communicable disease control

传染病控制
  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    During the late Qing Dynasty, Tianjin Customs gradually established the seaport quarantine system to prevent the spread of epidemics from Japan, Hong Kong, and the Northeast. The major infectious diseases inspected by the quarantine institution of Tianjin Port include cholera, plague, smallpox, typhus and yellow fever, of which cholera is the most frequent and influential infectious disease in modern Tianjin, followed by plague and smallpox, and no large-scale epidemics of typhus and yellow fever have been found.In the process of preventing the spreading of foreign infectious diseases, the quarantine institution of Tianjin Port has gradually developing. A set of business system has been established, which is based on ship inspection and takes preventive injection, rat flea research and disease diagnosis and treatment as the core.In conclusion,the seaport quarantine institutions in Tianjin played an active role in the prevention, detection, and response to major infectious diseases ,opened up a precedent for Chinese people to independently handle border health quarantine.Its historical practice and quarantine mode are a window for understanding the development history of quarantine infectious diseases in modern China, which has very important reference value.
    晚清时期,为防止日本、香港、东北等地的疫情传入天津,天津海关逐步建立起天津海港检疫制度。天津海港检疫机构施检的重大传染病包括霍乱、鼠疫、天花、斑疹伤寒和黄热病,其中霍乱是近代天津地区爆发最频繁、影响力最大的传染病,鼠疫、天花次之,未发现斑疹伤寒和黄热病大规模流行的记载。天津海港检疫机构在抵制外来传染病入侵的过程中逐渐成熟,建立起以船舶检验为基础,以预防注射、鼠蚤研究和疾病诊疗为核心的业务体系。天津海港检疫机构在重大传染病预防、检测与应对方面发挥了积极的作用,开辟了国人自主办理国境卫生检疫的先河,其历史实践和检疫模式是认识和了解近代中国检疫传染病发展史的一个窗口,具有十分重要的借鉴价值。.
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  • 文章类型: Journal Article
    目的:推测严格的封锁会导致严重疾病的诊断和治疗延迟,导致入院时更高的敏锐度。这应该根据案件的估计敏锐度来阐述,住院期间发现的变化,年龄结构和生物性别。
    方法:回顾性单中心横断面研究。
    方法:德国神经放射科。
    方法:2019年,在2020年(第11-13周)的第一次硬锁定期间,n=1158例患者入院,而n=884例患者入院。
    方法:三位放射科医师评估了初始病例的敏锐度,将它们分为三组(不是急性的,亚急性和急性),并评估是否有相关的临床恶化。数据分析采用非参数方法和多元回归分析。
    结果:从2019年到2020年,检查次数减少了24%(p=0.025)。在女性中,在封锁期间,病例敏锐度增加了21%(p=0.002)。男性急性病例减少了30%(女性减少了5%)。女性和男性的急性病例均未减少(47%;24%),而亚急性病例在男性中保持稳定(0%),在女性中下降(28%)。回归分析显示年龄越高,敏锐度越高(两性p<0.001),特别是在禁闭期间收治的女性(p=0.006)。
    结论:封锁导致神经放射会诊减少,延误寻求医疗护理。在女性中,最严重的病例数量保持稳定,而平均病例视力和年龄增加。这可能是由于女性与流行病相关的焦虑情绪更大,然而,症状严重,他们正在寻求医疗帮助。相比之下,在男性中,最严重病例的绝对数量减少,而平均视力和年龄几乎不受影响。这可能归因于寻求医疗咨询的意愿降低。
    OBJECTIVE: A hard lockdown was presumed to lead to delayed diagnosis and treatment of serious diseases, resulting in higher acuity at admission. This should be elaborated based on the estimated acuity of the cases, changes in findings during hospitalisation, age structure and biological sex.
    METHODS: Retrospective monocentric cross-sectional study.
    METHODS: German Neuroradiology Department at a .
    METHODS: In 2019, n=1158 patients were admitted in contrast to n=884 during the first hard lockdown in 2020 (11th-13th week).
    METHODS: Three radiologists evaluated the initial case acuity, classified them into three groups (not acute, subacute and acute), and evaluated if there was a relevant clinical deterioration. The data analysis was conducted using non-parametric methods and multivariate regression analysis.
    RESULTS: A 24% decrease in the number of examinations from 2019 to 2020 (p=0.025) was revealed. In women, the case acuity increased by 21% during the lockdown period (p=0.002). A 30% decrease in acute cases in men was observable (in women 5% decrease). Not acute cases decreased in both women and men (47%; 24%), while the subacute cases remained stable in men (0%) and decreased in women (28%). Regression analysis revealed the higher the age, the higher the acuity (p<0.001 in both sexes), particularly among women admitted during the lockdown period (p=0.006).
    CONCLUSIONS: The lockdown led to a decrease in neuroradiological consultations, with delays in seeking medical care. In women, the number of most severe cases remained stable, whereas the mean case acuity and age increased. This could be due to greater pandemic-related anxiety among women, however, with severe symptoms they were seeking for medical help. In contrast in men, the absolute number of most severe cases decreased, whereas the mean acuity and age remained nearly unaffected. This could be attributable to a reduced willingness to seek for medical consultation.
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  • 文章类型: Journal Article
    COVID-19大流行导致结核病服务的提供中断,特别是,在资源有限的设置中。世卫组织来自84个国家的临时数据显示,2020年接受结核病治疗的人数比2019年减少了约140万人。这项研究评估了COVID-19大流行对奥贡州结核病例通报率的影响,尼日利亚。
    对2019年和2020年通报的推定结核病和诊断结核病病例的回顾性审查。使用Epi-info7.2.3.1版进行分析。有统计学意义的水平为p<0.05。
    2019年和2020年分别报告3102例和3326例确诊病例,增长7.2%。与2019年相比,2020年第二季度通报的病例总数显着下降(p=0.001),私营机构通报的结核病病例比例显着增加,从2019年的11.65%增加到2020年的20.27%。
    在covid-19大流行期间,奥贡州通知的结核病病例总数增加。在封锁期间,结核病病例大幅下降,但私营设施通知的结核病病例比例有所增加,这表明私营设施可以承受新冠肺炎大流行导致的结核病病例通知中断。
    UNASSIGNED: COVID-19 pandemic has resulted in disruptions in delivery of Tuberculosis services especially, in resource-limited settings. Provisional data by the WHO from 84 countries indicates that about 1.4 million fewer people received care for tuberculosis in 2020 than in 2019. This study assessed the effect of COVID-19 pandemic on tuberculosis case notification rates in Ogun state, Nigeria.
    UNASSIGNED: A retrospective review of presumptive TB and diagnosed TB cases that were notified in 2019 and 2020. Analysis was done using Epi-info version 7.2.3.1. Level of statistical significance was p < 0.05.
    UNASSIGNED: A total of 3102 and 3326 confirmed cases were reported in 2019 and 2020 respectively with an increase of 7.2%. There was significant decline in total number of cases notified in Q2, 2020 compared to 2019 (p=0.001) with a significant increase in proportion of TB cases notified by private facilities from 11.65% in 2019 to 20.27% in 2020.
    UNASSIGNED: Total TB cases notified in Ogun state increased during the covid-19 pandemic. There was significant decline in TB cases during the lockdown but an increase in proportion of TB cases notified by private facilities demonstrating that private facilities can withstand disruptions to TB case notifications due to the Covid-19 pandemic.
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  • 文章类型: Observational Study
    COVID-19大流行带来了护理使用模式的变化。预计紧急情况的数量将大大增加。然而,在全球范围内观察到显著下降。
    观测,对波尔图大学医院中心急诊服务机构(2018-2022年)收治的18岁或以上患者的所有急诊事件记录进行了分析和横断面研究.
    在大流行期间,紧急情况入院人数显著减少(封锁期间高达40%),增加应急服务,并观察到传染病和内科的放电。全科医学和全科医学和家庭医学的出院都是残留的。
    在COVID-19大流行期间,紧急服务的使用率和使用类型较低,对疾病负担产生了负面影响。可以通过制定战略以提高对使用卫生资源的信心并建立虚拟援助的应急计划,在未来的流行病中预防这种情况。
    The COVID-19 pandemic brought changes in the pattern of care use. A significant increase in the volume of emergencies was expected. However, a significant decrease was observed worldwide.
    An observational, analytical and cross-sectional study of all records of emergency episodes of patients aged 18 years or older admitted to the emergency services of the University of Porto Hospital Centre (2018-2022) were analysed.
    During the pandemic, a significant reduction in emergency episode admissions (up to 40% during lockdowns), an increase in pre-emergency services, and discharges from Infectious Diseases and Internal Medicine was observed. The discharges from General Practice and General Practice and Family Medicine were residual.
    The lower use and type of use of emergency services during the COVID-19 pandemic had a negative impact on the disease burden. This could be prevented in future pandemics through the development of strategies to promote confidence in the use of health resources and establishing contingency plans for virtual assistance.
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  • 文章类型: Journal Article
    城市温室气体排放监测对于评估减缓气候变化行动的影响至关重要。使用大气连续测量空气质量和二氧化碳(CO2),我们开发了一个梯度下降优化系统来估算巴黎市的排放量。我们评估了我们在第一个SARS-CoV-2相关封锁期间的联合CO2-CO-NOx优化,导致NOx排放量减少40%,CO2排放量减少30%,这与使用自下而上的活动数据进行的初步估算一致,但低于贝叶斯大气反演的减少估算值(50%)。在评估模型之前,我们首先对三个排放数据集进行深入分析。在巴黎周围地区(称为法兰西岛),由于所有数据集都受到报告的国家和地区总数的限制,因此在总数上达成了普遍协议。然而,数据集显示其部门分布以及种间比率存在分歧。季节性还显示与非工业固定燃烧(住宅和三次燃烧)相关的排放产品之间存在分歧。本文提供的结果表明,通过部署并置的大气温室气体和空气质量监测站,多物种方法有可能提供部门信息来监测城市地区的CO2排放。
    Urban greenhouse gas emissions monitoring is essential to assessing the impact of climate mitigation actions. Using atmospheric continuous measurements of air quality and carbon dioxide (CO2), we developed a gradient-descent optimization system to estimate emissions of the city of Paris. We evaluated our joint CO2-CO-NOx optimization over the first SARS-CoV-2 related lockdown period, resulting in a decrease in emissions by 40% for NOx and 30% for CO2, in agreement with preliminary estimates using bottom-up activity data yet lower than the decrease estimates from Bayesian atmospheric inversions (50%). Before evaluating the model, we first provide an in-depth analysis of three emission data sets. A general agreement in the totals is observed over the region surrounding Paris (known as Île-de-France) since all the data sets are constrained by the reported national and regional totals. However, the data sets show disagreements in their sector distributions as well as in the interspecies ratios. The seasonality also shows disagreements among emission products related to nonindustrial stationary combustion (residential and tertiary combustion). The results presented in this paper show that a multispecies approach has the potential to provide sectoral information to monitor CO2 emissions over urban areas enabled by the deployment of collocated atmospheric greenhouse gases and air quality monitoring stations.
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  • 文章类型: Journal Article
    我们描述了非政府组织的响应反馈(RF)方法经验,女孩健康冠军(现在称为青少年健康冠军[AHC]),在孟买进行同伴教育干预,印度,学校改善13-19岁青少年的性别平等和健康结果。鉴于学校停课带来的不确定性以及封锁对青少年身心健康的负面影响,AHC在COVID-19大流行开始时使用了RF方法。使用RF方法,AHC能够:(1)了解青少年面临的流行病特定挑战;(2)全面改革其变革理论;(3)试点新的干预模式;(4)为父母/监护人设计课程和COVID-19模块;(5)设计AHC移动应用程序;(6)开发新的,更具性别包容性的名称和视觉认同;(7)改变整体结构,青少年友好的性质,和组织的敏捷性;(8)并帮助阐明组织采取的未来方向。总的来说,射频方法的使用对AHC作为一个组织产生了显著的积极影响,比如组织文化的变化,更深入的利益相关者参与,和创新,并在AHC的增长中发挥了重要作用,发展,和流行病应对。本文概述了该过程的步骤,从最初的非正式利益相关者磋商到最终通过建立青年咨询委员会将RF方法形式化为AHC的日常工作。我们讨论挑战,例如遇到的时间和资源限制;应对此类挑战的策略;以及从这种经验中获得的一般关键发现和教训,这些发现和教训可能对其他青年和社区服务组织有益。
    We describe the responsive feedback (RF) approach experience of a nongovernmental organization, Girls Health Champions (now known as Adolescent Health Champions [AHC]), that undertakes peer education interventions in Mumbai, India, schools to improve gender equality and health outcomes for adolescents aged 13-19 years. AHC used the RF approach at the onset of the COVID-19 pandemic in light of uncertainties stemming from school closures and the negative impact of the lockdown on adolescents\' physical and mental health. Using an RF approach, AHC was able to: (1) understand pandemic-specific challenges faced by adolescents; (2) overhaul its theory of change; (3) pilot new modes of intervention delivery; (4) design a curriculum for parents/guardians and a COVID-19 module; (5) design an AHC mobile app; (6) develop a new, more gender-inclusive name and visual identity; (7) change the overall structure, adolescent-friendly nature, and agility of the organization; (8) and help clarify future directions taken by the organization. Overall, use of the RF approach had significant positive impacts on AHC as an organization, such as changes in organizational culture, deeper stakeholder engagement, and innovation, and was instrumental in AHC\'s growth, development, and pandemic response. This article outlines the steps of the process, from initial informal stakeholder consultations to the eventual formalization of the RF approach into the everyday working of AHC through the creation of a youth advisory board. We discuss challenges, such as time and resource constraints encountered; strategies for dealing with such challenges; and general key findings and learnings from this experience that could be beneficial to other youth- and community-serving organizations.
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  • 文章类型: Journal Article
    COVID-19大流行期对一个国家福祉的影响仍然没有得到充分理解,尤其是随着时间的推移。因此,本研究旨在绘制COVID-19大流行期间比利时普通成年人群主观幸福感(SWB)的变化图.使用比利时人口的重复横截面代表性样本,在2020年2月至2022年12月期间的五个不同时间点进行了方差分析(ANOVA)以评估大流行期间SWB的变化。主观幸福感随时间的差异在生活评估方面进行了调查,积极的影响,和负面影响。自主性的变化,能力,亲缘关系,孤独和心灵的平静也被作为解释变量进行了探讨。进行了适度分析,以调查不同年龄组幸福感的差异变化。我们的结果显示,在COVID-19大流行期间,比利时人口的主观幸福感下降,特别是在第二次封锁和第五波。此外,在大流行期间,年轻人更容易受到健康方面负面变化的影响。最后,我们的研究结果表明,在大流行期间,安心是所有SWB成分的重要预测因子.基于这些结果,提出了一些政策建议。
    The consequences of the COVID-19 pandemic period on a nation\'s well-being remain inadequately understood, especially over time. Therefore, this research aims to map the changes in the subjective well-being (SWB) of the general Belgian adult population during the COVID-19 pandemic. Analyses of variances (ANOVA) were performed to evaluate the changes in SWB during the pandemic at five different time points during the period from February 2020 until December 2022 using repeated cross-sectional representative samples of the Belgian population. The differences over time in subjective well-being were investigated in terms of life evaluation, positive affect, and negative affect. The changes in autonomy, competence, relatedness, loneliness and peace of mind were also explored as explanatory variables. Moderation analyses were performed to investigate the differential changes in well-being for different age groups. Our results show the subjective well-being of the Belgian population decreased during the COVID-19 pandemic, notably during the second lockdown and the fifth wave. Furthermore, younger individuals are significantly more susceptible to negative changes in well-being during the pandemic period. Finally, our results show that peace of mind is an important predictor of all SWB components during the pandemic. Based on these results several policy recommendations are formulated.
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  • 文章类型: Journal Article
    2019年冠状病毒病(COVID-19)的爆发深刻影响了日常生活,有必要了解流行病的发展与人口动态之间的关系。在这项研究中,我们提出了一个数据驱动的框架,该框架集成了基于GIS的数据挖掘技术和Susceptible,暴露,感染和恢复(SEIR)模型。这种方法有助于描述网格和社区规模的人口动态,并分析政府政策的影响,城市功能区,以及城际流动对大流行期间人口动态的影响。以厦门岛为例,验证了数据驱动框架的有效性。高/低聚类分析的结果提供了99%的确定性(P<0.01),2020年1月23日至3月16日之间的人口分布不是随机的,一种被称为高价值聚类的现象。SEIR模型预测,在流行病期间实施封锁政策延迟十天可能会导致感染该病毒的人数显着增加。整个疫情防控期间(2020年1月23日至2月21日),住宅区和交通区容纳了更多的居民。恢复正常活动后,人口主要集中在住宅区,工业,和交通,以及道路设施区。值得注意的是,疫情爆发前后,进出厦门的迁移模式主要集中在邻近城市。然而,在COVID-19疫情爆发后,来自受影响省外城市的移民指数急剧下降,接近于零。我们的发现为流行病的发展和人口动态之间的相互作用提供了新的见解,这加强了对冠状病毒流行的预防和控制。
    The outbreak of the Coronavirus Disease 2019 (COVID-19) has profoundly influenced daily life, necessitating the understanding of the relationship between the epidemic\'s progression and population dynamics. In this study, we present a data-driven framework that integrates GIS-based data mining technology and a Susceptible, Exposed, Infected and Recovered (SEIR) model. This approach helps delineate population dynamics at the grid and community scales and analyze the impacts of government policies, urban functional areas, and intercity flows on population dynamics during the pandemic. Xiamen Island was selected as a case study to validate the effectiveness of the data-driven framework. The results of the high/low cluster analysis provide 99% certainty (P < 0.01) that the population distribution between January 23 and March 16, 2020, was not random, a phenomenon referred to as high-value clustering. The SEIR model predicts that a ten-day delay in implementing a lockdown policy during an epidemic can lead to a significant increase in the number of individuals infected by the virus. Throughout the epidemic prevention and control period (January 23 to February 21, 2020), residential and transportation areas housed more residents. After the resumption of regular activities, the population was mainly concentrated in residential, industrial, and transportation, as well as road facility areas. Notably, the migration patterns into and out of Xiamen were primarily centered on neighboring cities both before and after the outbreak. However, migration indices from cities outside the affected province drastically decreased and approached zero following the COVID-19 outbreak. Our findings offer new insights into the interplay between the epidemic\'s development and population dynamics, which enhances the prevention and control of the coronavirus epidemic.
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  • 文章类型: Journal Article
    本研究旨在探讨在中国疫情期间,父母对3-6岁儿童在家育儿和亲子活动的看法。进行了一项育儿调查,以调查父母的角色,年龄,教育背景,工作效率,以及在封锁期间不同的育儿类别。我们还研究了幼儿在实施居家政策之前和之后参加课外活动的经验,以及他们在封锁期间与父母的活动。结果表明,在COVID-19大流行期间,父母的工作效率影响了他们对幸福感的看法。在封锁期间,孩子们花在课外活动上的时间更少,但是一些特定的活动频率增加了,尤其是学术课外活动。
    The current study aims to explore parents\' perceptions of parenting and parent-child activities at home with children aged 3-6 during the pandemic in China. A parenting survey was conducted to investigate parental role, age, educational background, work productivity, and different parenting categories during the lockdown period. We also examined the experiences of young children\'s participation in extracurricular activities before and after the stay-at-home policy was implemented as well as their activities with parents during the lockdown period. The results showed that parents\' work productivity affected their perceptions of well-being during the COVID-19 pandemic. Children spent less time on extracurricular activities during the lockdown period, but some particular activities increased in frequency, especially academic extracurricular activities.
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