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Providing primary care to transgender patients

Family Medicine and Community Health 2019年第3期7卷 37-39页

作者： catherine frances casey Family Medicine University of VirginiaCharlottesvilleVirginiaUSA

Lara(not an actual patient),a 45-year-old transwoman,presents to your clinic for a yearly *** has no significant medical history except for *** surgical history includes appendectomy and breast *** history is significant for a mother who developed breast cancer at age 55 years and a brother with type 2 *** terms of her social history,she does not smoke,drinks 1-2 glasses of wine on the weekends and has been in a mutually monogamous relationship with a male partner for 2 *** medications include spironolactone,oestradiol and *** people-people who identify as a gender other than the one assigned at birth-have existed throughout human history and in multiple *** at no time have they received as much attention as they have in the last few *** validity of their identities and their corresponding legal rights are a political battleground in the *** the increasing prevalence of people coming out as transgender or gender-expansive,and despite the trend towards greater societal acceptance of non-binary gender identities,transgender patients face significant barriers to accessing basic medical *** schools and residencies have traditionally provided very little training on caring for transgender patients,a paradigm that is only now beginning to *** to popular belief,patients identifying as transgender or gender-expansive span the entire age range,with paediatric to geriatric patients choosing interventions that include pubertyblocking medications,hormone therapy and/or surgical *** care doctors find themselves learning,often from patients,how to provide sensitive,competent care to this underserved and marginalised population.

关键词： patients legal smoke

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Population Levels of Climate Change Fear in the United States

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American Journal of Climate Change 2021年第1期10卷 1-11页

作者： casey Mace Firebaugh Tara Rava Zolnikov frances Furio Germaine Ng Department of Health Sciences Central Washington University Ellensburg Washington USA National University Department of Community Health San Diego California USA California Southern University School of Behavioral Sciences Costa Mesa California USA University of Washington Bothell Washington USA

There is increasing evidence that climate change, like other natural disasters has the potential for significant human health impacts, including mental health. Fear as a psychological construct concerning climate change is not well understood. An online cross-sectional survey was conducted, targeting a demographically representative sample of Americans (n = 546) in terms of ethnicity, age, and gender. Survey questions included demographic information and global questions regarding self-rated anxiety and fear of climate change. Ordinal logistic models were created to determine which demographic factors were most predictive of climate change fear in the US population. Over half of the study sample (50.9%) indicated being moderately or very afraid of climate change. In the end, only three factors remained significant (p < 0.001) in the model;self-reported level of anxiety, political affiliation, and identifying and Hispanic/Latino. Climate change fear is still not understood, especially in terms of its impact on the mental health of the population in general, though prolonged fear can be an antecedent to other mental health disorders. This study had demonstrated that fear of climate change impacts over half of the U.S population. Level of fear differs significantly by demographic. This study has provided evidence that climate change fear impacts a significant proportion of the US population, prompting a need to investigate the potential acute and long-term impacts of this fear on the human psyche. The harms and benefits of the fear response to climate change should be explored as well as potential responses to fear due to climate change.

关键词： Climate Change Mental Health Global Adaption Fear Resiliency

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The evidence for the impact of policy on physical activity outcomes within the school setting: A systematic review

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Journal of Sport and Health Science 2021年第3期10卷 263-276,F0003页

作者： catherine B.Woods Kevin Volf Liam Kelly Blathın casey Peter Gelius Sven Messing Sarah Forberger Jeroen Lakerveld Joanna Zukowska Enrique Garcıa Bengoechea Department of Physical Education and Sport Sciences Health Research InstituteUniversity of LimerickLimerick V94 T9PXIreland Friedrich-Alexander-Universit€at Erlangen-N€urnberg Erlangen 91058Germany Leibniz Institute for Prevention Research and EpidemiologyBIPS Bremen 28359Germany Department of Epidemiology and Data Science Amsterdam Public Health Research instituteAmsterdam UMCVU University AmsterdamAmsterdam 1081 HVthe Netherlands Upstream Team Amsterdam UMCVU University AmsterdamAmsterdam 1081 HVthe Netherlands Faculty of Civil and Environmental Engineering Gdansk University of TechnologyGdansk 80-213Poland

Background:Despite the well-established health benefits of physical activity(PA)for young people(aged 419 years),most do not meet PA *** that support PA in schools may be promising,but their impact on PA behavior is poorly *** aim of this systematic review was to ascertain the level and type of evidence reported in the international scientific literature for policies within the school setting that contribute directly or indirectly to increasing ***:This systematic review is compliant with Preferred Reporting Items for Systematic Review and Meta-Analysis *** databases were searched using key concepts of policy,school,evaluation,and *** title and abstract screening of 2323 studies,25 progressed to data *** quality was assessed using standardized tools,and the strength of the evidence of policy impact was described based on pre-determined codes:positive,negative,inconclusive,or untested ***:Evidence emerged for 9 policy areas that had a direct or indirect effect on PA within the school *** were whole school PA policy,physical education,sport/extracurricular PA,classroom-based PA,active breaks/recess,physical environment,shared use agreements,active school transport,and *** bulk of the evidence was significantly positive(54%),27%was inconclusive,9%was significantly negative,and 11%was untested(due to rounding,some numbers add to 99%or 101%).Frequency of evidence was highest in the primary setting(41%),34%in the secondary setting,and 24%in primary/secondary combined school *** policy area,frequency of evidence was highest for sport/extracurricular PA(35%),17%for physical education,and 12%for whole school PA policy,with evidence for shared use agreements between schools and local communities rarely reported(2%).Comparing relative strength of evidence,the evidence for shared use agreements,though sparse,was 100%positive,while 60%of the evidence for w

关键词： Evaluation Physical activity Policy School Systematic review

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Pain imaging /

Pain imaging /

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丛书名： Progress in pain research and management

2000年

作者： casey Kenneth L.

来源：畅想之星图书光盘版（南... 评论

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