Dissent and Disputes

异议和争议
  • 文章类型: Journal Article
    背景:青光眼是世界上不可逆失明的主要原因。不能过分强调在发生广泛视力丧失之前在其自然史早期诊断青光眼的必要性。然而,青光眼在疾病的早期阶段基本上是无症状的,这使得临床诊断很复杂,需要技术的支持。这项范围审查的目的是确定使用便携式设备诊断青光眼的证据的性质和程度。
    方法:我们将考虑在所有医疗机构中使用便携式设备进行的研究,以检测所有类型的成人青光眼。我们还将包括任何系统的审查或范围审查,与这个主题有关。搜索将在MEDLINE进行,Embase,Cochrane图书馆和全球健康数据库的中央,从成立到现在。还将审查搜索中确定的出版物的参考列表。两位作者将独立筛选标题和摘要,然后进行全文筛选以评估纳入研究.任何分歧将与第三作者讨论和解决。附有叙述性描述的表格将用于讨论结果,并显示其与复习问题的关系。
    背景:本审查不需要道德批准。将仅使用已发布和可公开访问的数据。我们将以开放的方式发布我们的发现,同行评审的期刊,并制定可访问的结果和建议摘要。
    BACKGROUND: Glaucoma is the leading cause of irreversible blindness in the world. The need to diagnose glaucoma early in its natural history before extensive sight loss occurs cannot be overemphasised. However, glaucoma is largely asymptomatic in the early stages of the disease making it complex to diagnose clinically and requires the support of technology. The objective of this scoping review is to determine the nature and extent of the evidence for use of portable devices in the diagnosis of glaucoma.
    METHODS: We will consider studies conducted in all healthcare settings using portable devices for the detection of all type of adult glaucoma. We will also include any systematic reviews or scoping reviews, which relate to this topic. Searches will be conducted in MEDLINE, Embase, CENTRAL on the Cochrane Library and Global Health databases, from their inception to the present. Reference lists from publications identified in the searches will also be reviewed. Two authors will independently screen titles and abstracts, followed by full-text screening to assess studies for inclusion. Any disagreements will be discussed and resolved with a third author. Tables accompanied by narrative descriptions will be employed to discuss results and show how it relates to review questions.
    BACKGROUND: Ethical approval is not required in this review. Only published and publicly accessible data will be used. We will publish our findings in an open-access, peer-reviewed journal and develop an accessible summary of results and recommendations.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Systematic Review
    背景:Arbaeen朝圣,一次重要的宗教之旅每年吸引数百万参与者,呈现深刻的精神体验。然而,在它的重要性之中,是朝圣者沿途遇到的各种健康挑战。应对这些挑战对于确保参与者的福祉和这一非凡活动的成功至关重要。鉴于此,这项研究的目的是研究Arbaeen朝圣的健康挑战,确定解决这些挑战的促进者,并提出有效的解决方案,以增强所有相关人员的整体朝圣体验。
    方法:范围审查是通过搜索WebofScience等数据库进行的,PubMed,Scopus,和谷歌学者搜索引擎,专注于关键词“Arbaeen”,“阿尔贝恩漫步”和“阿尔贝恩朝圣”。搜索不受数据库中特定时间限制的限制。使用由9个字段组成的数据提取表提取来自研究的数据。文章的选择和数据提取由两名研究人员进行,坚持预定义的纳入和排除标准。任何分歧都是通过与第三位研究人员协商解决的。该研究是根据PRISMA清单报告的。
    结果:在检索到的1619篇文章中,9名最终被纳入本研究。所有这些研究都是自2017年以来发表的,并在伊拉克和伊朗进行。总的来说,确定了101个健康挑战和促进者,包括61个挑战和40个主持人。频率最高的挑战包括“传染病暴发”(n=7),“伊拉克卫生系统在废物收集和处置方面管理不善”(n=4),\“朝圣者中行走伤害的发生率上升(例如,烧伤,骨折,撕裂,伤口,和水泡)“(n=4),和“个人和公共卫生知识不足”(n=4)。解决挑战的最重要的促进者是:“定制朝圣者培训和解决他们的问题,以重要实践为重点“(n=6),“协调群众聚集利益相关者,包括卫生部和组织“(n=4),和“实施快速监测和识别传染性疾病的敏捷综合系统”(n=4)。
    结论:本文讨论了在Arbaeen朝圣期间面临的健康挑战,并提出了促进参与者健康的措施。它强调了在大型聚会中解决健康风险的重要性,并建议采取措施以实现更安全和愉快的朝圣体验。总的来说,理解和管理这些健康因素可以导致成功执行Arbaeen朝圣,有利于所有相关人员的身体和精神福祉。
    The Arbaeen Pilgrimage, a momentous religious journey drawing millions of participants annually, presents a profound spiritual experience. However, amidst its significance lie various health challenges that pilgrims encounter along the way. Addressing these challenges is vital to ensure the well-being of participants and the success of this extraordinary event. In light of this, the aim of this study is to examine the health challenges of the Arbaeen Pilgrimage, identify facilitators for solving these challenges, and propose effective solutions to enhance the overall pilgrimage experience for all involved.
    The scoping review was performed by searching databases such as Web of Science, PubMed, Scopus, and Google Scholar search engine with a focus on the keywords \"Arbaeen\", \"Arbaeen walk\" and \"Arbaeen pilgrimage\". The search was not constrained by a specific time limitation in the databases. Data from studies were extracted using a data extraction form consisting of 9 fields. The selection of articles and data extraction were carried out by two researchers, adhering to predefined inclusion and exclusion criteria. Any disagreements were resolved through consultation with a third researcher. The study was reported following the PRISMA checklist.
    Out of 1619 retrieved articles, 9 were finally included in this study. All these studies were published since 2017 and conducted in Iraq and Iran. In total, 101 health challenges and facilitators were identified, comprising 61 challenges and 40 facilitators. The challenges with the highest frequency included \"infectious disease outbreaks\" (n = 7), \"Poor management of Iraq\'s health system in waste collection and disposal\" (n = 4), \"Rising incidence of walking injuries among pilgrims (e.g., burns, fractures, lacerations, wounds, and blisters)\" (n = 4), and \"Insufficient knowledge about personal and public health\"(n = 4). The most important facilitators to solving the challenges were: \"Customized pilgrim training and addressing their issues, with a focus on vital practices\" (n = 6), \"Coordinating mass gathering stakeholders, including health ministries and organizations\" (n = 4), and \"Implementing an agile syndromic system for rapid surveillance and identification of contagious illnesses\" (n = 4).
    The article discusses health challenges faced during the Arbaeen Pilgrimage and proposes facilitative measures for participants\' well-being. It emphasizes the significance of addressing health risks in large gatherings and suggests incorporating measures for a safer and enjoyable pilgrimage experience. Overall, understanding and managing these health factors can lead to a successful execution of the Arbaeen Pilgrimage, benefiting the physical and spiritual well-being of all involved.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:本范围审查的目的是绘制有关护士可用于促进基因组学知情医疗保健以解决健康差异的策略的现有证据。
    背景:在过去的二十年中,基因组学的进步已导致提供更多的基因组学知情医疗保健。尽管将基因组学整合到医疗保健服务中继续提高患者的预后,获得基因组技术是不公平的,加剧某些人群之间现有的健康差距。作为卫生人力中最大的一部分,护士在提供公平的基因组学知情护理方面发挥着关键作用。然而,关于护士如何在基因组学知情医疗保健的背景下帮助解决健康差异,人们知之甚少.对文献的回顾将为确定有希望的实践提供必要的基础,政策,和进一步调查领域的知识差距。
    方法:我们将包括探讨护士可以采取促进基因组学知情护理以解决健康差异的策略的论文。
    方法:本审查将使用JBI方法进行范围审查。我们将搜索电子数据库,包括MEDLINE(OVID),EMBASE,科克伦图书馆,PsychInfo,和CINAHL进行定量和定性研究,系统评价和灰色文献。Theses,书籍,和不可用的全文文件将被排除在外。搜索将仅限于2013年及以后的论文。两名审稿人将筛选标题和摘要,然后是全文,第三审稿人将解决分歧。我们将使用MicrosoftExcel的数据提取工具,并使用描述性统计和常规内容分析来分析数据。调查结果将以证据表和叙述性摘要的形式呈现。我们将使用用于系统评价的首选报告项目和用于范围评价的Meta分析扩展(PRISMA-ScR)来报告结果。
    结论:基因组学将继续改变健康护理的各个方面,从预防开始,评估,诊断,管理,治疗,和姑息治疗。确定解决健康差异的护理策略将为政策和实践奠定基础,以确保基因组技术的整合使所有人受益。
    OBJECTIVE: The objective of this scoping review is to map the available evidence on strategies that nurses can use to facilitate genomics-informed healthcare to address health disparities.
    BACKGROUND: Advancements in genomics over the last two decades have led to an increase in the delivery of genomics-informed health care. Although the integration of genomics into health care services continues to enhance patient outcomes, access to genomic technologies is not equitable, exacerbating existing health disparities amongst certain populations. As the largest portion of the health workforce, nurses play a critical role in the delivery of equitable genomics-informed care. However, little is known about how nurses can help address health disparities within the context of genomics-informed health care. A review of the literature will provide the necessary foundation to identify promising practices, policy, and knowledge gaps for further areas of inquiry.
    METHODS: We will include papers that explore strategies that nurses can undertake to facilitate genomics-informed care to address health disparities.
    METHODS: This review will be conducted using JBI methodology for scoping reviews. We will search electronic databases including MEDLINE (OVID), EMBASE, Cochrane Library, PsychInfo, and CINAHL for quantitative and qualitative studies, systematic reviews and grey literature. Theses, books, and unavailable full-text papers will be excluded. The search will be limited to papers from 2013 and beyond. Two reviewers will screen titles and abstracts followed by full-text and disagreements will be resolved by a third reviewer. We will use a data extraction tool using Microsoft Excel and analyse data using descriptive statistics and conventional content analysis. Findings will be presented in the form of evidence tables and a narrative summary. We will report findings using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR).
    CONCLUSIONS: Genomics will continue to transform all aspects of health care across the wellness continuum from prevention, assessment, diagnosis, management, treatment, and palliative care. The identification of nursing strategies to address health disparities will build the foundation for policy and practice to ensure that the integration of genomic technologies benefits everyone.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:有限的研究在健康的社会决定因素(SDoH)的背景下研究与酒精有关的伤害,以指导有效的干预和预防计划。SDoH是影响健康的非医疗因素,如收入,住房和童年环境。本范围综述旨在探讨儿童中的SDoH在年轻人酒精相关损伤中的作用。
    方法:范围审查过程将由Arksey和O\'Malley的方法框架以及系统审查和Meta分析方案扩展的首选报告项目指导范围审查指南(PRISMA-ScR)。将系统地搜索PubMed和SCOPUS数据库。对各种设计和方法的研究(自2000年1月1日起以英语出版),这些研究研究了与18-25岁成年人中酒精相关伤害有关的某些感兴趣的SDoH,将被考虑纳入本综述。两名审阅者将独立筛选从数据库中识别的所有文章。标题和摘要将根据初始搜索进行审查,如果符合资格标准,则将其包括在内。重复的文章将被删除,全文将被检查,以创建包含研究的最终列表。如有必要,将通过与第三审稿人讨论和协商解决关于列入任何条款的任何分歧。
    背景:由于这项研究不涉及人类受试者,不需要道德批准。这项研究的结果将通过数字计数进行定量总结,并通过叙事综合进行定性总结。这篇综述的结果将解决一个重要的文献空白,并为制定与酒精有关的伤害的有针对性的预防计划提供信息。
    背景:此协议已在OpenScienceFramework(https://doi.org/10.17605/OSF)中注册。IO/MYEXA)。
    Limited research examines alcohol-related injury in the context of social determinants of health (SDoH) to guide effective intervention and prevention programmes. SDoH are non-medical factors that impact health such as income, housing and childhood environment. This scoping review aims to explore the role SDoH in childhood have in alcohol-related injury in young adults.
    The scoping review process will be guided by the methodology framework of Arksey and O\'Malley and the Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols Extension for Scoping Reviews Guidelines (PRISMA-ScR). The PubMed and SCOPUS databases will be systematically searched. Studies of various designs and methodologies (published in English since 1 January 2000) that examine certain SDoH of interest in relation to alcohol-related injury in adults aged 18-25 years old will be considered for inclusion in this review. Two reviewers will screen all articles identified from the databases independently. Titles and abstracts will be reviewed based on the initial search and included if eligibility criteria are met. Duplicate articles will be removed and full texts will be examined to create a final list of included studies. Any disagreements on the inclusion of any articles will be resolved through discussion and consultation with a third reviewer if necessary.
    As this research does not involve human subjects, ethics approval is not required. The results of this study will be summarised quantitatively through numerical counts and qualitatively through a narrative synthesis. The results from this review will address an important literature gap and inform the development of targeted prevention programmes for alcohol-related injury.
    This protocol is registered with Open Science Framework (https://doi.org/10.17605/OSF.IO/MYEXA).
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    数学通常被视为不同于其他学科,因为该领域的论证依赖于演绎证明,而不是自然科学中的经验证据。因此,数学论文可以,至少在原则上,只需阅读它就可以复制。虽然这种区别有时被视为声称数学结果是确定的基础,数学家自己知道,发表的文献包含许多错误。阅读证明并不容易,检查论点是否构成证明是出奇的困难。本文使用同行评审对数学期刊的投稿,作为裁判明确关注检查论文是否正确并因此可以发表的网站。借鉴了对数学期刊编辑的95次定性采访,以及来自同行评审过程的100多份裁判报告和其他信件的集合,这篇文章指出,虽然数学家承认同行评审不能保证正确性,他们仍然重视它。对于数学家来说,同行评审“增加了一点确定性”,特别是与仅提交给arXiv等预印本服务器的论文相反。此外,在同行评审期间,可能会有分歧,而不仅仅是关于结果的重要性,而且还包括一个特定的论点是否构成证明(特别是,证明中是否存在实质性差距)。最后,当涉及到接受论点作为证明并为结果赋予确定性时,数学界被认为是重要的。在同行评审的期刊上发表论点通常只是接受结果的第一步。如果结果经得起时间的考验并被其他数学家使用,它们就会被接受。
    Mathematics is often treated as different from other disciplines, since arguments in the field rely on deductive proof rather than empirical evidence as in the natural sciences. A mathematical paper can therefore, at least in principle, be replicated simply by reading it. While this distinction is sometimes taken as the basis to claim that the results in mathematics are therefore certain, mathematicians themselves know that the published literature contains many mistakes. Reading a proof is not easy, and checking whether an argument constitutes a proof is surprisingly difficult. This article uses peer review of submissions to mathematics journals as a site where referees are explicitly concerned with checking whether a paper is correct and therefore could be published. Drawing on 95 qualitative interviews with mathematics journal editors, as well as a collection of more than 100 referee reports and other correspondence from peer review processes, this article establishes that while mathematicians acknowledge that peer review does not guarantee correctness, they still value it. For mathematicians, peer review \'adds a bit of certainty\', especially in contrast to papers only submitted to preprint servers such as arXiv. Furthermore, during peer review there can be disagreements not just regarding the importance of a result, but also whether a particular argument constitutes a proof or not (in particular, whether there are substantial gaps in the proof). Finally, the mathematical community is seen as important when it comes to accepting arguments as proofs and assigning certainty to results. Publishing an argument in a peer-reviewed journal is often only the first step in having a result accepted. Results get accepted if they stand the test of time and are used by other mathematicians.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Review
    尽管有证据表明饮食人群健康干预措施是有效且被广泛接受的,他们仍然是激烈辩论的主题,集中在国家的适当角色上。这篇评论试图确定国家在干预个人食品实践中的作用是如何在广泛的文献中概念化的。我们搜索了10个数据库和4种期刊,寻找有关旨在影响个人健康的饮食人群健康干预措施的文本。两位共同作者独立筛选了这些文本相对于纳入和排除标准的资格。35个文本形成了我们的最终语料库。通过批判性反身主题分析(TA),我们产生了6个主题和2个关于选择的子主题,对健康的责任,平衡干预的利益和负担,使用证据,公平,以及国家行动的合法性。我们的分析发现,旨在防止有效监管的叙述在学术文献中根深蒂固。强调自由和个人责任的话语将健康状况不佳视为“生活方式选择”的结果。功利主义者,关于如何最好地平衡国家干预的利益和负担的争论弥漫在成本效益理论上。关于公平和自由的主张被用来唤起强大的共同含义,证据在政治上被用来支持利益,尤其是食品行业。这篇评论确定并批判性地分析了支持和反对人口饮食公共卫生政策的主要论点。我们的发现应该激励公共卫生研究人员和从业人员避免毫无反身地拥抱借鉴自由市场经济学语言和逻辑的框架。
    Despite evidence that dietary population health interventions are effective and widely accepted, they remain the topic of intense debate centring on the appropriate role of the state. This review sought to identify how the role of the state in intervening in individuals\' food practices is conceptualized across a wide range of literatures. We searched 10 databases and 4 journals for texts that debated dietary population health interventions designed to affect individuals\' health-affecting food practices. Two co-authors independently screened these texts for eligibility relative to inclusion and exclusion criteria. Thirty-five texts formed our final corpus. Through critical reflexive thematic analysis (TA), we generated 6 themes and 2 subthemes concerning choice, responsibility for health, balancing benefits and burdens of intervention, the use of evidence, fairness, and the legitimacy of the state\'s actions. Our analysis found that narratives that aim to prevent effective regulation are entrenched in academic literatures. Discourses that emphasized liberty and personal responsibility framed poor health as the result of \'lifestyle choices\'. Utilitarian, cost-benefit rationales pervaded arguments about how to best balance the benefits and burdens of state intervention. Claims about fairness and freedom were used to evoke powerful common meanings, and evidence was used politically to bolster interests, particularly those of the food industry. This review identifies and critically analyses key arguments for and against population dietary public health policies. Our findings should motivate public health researchers and practitioners to avoid unreflexively embracing framings that draw on the languages and logics of free market economics.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:由于医疗保健浪费和效率低下,获得专科服务的障碍给患者的结果和体验带来了巨大的负担,也给卫生系统带来了成本和行政负担。本文概述了计划中的协议,以进行系统审查,涉及卫生系统如何在患者获得专科护理方面的表现。以及旨在改善这一点的干预措施的有效性。
    方法:将对通过搜索以下电子文献数据库检索的出版物进行文献系统回顾:EBSCOhostMegafileUltimate(护理和相关健康文献累积指数(CINAHL),学术搜索终极,APA心理学文摘(PsycINFO),HealthSource),PubMed(医学文献分析和在线检索系统(MEDLINE)),爱思唯尔书目数据库(Scopus),摘录医学数据库(EMBASE),WebofScience和Cochrane图书馆。将对10年期间(2012-2022年)发表的文章进行分析,以确定将患者转诊到专科护理时,初级保健服务面临的当前可及性和可用性问题,以及改善初级保健获得专科服务的干预措施的有效性。灰色文献出版物(即,政府报告,政策声明和议题文件,会议记录)将不会在本次审查中进行分析。文章不是以英文发表的,西班牙语或葡萄牙语将不包括在内。两名独立审核员将进行初步筛选,分歧将由第三位独立审查员解决,随后将进行数据提取和合格来源的选择。选定的文章将根据研究设计进行分类,设置和参与者。随后将使用混合方法评估工具评估方法质量和异质性。将使用描述性方法来审查和综合研究结果。
    背景:这项研究不需要伦理委员会审查,因为它只关注分析已发表的文献。研究结果将通过同行评审的期刊发布和传播。
    CRD42022354890。
    Barriers to accessing specialist services impart a significant burden on patient outcomes and experience as well as a cost and administrative burden on health systems due to healthcare wastage and inefficiencies. This paper outlines the planned protocol for a systematic review relating to how health systems perform with regard to patient access to specialist care, and the efficacy of interventions aimed at improving this.
    Systematic review of the literature will be carried out on publications retrieved by searching the following electronic literature databases: EBSCOhost Megafile Ultimate (Cumulative Index to Nursing and Allied Health Literature (CINAHL), Academic Search Ultimate, APA Psychological Abstracts (PsycINFO), HealthSource), PubMed (Medical Literature Analysis and Retrieval System Online (MEDLINE)), Elsevier Bibliographic Database (Scopus), Excerpta Medica Database (EMBASE), Web of Science and The Cochrane Library. Articles published over a 10-year period (2012-2022) will be analysed to determine; current accessibility and availability problems faced by primary care services when referring patients to specialist care, and the effectiveness of interventions to improve primary care access to specialist services. Grey literature publications (ie, government reports, policy statements and issues papers, conference proceedings) will not be analysed in this review. Articles not published in English, Spanish or Portuguese will not be included. Two independent reviewers will conduct the initial screening, disagreements will be resolved by a third independent reviewer, following which data extraction and selection of eligible sources will be carried out. Selected articles will be categorised on study design, setting and participants. Methodological quality and heterogeneity will subsequently be assessed using the Mixed Methods Appraisal Tool. A descriptive approach will be used to review and synthesise the findings.
    This study does not require ethics committee review as it solely focuses on analysing published literature. Findings will be published and disseminated through a peer-reviewed journal.
    CRD42022354890.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:尽管越来越多的证据表明贸易政策对公共卫生的影响,贸易和卫生部门继续在很大程度上处于孤岛状态。已经确定了许多促进健康的障碍,包括新自由主义范式的主导地位,强大的私营部门利益,以及与决策过程相关的约束。学者和政策行为者建议改进贸易政策的治理做法,加强透明度和问责制;部门间合作;利用卫生影响评估;南南网络;民间社会参与机制。这些政策处方是从具体案例中产生的,例如世界贸易组织关于TRIPS和公共卫生的多哈宣言或国家一级与贸易有关的政策制定的具体实例。尚未对贸易政策议程上提高卫生目标的原因进行全面分析。本叙述性审查旨在通过整理和分析不同决策级别和不同健康问题的已知研究来解决这一差距。
    结果:65项研究符合纳入标准,被纳入综述。在贸易政策议程上受到关注的健康问题包括:获得药品,食品营养和粮食安全,烟草控制,非传染性疾病,获取知识,和石棉的危害。这发生在国内和区域决策的情况下,在双边,区域和全球贸易谈判,以及贸易争端和挑战。我们确定了在与贸易有关的决策中提高健康水平的四个有利条件:媒体的良好关注;贸易和卫生部长的领导;公众支持;和政党支持。我们确定了6种策略,这些策略被倡导者成功地用来影响这些条件:使用和翻译多种形式的证据,在联盟中行动,战略框架,利用外生因素,法律战略,和转移论坛。
    结论:分析表明,尽管技术证据很重要,政治战略对于提高贸易议程上的健康水平是必要的。分析提供了可以在经济和健康利益经常发生冲突的更广泛的健康商业决定因素中探索的经验教训。
    Despite accumulating evidence of the implications of trade policy for public health, trade and health sectors continue to operate largely in silos. Numerous barriers to advancing health have been identified, including the dominance of a neoliberal paradigm, powerful private sector interests, and constraints associated with policymaking processes. Scholars and policy actors have recommended improved governance practices for trade policy, including: greater transparency and accountability; intersectoral collaboration; the use of health impact assessments; South-South networking; and mechanisms for civil society participation. These policy prescriptions have been generated from specific cases, such as the World Trade Organization\'s Doha Declaration on TRIPS and Public Health or specific instances of trade-related policymaking at the national level. There has not yet been a comprehensive analysis of what enables the elevation of health goals on trade policy agendas. This narrative review seeks to address this gap by collating and analysing known studies across different levels of policymaking and different health issues.
    Sixty-five studies met the inclusion criteria and were included in the review. Health issues that received attention on trade policy agendas included: access to medicines, food nutrition and food security, tobacco control, non-communicable diseases, access to knowledge, and asbestos harm. This has occurred in instances of domestic and regional policymaking, and in bilateral, regional and global trade negotiations, as well as in trade disputes and challenges. We identified four enabling conditions for elevation of health in trade-related policymaking: favourable media attention; leadership by trade and health ministers; public support; and political party support. We identified six strategies successfully used by advocates to influence these conditions: using and translating multiple forms of evidence, acting in coalitions, strategic framing, leveraging exogenous factors, legal strategy, and shifting forums.
    The analysis demonstrates that while technical evidence is important, political strategy is necessary for elevating health on trade agendas. The analysis provides lessons that can be explored in the wider commercial determinants of health where economic and health interests often collide.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:美国整形外科医师协会(ASPS)为正式投诉会员的不道德行为提供了途径。这些投诉由道德委员会进行调查,如果可能发生违规行为,则提交司法委员会。
    方法:对2013-2021年向ASPS提交的投诉进行了审查。审查了有关投诉和投诉人类型的数据,以及投诉来源地区。还审查了导致正式调查和司法委员会移交的侵权行为类别。
    结果:从2013年至2021年,ASPS伦理委员会共提出了584项投诉,比2004年至2008年的先前审查减少了近100项。21%的投诉由道德委员会正式调查,其中26%被提交给司法委员会。调查的最常见投诉与广告/误导性通讯有关,而提交司法委员会的最常见投诉是关于专家证词。大多数投诉是由ASPS成员提出的。
    结论:投诉总数显著下降,原因尚不清楚。文化和思想的演变可能不仅影响特定的行为,还有报告这些行为的可能性。整形外科医生仍然有责任利用可用的自我调节机制,以保持我们作为职业享有的自主权。
    The American Society of Plastic Surgeons (ASPS) provides an avenue for filing formal complaints regarding unethical behavior of members. These complaints are investigated by the ethics committee and referred to the judicial council if a violation may have occurred.
    A review of complaints filed with the ASPS from 2013 through 2021 was performed. Data surrounding both complaints and complainant type were reviewed, as well as region of complaint origin. Categories of violations resulting in formal investigations and judicial council referrals were also reviewed.
    A total of 584 complaints were filed with the ASPS ethics committee from 2013 through 2021, which was nearly 100 fewer than from a previous review of 2004 through 2008. Twenty-one percent of complaints were formally investigated by the ethics committee, and 26% of these were referred to the judicial council. The most common complaint investigated was related to advertising or misleading communications; the most common complaint referred to the judicial council was regarding expert testimony. Most complaints were filed by ASPS members.
    The total number of complaints filed over time has decreased significantly, the reasons for which are unclear. Evolution of culture and thought likely had an impact, not only on specific behaviors but also on the likelihood of reporting those behaviors. It remains incumbent on plastic surgeons to use the self-regulating mechanisms available to maintain the autonomy plastic surgery enjoys as a profession.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    不断发展的美国媒体和政治制度,再加上不断升级的错误信息活动,让公众对政策辩论中的客观事实产生分歧。公众也对旨在裁定这些认知辩论的机构失去了很多信心。为了对抗这种威胁,公民企业家设计了体制改革,以振兴民主决策。一个有希望的干预措施是公民倡议审查(CIR),这在俄勒冈州被采纳为法律,并在其他几个州进行了测试,还有瑞士和芬兰。EachCIR收集人口分层的登记选民随机样本,组成审议小组,它在评估投票措施的优点时听取了赞成和反对的倡导者和中立专家的意见。经过四到五天的商议,eachCIR为选民编写了一份问题指南,确定关键的事实发现,以及最重要的赞成和反对论点。这项研究汇集了2010年至2018年对13个CIR进行的调查实验的结果,得出的数据集包括从10,872名注册选民那里收集的67,120个知识分数,这些知识分数暴露于82个经验声明中。分析表明,阅读CIR指南对选民的政策知识有积极影响,对那些对审议抱有更大信心的人有更强的影响。我们几乎没有发现有方向动机推理的证据,但是有一些证据表明阅读CIR语句可以激发准确性动机。总的来说,主要结果表明,在选举期间,对同行审议的信任如何为形成选民决定的错误信息的迷宫提供了一条途径。
    Evolving US media and political systems, coupled with escalating misinformation campaigns, have left the public divided over objective facts featured in policy debates. The public also has lost much of its confidence in the institutions designed to adjudicate those epistemic debates. To counter this threat, civic entrepreneurs have devised institutional reforms to revitalize democratic policymaking. One promising intervention is the Citizens\' Initiative Review (CIR), which has been adopted into law in Oregon and tested in several other states, as well as Switzerland and Finland. Each CIR gathers a demographically stratified random sample of registered voters to form a deliberative panel, which hears from pro and con advocates and neutral experts while assessing the merits of a ballot measure. After four-to-five days of deliberation, each CIR writes an issue guide for voters that identifies key factual findings, along with the most important pro and con arguments. This study pools the results of survey experiments conducted on thirteen CIRs held from 2010 to 2018, resulting in a dataset that includes 67,120 knowledge scores collected from 10,872 registered voters exposed to 82 empirical claims. Analysis shows that reading the CIR guide had a positive effect on voters\' policy knowledge, with stronger effects for those holding greater faith in deliberation. We found little evidence of directional motivated reasoning but some evidence that reading the CIR statement can spark an accuracy motivation. Overall, the main results show how trust in peer deliberation provides one path out of the maze of misinformation shaping voter decisions during elections.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号