Social Group

社会团体
  • 文章类型: Journal Article
    Urban green space equity focuses on whether different social groups can equally share the well-being from green space, which is an important issue in the realm of environmental justice. We systematically introduced the origin and development of green space equity, explored its multidimensional progress in conceptual connotation, measurement methodology, phenomenon, mechanism, and regulation, and proposed the enlightenment for deepening the related studies. The green space equity originated from environmental social movement and environmental justice studies, and experienced multilevel evolution in topic constriction and theoretical interpretation. Although the connotation of green space equity was interpreted from various perspectives, its core idea was distributional equality. There was a frequently-used framework for measurement methodology of green space equity, whose spatial scale issue was critical. Due to the differences of characteristics, developmental stages, and institutional backgrounds between Chinese and Western cities, the phenomena and driving mechanisms of green space equity were different. The regulation strategies of green space equity could be summarized into three types, including green distributional equitable strategy, social recognitional justice strategy, and procedural justice orientated strategy. Future studies should deepen the research from the hierarchical logics for practice management, the fine-scale measurement methodology, the interpretation of mechanism for green space inequity in Chinese context, and simulation of differentiated regulation strategies. Social development endows green space equity with more practical tasks and theoretical logics, which is urgent to clarify the research progress to support the future research.
    城市绿色空间公平聚焦不同社会群体能否平等共享绿色福祉,是环境正义领域的重要议题。本文系统梳理了绿色空间公平的起源和发展,探讨其概念内涵、测度技术、现象、机制和调控等多维进展,并提出研究深化的启示。绿色空间公平研究源于环保社会运动和环境正义研究,经历了话题收敛与理论演绎的多层次演进。绿色空间公平内涵多元,但分配平等是核心;绿色空间公平测度形成了成熟的技术框架,其空间尺度问题是关键;由于中西方城市特质、发展阶段、制度背景等差异,绿色空间公平现象特征和影响机制有所差异;对绿色空间公平的调控可归纳为绿色分配公平、社会承认正义、程序正义导向3类对策。未来可以从绿色空间公平的多层次实践逻辑、精细化测度技术、中国化机制解释、差异化对策仿真等方面深化研究。社会发展赋予绿色空间公平更多的现实任务与理论逻辑,迫切要求厘清绿色空间公平研究进展,支撑研究深化。.
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  • 文章类型: Clinical Trial Protocol
    背景:已经呼吁重新考虑目前为年轻人提供的心理健康支持。这项研究旨在通过提供理论驱动的改编版本来帮助重新关注和减少精神卫生服务的不可获取性,以证据为基础,指导性心理社会干预被称为“第4组健康”(G4H)。迄今为止,G4H干预主要在澳大利亚进行了试验,对社会关系有积极的影响,心理健康和幸福。本研究调查了在英国为年轻人提供G4H干预时进行随机对照试验的可行性。
    方法:TOGETHER研究是一项适应性G4H干预的可行性随机对照试验。参与者年龄在16-25岁之间,目前遇到心理健康困难,并从心理健康服务机构招募。目标样本大小为30,每个试验臂有15个。参与者被随机分配到G4H+照常治疗,或者像往常一样单独治疗。感兴趣的主要结果是招聘的可行性,随机化,在10周和14周随访时收集数据并保留到研究中,以及可接受性,以及研究方案和G4H干预的可及性。
    结论:这项研究的结果将表明是否需要进一步优化以提高可行性,最终用户和从业人员认为的干预和研究方案程序的可接受性和可及性。这提供了一个重要的机会来支持地方和国家对无障碍的需求,创新,和有效的心理社会青年心理健康支持。
    背景:ISRCTN注册表(ISRCTN12505807)。注册日期:2022年4月11日。
    Calls have been made to rethink the mental health support currently available for young people. This study aims to help re-focus and reduce the inaccessibility of mental health services by offering an adapted version of a theoretically-driven, evidence-based, guided psychosocial intervention known as \'Groups 4 Health\' (G4H). To date, the G4H intervention has mainly been trialled in Australia, with promising positive effects on social connection, mental health and well-being. The present study examines the feasibility of running a randomised controlled trial when delivering the G4H intervention for young people in the UK.
    The TOGETHER study is a feasibility randomised controlled trial of an adapted version of the G4H intervention. Participants are aged 16-25, currently experiencing mental health difficulties and recruited from mental health services. The target sample size is 30, with 15 in each trial arm. Participants are randomly allocated to either G4H plus treatment as usual, or treatment as usual alone. The primary outcomes of interest are the feasibility of recruitment, randomisation, data collection and retention to the study at 10 and 14 week follow up, as well as the acceptability, and accessibility of the study protocol and G4H intervention.
    The results of this study will indicate if further optimisation is required to improve the feasibility, acceptability and accessibility of the intervention and study protocol procedures as perceived by end users and practitioners. This offers a significant opportunity to support the local and national demand for accessible, innovative, and effective psychosocial youth mental health support.
    ISRCTN registry (ISRCTN12505807). Registration date: 11/04/2022.
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  • 文章类型: Journal Article
    目的:目的是确定巴西东南部的家庭社会排斥是否与儿童运动和社会发展延迟有关。
    方法:使用来自348名3岁以下儿童样本的数据进行了一项横断面研究,与在该市初级保健中心登记的儿童人数成正比。
    方法:使用巴西卫生部开发的“发育监测仪器”测量儿童发育,该仪器在实践中用于公共卫生护士和临床医生。使用指数来评估社会排斥。
    结果:儿童运动和社会情绪发育迟缓的患病率分别为27.6%和17.2%,分别。与社会排斥程度最低的儿童相比,社会排斥程度最高的儿童更有可能出现运动发育延迟(OR=3.4;95%CI=1.14;10.55)和社会情绪发育延迟(OR=3.9;95%CI=1.05;9.02)。
    The objective was to identify if family social exclusion is associated with child motor and social development delay in Southeastern Brazil.
    A cross-sectional study was conducted using data from a sample of 348 children under 3 years, proportional to the number of children registered in the primary care centres of the municipality.
    Child development was measured using the \"Developmental Surveillance Instrument\" which was developed by the Ministry of Health in Brazil and is used for public health nurses and clinicians in their practice. An index was used to evaluate social exclusion.
    The prevalence of child motor and socioemotional developmental delay was 27.6% and 17.2%, respectively. Children in the most social excluded group were more likely to have delayed motor development (OR = 3.4; 95% CI = 1.14; 10.55) and socioemotional developmental delay (OR = 3.9; 95% CI = 1.05; 9.02) than children in the least social excluded group.
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  • 文章类型: Journal Article
    金黄色葡萄球菌的无症状携带是随后临床感染的主要危险因素。缓解努力带来的回报不断减少,强调需要更好地理解殖民化,传播,以及这种机会性病原体的传播。虽然与其他人接触会带来病原体暴露和传播的机会,社交联系的多样性可能对诸如普通感冒之类的病原体具有保护作用。这项研究考察了社会关系资源,包括社会交往的数量和多样性,与金黄色葡萄球菌定植有关。参与者是亚利桑那州西南部自然发生的社会群体中的社区成员(N=443;68%的西班牙裔)。评估了四种类型的社会关系和孤独感,和皮肤样本,获得鼻子和喉咙以确定金黄色葡萄球菌定植。金黄色葡萄球菌总体患病率为64.8%。社交接触的数量和多样性都与金黄色葡萄球菌定植无关。社会关系评估的同时有效性得到了它们的适度相互关系以及与自我评估健康状况的正相关的支持。结果表明,社会网络多样性与普通感冒易感性的关联并不延伸到金黄色葡萄球菌定植。相反,在有更多社会接触的人群中,定植患病率并不高。后一种模式表明,社会传播可能相对不频繁,或者更亲密的社会互动形式可能会驱动传播和定植,从而导致金黄色葡萄球菌定植的社区患病率很高。这些数据为传染病控制工作提供了信息。
    Asymptomatic carriage of Staphylococcus aureus is a major risk factor for subsequent clinical infection. Diminishing returns from mitigation efforts emphasize the need to better understand colonization, spread, and transmission of this opportunistic pathogen. While contact with other people presents opportunities for pathogen exposure and transmission, diversity of social connections may be protective against pathogens such as the common cold. This study examined whether social relationship resources, including the amount and diversity of social contacts, are associated with S. aureus colonization. Participants were community members (N = 443; 68% Hispanic) in naturally occurring social groups in southwestern Arizona. Four types of social relationships and loneliness were assessed, and samples from the skin, nose and throat were obtained to ascertain S. aureus colonization. Overall S. aureus prevalence was 64.8%. Neither the amount nor the diversity of social contacts were associated with S. aureus colonization. The concurrent validity of the social relationship assessments was supported by their moderate intercorrelations and by their positive association with self-rated health. The results suggest that the association of social network diversity and susceptibility to the common cold does not extend to S. aureus colonization. Conversely, colonization prevalence was not higher among those with more social contacts. The latter pattern suggests that social transmission may be relatively infrequent or that more intimate forms of social interaction may drive transmission and colonization resulting in high community prevalence of S. aureus colonization. These data inform communicable disease control efforts.
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  • 文章类型: Journal Article
    Previous work ability studies have primarily focused on old workers and physical health. This study investigated how poor perceived work ability (PPWA) is associated with work-related factors in different health and social service (HSS) worker age groups.
    Cross-sectional survey in 2020.
    HSS employees (general HSS and eldercare) in nine Finnish public sector organisations.
    All employees who were employed in the organisation completed self-reported questionnaires. Of the original sample (N=24 459, response rate 67%), 22 528 gave consent for research use.
    Participants evaluated their psychosocial work environment and work ability. Lowest decile of work ability was categorised as poor. The association between psychosocial work-related factors and PPWA in different age-groups of HSS workers, adjusting for perceived health, was analysed with logistic regression.
    The proportion of PPWA was highest in shift workers, eldercare employees, practical nurses and registered nurses. Considerable variation between age groups exists in the work-related psychosocial factors associated with PPWA. Among young employees engaging leadership and working time and work task autonomy were statistically significant, whereas in middle-aged and old employees procedural justice and ethical strain were highlighted. The strength of the association with perceived health also differs in age groups (young: OR=3.77, 95% CI 3.30 to 4.30; middle-aged: OR=4.66, 95% CI 4.22 to 5.14; old: OR=6.16, 95% CI 5.20 to 7.18).
    Young employees would benefit from engaging leadership and mentoring, and from more working time and work task autonomy. As employees get older they would benefit more from job modification and from ethical and just organisation culture.
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  • 文章类型: Randomized Controlled Trial
    冲动性是暴饮暴食症患者的危险因素,因此,我们在IMPULS随机对照试验中研究了包括暴饮暴食在内的冲动行为的治疗过程.在整个评估期间,每周使用8份在线问卷,我们比较了参加IMPULS计划的41名患者,强调冲动进食行为(IG),39例对照组患者未接受干预(CG)。我们评估了暴饮暴食的频率,其他冲动行为,这种行为可以被抑制的情况,以及执行替代行为。结果表明,与第五次CG相比,IG的暴饮暴食减少幅度更大,第七,第八个治疗周。总的来说,两组都减少了其他冲动行为。他们在抑制冲动行为的数量上没有差异,并且表现出相似的替代行为,最常用的“分心”。IG患者评估IMPULS计划非常有帮助。IG中暴饮暴食的更强减少和对治疗的积极评价表明关于冲动性进食行为的特定治疗效果。两组其他冲动行为的减少,以及最初减少CG内的暴饮暴食,可以用自我观察程度的提高来解释。
    Impulsivity represents a risk factor for patients with binge-eating disorder, and we therefore investigated the treatment process of impulsive behaviors including binge-eating episodes in the randomized controlled IMPULS trial. Using 8 weekly online questionnaires throughout the assessment period, we compared 41 patients participating in the IMPULS program, which emphasized impulsive eating behavior (IG), with 39 control patients who received no intervention (CG). We assessed the frequency of binge eating, other impulsive behaviors, situations in which such behaviors could be inhibited, and the execution of alternative behaviors. Results indicate a stronger binge-eating reduction in the IG compared to the CG at the fifth, seventh, and eighth treatment weeks. Overall, both groups reduced other impulsive behaviors. They did not differ in the amount of inhibited impulsive behaviors and showed similar alternative behaviors, \"distraction\" most frequently used. IG patients evaluated the IMPULS program as very helpful. The stronger reduction of binge eating in the IG and positive evaluation of the treatment indicate a specific treatment effect regarding impulsive eating behavior. The reduction of other impulsive behaviors across both groups, and the initial reduction of binge eating within the CG, could be explained by an increased degree of self-observation.
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  • 文章类型: Journal Article
    背景:医疗保健需求的预期增长和医疗保健专业人员的供应下降,引起了人们对最有效部署医疗保健专业人员的兴趣。因此,任务转移已成为在已建立的专业团体之间重新分配任务的常见策略,然而,对将任务转移到新兴专业团体的影响知之甚少。这项研究的目的是评估一项法律修正案,以促进将任务转移到荷兰医疗保健领域的新兴职业:临床技术人员(CT)。引入了CT,并提供了扩展的实践范围(ESP),以独立执行9个“保留程序”。
    方法:同时进行的多阶段混合方法研究用于评估促进任务转移到CT的法律修正案是否有效和高效。
    结果:结果表明,CT经常使用ESP独立执行五类保留程序,并表明ESP提高了这些程序的护理效率。此外,研究结果强调,任务转移受CT工作环境的影响,分配给患者接触的时间以及外部因素(例如,融资)。
    结论:这项研究为政策制定者提供了关于如何改进任务转移到新兴专业群体的初步经验教训。提供法律修正案以促进任务转移到CT似乎是有效和高效的。然而,它也带来了多重挑战。虽然已建立的专业团体可能面临类似的挑战,对于新兴的专业团体来说,这些可能会加剧,特别是当转移任务发生水平。
    Expected rise in the demand for healthcare and a dropping supply of healthcare professionals, has generated an increased interest in the most effective deployment of healthcare professionals. Consequently, task shifting has become a common strategy to redistribute tasks between established professional groups, however, little is known about the effects of shifting tasks to emerging professional groups. The aim of this study was to evaluate a legal amendment to facilitate task shifting to an emerging profession in Dutch healthcare: Clinical Technologists (CTs). CTs were introduced and provided an Extended Scope of Practice (ESP) to perform nine \'reserved procedures\' independently.
    A concurrent multi-phase mixed methods study was used to evaluate whether a legal amendment to facilitate task shifting to CTs was effective and efficient.
    The results show that CTs use their ESP frequently to perform five categories of reserved procedures independently and suggest that the ESP increased the efficiency of care delivery for those procedures. Additionally, the findings highlight that task shifting was influenced by the setting in which CTs worked, time allotted to patient-contact as well as external factors (e.g., financing).
    This study provides tentative lessons for policymakers on how task shifting to emerging professional groups can be improved. Providing a legal amendment to facilitate task shifting to CTs seems to be effective and efficient. However, it also poses multiple challenges. While established professional groups can face similar challenges, it is likely that these are exacerbated for emerging professional groups, particularly when shifting tasks occurs horizontally.
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  • 文章类型: Clinical Trial Protocol
    亲密伴侣暴力(IPV)是一个公共健康问题,在心理和身体上影响遭受它的妇女。在这篇文章中,我们提出了一种基于通过冒险体育活动和心理治疗的治疗性旅游的干预方案,可以改善女性参与者的心理和身体健康。我们提出了一项随机研究,参与者将被分成两组,控制和实验,我们将进行测量,包括自我概念,自我形象,抑郁症,和感知的压力,通过确定应激相关激素(皮质醇和DHEA)将这些与应激水平的生理测量相结合,以及该计划的整体成本效益。在方案结束时收集的所有数据将进行统计分析。如果最终数据是肯定的,并且是可行的,该议定书可被提议作为治疗性别暴力受害者后遗症的措施。
    Intimate partner violence (IPV) is a public health problem that psychologically and physically affects the women who suffer from it. In this article, we propose an intervention protocol based on therapeutic tourism through adventure physical activities and psychological therapy that could improve the psychological and physical health of women participants. We propose a randomized study where participants will be separated into two groups, control and experimental, and we will perform measurements including self-concept, self-image, depression, and perceived stress, combining these with physiological measurements of stress level by determining stress-related hormones (Cortisol and DHEA), as well as the overall cost-effectiveness of the program. All data collected at the end of the protocol will be statistically analysed. If the final data are positive and it is feasible, this protocol could be proposed as a measure for the treatment of the sequelae of victims of gender violence.
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  • 文章类型: Observational Study
    背景:道路交通事故(RTA)是主要的公共卫生问题,是全球发病率和死亡率的五大主要原因之一。两轮车的使用正在快速增长,特别是在低收入到中等收入国家,导致RTA增加。在印度,与事故有关的27%死亡是电动两轮车的使用者。
    目的:研究骑摩托车者穿着/不穿着头盔的头部损伤模式。
    方法:本研究是一项前瞻性观察性研究。研究组应根据头盔的使用进行初步分类,并将在入院时根据临床表现进行研究。将收集每个患者的基本流行病学信息。病例记录应分两个部分进行。1)临床调查2)放射学调查。调查是根据ATLS创伤患者评估指南设计的。
    结果:头盔佩戴者遭受的头部和创伤性脑损伤明显少于非头盔佩戴者。
    结论:头盔对道路交通事故(RTA)导致的创伤性脑损伤(TBI)的发病率和死亡率提供了显著的保护。
    BACKGROUND: Road traffic accidents (RTA) are a major public health problem and one of the five leading causes of morbidity and mortality around the world. Use of two wheelers are growing rapidly especially inlow to middle income countries leading to an increase in RTA. 27% deaths related to accidents in India are among users of motorized two wheelers.
    OBJECTIVE: To study the pattern of head injuries in motorcycle riders wearing/not wearinghelmets.
    METHODS: The study is designed as a prospective observational study. Study groups shall be initially categorized based on use of helmets and will be studied in terms of clinical presentation on admission. Basic epidemiological information will be collected in every patient. Case record shall be done in two parts.1) clinical survey 2) radiological survey . Survey is designed as per ATLS guidelines of assessment of trauma patients.
    RESULTS: Helmet wearers suffered significantly less head and traumatic brain injuries than the non-helmeted counterparts.
    CONCLUSIONS: Helmets provide significant protection against the morbidity and mortality of Traumatic brain injury (TBI) as a result of road traffic accidents (RTA).
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  • 文章类型: English Abstract
    OBJECTIVE: The aim of the study is to increase the effectiveness of diagnostics of microhemocirculatory changes in periodontal tissues in anatomical and functional disorders of the mucogingival complex, based on the use of the method of discriminant analysis of ultrasound opplerography.
    METHODS: 187 patients aged 18-44 years (young age according to WHO) were examined without concomitant somatic pathology with various variants of anatomical structures of the mucous-gingival complex, which included an assessment of blood flow in periodontal tissues by ultrasound dopplerography at rest and during a functional test of the tension of the soft tissues of the upper and lower lip, cheeks using an opt-out. After qualitative and quantitative analysis of dopplerograms, an automated assessment of the microhemocirculation of the studied structures was performed, identifying differences between groups using step-by-step discriminant analysis with the study of several variables.
    RESULTS: Depending on the type of reaction to the sample, a model of the distribution of patients into separate groups based on the application of the discriminant analysis method is proposed. It was found that patients of all groups were classified statistically significantly (p<0.05) and the possibility of distributing patients according to the described criteria (the ratio of the maximum systolic blood flow rate along the mean velocity curve, Vas) to a specific class corresponding to the highest value of the function was proved.
    CONCLUSIONS: The proposed method for assessing the functional state of periodontal tissue vessels allows classifying patients with high accuracy and a minimum of the probability of false results, reliably assess the degree of existing functional disorders, determine the prognosis and further tactics of therapeutic and preventive measures and can be recommended for use in clinical practice.
    UNASSIGNED: Повышение эффективности диагностики микрогемоциркуляторных изменений в тканях пародонта при анатомо-функциональных нарушениях мукогингивального комплекса, основанное на применении метода дискриминантного анализа показателей ультразвуковой допплерографии.
    UNASSIGNED: Проведено обследование 187 пациентов в возрасте 18—44 лет без сопутствующей соматической патологии с различными вариантами анатомических структур слизисто-десневого комплекса. Обследование включало оценку кровотока в тканях пародонта методом ультразвуковой допплерографии в покое и при проведении функциональной пробы натяжения мягких тканей верхней и нижней губ, щек с использованием оптрагейта. После анализа допплерограмм проводили автоматизированную оценку микрогемоциркуляции исследуемых структур и выявляли различия между состояниями слизисто-десневого комплекса с использованием пошагового дискриминантного анализа с исследованием нескольких переменных.
    UNASSIGNED: Предложена модель классификации анатомо-функциональных нарушений на основе применения метода дискриминантного анализа. Установлена статистическая значимость предложенной классификации состояний (p<0,05) и доказана возможность распределения пациентов по описанным критериям (соотношению показателя максимальной систолической скорости кровотока по кривой средней скорости, Vas) к конкретному классу, соответствующему наибольшему значению функции.
    UNASSIGNED: Предложенный способ оценки функционального состояния сосудов тканей пародонта позволяет классифицировать пациентов с высокой точностью и минимумом вероятности ложных результатов, достоверно оценить степень функциональных нарушений, определить прогноз и дальнейшую тактику лечебно-профилактических мероприятий и может быть рекомендован к применению в клинической практике.
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