Displacement

位移
  • 文章类型: Journal Article
    背景:对难民和寻求庇护者的口腔健康研究不足。然而,口腔健康对整体健康和福祉具有重要意义。这项研究通过描述2016年至2017年希腊大陆世界医学博士(MdM)诊所的口腔保健利用情况来解决这一差距。
    方法:回顾性横断面研究设计用于估计龋齿的比例发病率,提取,发展,牙周病,预防性,和其他口腔健康结果。使用比值比(OR)和95%置信区间(CI)比较了身体健康状况和感兴趣的咨询之间的关联-上呼吸道感染(URTI)和生殖健康咨询-与口腔健康。使用比值比和95%CIs比较了阿富汗人和叙利亚人之间的口腔健康结果。
    结果:龋齿(39.44%)和拔牙(28.99%)在我们的研究人群中非常普遍。预防性牙科咨询的使用率较高(37.10%),尤其是男性。患有至少一种上呼吸道感染(OR=1.52;95%CI:1.30-1.77;Or=1.90;95%CI:1.53-2.36)的个体以及进行生殖健康咨询的妇女和女孩(OR=1.30;95%CI:1.03-1.66;OR=2.03;95%CI:1.49-2.76)更有可能进行任何牙科或龋齿的特定咨询。观察到的阿富汗人和叙利亚人的口腔健康需求模式有所不同,阿富汗人更有可能进行预防性筛查,不太可能患龋齿,提取,或其他条件。
    结论:使用MdM牙科诊所的流离失所人群有很高的口腔健康需求,特别是龋齿和拔牙。在研究人群中可以看到口腔和整体健康之间的联系,这些发现加强了口腔健康对改善流离失所者健康和福祉的公共卫生重要性。循证政策,实践,需要制定包括口腔健康在内的方案,以解决希腊难民和寻求庇护者的口腔和整体健康问题。未来的研究不仅应调查口腔保健需求,还应调查了解流离失所人群利用模式的知识和信念。
    BACKGROUND: The oral health of refugees and asylum seekers is understudied. However, oral health has important implications for overall health and wellbeing. This study addresses this gap by characterizing oral health care utilization in Médecins du Monde (MdM) clinics across mainland Greece from 2016 - 2017.
    METHODS: A retrospective cross-sectional study design was used to estimate proportional morbidities for caries, extraction, developmental, periodontal disease, preventive, and other oral health outcomes. The association between physical health conditions and consultations of interest - upper respiratory tract infections (URTIs) and reproductive health consultations - and oral health were compared using odds ratios (OR) and 95% confidence intervals (CIs). Oral health outcomes between Afghans and Syrians were compared using odds ratios and 95% CIs.
    RESULTS: Caries (39.44%) and extractions (28.99%) were highly prevalent in our study population. The utilization of preventive dental consultations (37.10%) was high, particularly among males. Individuals with at least one upper respiratory tract infection (OR = 1.52; 95% CI: 1.30 - 1.77; Or = 1.90; 95% CI: 1.53 - 2.36) and women and girls with reproductive health consultations (OR = 1.30; 95% CI: 1.03 - 1.66; OR = 2.03; 95% CI: 1.49 - 2.76) were more likely to have any dental or caries specific consultations. The observed patterns in oral health needs differed between Afghans and Syrians, with Afghans more likely to have preventive screenings and less likely to have caries, extractions, or other conditions.
    CONCLUSIONS: Displaced populations utilizing MdM dental clinics had high levels of oral health needs, particularly for caries and extractions. The connection between oral and overall health was seen in the study population, and these findings reinforce the public health importance of oral health for improving health and wellbeing of displaced populations. Evidence-informed policy, practice, and programming inclusive of oral health are needed to address both oral and overall health of refugees and asylum seekers in Greece. Future research should investigate not only oral health care needs but also knowledge and beliefs that inform utilization patterns among displaced populations.
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  • 文章类型: Journal Article
    作为一种高效清洁的能源,煤层气开发利用对促进节能减排具有深远的意义,减少温室气体排放。因此,利用分子模拟研究了不同注气方式下N2/CO2对煤中甲烷吸附和扩散的影响,阐明了不同注气方式对煤层气抽采效率的影响。为煤层气的高效开发提供了依据。结果表明,煤中气体的吸附作用随温度的升高而减小,随压力的升高而增大,三种气体在煤中的吸附性能表现为CO2>CH4>N2的规律。此外,CO2/N2的注入对CH4吸附有明显的抑制作用,CO2的抑制作用更为显著,当两种气体混合注入时,对CH4吸附的抑制作用达到最大。在扩散方面,与单独注射相比,N2+CO2混合注入更有效地促进CH4扩散,这可以反映在相对浓度分布和速度分布上。注入N2有助于增加煤的孔隙率,CO2和N2+CO2的注入将导致孔隙率的降低,但是混合气体注入的效果小于单独注入CO2的效果。
    As an efficient and clean energy, coalbed methane development and utilization have deep significance in promoting energy conservation and emission reduction, reducing greenhouse gas emissions. Therefore, molecular simulation was utilized to study the influence of N2/CO2 on the adsorption and diffusion of methane in coal under different gas injection methods and to elucidate the influence of varying gas injection methods on the efficiency of coalbed methane extraction, which provides a basis for the efficient development of coalbed methane. The results show that the adsorption effect of gases in coal decreases with the increase of temperature and increases with the rise of pressure, and the adsorption performance of the three gases in coal shows the law of CO2 > CH4 > N2. In addition, the injection of CO2/N2 had an obvious inhibition effect on CH4 adsorption, and the inhibition effect of CO2 was more significant, and the inhibition effect on CH4 adsorption reached the maximum when the two gases were mixture injected. In terms of diffusion, compared with separate injection, mixed injection of N2 + CO2 promotes CH4 diffusion more effectively, which can be reflected in the relative concentration distribution and velocity distribution. The injection of N2 helps to increase the porosity of coal, and the injection of CO2 and N2 + CO2 will lead to the decrease of porosity, but the mixed gas injection has less effect than the injection of CO2 alone.
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  • 文章类型: Journal Article
    骨代谢生物标志物与骨折位移之间的关系在老年人中已有报道。然而,预测儿童骨折移位的骨代谢相关因素尚不清楚。本研究调查了与小儿肱骨髁上骨折移位相关的骨代谢生物标志物。共有19例患者(男性7例,女性12例;平均年龄,6.3年)在Juntendo大学医院接受手术治疗的小儿肱骨髁上骨折(东京,日本)包括2020年12月至2022年9月。他们根据Gartland分类分为两组:14例II型患者(6例男性和8例女性患者;平均年龄,6.3±3.0岁)和5例III型患者(男性1例,女性4例;平均年龄,6.4±4.0年)。检查了以下骨代谢生物标志物:25-羟基维生素D[25(OH)D],完整的甲状旁腺激素(iPTH),钙,磷酸盐,促甲状腺激素,游离三碘甲状腺原氨酸和游离甲状腺素(FT4)。这些标记也在两组之间进行比较。19例患者中有16例(84%)的血清25(OH)D水平不足。虽然iPTH水平升高,其他骨代谢生物标志物在正常范围内.当比较骨代谢生物标志物的血清水平时,III型患者的FT4水平明显高于II型患者(P=0.009)。两组之间在其他骨代谢生物标志物中没有观察到显著差异。目前的结果表明,高FT4水平与小儿肱骨髁上骨折的移位有关。
    Relationships between bone metabolic biomarkers and fracture displacement have been reported in the elderly. However, factors related to bone metabolism that predict fracture displacement remain unclear in children. The present study investigated bone metabolic biomarkers associated with the displacement of pediatric supracondylar humerus fractures. A total of 19 patients (7 male and 12 female patients; mean age, 6.3 years) with pediatric supracondylar humerus fractures who underwent surgical treatment at Juntendo University Hospital (Tokyo, Japan) between December 2020 and September 2022 were included. They were divided into two groups according to the Gartland classification: 14 type II patients (6 male and 8 female patients; mean age, 6.3±3.0 years) and 5 type III patients (1 male and 4 female patients; mean age, 6.4±4.0 years). The following bone metabolic biomarkers were examined: 25-hydroxyvitamin D [25(OH)D], intact parathyroid hormone (iPTH), calcium, phosphate, thyroid-stimulating hormone, free triiodothyronine and free thyroxine (FT4). These markers were also compared between the two groups. A total of 16 out of 19 patients (84%) had insufficient serum 25(OH)D levels. Although iPTH levels were elevated, other bone metabolic biomarkers were within normal ranges. When the serum levels of bone metabolic biomarkers were compared, FT4 levels were significantly higher in type III patients than in type II patients (P=0.009). No significant differences were observed in other bone metabolic biomarkers between the two groups. The present results suggest that high FT4 levels are associated with the displacement of pediatric supracondylar humerus fractures.
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  • 文章类型: Journal Article
    人类进化生态学将通过整合运动生态学中发展的理论和方法而受益,反过来,通过利用我们物种的独特属性,为更广泛的运动生态学领域做出贡献。在本文中,我们回顾了数据和进化模型,表明社会空间行为的重大变化伴随着语言的进化。为了说明和探讨这些问题,我们介绍了坦桑尼亚北部哈扎狩猎采集者与橄榄狒狒(Papioanubis)的社会空间行为的GPS测量值的比较,一种相对较小的灵长类动物,也适合稀树草原。虽然标准空间度量显示出适度的差异,空间多样性的度量,景观探索和个体之间的时空位移明显不同。成群的哈扎觅食者迅速积累了大量的,关于地平线上的地方和事物的多样化知识池,与狒狒的较窄和更均匀的生态信息库形成对比。Hadza所说明的更大,更复杂的社会空间世界是一个提高了空间和情景记忆的认知能力的世界,导航,关于这里和现在之外的事情的观点和沟通都有明确的价值。本文是主题问题“空间-社会界面:理论和实证整合”的一部分。
    Human evolutionary ecology stands to benefit by integrating theory and methods developed in movement ecology, and in turn, to make contributions to the broader field of movement ecology by leveraging our species\' distinct attributes. In this paper, we review data and evolutionary models suggesting that major changes in socio-spatial behaviour accompanied the evolution of language. To illustrate and explore these issues, we present a comparison of GPS measures of the socio-spatial behaviour of Hadza hunter-gatherers of northern Tanzania to those of olive baboons (Papio anubis), a comparatively small-brained primate that is also savanna-adapted. While standard spatial metrics show modest differences, measures of spatial diversity, landscape exploration and spatiotemporal displacement between individuals differ markedly. Groups of Hadza foragers rapidly accumulate a vast, diverse knowledge pool about places and things over the horizon, contrasting with the baboon\'s narrower and more homogeneous pool of ecological information. The larger and more complex socio-spatial world illustrated by the Hadza is one where heightened cognitive abilities for spatial and episodic memory, navigation, perspective taking and communication about things beyond the here and now all have clear value.This article is part of the theme issue \'The spatial-social interface: a theoretical and empirical integration\'.
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  • 文章类型: Journal Article
    高精度位移传感已广泛应用于科学研究和工业应用。最近对开发微光机电系统(MOEMS)的兴趣已经产生了用于小型化位移传感器的出色平台。在过去几年中,该领域的进步现在正在产生集成的高精度传感器,这些传感器在从光声光谱到高精度定位和自动化的应用中显示出巨大的潜力。在这次审查中,我们简要总结了基于MOEMS的高精度位移传感的不同技术,并讨论了未来改进的挑战。
    High-precision displacement sensing has been widely used across both scientific research and industrial applications. The recent interests in developing micro-opto-electro-mechanical systems (MOEMS) have given rise to an excellent platform for miniaturized displacement sensors. Advancement in this field during past years is now yielding integrated high-precision sensors which show great potential in applications ranging from photoacoustic spectroscopy to high-precision positioning and automation. In this review, we briefly summarize different techniques for high-precision displacement sensing based on MOEMS and discuss the challenges for future improvement.
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  • 文章类型: Journal Article
    背景:本研究旨在评估低水平激光治疗(LLLT)对矢状,横向和垂直正畸微型位移。
    方法:该研究包括来自12名成年患者的CBCT记录,这些患者接受了上第一前磨牙拔除和犬牙牵开,并进行了正畸微型支抗。一侧的微型船员收到了LLL,而另一边作为一个控制。使用低能级激光来评估其对微流位移的影响。已在两个时间点进行了使用的CBCT:在小型船员插入后立即(T0)和犬科动物收缩开始后四个月(T1),总共24个CBCT。通过测量头部(HMS)和尾部(TMS)到轴向的位移来评估Miniscrew位移,在两个时间点CBCT上的冠状面和正中矢状面。在LLL侧和对照侧之间比较了Miniscrews位移(T1-T0)。使用配对样本t检验进行比较。显著性水平设定为p值<0.05。通过组内相关系数(ICC)评估测量的可重复性。
    结果:犬类收缩四个月后,来自激光侧和对照侧的HMS和TMS在p<0.05处显示出显著的三维位移。垂直方向的平均位移没有显着差异,矢状,也没有引起两侧之间的横向平面。
    结论:所使用的协议中的LLL应用不会影响空间三个平面中任何一个平面中的微型乘员位移量。两组的Miniscrew流离失所都很重要。
    BACKGROUND: This study aimed to assess the effect of Low-Level Laser Therapy (LLLT) on sagittal, transverse and vertical Orthodontic miniscrew displacement.
    METHODS: The study included CBCTs from the records of 12 adult patients who underwent upper first premolar extraction and canine retraction with orthodontic miniscrews for maximum anchorage. The miniscrews on one side received LLL, while the other side served as a control. The Low-Level Laser was applied to assess its effect on the displacement of the miniscrews. The used CBCTs have been taken at two-time points: immediately after miniscrew insertion (T0) and four months after the start of canine retraction (T1) with a total of 24 CBCTs. Miniscrew displacement was assessed by measuring head (HMS) and tail (TMS) displacement to the axial, coronal and mid-sagittal planes on the CBCT at the two time points. Miniscrews displacement (T1-T0) was compared between LLL side and control side. Comparisons were performed using paired samples t-test. The significance level was set at p-value < 0.05. The reproducibility of measurements was assessed by intraclass correlation coefficient (ICC).
    RESULTS: After four months of canine retraction, HMS and TMS from both laser and control sides showed significant three-dimensional displacement at p < 0.05. No significant difference in mean displacement in the vertical, sagittal, nor transverse planes between both sides was elicited.
    CONCLUSIONS: LLL application in the used protocol does not affect the amount of miniscrew displacement in any of the three planes of space. Miniscrew displacement was significant in both groups.
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  • 文章类型: Journal Article
    选择内固定作为患者的主要固定方式是治疗所讨论的患者的外科医生的挑战之一。建立胫骨平台外侧骨折模型。三种不同配置的内部固定器,即L骨板,T型骨板,和螺旋垫圈进行了分析。模拟手术后三个阶段评估骨板的位移,螺钉,垫圈,和断裂区域的应力屏蔽比。在手术后的三个阶段,与其余两种方案相比,T骨板在康复过程中显示出更好的稳定性,由于骨折区域内固定位移和应力屏蔽比较大,螺钉-垫圈方案最不稳定。相比之下,L骨板方案在术后早期显示出更好的稳定性,但在术后中后期仅次于螺钉垫圈方案。T接骨板显示出更好的稳定性,成为外科医生治疗相关患者的新选择。在手术后的三个阶段,与L骨板和螺钉垫圈方案相比,T骨板具有更好的生物力学稳定性。
    The selection of internal fixation as the primary fixation modality for the patient is one of the challenges for the surgeon treating the patient in question. A model of the lateral tibial plateau fracture was established. Three different configurations of internal fixators namely L bone plate, T bone plate, and screw-washer were analyzed. Three stages after surgery were simulated to assess the displacement of bone plates, screws, washers, and the stress shielding ratio in the fracture area.At three stages after surgery, the T bone plate showed better stability for patients during rehabilitation compared with the remaining two schemes, and the screw-washer scheme was the least stable due to the larger internal fixation displacement and stress shielding ratio in the fracture area. In contrast, the L bone plate scheme showed better stability in the early stages after surgery but was second only to the screw-washer scheme in the middle and late stages after surgery. The T bone plate showed better stability and became a new selection for surgeons to treat related patients. At three stages after surgery, the T bone plate has better biomechanical stability compared to the L bone plate and screw-washer schemes.
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  • 文章类型: Journal Article
    背景:疲倦,浓度差,睡眠不安和食欲不振都可能是由抑郁症引起的,这是一种常见的精神障碍,也是全球残疾的主要原因。这项研究旨在评估重度抑郁症的患病率,自杀意念,苏丹军队冲突期间苏丹儿童和青少年的风险因素。
    方法:对冲突开始时居住在苏丹的11至17岁的苏丹儿童进行了一项基于社区的描述性横断面研究,方法是在父母的指导下使用自编问卷,如有必要。根据诊断和统计手册第5版(DSM-5),该问卷改编自患者健康问卷-9(PHQ-9)清单,用于评估主要抑郁症状。问卷由两名专家翻译翻译成阿拉伯文,并证实了其有效性和可靠性。使用社会科学25版软件的统计软件包进行数据分析,进行描述性分析和任何适当的统计检验.
    结果:在963名参与者中,平均年龄为15.18±2.1岁,65.5%是女性,67.7%有重度抑郁症。MDD评分之间存在显著关系,年龄,性别,目前的居住状态,和创伤性事件暴露,所有变量的P值小于0.001。
    结论:本研究纳入的苏丹儿童和青少年中重度抑郁障碍非常普遍。此外,自杀意念,这需要立即干预,据报道是非常高的。这些发现将有助于政府为受影响的人提供适当的心理健康干预措施。
    BACKGROUND: Tiredness, poor concentration, disturbed sleep and poor appetite can all be caused by depression, which is a common mental disorder and a leading cause of disability worldwide. This study aimed to assess the prevalence of major depressive disorder, suicidal ideation, and risk factors in Sudanese children and adolescents during the Sudanese army conflict.
    METHODS: A descriptive cross-sectional community-based study was carried out among Sudanese children between 11 and 17 years old who living in Sudan at the start of the conflict by using a self-administered questionnaire under the guidance of parents, if necessary. The questionnaire was adapted from the Patients Health Questionnaire-9 (PHQ-9) checklist for the assessment of major depression disorder symptoms according to the Diagnostic and Statistical Manual Edition 5th Edition (DSM-5). The questionnaire was translated into Arabic by two expert translators, and its validity and reliability were confirmed. Data analysis was performed using Statistical Package for the Social Sciences version 25 software, and descriptive analysis and any appropriate statistical tests were performed.
    RESULTS: Among the 963 participants, the mean age was 15.18 ± 2.1 years, 65.5% were female, and 67.7% had major depressive disorder. There was a significant relationship between MDD score, age, sex, current residency status, and traumatic event exposure, with P values less than 0.001 for all variables.
    CONCLUSIONS: Major depressive disorder was highly prevalent among Sudanese children and adolescents included in the present study. Additionally, suicidal ideation, which requires immediate intervention, was reported to be very high. The findings will help the government to provide proper mental health interventions for affected people.
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  • 文章类型: Journal Article
    在有关流离失所社区内基于性别的暴力(GBV)幸存者的定性研究中,整合创伤知情和道德框架至关重要。这些人经常承受着流离失所和相关困难加剧的创伤经历的重担。采用创伤知情的方法建立了一个安全的环境,优先考虑幸存者的福祉,并尊重他们的代理和叙述,从而培养信任,降低再创伤风险。道德考虑确保尊严,权利,参与者的文化敏感性得到维护,为严谨和人性化的研究做出贡献。这种整合放大了幸存者的声音和经验,增强理解和同理心。创伤知情的方法承认个人生活中创伤的可能性,并优先考虑安全,而不旨在治疗症状。熟练的面试技巧旨在提高舒适度,安全,在不回避挑战性问题的情况下回忆。整合所有面试阶段的创伤知情原则至关重要,特别是同时经历各种创伤的人,比如流离失所,暴力,和持续的冲突。借鉴作者的经验和现有文献,本文主张在定性研究方法上进行富有同情心和赋权的转变,以更好地与流离失所社区内的创伤和GBV幸存者接触.
    The integration of trauma-informed and ethical frameworks in qualitative research concerning survivors of gender-based violence (GBV) within displaced communities is critical. These individuals often bear the weight of traumatic experiences compounded by displacement and associated hardships. Adopting a trauma-informed approach establishes a safe environment, prioritizing survivors\' well-being and respecting their agency and narratives, thereby fostering trust and reducing re-traumatization risks. Ethical considerations ensure the dignity, rights, and cultural sensitivities of participants are upheld, contributing to rigorous and humane research. This integration amplifies survivors\' voices and experiences, enhancing understanding and empathy. Trauma-informed approaches acknowledge the likelihood of trauma in individuals\' lives and prioritize safety without aiming to treat symptoms. Proficient interviewing skills aim to improve comfort, safety, and recall without avoiding challenging questions. Integration of trauma-informed principles across all interview phases is crucial, particularly for individuals experiencing various traumas simultaneously, such as displacement, violence, and ongoing conflict. Drawing from the authors\' experiences and existing literature, this paper advocates for a compassionate and empowering shift in qualitative research methodologies to better engage with survivors of trauma and GBV within displaced communities.
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  • 文章类型: Journal Article
    审查生计资产对流离失所者至关重要,因为它为有效的资源分配和支持提供了信息。本研究使用多项逻辑回归来调查尼泊尔塔纳胡水电项目流离失所的家庭的生计决策,以评估不同资产如何影响他们的选择。数据是通过问卷调查获得的,本研究共使用185份问卷进行分析。描述性和推断性统计用于数据分析。这项研究发现,实物资产对生计策略有很大影响,促进多样化和非农活动。有趣的是,社会资产有负面影响,而自然,金融,和人力资产没有显著影响。这项研究强调了社区对经济稳定的关注,平衡当前的财务需求与长期目标,如儿童教育。然而,它揭示了正在进行的财务斗争,平均每日收入仅为1.962美元,许多家庭仍处于贫困状态,尤其是那些依赖农业的人。这项研究还反映了人们对政府政策的混合看法,受技能差距和家庭愿望等因素的影响。这些发现为向流离失所人口提供有针对性的支持和资源分配提供了重要见解。
    Examination of livelihood assets is crucial for displaced people as it informs effective resource allocation and support. This study investigates the livelihood decisions of households displaced by Nepal\'s Tanahu Hydropower Project using multinomial logistic regression to evaluate how different assets affect their choices. Data were obtained using questionnaires, with a total of 185 questionnaires used for the analysis in this study. Descriptive and inferential statistics were used for data analysis. This study finds that physical assets substantially influence livelihood strategies, promoting diversification and nonfarming activities. Interestingly, social assets have a negative impact, whereas natural, financial, and human assets exert no significant effect. The study highlights the community\'s focus on economic stability, balancing immediate financial needs with long-term goals such as children\'s education. However, it reveals ongoing financial struggles, with an average daily income of only 1.962 USD and many households remaining in poverty, particularly those dependent on farming. The study also reflects on the mixed perceptions toward government policies, influenced by factors such as skill gaps and family aspirations. These findings provide essential insights for targeted support and resource allocation to displaced populations.
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