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Impact of Social Determinants of Health on Self-Perceived Resilience: An Exploratory Study of Two Cohorts of Adults with Congenital Heart Disease

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Congenital Heart Disease 2024年第1期19卷 33-48页

作者： Albert Osom Krysta S.Barton Katie Sexton Lyndia Brumback Joyce P.Yi-Frazier Abby R.Rosenberg ruth Engelberg Jill M.Steiner Department of Biostatistics University of WashingtonSeattleWA98195USA Biostatistics Epidemiology and Analytics for Research(BEAR)Core Seattle Children’s Research InstituteSeattleWA98101USA College of Medicine University of WashingtonSeattleWA98195USA Center for Clinical and Translational Research Seattle Children’s Research InstituteSeattleWA98101USA Department of Psychosocial Oncology and Palliative Care Dana-Farber Cancer InstituteDepartment of MedicineBoston Children’s HospitalBostonMA02215USA Department of Pediatrics Harvard Medical SchoolBostonMA02215USA Division of Pulmonary Critical Care and Sleep MedicineDepartment of Medicine&Cambia Palliative Care Center of ExcellenceUniversity of WashingtonHarborview Medical CenterSeattleWA98104USA Division of Cardiology Department of Medicine&Cambia Palliative Care Center of ExcellenceUniversity of WashingtonSeattleWA98195USA

Social determinants of health(SDOH)affect quality of *** investigated SDOH impacts on self-perceived resilience among people with adult congenital heart disease(ACHD).Secondary analysis of data from two com-plementary studies:a survey study conducted May 2021–June 2022 and a qualitative study conducted June 2020–August *** was assessed through CD-RISC10 score(range 0–40,higher scores reﬂect greater self-perceived resilience)and interview *** and SDOH(education,employment,living situa-tion,monetary stability,ﬁnancial dependency,area deprivation index)data were collected by healthcare record review and *** used linear regression with robust standard errors to analyze survey data and performed a thematic analysis of interview *** participants(N=127)mean age was 42±14 years;51%were female,87%*** was moderate(75%)or complex(25%);41%functional class C or ***(mean 30±7)varied by monetary stability:compared to people with difﬁculty paying bills,resilience was 15.0 points higher(95%CI:6.9–23.1,p<0.001)for people reporting having enough money and 14.2 points higher(95%CI:5.9–22.4,p=0.001)for those reporting just enough *** participants’(N=25)mean age was 32 years(range 22–44);52%were female,72%*** was moderate(56%)or complex(44%);76%functional class C or *** discussed factors affecting resilience aligned with each of the major SDOH,prominently,economic stability and healthcare access and *** stability may be important for supporting self-perceived resi-lience in *** knowledge can inform the development of resilience interventions for this population.

关键词： Social determinants of health adult congenital heart disease resilience ﬁnancial stability

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COVID-19 Vaccine Acceptance and Hesitancy among Pregnant Women: A Knowledge, Attitude, and Perceived Risks Survey in Lusaka, Zambia

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Pharmacology & Pharmacy 2024年第5期15卷 147-166页

作者： Steward Mudenda ruth Mbewe Manal Hadi Ghaffoori Kanaan Shafiq Mohamed Department of Pharmacy School of Health Sciences University of Zambia Lusaka Zambia Department of Agriculture Technical Institute of Suwaria Middle Technical University Baghdad Iraq Medicines Management and Pharmacy Services St. James University Hospital Leeds Teaching Hospitals NHS Trust Leeds United Kingdom

Introduction: The coronavirus disease 2019 (COVID-19) is an infectious disease of the respiratory tract caused by SARS-CoV-2. Since its emergence, there have been increased rates of transmission and spread, morbidity and mortality which led to the development of COVID-19 vaccines to address the pandemic. This study assessed acceptance, knowledge, attitude, and perceived risks regarding COVID-19 vaccines among pregnant women attending antenatal care at two First-Level Hospitals in Lusaka, Zambia. Materials and Methods: This was a cross-sectional study that was conducted among 241 pregnant women using a questionnaire from August 2023 to October 2023 in two First-Level Hospitals in Lusaka district, Zambia. The collected data were analyzed using IBM Statistical Package for Social Sciences (SPSS) version 22.0. Statistical analysis was performed using a Chi-square test. The statistical significance was set at a 95% confidence level. Results: Of the 241 participants, 107 (42.7%) were aged between 24 and 34 years. Overall, 64.3% accepted the COVID-19 vaccines, of which 122 (50.6%) were already vaccinated. Further, 203 (84.6%) of the pregnant women had good knowledge, and 199 (82.6%) had positive attitudes towards COVID-19 vaccines. However, 58.5% thought COVID-19 vaccines were not safe and could cause infertility. Alongside this, 70.1% thought that COVID-19 vaccines were harmful during pregnancy. Having good knowledge of COVID-19 vaccines was associated with age (p = 0.049), education status (p = 0.001), and employment status (p = 0.001). Having a positive attitude towards COVID-19 vaccines was associated with education status (p = 0.001) and employment status (p = 0.001). Conclusion: This study found that most pregnant women had good knowledge, and positive attitudes, and the majority accepted the COVID-19 vaccine. Encouragingly, most of the pregnant women who accepted the COVID-19 vaccines were already vaccinated. Most pregnant women thought that COVID-19 vaccines had sid

关键词： COVID-19 Vaccines Pregnant Women Vaccine Acceptance Vaccine Hesitancy Zambia

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Geospatial Variability of Cholera Cases in Malawi Based on Climatic and Socioeconomic Influences

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Journal of Geographic Information System 2024年第1期16卷 1-20页

作者： Emmanuel Chinkaka Francis Chauluka ruth Chinkaka Billy Kachingwe Esther Banda Latif Department of Geography and Spatial Sciences University of Delaware Newark USA Department of Earth Sciences Malawi University of Science and Technology Limbe Malawi Department of Water Resources Management Malawi University of Science and Technology Limbe Malawi Department of Obstetrics and Gynecology Queen Elizabeth Central Hospital Blantyre Malawi Department of Public Health Nkhoma Mission Hospital Nkhoma Malawi

Cholera remains a public health threat in most developing countries in Asia and Africa including Malawi with seasonal recurrent outbreaks. Malawi’s recent Cholera outbreak in 2022 and 2023, exhibited higher morbidity and mortality rates than the past two decades. Lack of spatiotemporal-based technology and variability assessment tools in Malawi’s Cholera monitoring and management, limit our understanding of the disease’s epidemiology. The present work developed a spatiotemporal variability model for Cholera disease at district level and its relationship to socioeconomic and climatic factors based on cumulative confirmed Cholera cases in Malawi from March 2022 to July 2023 using Z-score statistic and multiscale geographically weighted regression (MGWR) in a Geographical Information System (GIS). We found out that socioeconomic factors such as access to safe drinking water, population density and poverty level, and climatic factors including temperature and rainfall strongly influenced Cholera prevalence in a complex and multifaceted manner. The model shows that Lilongwe, Mangochi, Blantyre and Balaka districts were highly vulnerable to Cholera disease followed by lakeshore districts of Salima, Nkhotakota, Nkhata-Bay and Karonga than other districts. We recommend strategic measures such as Water, Sanitation, and Hygiene (WASH) interventions, community awareness on proper water storage, Cholera case management, vaccination campaigns and spatial-based surveillance systems in the most affected districts. This research has shown that MGWR, as a surveillance system, has the potential of providing insights on the disease’s spatial patterns for public health authorities to identify high-risk districts and implement early response interventions to reduce the spread of the disease.

关键词： Cholera Geospatial Variability Prevalence GIS MGWR Vulnerability Malawi

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照顾植物

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空中英语教室（初级版．大家说英语） 2024年第4期 8-11,50,51,56页

作者： ruth Devlin 不详

许多人都喜欢在家里种植物。照顾植物不难,但要记住几件事情。给植物浇太多水是最容易造成植物死亡的做法。如果土壤太潮湿,植物就会被淹死。要等到土壤摸起来是干的时候再浇水。你的植物还需要充足的阳光。有些植物一天需要五六个小时... 详细信息

许多人都喜欢在家里种植物。照顾植物不难,但要记住几件事情。给植物浇太多水是最容易造成植物死亡的做法。如果土壤太潮湿,植物就会被淹死。要等到土壤摸起来是干的时候再浇水。你的植物还需要充足的阳光。有些植物一天需要五六个小时的光照,有些不需要那么多,光照的多少依植物而定。

关键词：植物土壤光照照顾记住

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预防食物中毒

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空中英语教室（初级版．大家说英语） 2024年第10期 18-21,52,56页

作者： ruth Devlin 不详

食物中毒可能会很危险。食物中毒可能由细菌造成,细菌在食物上滋生,让你变得很虚弱。不过,你可以预防食物中毒。在做菜之前,先用肥皂和水洗手,肥皂能够杀死细菌。新鲜果蔬也要清洗千净。不要吃生蛋或生肉,而是要把它们烹饪到安全的温度... 详细信息

食物中毒可能会很危险。食物中毒可能由细菌造成,细菌在食物上滋生,让你变得很虚弱。不过,你可以预防食物中毒。在做菜之前,先用肥皂和水洗手,肥皂能够杀死细菌。新鲜果蔬也要清洗千净。不要吃生蛋或生肉,而是要把它们烹饪到安全的温度。把肉、蛋、奶保存在冰箱里,这样才不会滋生细菌。

关键词：食物中毒新鲜果蔬肥皂预防细菌虚弱

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你是什么样的人

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空中英语教室（初级版．大家说英语） 2024年第6期 16-19,56,51,52页

作者： ruth Devlin 不详

Whatkind ofa person areyou?Do any of thesewords describe you?Maybe you are *** are friendly and *** you helpful?Do you often do things for others?Maybe you are *** can ***'t *** noone *** are selfish sometimes.

关键词： perfect friendly sometimes

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我需要牛仔裤

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空中英语教室（初级版．大家说英语） 2024年第1期 16-19,51,52,56页

作者： ruth Devlin 不详

Look around you,and you will see many people wearing *** are popular and a favorite fashion choice for men and women of all *** are many styles and colors of *** blue is still the most common *** jeans are *** have st... 详细信息

关键词：牛仔裤 favorite straight

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在卖什么?

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空中英语教室（初级版．大家说英语） 2024年第4期 15-17,51,52,56页

作者： ruth Devlin 不详

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伟大的发明

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空中英语教室（初级版．大家说英语） 2024年第10期 28-31,53,54,56页

作者： ruth Devlin 不详

人类有很强的创造力,会发明东西。早在1876年,亚历山大·格拉汉姆·贝尔就发明了电话。他的发明让人们的沟通变得更容易。1973年,马丁,库珀发明了手机,手机让沟通更加便利!有好几个人发明了灯泡。而在1879年,托马斯·爱迪生成功改良了... 详细信息

人类有很强的创造力,会发明东西。早在1876年,亚历山大·格拉汉姆·贝尔就发明了电话。他的发明让人们的沟通变得更容易。1973年,马丁,库珀发明了手机,手机让沟通更加便利!有好几个人发明了灯泡。而在1879年,托马斯·爱迪生成功改良了灯泡。人们不再只依赖太阳作为光源,他们可以在晚上工作或阅读。互联网是在五十多年前诞生的。早些年,只有科学家用它来沟通。如今,每个人都在用网络做很多事情。

关键词：互联网托马斯手机创造力格拉汉姆爱迪生灯泡发明

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血液的重要性

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空中英语教室（初级版．大家说英语） 2024年第8期 16-18,51,52页

作者： ruth Devlin 不详

血液在我们的体内输送氧气,它还具备其他功能。每个人的体内都有4升左右的血液。如果你受伤失血,就可能需要输血。你要是接受手术,也可能需要额外的血液,这时就可以从血库获取血液。许多人都会献血给血库,血库把血液储存起来,等到有人... 详细信息

血液在我们的体内输送氧气,它还具备其他功能。每个人的体内都有4升左右的血液。如果你受伤失血,就可能需要输血。你要是接受手术,也可能需要额外的血液,这时就可以从血库获取血液。许多人都会献血给血库,血库把血液储存起来,等到有人需要时再提供给他们。不过,血液不是完全都一样,每个人各有不同的血型。血型主要分为4种,分别是A型、B型、O型与AB型。你如果需要输血,就必须获得与自己血型相匹配的血液。

关键词：献血血型血液储存血库输血 AB型重要性

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