 简介:AbstractElectronic health (medical) records, which are also considered as patients’ information that are routinely collected, provide a great chance for researchers to develop an epidemiological understanding of disease. Electronic health records systems cannot develop without the advance of computer industries. While conducting clinical trials that are always costly, feasible and reasonable analysis of routine patients’ information is more cost-effective and reflective of clinical practice, which is also called real world study. Real world studies can be well supported by big data in healthcare industry. Real world studies become more and more focused and important with the development of evidence-based medicine. These big data will definitely help in making decisions, making policies and guidelines, monitoring of effectiveness and safety on new drugs or technologies. Extracting, cleaning, and analyzing such big data will be a great challenge for clinical researchers. Successful applications and developments of electronic health record in western countries (eg, disease registries, health insurance claims, etc) have provided a clear direction for Chinese researchers. However, it is still at primary stages in China. This review tries to provide a full perspective on how to translate the electronic health records into scientific achievements, for example, among patients with diabetes. As a summary in the end, resource sharing and collaborations are highly recommended among hospitals and healthcare groups.

  • 标签: Electronic health records Real world Cohort study
  • 简介:HealthinstitutionsinthePeople’sRepublicofChinaareunderconsiderablechallenge.Innovationsinmanagementsystemsmaysupportthechallengetoincreasebothefficiencyandeffectiveness.Thebalancedscorecard(BSC)isonesuchinnova-tion.WehaveusedamodeltoexplorethefactorsthatmayimpactthediffusionoftheBSCinChinesegovernmenthospitals.Inparticular,weconcentrateonthreefactors—theoutercontext,thenatureoftheinnovationandthecommunicationandinfluence.TheoutercontextandthenatureoftheinnovationdoprovideaninducementtoimplementaBSC.Thestrengthofthecommunica-tionandinfluencemayaffecttheleveloftake-up.However,werecognisethattheymaychoosetheBSCnotforanyapparenttechnicalexcellencebutforthelegitimationthatWesternman-agementpracticesmaybringtolocalmanagers.

  • 标签: 医疗服务 平衡记分卡 医院 有限健康资源 医疗需求
  • 简介:在河健康评价以后的索引系统对在实践使用困难,由于采用的更复杂、职业的指示物。在纸,能是的一些关键指示物一般来说申请了河健康评价被选择,基于有在在19722010的150份出版报纸和文件附近的在内的902个变量的45个评价索引系统的分析。根据变量盖住的地,他们被划分成四个组:产地状况,水环境,关於生命的地位和水利用。在变量被合为指示物以后,在每指示物的上述系统的采用的数字和接受的度被计算,一些能反映河状况的不同方面的广泛地接受的指示物在候选人作为关键指示物被选择。在在在候选人的关键指示物之中的关联分析下面,8指示物最后为估计河健康作为关键指示物被建议,它是:河边的植被,沼泽地的保留的率,河连续性,水流动的变化的率,到达水质量标准的比率,关於生命的正直的鱼索引,水利用的比率和陆地使用的范围率。

  • 标签: 健康评估 河流 健康评价指标体系 评估指标体系 环境质量标准 相关性分析
  • 简介:Althoughchemicalcontrolofpestsincreasescropproduction,itbringsalotofdamagetoenvironmentandhumanhealth.Thereexistanumberofalternativemethodsthatarenotsoharmfultoenvironmentandhumanhealth.However,whetherandhowmuchinextentthesetechnologiesadoptedareplausibledependsonthecomparisonofbenefit-costbetweenchemicalcontrolandthealternativecontrolmethods(suchasIntegratedPestManagement,IPM)andfarmers'willingness-to-pay(WTP)forenvirormentandhumanhealth.Usingcontingentvaluationmethod(CVM),theauthorinvestigatesfarmers'WTPforenvironmentandhumanhealth,recognizesthefactorsinfluencingWTP,andaccordinglypointsouttheimportanceofpestcontroltechnologyextensionandgovernmentregulationofpesticides.

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  • 简介:Thehighprevalenceofchildhoodobesity,evidentgloballyinthepastdecade,ispartlyduetolowphysicalactivity(PA).1Obesityandlowcardiovascularfitnessinchildrenmayincreasetheriskofhypertensionandhypercholesterolemiaduringchildhoodandmaycontributetothedevelopmentofchronicdiseasesinadulthood,suchashypertensionanddiabetes.2ParticipatinginregularPAplaysasignificantroleinthepreventionofanddecreaseinchildhoodobesityandchronicdiseases,therebycontributingtothepreventionofchronicdiseaseslaterinadulthood.

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  • 简介:ThepreviousSpecialIssuewasdevotedtophysicalactivity(PA),physicalfitness,diet,andhealthinyoungpeople.ThecontentofthissecondSpecialIssuewillfocusonPAandchronicdiseaseinchildrenandyoungadults.ThefirstpaperwrittenbyDurstineetal.considerstheproblemofchronicdiseasesbecomingapublichealthconcernworldwidewithestimatesoftrillionsofdollaisinannualhealthcarecostsandcausingmorethan36milliondeathsayear.Their

  • 标签: 慢性疾病 年轻人 儿童 健康 身体 PA