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Lessons from the coronavirus disease 2019(COVID-19)pandemic response in China,Italy,and the U.S.:a guide for Africa and low-and middle-income countries

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Global Health Journal 2021年第1期5卷 56-61页

作者： Isaac Iyinoluwa Olufadewa Miracle Ayomikun Adesina marlene davis ekpo Seyi John Akinloye Temiloluwa Ololade Iyanda Pamela Nwachukwu Lalit Dzifa Kodzo Faculty of Public Health College of MedicineUniversity of IbadanIbadanOyo State 200212Nigeria Slum and Rural Health Initiative Research Academy IbadanOyo State 200212Nigeria Department of Public Health School of Public HealthSouthern Medical UniversityGuangzhouGuangdong 510515China Department of Oral Pathology Dental ClinicUniversity College HospitalIbadanOyo State 200212Nigeria

Africa can be"left behind"after other advanced continents recover from the coronavirus disease 2019(COVID-19)pandemic as reflected by the global pandemic of HIV/*** this paper,we summarize potentially adaptable,effective and innovative strategies from China,Italy,and the *** purpose is to help African countries with weaker healthcare systems better respond to the COVID-19 ***,being the first to report COVID-19 infection swiftly swung into anti-epidemic actions by the use of innovative risk communication and epidemic containment *** and U.S.,the next rapidly hit countries after China,however,experienced sustained infections and deaths due to delayed and ineffective *** African countries responded poorly to the COVID-19 pandemic as evidenced by the limited capacity for public health surveillance,poor leadership,low education and socioeconomic status,among *** from China,Italy and *** that a better response to the COVID-19 pandemic in Mrica needs a strong public health leadership,proactive strategies,innovative risk communication about the pandemic,massive tests and isolation,and scaling-up community ***,African countries must collaborate with other countries to facilitate real-time information and experience exchange with other countries to avoid being left behind.

关键词： Coronavirus disease 2019(COVID-19) Africa Low-and middle-income countries(LMICs) Pandemic response China U.S.

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“Well-Track”: Fitbit Based Physical Activity and Sleep Hygiene Intervention for Early Intervention in Psychosis (EIP) and At-Risk Mental State (ARMS) Service Patients

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Open Journal of Psychiatry 2023年第4期13卷 246-261页

作者： Chris Griffiths Ksenija da Silva Sue Jugon Harmony Jiang Rowena Rogers Thomas Althorpe Josephine davis Andrea Morris Neil Redding Kate Walker marlene Kelbrick Research and Innovation Northamptonshire Healthcare NHS Foundation Trust (NHFT) Northamptonshire UK Centre for Healthcare and Communities Coventry University Coventry UK

Background: Compared to the general population, people who are at a high risk of or experience severe mental illness (SMI) such as psychosis, are more likely to have low levels of physical activity, high levels of sedentary behaviour, and sleep problems. Intervention: The Well-Track intervention comprises a wearable activity and sleep tracker (Fitbit);one session with mental health service staff providing physical activity and sleep hygiene advice;a brief motivational interview;completing a goal setting workbook;and one or two further engagement, feedback and discussion sessions. Participants: Twenty-four participants using an early intervention in psychosis (EIP) or at-risk mental state (ARMS) service completed an eight-week, three session intervention (14 males and 10 females), with an age range of 18 - 61, and average age of 27.75 years. Methods: An open-label patient cohort design with no control group. Pre-intervention, 4-week and 8-week intervention assessments using participant self-report measures: Patient Health Questionnaire (PHQ-9) (depression), Warwick–Edinburgh Mental Wellbeing Scale (WEMWBS), and Sleep Conditioning Index (SCI);and clinician measurement of body weight. Results: Mean scores showed a significant improvement in PHQ-9 from 9.29 (SD 5.89) to 5.58 (SD 3.68) at 4 weeks and to 5.83 (SD 4.40) at 8 weeks, with large effect sizes. For those who met a diagnosis of depression at baseline, at 4 week follow-up seven participants (26%) experienced remission and nine (33%) reliable improvement, and at 8 week follow-up four (21%) experienced remission and seven (37%) reliable improvement. WEMWBS scores significantly improved, from 44.04 (SD 9.44) to 48.54 (SD 8.71) at 4 weeks and to 48.67 (SD 8.76) at 8 weeks, with large effect sizes. Body weight did not change significantly, remaining unchanged at 4 weeks and reduced from a mean of 82.8 kg (baseline) to 80.15 kg at 8 weeks, a reduction of 2.65 kg. Conclusion: Well-Track was integrated into an EIP and AR

关键词： Fitbit Tracker Psychosis Exercise Insomnia Wearables Activity

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