shelter

庇护所
  • 文章类型: Journal Article
    The divide between the rich and poor in the European housing market is fast rising. Latest research indicates that Europe is dealing with an increasing number of homeless people. Every city in Europe has them-homeless people compelled to live on street corners, frequently hiding themselves with cardboard. Rain, snow, and temperatures below zero pose a threat to their lives on a daily basis. There are many varied kinds of services that have been discovered, but it is difficult to keep track of everyone and guarantee that they have a warm night\'s sleep in the winter. The current article suggests accommodation as a workaround until they can receive high-intensity support, a way to keep a single person warm and safe during the winter. The focus is on devising a strategy that not only ensures the warmth and safety of individuals during the harsh winter months but also seeks to industrialize the construction of shelters, ensuring affordability below the cost of winter hospitalization for a homeless person. Crucially, the article introduces an additional layer to this initiative by highlighting the dual purpose of these individual shelters. Beyond being a means to provide respite for the homeless during severe weather, these shelters are envisioned as immediate response units in the event of emergencies such as earthquakes in urban areas. The article explores the potential impact of this multi-layered approach on transforming urban landscapes and fostering resilient communities.
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  • 文章类型: Journal Article
    我们通过将医疗补助保险索赔中的地址历史与公开的无家可归者收容所地址进行匹配,确定了2015-2020年期间居住在纽约市收容所系统中的儿童。允许检查卫生保健使用之前,during,在庇护所停留之后。我们发现,4.5%的4-17岁的纽约市儿童在三到五年的时间里进入了避难所。进入避难所后,儿童接受心理健康服务的可能性增加,包括神经发育障碍的治疗和诊断,但是身体健康服务的使用几乎没有变化。安置在与精神卫生服务相同的庇护所中的儿童与进入前进入其他庇护所的儿童相似,但之后使用精神卫生服务的数量特别大且持续增加。与其他地方的类似儿童相比,没有先前精神健康索赔的儿童被安置在与精神健康服务相同的庇护所中,接受精神健康治疗的可能性高38-48%,接受神经发育诊断的可能性高14-16%。这些孩子也更有可能获得补充安全收入,并在庇护所停留更长的时间。这个例子说明了将行政数据集联系起来以研究弱势群体的潜力。
    We identified children who resided in the New York City shelter system during 2015-2020 by matching address histories in Medicaid insurance claims to publicly available homeless shelter addresses, permitting examination of health care use before, during, and after shelter stays. We found that 4.5% of NYC children aged 4-17 with consistent Medicaid coverage entered shelter over a three-to-five-year period. After shelter entry, children had increased probabilities of receiving mental health services, including therapy and diagnoses of neurodevelopmental disorders, but little change in physical health service use. Children placed in shelters co-located with mental health services were similar to children entering other shelters prior to entry but had particularly large and sustained increases in use of mental health services afterwards. Children without prior mental health claims placed in shelters co-located with mental health services were 38-48% more likely to receive mental health therapy and 14-16% more likely to receive neurodevelopmental diagnoses than similar children placed elsewhere. These children were also more likely to receive Supplemental Security Income and stayed in shelter longer. This example illustrates the potential of linking administrative data sets in order to study vulnerable populations.
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  • 文章类型: Journal Article
    减少爆炸事故中的伤亡人数,防爆避难所可用于保护石化加工厂高风险地区的人员。在这项工作中,通过瓦斯爆炸试验研究了无涂层和聚脲涂层抗爆板的变形行为。建立了聚脲涂层遮蔽物的ANSYS/LS-DYNA模型,并分析了在各种爆炸荷载作用下舱室的动力响应。进行了一系列的燃料-空气爆炸测试,以研究全尺寸庇护所的抗爆性。结果表明,与未涂覆的抗爆板相比,聚脲涂层抗爆板的变形显著减小。避难所的整体变形是墙壁的中央凹陷和框架的向内弯曲。典型的高超压的破坏效应,低持续负荷大于典型的低超压,长时间负载。避难所在三次反复爆炸载荷下保持完好无损,内壁出现裂缝,但没有坍塌或碎片飞溅。避难所的冲击波衰减率达到90%以上,这可以大大减少室内伤亡人数。
    To reduce the number of casualties in explosion accidents, blast-resistant shelters can be used to protect personnel in high-risk areas of petrochemical processing plants. In this work, the deformation behaviours of uncoated and polyurea-coated blast-resistant plates were studied through gas explosion tests. An ANSYS/LS-DYNA model of a polyurea-coated shelter was established, and the dynamic responses of the shelter under various explosion loads were analysed. A series of fuel-air explosion tests were carried out to investigate the explosion resistance of the full-scale shelter. The results showed that compared with the uncoated blast-resistant plate, the deformation of the polyurea-coated blast-resistant plate was significantly reduced. The overall deformation of the shelter was the central depression of the wall and the inward bending of the frame. The damage effect of a typical high-overpressure, low-duration load was greater than that of typical low-overpressure, long-duration load. The shelter remained intact under three repeated explosive loads, with cracks appearing on the inner wall but no collapse or debris splashing. The shock wave attenuation rate of the shelter reached over 90%, which could significantly reduce the number of indoor casualties.
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  • 文章类型: Journal Article
    对庇护所猫的死亡原因的认识可以有助于其有效减少。这项研究的目的是调查捷克共和国猫收容所的死亡原因,考虑到动物的年龄及其在庇护所中的停留时间,直到自然死亡或安乐死。与捷克共和国的两个私人无杀人庇护所建立了合作关系。该研究的主题是在2013年至2023年期间进入选定庇护所的3047只猫的记录。在两个受监控的收容所中,3047只猫中共有357只(11.7%)死亡或必须安乐死。在两个庇护所(11.5%和12%)之间,猫的死亡率没有显着差异(p>0.05)。猫在庇护所中直到死亡或安乐死的平均停留时间为23天。死亡率最高的是最小的猫(≤6个月)。两个收容所中最常见的猫死亡或安乐死原因是猫传染性腹膜炎(21.6%),泛白细胞减少症(18.5%)和上呼吸道和下呼吸道感染(17.5%)。成年和老年猫比幼年动物和小猫明显(p<0.05)更容易因肾衰竭和癌症而死亡。该研究的结果有助于了解捷克共和国收容所中猫群的健康,并可以作为进一步工作的基础,这些工作将针对风险类别的降低死亡率战略。
    Awareness of the causes of mortality in shelter cats can contribute to its effective reduction. The aim of this study was to investigate the causes of mortality in cat shelters in the Czech Republic, taking into account the age of the animals and their length of stay in the shelter facilities until natural death or euthanasia. A cooperation with two private no-kill shelters in the Czech Republic was established. The subject of the study were records of 3047 cats admitted to the selected shelters in the period from 2013 to 2023. A total of 357 (11.7 %) out of 3047 cats died or had to be euthanized in two monitored shelters. No significant difference (p > 0.05) in the cat mortality was found between the two shelters (11.5 % and 12 %). The median length of stay of cats in the shelter until death or euthanasia was 23 days. The highest mortality was recorded in the youngest cats (≤ 6 months). The most common causes of death or euthanasia of cats in both shelters were feline infectious peritonitis (21.6 %), panleukopenia (18.5 %) and upper and lower respiratory tract infections (17.5 %). Adult and older cats were significantly (p < 0.05) more prone to death due to renal failure and cancer than young animals and kittens. The results of the study contribute to the knowledge on the health of cat population in shelters in the Czech Republic and can serve as a basis for further work that will target mortality reduction strategies in at-risk categories.
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  • 文章类型: Journal Article
    白砂双壳类动物是生态系统工程师,通过栖息地的形成和硬壳生物的生物污染对水生社区产生全球影响。在淡水中,它们以遍布欧洲和北美的侵入性Ponto-Caspiandreissenid贻贝为代表。它们通过结垢对全球受威胁的unionid贻贝产生负面影响,这恶化了他们的状况和生存。贻贝的外观(D.长尾梭菌,QM)在斑马贻贝(Dreissenapolymorpha,ZM)通常导致QM取代ZM。我们结合了长期实地调查(巴拉顿湖,匈牙利)和实验数据,以检查两个dreissenids对unionid贻贝(Uniotumidus和Sinanodontawoodiana)的污染差异,确定它们的机制并预测物种替换的环境后果。ZM全年平均犯规,而QM表现出高波动,在招募高峰期(夏季),在工会炮弹上很常见,下降到秋天,几乎完全没有在春天。这种波动不会发生在石质基质上。这种模式表明,污垢的种间差异不是由招募偏好引起的,但是从QM与工会底层的更大分离中,而ZM更经常与最初的招募地点保持依附。这得到了实验室实验结果的支持,其中dreissenid贻贝没有表现出对unionid贻贝的任何一致偏好或避免。然而,与ZM相比,QM对坚硬物体的附着频率较低,并且显示出更高的脱离率。此外,基质浸入软沉积物后,dreissenids的脱离增加,表明他们在挖洞或淤积后应对窒息的能力。观察到的模式表明,在dreissenid组合物中用QM代替ZM可以降低unionids上的结垢压力。另一方面,工会可能会成为ZM在竞争优越的QM入侵的栖息地中的避难所。
    Byssate bivalves are ecosystem engineers with world-wide impact on aquatic communities through habitat forming and biofouling of hard-shelled organisms. In fresh waters, they are represented by invasive Ponto-Caspian dreissenid mussels spreading throughout Europe and North America. They negatively affect globally threatened unionid mussels by fouling, which deteriorates their condition and survival. The appearance of quagga mussels (D. rostriformis bugensis, QM) in areas occupied by zebra mussels (Dreissena polymorpha, ZM) usually has led to the replacement of ZM by QM. We combined long-term field survey (Lake Balaton, Hungary) and experimental data to check differences in fouling of unionid mussels (Unio tumidus and Sinanodonta woodiana) by the two dreissenids, determine their mechanisms and predict environmental consequences of the species replacement. ZM fouled unionids evenly throughout the year, whereas QM exhibited high fluctuations, being common on unionid shells during their recruitment peak (summer), decreasing towards autumn and almost completely absent in spring. Such fluctuations did not occur on stony substrata. This pattern suggests that interspecific differences in fouling did not result from recruitment preferences, but from greater detachment of QM from unionid substratum, whereas ZM more often remained attached to their initial recruitment sites. This was supported by the results of the laboratory experiments, in which dreissenid mussels did not show any consistent preference or avoidance of unionid mussels. Whereas, QM attached less often than ZM to hard objects and showed a higher detachment rate. Furthermore, dreissenids increased detachment after substratum immersion into soft sediments, indicating their capability of coping with suffocation after the burrowing of the living substratum or its siltation. The observed pattern indicates that the replacement of ZM by QM in the dreissenid assemblage may reduce fouling pressure on unionids. On the other hand, unionids may become a refuge for ZM in habitats invaded by competitively superior QM.
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  • 文章类型: Journal Article
    与居住的成年人相比,无家可归(AEH)的成年人中酒精使用障碍的患病率更高。大量饮酒会增加个人大量饮酒的风险。AEH在避难所花费大量时间,并报告在避难所附近使用酒精的压力更大,以及在避难所附近时产生更大的负面影响。目前尚不清楚,当AEH在庇护所时,情感与1)与人互动和2)与某人之间的关系之间的关系是否不同。AEH报告酒精滥用(n=72,Mage=47,85%男性,68%的非白人)在28天内完成了五次基于智能手机的每日生态瞬时评估(EMA)。广义多水平模型显示,当AEH与以前喝酒的人互动时,在避难所时,他们的积极影响显著较低(b=-0.17,p=0.05),与没有时的对比(b=0.00,p=0.99)。AEH很可能在避难所与以前的饮酒伙伴互动。在这些时刻传递针对情感的实时治疗信息可能很重要,以及传递酒精减少/禁欲信息。
    The prevalence of alcohol use disorders is higher amongst adults experiencing homelessness (AEH) compared with domiciled adults. Greater exposure to heavy drinkers increases personal risk for heavy alcohol use. AEH spend substantial periods of time at shelters and report greater pressure to use alcohol when near shelter locations, as well as greater negative affect when near a shelter. It is unclear if the relationship between affect and 1) interacting with people and 2) being near someone AEH drank alcohol with before differs when AEH are at a shelter versus not. AEH reporting alcohol misuse (n = 72, Mage= 47, 85% Male, 68% Non-White) completed five daily smartphone-based ecological momentary assessments (EMAs) over 28 days. Generalized multilevel modeling revealed that when AEH were interacting with someone they drank with before, they had significantly lower positive affect when at a shelter (b = -0.17, p = 0.05), versus when not (b = 0.00, p = 0.99). AEH are likely to interact with previous drinking partners while at shelters. It may be important to deliver real-time treatment messages targeting affect in these moments, as well as deliver alcohol reduction/abstinence messages.
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  • 文章类型: Journal Article
    婴儿期无家可归与负面的身心健康结果有关。父母的福祉和亲子关系也会受到无家可归的负面影响。虽然最近的一项审查已经确定了许多基于父母的婴儿心理健康计划,本研究的目的是进一步确定这些现有项目在多大程度上被开发和/或针对高危人群(如无家可归家庭)进行检查.在Hare等人确定的60个程序中。,在新闻中,只有三个是专门在0-12个月婴儿的庇护所中实施的(父母-婴儿心理治疗,新的开端,和我的宝贝的第一任老师)。此外,在检查婴儿后期(12个月后)开始的程序时,只有2个方案在庇护所实施(不可思议的年和亲子互动治疗)。对研究的影响,政策,和临床医生关于实施基于证据的预防/治疗计划的父母和他们的婴儿经历无家可归的讨论。
    Experiencing homelessness in infancy has been linked to negative physical and mental health outcomes. Parental well-being and the parent-infant relationship can also be negatively impacted by experiencing homelessness. While numerous parent-based infant mental health programs have been identified by a recent review, the goal of this study was to further determine the extent to which these existing programs were developed and/or examined with at-risk populations such as families experiencing homelessness. Out of 60 programs identified by Hare et al., in press, only three had been implemented specifically in shelter settings with infants 0-12 months (Parent-Infant Psychotherapy, New Beginnings, and My Baby\'s First Teacher). Additionally, when examining programs that began in later infancy (after 12 months), only 2 programs were implemented in shelter settings (Incredible Years and Parent-Child Interaction Therapy). Implications for research, policy, and clinicians regarding implementation of evidence-based prevention/treatment programs for parents and their infants experiencing homelessness are discussed.
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  • 文章类型: Journal Article
    美国红十字会(ARC)每年自我报告灾后努力,可能对公众形象有偏见。缺乏对ARC干预措施的社会影响的正式审查进一步加剧了这个问题。本范围审查旨在通过总结和评估ARC国家灾难干预措施的社会影响来解决这两个问题。作为次要目标,这项审查还将提供重要信息,以指导ARC和其他组织真正履行其使命。纳入标准涉及所有年龄组的参与者,边缘化社区,流离失所者,和ARC灾难救援人员。固执己见的声明,除了轶事,被排除在外。这项审查涉及所有受灾害影响并需要ARC援助的美国(US)地区。没有搜索限制,从2023年7月至8月,在PubMed上搜索了所有证据。由两名独立审稿人进行两个阶段的筛选:标题/摘要筛选和全文筛选。在每个阶段,每篇论文都进行了质量评估。在进入下一阶段之前,每个阶段的分歧都得到了解决。通过22篇学术论文,审查概述了ARC关于备灾和现场灾难干预的综合干预措施的关键主题。然而,在ARC恢复干预措施中发现了研究空白,尤其是对撤离人员的影响.这项调查发现,ARC做出了普遍的努力来满足他们以前协助的社区的需求,during,灾难之后。因为结果表明,ARC在减少全国性灾害危害方面正朝着正确的方向发展,ARC对研究人群的社会影响大多是积极的。
    The American Red Cross (ARC) self-reports post-disaster efforts annually, potentially biased for public image. The lack of formal reviews of ARC interventions\' social impacts further exacerbates the issue. This scoping review aims to address both issues by summarizing and evaluating the social impact of ARC\'s national disaster interventions. As a secondary objective, this review will also provide important information to guide ARC and other organizations in truly fulfilling their missions. The inclusion criteria involve participants of all age groups, marginalized communities, displaced individuals, and ARC disaster responders. Opinionated statements, except for anecdotes, were excluded. This review involves all United States (US) areas that have been affected by disasters and required assistance from ARC. With no search limits, all evidence was searched on PubMed from July to August 2023. Two stages of screening were conducted by two independent reviewers: title/abstract screening and full-text screening. During each stage, each paper underwent a quality assessment. Disagreements in each stage were resolved before proceeding to the next stage. Through 22 academic papers, the review outlines key themes in ARC comprehensive interventions on disaster preparedness and on-site disaster interventions. However, research gaps were found in ARC recovery interventions, especially their impact on evacuees. This investigation found that ARC makes general efforts to address the needs of communities they assist before, during, and after disasters. Because the results suggest that ARC is moving in the correct direction in reducing the nationwide harm disasters cause, ARC\'s social impact on studied populations is mostly positive.
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  • 文章类型: Journal Article
    进行了一项横断面研究,以深入了解葡萄牙北部犬埃里希体病和立克次体病的流行病学。使用商业酶联免疫吸附测定(ELISA)分析了犬埃里希氏菌的特异性IgG抗体,使用商业间接免疫荧光抗体测试(IFAT)分析了立克次体的抗体。共抽取了来自两个不同收容所的113只狗,发现犬大肠杆菌的血清阳性率为0.9%(95%置信度(CI):0.2-4.8%),而R.conorii的血清阳性率为9.7%(95%CI:5.5-16.6%)。多因素logistic回归分析了血清阳性的危险因素。雌性犬的R.conorii血清阳性的比值比(OR)较高(OR=6.429;95%CI:1.201-34.407)。合并感染血清阳性的狗(E.在女性(OR=7.606;CI95%:1.478-39.132)和庇护所2(OR=18.229;95%CI:2.190-151.756)中观察到的犬犬)更为常见。这些发现表明,葡萄牙北部的收容所犬暴露于E.canis和R.conorii,会影响犬科动物和人类.必须采用“一个健康”的方法来教育公众有关犬类人畜共患病的危害,并制定立法和程序来控制其传播并维护公共卫生。
    A cross-sectional study was conducted to gain insight into the epidemiology of canine ehrlichiosis and rickettsiosis in northern Portugal. Specific IgG antibodies to Ehrlichia canis were analysed using a commercial enzyme-linked immunosorbent assay (ELISA), and antibodies to Rickettsia conorii were analysed using a commercial indirect immunofluorescence antibody test (IFAT). A total of 113 dogs from two different shelters were sampled, and seroprevalence values of 0.9% (95% confidence (CI): 0.2-4.8%) for E. canis and 9.7 (95% CI: 5.5-16.6%) for R. conorii were found. Multiple logistic regression investigated risk factors for seropositivity. The odds ratios (ORs) of R. conorii seropositivity were higher for female dogs (OR = 6.429; 95% CI: 1.201-34.407). Dogs seropositive for co-infection (E. canis + R. conorii) were more frequently observed among females (OR = 7.606; CI 95%: 1.478-39.132) and in Shelter 2 (OR = 18.229; 95% CI: 2.190-151.756). These findings show that shelter dogs in northern Portugal are exposed to E. canis and R. conorii, which can affect both canines and humans. It is imperative to adopt a One Health approach to educate the public about the hazards of canine zoonoses and develop legislation and procedures to control their spread and preserve public health.
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  • 文章类型: Journal Article
    2022年4月6日,肯恩梅兰公共卫生服务,荷兰,收到关于一艘退休的内河游轮上爆发发烧和腹部投诉的通知,用作寻求庇护者的庇护所。4月7日确诊伤寒。进行了广泛的爆发调查。47天内,在寻求庇护者(n=52)和工作人员(n=20)中发现了72例伤寒病例,其中25人住院。治疗后全部恢复。船上食物和自来水的消耗与伤寒的发展有关。淡水和废水罐共享一个共同的墙壁,严重腐蚀和穿孔,使废水在高填充水平下泄漏到淡水罐中。伤寒沙门氏菌是从废水罐中培养出来的,匹配患者分离株。在淡水罐中,通过PCR检测沙门氏菌的DNA,表明细菌的存在,并支持受污染的淡水作为爆发的可能来源的结论。如果来自流行国家的人被安置在拥挤的条件下,可能会发生罕见感染的爆发。尤其是在船上容纳移民时,对水质和技术设施的严格监督对于保证居民的健康和安全是必不可少的。
    On 6 April 2022, the Public Health Service of Kennemerland, the Netherlands, was notified about an outbreak of fever and abdominal complaints on a retired river cruise ship, used as shelter for asylum seekers. The diagnosis typhoid fever was confirmed on 7 April. An extensive outbreak investigation was performed. Within 47 days, 72 typhoid fever cases were identified among asylum seekers (n = 52) and staff (n = 20), of which 25 were hospitalised. All recovered after treatment. Consumption of food and tap water on the ship was associated with developing typhoid fever. The freshwater and wastewater tanks shared a common wall with severe corrosion and perforations, enabling wastewater to leak into the freshwater tank at high filling levels. Salmonella Typhi was cultured from the wastewater tank, matching the patient isolates. In the freshwater tank, Salmonella species DNA was detected by PCR, suggesting the presence of the bacterium and supporting the conclusion of contaminated freshwater as the probable source of the outbreak. Outbreaks of uncommon infections may occur if persons from endemic countries are accommodated in crowded conditions. Especially when accommodating migrants on ships, strict supervision on water quality and technical installations are indispensable to guarantee the health and safety of the residents.
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