extended family

大家庭
  • 文章类型: Review
    尽管在文献中下肢矫形器有所谓的好处,儿科依从率仍然很低.本范围审查使用国际功能分类的框架,综合了有关儿科人群下肢矫正依从性的障碍和促进因素的现有文献,残疾与健康:儿童和青年(ICF)。全面搜索MEDLINE,EMBASE,andCINAHL于2021年5月11日进行,PsycInfo于2021年5月12日进行。还搜索了文章参考列表和灰色文献。共纳入81篇文章。至少四篇文章中描述的因素被标记为普遍障碍或促进因素。在国际功能分类中,残疾与健康:儿童和青少年领域的身体功能/身体结构,普遍的障碍存在于全球心理功能中,自我和时间的经验,感觉功能,关节和骨骼的功能,以及与皮肤子类别相关的结构,没有确定普遍的促进者。对于活动限制/参与限制域,在流动性子类别中确定了一个通用促进者。在环境语境因素领域,在直系家庭和大家庭以及社会态度子类别的态度中发现了普遍的障碍,在支持和关系中发现了普遍的障碍和促进者:直系亲属和大家庭,支持和关系:卫生专业人员,服务,系统,和政策,产品和技术。回顾的文献强烈强调正确的矫形配合和舒适的重要性,和孩子的自我体验,对于下肢矫形依从性,以及多种环境因素。
    Despite the purported benefits of lower extremity orthotics in the literature, pediatric compliance rates remain low. This scoping review synthesized the available literature regarding barriers and facilitators to lower extremity orthotic compliance in the pediatric population using the framework of the International Classification of Functioning, Disability and Health: Children and Youth (ICF). A comprehensive search of MEDLINE, EMBASE, and CINAHL was conducted on May 11, 2021, and of PsycInfo on May 12, 2021. Article reference lists and gray literature were also searched. A total of 81 articles were included. Factors described in at least four articles were labeled as universal barriers or facilitators. In the International Classification of Functioning, Disability and Health: Children and Youth domain of Body Functions/Body Structures, universal barriers were present in the global mental functions, experience of self and time, sensory functions, function of joints and bones, and structures related to the skin subcategories, with no universal facilitators identified. For the Activity Limitations/Participation Restrictions domain, one universal facilitator was identified in the mobility subcategory. In the Environmental Contextual Factors domain, universal barriers were found in the attitudes of immediate and extended family and societal attitude subcategories, with both universal barriers and facilitators found in support & relationships: immediate and extended family, support and relationships: health professionals, services, systems, and policies, and products and technology. The reviewed literature strongly emphasizes the importance of proper orthotic fit and comfort, and the child\'s experience of self, for lower extremity orthotic compliance, along with multiple environmental factors.
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  • 文章类型: Journal Article
    对于那些有兴趣了解人类发展的人来说,区分自然和养育的影响是一个主要的研究目标。众所周知,例如,许多父母的特征可以预测儿童的心理健康结果,但这种关联背后的因果过程通常不清楚.基于家庭的准实验设计,如兄弟姐妹比较,几十年来,收养和扩展家庭研究一直被用来区分风险的遗传传播与家庭成员可能对彼此产生的环境影响。最近,这些设计与基因组数据相结合,这种结合正在推动一系列令人兴奋的方法论进步。在这篇综述中,我们探讨了这些进展-强调了迄今为止它们的应用方式,并考虑了它们在未来几年中可能会教给我们的有关精神病理学的病因和代际传播的知识。
    Distinguishing between the effects of nature and nurture constitutes a major research goal for those interested in understanding human development. It is known, for example, that many parent traits predict mental health outcomes in children, but the causal processes underlying such associations are often unclear. Family-based quasi-experimental designs such as sibling comparison, adoption and extended family studies have been used for decades to distinguish the genetic transmission of risk from the environmental effects family members potentially have on one another. Recently, these designs have been combined with genomic data, and this combination is fuelling a range of exciting methodological advances. In this review we explore these advances - highlighting the ways in which they have been applied to date and considering what they are likely to teach us in the coming years about the aetiology and intergenerational transmission of psychopathology.
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  • 文章类型: Journal Article
    目的:对泰国结直肠癌(CRC)造口患者的生活质量(QOL)影响因素进行评估和综合研究。
    方法:综合综述。
    方法:科学数据库CINAHL,Medline,PubMed,WebofScience,GoogleScholar和ThaiJO被问及2011年至2021年之间发表的英语或泰语研究文章。
    方法:使用系统评价和荟萃分析(PRISMA)报告指南的首选报告项目搜索纳入的研究。通过使用约翰·霍普金斯研究证据评估工具评估研究水平和质量,对符合条件的研究进行了严格评估。Whittemore和Knafl的五阶段框架被用来指导这篇综合评论。提取了每项合适研究的主要数据,编码并分类为子主题。最后,主题是根据审查问题和目标确定的。
    结果:8篇文章符合纳入标准。确定了十二个子主题和五个重要主题:社会人口统计学和临床,生理,心理,社会和精神方面。
    结论:泰国CRC造口者中影响QOL的因素可分为五个领域。社会人口统计学和临床,生理和心理方面与其他国家相似。同时,社会和精神领域与其他国家不同,特别是在大家庭的支持和佛教信仰。
    结论:通过提供QOL影响因素,护士可以调查重要的QOL预测因素,并创建适当的干预措施来促进QOL,特别是在有造口的泰国CRC成年人中。同样,将这一结果纳入泰国和其他类似国家的护理课程,以教导能够为有造口的CRC成人提供直接整体护理的护理学生将是有帮助的.此外,它将作为有关护理实践指南的医疗保健政策的基础,用于评估造口术后的个人生活质量因素和促进生活质量活动。患者或公众贡献:泰国的造口护士参与数据分析阶段。他们在会议前阅读了所有包含的研究报告。他们考虑并评论了代码的生成和合成,次主题和主题。
    OBJECTIVE: To appraise and synthesize research investigating the factors contributing to the quality of life (QOL) among Thai patients diagnosed with colorectal cancer (CRC) with a stoma.
    METHODS: An integrative review.
    METHODS: The scientific databases CINAHL, Medline, PubMed, Web of Science, Google Scholar and ThaiJO were queried for English or Thai research articles published between 2011 and 2021.
    METHODS: Included studies were searched utilizing the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) reporting guidelines. The eligible studies were critically appraised by evaluating the study level and quality using the John Hopkins Research Evidence Appraisal Tool. Whittemore and Knafl\'s five-stage framework was used to guide this integrative review. Primary data from each suitable study were abstracted, coded and categorized into sub-themes. Finally, themes were identified based on the review question and objective.
    RESULTS: Eight articles met the inclusion criteria. Twelve sub-themes and five significant themes were identified: Sociodemographic and clinical, physiological, psychological, social and spiritual aspects.
    CONCLUSIONS: Factors contributing to QOL among Thai CRC ostomates can be categorized into five domains. The sociodemographic and clinical, physiological and psychological aspects are similar to those in other countries. In the meanwhile, the social and spiritual domains differ from those in other countries, particularly in extended family support and Buddhist belief.
    CONCLUSIONS: By providing the QOL contributing factors, nurses can investigate the significant QOL predictors and create the appropriate interventions for promoting QOL, specifically among Thai CRC adults with a stoma. Likewise, it will be helpful to integrate this result into the nursing curriculum in Thailand and other similar countries to teach nursing students who could give direct holistic care to CRC adults with a stoma. In addition, it will serve as the basis for healthcare policy regarding nursing practice guidelines for assessing the individuals\' QOL factors and promoting QOL activities after ostomy surgery. Patient or Public contribution: The ostomy nurses in Thailand are involved in the data analysis stage. They read all the included studies before the meeting. They considered and commented on the generating and synthesizing of codes, subthemes and themes.
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    文章类型: Journal Article
    四环素的多种治疗潜力及其在全球范围内的使用已鼓励研究人员开发用于其在各种基质中和用于不同目的的测定的各种方法。在这方面,已经开发了不同的分析技术。这些技术包括流动注射(FI),这是一个由三代和五个版本组成的大家庭。当前的手稿回顾了FI技术在开发四环素测定方法中的应用。审查涵盖了四十多种方法,自FI技术成立以来和最新的。该综述强调了在试剂消耗方面应用FI技术定量四环素的优势,采样频率,准确度,和从业者安全,除了仪器的简单性和成本效益。该综述还讨论了几种基质的应用,从简单的基质如标准溶液和药物制剂到复杂的基质如生物流体和食品。在审查之前,简要说明了FI技术的原理和发展背景。
    The multiple therapeutic potentials of tetracycline and its worldwide usage have encouraged researchers to develop various methods for its assay in various matrices and for different purposes. In this regard, different analytical techniques have been exploited. Among those techniques is flow injection (FI), which is an extended family of three generations and five versions. The current manuscript reviews the utilization of FI techniques for developing assay methods for tetracycline. The review covers more than forty methods, since the inception of FI techniques and up to date. The review highlights the advantages of the application of FI techniques for quantification of tetracycline in terms of reagent consumption, sample frequency, accuracy, and practitioner safety, besides instrumentation simplicity and cost-effectiveness. The review also addresses applications to several matrices ranging from simple matrices such as standard solutions and pharmaceutical formulations to complex matrices such as biological fluids and food. Prior to the review, a brief background on the principles and developments of FI techniques is illustrated.
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  • 文章类型: Journal Article
    COVID-19的流行已经从中国蔓延到全世界。在这里,我们讨论非洲儿童在这场健康危机中的脆弱性。基于医学,社会经济和人类学研究,我们进行了主题审查,从三个层面审查了这个问题。首先,我们在为限制其传播和医疗设备在非洲的能力而实施的战略方面,讨论了病毒对儿童的影响问题。第二,我们解决了这种病毒可能通过感染儿童的父母或监护人而产生的额外破坏问题,这些儿童经常发现自己受到非正规经济的困扰。最后,我们在粮食安全问题上讨论了危机对儿童的长期影响,特别是与超重和肥胖有关。根据记录了由于封锁措施而导致学校停课可能发生的长期超重风险的研究,我们提供了解决非洲这一新兴公共卫生问题的策略.最后,我们建议所有这些形式的脆弱性仍然是积极的工作领域,以更好地为非洲应对未来的流行病做好准备。
    The pandemic of COVID-19 has spread from China to the whole world. Here we address the vulnerability of African children in the context of this health crisis. Based on medical, socio-economic and anthropological studies, we present a thematic review that examines the issue at three levels. Firstly, we address the question of the effect of the virus on children in regard to strategies implemented to limit its spread and the capacity of medical devices in Africa. Second, we address the issue of the additional disruptions that the virus could generate by infecting the parents or guardians of children who often find themselves subject to the disquietudes of an informal economy. Finally, we discuss the long-term effects of the crisis on children about food security issues, particularly in relation to overweight and obesity. Based on studies that have documented the long-term overweight risks that can occur due to school cessation as a result of lockdown measures, we provide strategies to address this emerging public health problem in Africa. We conclude the study by suggesting that all these forms of vulnerabilities remain proactive areas of work to better prepare Africa for future pandemics.
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  • 文章类型: Journal Article
    UNASSIGNED: The objectives of this review were to: (a) explore the extent and nature of available research on non-custodial grandparents of children with physical, intellectual, or neurodevelopmental disabilities and (b) descriptively summarize the research findings from those studies.
    UNASSIGNED: We followed the five-stage scoping review methodology to identify relevant studies from four databases: Medline, CINAHL, Embase, and PsycINFO. Primary, peer-reviewed studies that explored grandparent-related topics in the context of childhood disability were included.
    UNASSIGNED: Thirty-one studies were identified and analyzed. All of the studies followed non-experimental and qualitative study designs. In the last decade, there has been a growing interest in research on this population (n = 15). Grandparents varied considerably in age, education, employment status, and living arrangements (n = 4680). Grandmothers represented the vast majority of the population (82%). We grouped the grandparent-related findings from the individual reports into four categories: 1. Adjustment to grandchild\'s disability, 2. Roles, 3. Perceptions, and 4. Experiences.
    UNASSIGNED: Grandparents of children with disabilities are a heterogeneous population that experiences unique challenges in their grandparenting role. Future studies on this topic should be oriented toward high-quality, experimental study designs that take into consideration cultural, religious and demographic factors. Grandparents\' involvement in healthcare should be encouraged.IMPLICATIONS FOR REHABILITATIONGrandparents of children with developmental disabilities who are not primary caregivers to their grandchild(ren) are significant family members in many families.They face unique challenges in adapting to their grandchild\'s disability and interacting with professionals regarding their grandchild\'s disability and functioning.Although there is considerable heterogeneity within this population, most grandparents share the experiences of gradual emotional adjustment to their grandchild\'s disability, active family involvement, positive perceptions of their family and grandchild\'s disability and lack of services for them.There are no identified interventions in the research literature that aimed to support grandparents of children with disabilities.
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