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Storylines of family medicine Ⅱ:foundational building blocks—context,community and health

Family Medicine and community health 2024年第S3期12卷 12-22页

作者： William B Ventres Leslie A Stone Rupal Shah Tamala Carter Geoffrey M Gusoff Winston Liaw Bich-May Nguyen Joanna V Rachelson Mary Alice Scott Teresa L Schiff-Elfalan Seiji Yamada Robert C Like Kathleen Zoppi A Peter Catinella Richard M Frankel Shailendra Prasad Family and Preventive Medicine University of Arkansas for Medical Sciences College of MedicineLittle RockArkansasUSA Bridge Lane Group Practice LondonUK penn center for community health workers University of PennsylvaniaPhiladelphiaPennsylvaniaUSA National Clinician Scholars Program UCLA David Geffen School of MedicineLos AngelesCaliforniaUSA health Systems and Population health Sciences University of Houston Tilman J Fertitta Family College of MedicineHoustonTexasUSA Southern New Mexico Family Medicine Residency Program Las CrucesNew MexicoUSA New Mexico Primary Care Training Program Silver CityNew MexicoUSA Anthropology New Mexico State UniversityLas CrucesNew MexicoUSA Family Medicine and community health University of Hawai'i at Manoa John A Burns School of MedicineHonoluluHawaiiUSA Family Medicine and community health Rutgers Robert Wood Johnson Medical SchoolNew BrunswickNew JerseyUSA Family Medicine Indiana University School of MedicineIndianapolisIndianaUSA Family Medicine–Transmountain Texas Tech University Health Sciences CenterEl PasoTexasUSA Medicine Indiana University School of MedicineIndianapolisIndianaUSA Family Medicine and community health University of Minnesota Medical School-Twin Cities CampusMinneapolisMinnesotaUSA

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine,as interpreted by individual family physicians and medical educators in the USA and elsewhere around the ***‘Ⅱ:foundational building blocks—context,community and health’,authors address the following themes:‘Context—grounding family medicine in time,place and being’,‘Recentring community’,‘community-oriented primary care’,‘Embeddedness in practice’,‘The meaning of health’,‘Disease,illness and sickness—core concepts’,‘The biopsychosocial model’,‘The biopsychosocial approach’and‘Family medicine as social medicine.’May readers grasp new implications for medical education and practice in these essays.

关键词： thematic illustration dimensions

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HWD-YOLO:A New Vision-Based Helmet Wearing Detection Method

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Computers, Materials & Continua 2024年第9期80卷 4543-4560页

作者： Licheng Sun Heping Li Liang Wang College of Information Science and Technology Beijing University of TechnologyBeijing100124China Chinese Institute of Coal Science Beijing100013China State Key Laboratory for Intelligent Coal Mining and Strata Control Beijing100013China Engineering Research center of Digital community of Ministry of Education Beijing100124China

It is crucial to ensure workers wear safety helmets when working at a workplace with a high risk of safety accidents,such as construction sites and mine *** existing methods can achieve helmet detection in images,their accuracy and speed still need improvements since complex,cluttered,and large-scale scenes of real workplaces cause server occlusion,illumination change,scale variation,and perspective ***,a new safety helmet-wearing detection method based on deep learning is ***,a new multi-scale contextual aggregation module is proposed to aggregate multi-scale feature information globally and highlight the details of concerned objects in the backbone part of the deep neural ***,a new detection block combining the dilate convolution and attention mechanism is proposed and introduced into the prediction *** block can effectively extract deep featureswhile retaining information on fine-grained details,such as edges and small ***,some newly emerged modules are incorporated into the proposed network to improve safety helmetwearing detection performance *** experiments on open dataset validate the proposed *** reaches better performance on helmet-wearing detection and even outperforms the state-of-the-art *** be more specific,the mAP increases by 3.4%,and the speed increases from17 to 33 fps in comparison with the baseline,You Only Look Once(YOLO)version 5X,and themean average precision increases by 1.0%and the speed increases by 7 fps in comparison with the YOLO version *** generalization ability and portability experiment results show that the proposed improvements could serve as a springboard for deep neural network design to improve object detection performance in complex scenarios.

关键词： Object detection deep learning safety helmet wearing detection feature extraction attention mechanism

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Evaluation of the Integrated Management Program for Acute Malnutrition in the Douentza health District, Mopti Region, Mali

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Food and Nutrition Sciences 2024年第8期15卷 790-806页

作者： Abdoul Salam Diarra Lamine Traore Mohamed Diarra Tawfiq Abu Mamadou Traore Yacouba Guindo Sidi Sangare Seydou Kante Intimbeye Tembine Dramane Coulibaly Mamadou Fodé Diarra Salia Keita Sadio Sambala Diallo Mamadou Samake Hamadoun Sangho National center for Scientific and Technological Research Bamako Mali Division of Nutrition Regional Directorate of Health and Public Hygiene Mopti Mali Department of Pediatric Health Referral Center of Kalaban Coro Koulikoro Mali Private Practice for Family and Emergency Medicine Casablanca Morocco Division of Nutrition General Directorate of Health and Public Hygiene Bamako Mali Administration Department Health Referral Center of Djenne Mopti Mali Administration Department Health Referral Center of Douentza Mopti Mali Administration and Planning Department Regional Health Directorate Mopti Mali Division of health Department Regional Health Directorate of Mopti Mopti Mali Golden Life American Hospital Bamako Mali Department of Public health Faculty of Medicine and Odontostomatology University of Sciences Techniques and Technologies of Bamako Bamako Mali

Introduction: Malnutrition is a major public health problem in Mali, despite the efforts of the government, its technical and financial partners. The aim of this study was to evaluate the integrated management program for acute malnutrition (IMPAM). Methodology: This was a descriptive cross-sectional study that took place from January to December 2020 in the Douentza health district. The study included anyone with at least one malnourished child aged 6 to 59 months in their care who agreed to take part in the study, community health center staff who had given their consent, and the URENI manager at the Douentza reference health center. Data collected via questionnaires were entered into Excel and then analyzed using Epi-Info version 7 software. Results: A total of 138 acutely malnourished children aged 6 - 59 months, including 71 girls (51.45%), 138 accompanying mothers and 11 health workers, were included in our case study. Among the malnourished, 54.34% were in the 12 - 23 months age group and 69.57% had the severe form. 93% of the mothers interviewed were satisfied with the care provided, and all the health staff interviewed stated that community conflicts had an impact on IMPAM’s activities. Cure rates were 81% in Moderate Outpatient Nutritional Recovery and Education Unit (URENAM), 84% in Severe Ambulatory Nutritional Recovery and Education Unit (URENAS) and 92% in Recovery and Intensive Nutritional Education Unit (URENI). Drop-out rates were 19% in URENAM, 16% in URENAS and 0% in URENI. The death rate was 8% in URENI and 0% in URENAM and URENAS. Conclusion: This study confirms the high prevalence of malnutrition in the district (10.54%). It also reveals that factors such as inter-community conflict and insecurity have seriously affected the IMPAM program.

关键词： Care Acute Malnutrition Children Aged 6 - 59 Months IMPAM Douentza

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Positive Associations between Bilateral High-Frequency Hearing Loss and Hypertension Risk in Short-Term Occupational Noise Exposure

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Biomedical and Environmental Sciences 2021年第12期34卷 992-997页

作者： JIN Nan ZHONG Hui Yun YUAN Fang DENG Hua Xin Department of Occupational health and Radiation health Chongqing Center for Disease Control and PreventionChongqing 400042China Xiejiawan Street community health Service center Chongqing 400042China

Noise is one of the most common occupational hazards worldwide[1], and millions of workers are exposed to harmful levels of noise in the workplace[2]. Noise-induced hearing loss(NIHL) is a leading cause of occupational and recreational injury and disease[3]. There is evidence that occupational noise exposure is also associated with other health effects, such as hypertension and cardiovascular diseases, digestive disorders, behavioral disorders.

关键词： occupational cardiovascular diseases

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Effectiveness of Adherence to Standardized Hypertension Management by Primary health Care workers in China:a Cross-sectional Survey 3 Years after the healthcare Reform

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Biomedical and Environmental Sciences 2016年第12期29卷 915-921页

作者： LI Yuan WANG Jing Lei ZHANG Xiao Chang LIU Dan SHI Wen Hui LIANG Xiao Feng WU Jing Division of NCD Control and community health Chinese Center for Disease Control and PreventionBeijing 102206China center for health Economics University of YorkHeslingtonYork YOIO 5DDUK

The standardized hypertension management provided by primary health care workers is an important part of China＇s recent health care reform efforts. Investigating 5,116 hypertensive patients from a cross-sectional survey conducted by the Chinese center for Disease Control and Prevention in 2012, this study found that adherence to standardized hypertension management is associated with positive effects on hypertension- related knowledge, healthy lifestyle behavior, antihypertensive medical treatments, and blood pressure control. It will be necessary to provide primary health care workers with sufficient training and reasonable incentives to ensure the implementation and effectiveness of hypertension management.

关键词： Hypertension Primary health care community health workers China

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community-Level Practice Checklists for health Protection During Cold Spells in China

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China CDC weekly 2024年第5期6卷 83-87页

作者： Jing Shang Mengzhen Zhao Zhao Liu Xiya Zhang Shiguang Miao Ishaq D.Sulaymon Wenjia Cai Institute of Urban Meteorology CMABeijingChina School of Management and Economics Beijing Institute of TechnologyBeijingChina School of Airport Economics and Management Beijing Institute of Economics and ManagementBeijingChina Department of Earth System Science Tsinghua UniversityBeijingChina Sand and Dust Storm Warning Regional center National Center for MeteorologyJeddahSaudi Arabia Jiangsu Key Laboratory of Atmospheric Environment Monitoring and Pollution Control Collaborative Innovation Center of Atmospheric Environment and Equipment TechnologySchool of Environmental Science and EngineeringNanjing University of Information Science and TechnologyNanjing CityJiangsu ProvinceChina

Communities play a crucial role in protecting the health of vulnerable populations such as the elderly,low-income groups,and high-risk individuals during cold ***,current strategies for responding to cold spells primarily consist of programmatic policies that lack practicality,specificity,and detailed implementation guidelines for community ***,this study aims to identify and analyze the challenges faced by communities in responding to cold spells,review international experiences,and develop a set of practical checklists for community-level health *** checklists will assist community workers and volunteers in effectively preparing for,responding to,and recovering from cold spells.

关键词： preparing income primarily

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Outcomes of administrative involuntary hospitalization: A national retrospective cohort study in Japan

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World Journal of Psychiatry 2019年第7期9卷 99-106页

作者： Akihiro Shiina Aiko Sato Masaomi Iyo Chiyo Fujii Division of Medical Treatment and Rehabilitation Chiba University Center for Forensic Mental HealthChiba 2608670Japan Department of Psychiatry Chiba University Graduate School of MedicineChiba 2608670Japan Department of community Mental health and Law National Institute of Mental HealthKodaira-shi 1878552Japan

BACKGROUND Treatment for offenders with mental disorders is a key concern in public mental *** of adequate psychiatric treatment is important for the offender and their *** approach used in Japan to address this issue is administrative involuntary *** this scheme,a person at risk for harming themselves or others because of a mental disorder can be involuntarily hospitalized in a designated psychiatric ***,this scheme does not include tracking of these patients after *** some data for administrative involuntary hospitalizations are available,it remains unclear what happens to these patients after *** To evaluate follow-up of patients under administrative involuntary hospitalization after discharge and obtain data for later comparisons with *** We used a retrospective design and conducted a national survey of administrative involuntary *** were distributed to 939 facilities across *** questionnaire collected data for selected involuntary hospitalization cases in the hospital on June 30,2010(census date),and the prognoses of each patient on a specified date in 2011 and *** also asked about the treatment provided to each *** stratified patients by prognosis(good or poor),and used logistic regression analysis to examine the relationship between treatment and *** We received completed questionnaires from 292 facilities(response rate 31.1%);105 facilities had no relevant *** analysis included data for 394 patients with valid *** statistics indicated 1503 patients were under administrative involuntary hospitalization as at June 30,2012,meaning the capture rate was 27.2%.Approximately a fourth(104/394)at 1 year,and a third(137/294)at 2 years after the census had unknown *** content included multi-disciplinary team meetings(78.2%of patients),counseling by public workers(59.9%),and discussion wi

关键词： Involuntary hospitalization Japan Mental disorders Offenders Discharge Outcomes Follow-up

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Violence study of healthcare workers and systems in the Caribbean:ViSHWaS-Caribbean study

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World Journal of Methodology 2024年第3期14卷 106-118页

作者： Reshon Hadmon Daniella Myriam Pierre Akshat Banga Jacques W Clerville Hans Mautong Precious Akinsanya Rajat Das Gupta Sama Soliman Tolupe M Hunjah Bamidele A Hunjah Hafeez Hamza Ruman Khurshid Qasba Faisal A Nawaz Salim Surani Rahul Kashyap Department of Medicine St.George University School of MedicineGrenada FZ818West Indies Department of Research Global Remote Research Scholar ProgramSt PaulMN 55101United States Department of Public health Cuny Graduate School of Public Health and Health PolicyNew YorkNY 10027United States Department of Internal Medicine Sawai Man Singh Medical CollegeJaipur 302004India School of Public health Georgia State UniversityAtlantaGA 30302United States Department of Sociology and Demography School of HealthUniversidad de Especialidades Espiritu SantoSamborondon 092301Ecuador Department of Medicine Holy Name Medical CenterTeaneckNJ 07666United States Department of Epidemiology and Biostatistics University of South CarolinaColumbiaSC 29208United States Department of Medicine Pavlov First State Medical University of St PetersburgSankt-Peterburg 197022Russia Department of Medicine University of SuffolkIpswich IP41QJUnited Kingdom Department of Medicine Unicaf University of ZambiaLusaka 20842Zambia Department of Pharmacy School of PharmacyGirne 99428Cyprus Department of Medicine Sher-i-KashmirInstitute of Medical ScienceSrinagar 190011India Department of Psychiatry Al Amal Psychiatric HospitalEmirates Health ServicesDubaiUnited Arab Emirates Department of Medicine and Pharmacology Texas A and M UniversityCollege StationTX 77843United States Anesthesiology and Critical Care Mayo ClinicRochesterMN 55905United States Department of Research Wellspan HealthYorkPA 17403United States

BACKGROUND Violence against healthcare workers(HCWs)in the Caribbean continues to prevail yet remains *** aim is to determine the cause,traits,and consequences of violence on HCWs in the *** To determine the cause,traits,and consequences of violence on HCWs in the *** This research adopted an online cross-sectional survey approach,spanning over eight weeks(between June 6th and August 9th,2022).The survey was generated using Research Electronic Data Capture forms and followed a snowballing strategy to contact individuals using emails,social media,text messages,*** regression analysis was performed to evaluate the variables that influence violence,including gender,age,years of experience,institution type,and night shift *** The survey was completed by 225 *** comprised 61%.Over 51%of respondents belonged to the 21 to 35 age ***(n=61),Haiti(n=50),and Grenada(n=31)had the most *** HCWs(49%)worked for government academic institutions,followed by community hospitals(23%).Medical students(32%),followed by attending physicians(22%),and others(16%)comprised the most common cadre of *** 39%of the participants reported experiencing violence themselves,and 18%reported violence against colleague(s).Verbal violence(48%),emotional abuse(24%),and physical misconduct(14%)were the most common types of *** 63%of respondents identified patients or their relatives as the most frequent *** logistic regression analyses demonstrated that female gender(OR=2.08;95%CI:1.16-3.76,P=0.014)and higher frequency of night shifts(OR=2.22;95%CI:1.08-4.58,P=0.030)were associated with significantly higher odds of experiencing *** than 50%of HCWs felt less motivated and had decreased job satisfaction post-violent *** A large proportion of HCWS in the Caribbean are exposed to violence,yet the phenomenon remains *** a result,HCWs’job s

关键词： ViSHWaS healthcare workers Violence Survey Workplace violence Caribbean Cross-sectional study

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Aggregation-based dual heterogeneous task allocation in spatial crowdsourcing

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Frontiers of Computer Science 2024年第6期18卷 186605-186605页

作者： LIN Xiaochuan WEI Kaimin LI Zhetao CHEN Jinpeng PEI Tingrui College of Information Science and Technology & Cyberspace Security Jinan University National & Local Joint Engineering Research center of Network Security Detection and Protection Technology Guangdong Provincial Key Laboratory of Data Security and Privacy Protection School of Computer Science Beijing University of Posts and Telecommunications

Spatial crowdsourcing (SC) is a popular data collection paradigm for numerous applications. With the increment of tasks and workers in SC, heterogeneity becomes an unavoidable difficulty in task allocation. Existing researches only focus on the single-heterogeneous task allocation. However, a variety of heterogeneous objects coexist in real-world SC systems. This dramatically expands the space for searching the optimal task allocation solution, affecting the quality and efficiency of data collection. In this paper, an aggregation-based dual heterogeneous task allocation algorithm is put forth. It investigates the impact of dual heterogeneous on the task allocation problem and seeks to maximize the quality of task completion and minimize the average travel distance. This problem is first proved to be NP-hard. Then, a task aggregation method based on locations and requirements is built to reduce task failures. Meanwhile, a time-constrained shortest path planning is also developed to shorten the travel distance in a community. After that, two evolutionary task allocation schemes are presented. Finally, extensive experiments are conducted based on real-world datasets in various contexts. Compared with baseline algorithms, our proposed schemes enhance the quality of task completion by up to 25% and utilize 34% less average travel distance.

关键词： task allocation aggregation shortest path dual heterogeneous spatial crowdsourcing

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Redeploying gastroenterologists during the COVID-19 pandemic:early experience with telehealth including clinical access and financial implications

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Gastroenterology Report 2021年第3期9卷 276-278,I0003页

作者： Nauroz Syed Meeta Desai Deborah Bethards Sanam Razeghi Kofi Clarke Division of Gastroenterology and Hepatology Penn State Milton S.Hershey Medical CenterHersheyPAUSA

Introduction The global healthcare community has been confronted with challenges in providing patient care in a manner that limits the risk of patient and provider exposure during the COVID-19 *** has resulted in sign... 详细信息

关键词：远程医疗医疗费用消化科

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