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

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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Association of post-traumatic stress disorder and work performance: A survey from an emergency medical service, Karachi, Pakistan

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World Journal of Emergency Medicine 2017年第3期8卷 214-222页

作者： Salima Kerai Omrana Pasha Uzma Khan Muhammad Islam Nargis Asad Junaid Razzak Epidemiology and Biostatistics Community Health Sciences Department Aga Khan University community health Sciences Department Aga Khan University Psychiatry Department Aga Khan University Emergency Medicine Department Johns Hopkins University School of Medicine

BACKGROUND: The purpose of the study was to explore the association between posttraumatic stress disorder(PTSD) and work performance of emergency medical services personnel in Karachi, ***: Emergency medical service personnel were screened for potential PTSD using Impact of Event Scale-Revised(IES-R). Work performance was assessed on the basis of fi ve variables: number of late arrivals to work, number of days absent, number of days sick, adherence to protocol, and patient satisfaction over a period of 3 months. In order to model outcomes like the number of late arrivals to work, days absent and days late, negative binomial regression was applied, whereas logistic regression was applied for adherence to protocol and linear for patient satisfaction ***: Mean scores of PTSD were 24.0±12.2. No association was found between PTSD and work performance measures: number of late arrivals to work(RRadj 0.99; 0.98–1.00), days absent(RRadj 0.98; 0.96–0.99), days sick(RRadj 0.99; 0.98–1.00), adherence to protocol(ORadj 1.01; 0.99–1.04) and patient satisfaction(β 0.001%–0.03%) after adjusting for years of formal schooling, living status, coping mechanism, social support, working hours, years of experience and anxiety or ***: No statistically significant association was found between PTSD and work performance amongst EMS personnel in Karachi, Pakistan.

关键词： Emergency medical service Karachi Pakistan Post-traumatic stress disorder Stress Work performance

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Relationship of depression and sleep quality,diseases and general characteristics

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World Journal of Psychiatry 2022年第5期12卷 722-738页

作者： Yan Jiang Tao Jiang Li-Tao Xu Lan Ding Yuetan community health Service center Fuxing Hospital Capital Medical UniversityBeijing 100045China Department of Medicine Innovation Research Chinese PLA General HospitalBeijing 100853China

BACKGROUND Depression is the most common type of depressive *** most common sleep disorder associated with depression is *** and depression are closely *** To investigate the relationship of designed questionnaire items and depression,and analyze the related factors with *** Questionnaire included Patient health Questionnaire-9(PHQ-9)and Pittsburgh sleep quality index(PSQI),12 kinds of diseases,8 general characteristics,and 20 insomnia characteristics,totally 56 items were filled out by 411 patients *** All the 9 items of PHQ-9,6 components of PSQI(except sleep duration),education,living situation,exercise,years of insomnia,western medicine treatment,Chinese medicine treatment,psychotherapy,kinds of insomnia,treatment expected to treat insomnia,psychological counseling,habit of 1 h before bed,habit of lunch break,diagnosed depression,coronary heart disease,mental illness showed significant difference between without and with depression *** univariate analysis and multivariate *** odds ratio of education,exercise,kinds of insomnia,habit of 1 h before bed,diagnosed depression,coronary heart disease(P=0.01)showed significant *** odds ratios were 0.71(0.55,0.93),2.09(1.32,3.31),0.76(0.63,0.91),0.89(0.81,0.98),0.32(0.17,0.60),0.43(0.23,0.79).CONCLUSION We demonstrated that education,exercise,kinds of insomnia,habit of 1 h before bed,diagnosed depression and coronary heart disease affect the depression.

关键词： Depression Patient health Questionnaire-9 Pittsburgh sleep quality index Sleep Insomnia

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Need for education of psychiatric evaluation of offenders with mental disorders:A questionnaire survey for Japanese designated psychiatrists

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World Journal of Psychiatry 2024年第5期14卷 726-734页

作者： Akihiro Shiina Tomihisa Niitsu Masaomi Iyo Chiyo Fujii Division of Medical Treatment and Rehabilitation Chiba University Center for Forensic Mental HealthChiba-shi 2608670Japan Department of Psychiatry Chiba University Graduate School of MedicineChiba-shi 2608670Japan Department of community Mental health&Law National Center of Neurology and PsychiatryKodaira-shi 1878553Japan

BACKGROUND The management of offenders with mental disorders has been a significant concern in forensic *** Japan,the introduction of the Medical Treatment and Supervision Act in 2005 addressed the ***,numerous psychiatric patients at risk of violence still find themselves subject to the administrative involuntary hospitalization(AIH)scheme,which lacks clarity and updated *** To explore current as well as optimized learning strategies for risk assessment in AIH decision *** We conducted a questionnaire survey among designated psychiatrists to explore their experiences and expectations regarding training methods for psychiatric assessments of offenders with mental *** The findings of this study’s survey suggest a prevalent reliance on traditional learning approaches such as oral education and on-the-job *** This underscores the pressing need for structured training protocols in AIH ***,feedback derived from inpatient treatment experiences is identified as a crucial element for enhancing risk assessment skills.

关键词： Forensic psychiatry Administrative involuntary hospitalization Psychiatric assessment Risk assessment Mental disorders Training protocols Clinical practice Structured learning Feedback mechanisms Program development

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社交媒体和自杀预防:对相关人员的调查结果（英文）

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上海精神医学 2015年第1期27卷 27-35页

作者： Jo ROBINSON Maria RODRIGUES Steve FISHER Eleanor BAILEY Helen HERRMAN Orygen The National Center of Excellence in Youth Mental Health community Works Docklands

背景:自杀是死亡的一个主要原因,在年轻人中尤为如此。社交媒体快速增长,年轻人热衷于此,自杀预防面临着新的挑战和机遇。人们常常在社交媒体网站上与他人交流关于自杀相关的行为,因而就有可能利用社交媒体来预防自杀。然而,不同的自杀... 详细信息

背景:自杀是死亡的一个主要原因,在年轻人中尤为如此。社交媒体快速增长,年轻人热衷于此,自杀预防面临着新的挑战和机遇。人们常常在社交媒体网站上与他人交流关于自杀相关的行为,因而就有可能利用社交媒体来预防自杀。然而,不同的自杀预防倡导者对社交媒体的利用也是不尽相同的。这种干预方式在社区整体自杀预防战略中发挥的作用仍然是一个有争议的问题。目的:探讨相关人员使用社交媒体来预防自杀的方式,并且评估他们如何看待社交媒体作为预防自杀工具的潜在作用。方法 :这是一项为期12周的相关人员的调查。一共有10位研究自杀和社交媒体的受访者、13个用社交媒体来预防自杀的受访组织和64位社交媒体的用户参与并完成了在线调查。结果 :人们认为社交媒体能够有效提供一系列自杀预防活动。受访者表示社交媒体的主要好处是有机会获得别人的情感支持、表达自己的感情、跟其他人讨论类似的问题,并为别人提供帮助。Facebook被认为是最具有潜力提供自杀预防活动的社交媒体网站。受访者也担忧社交媒体的潜在风险,但他们认为潜在利益大于风险。结论 :不同方面的相关人员者认为社交媒体具有提供自杀预防活动的潜力。需要进行更多的研究以明确社交媒体为基础的干预的有效性和安全性,还需要制定并落实相关的道德标准和规章制度,以确保这样的干预是安全的。

关键词：利益相关者媒体网站社交预防调查结果潜在风险社会化潜在用途

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综合心理干预对社区慢性病患者的效果评价:一项源于社区的整群、随机、对照试验（英文）

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上海精神医学 2016年第2期28卷 72-85页

作者：曾庆枝何燕玲石振宇刘威青陶华卜时明缪栋蕾刘萍张煊昭李晓萍齐雪君周琴 Shanghai Mental health center Shanghai Jiao Tong University School of Medicine Shanghai China Shanghai Pudong New Area Mental health center Shanghai China Xinhua community health center of the Changning District Shanghai China Changning District Mental health center Shanghai China Minhang District Mental health center Shanghai China Jiangsu community health center of the Changning District Shanghai China Xinzhuang community health center of the Minhang District Shanghai China Jiangchuan community health center of the Minhang District Shanghai China Corning Hospital Shenzhen China Hangzhou Seventh People's Hospital Hangzhou China Fudan University School of Public health Shanghai China

背景:抑郁与焦虑经常出现在慢性躯体疾病患者中,通常这会加深这些躯体疾病所造成的损失,但是在中低等收入国家中这一问题却很少受到关注。目标:评估非专业临床人员和志愿者进行以社区为基础的心理干预对缓解慢性躯体疾病患者抑郁和焦虑... 详细信息

背景:抑郁与焦虑经常出现在慢性躯体疾病患者中,通常这会加深这些躯体疾病所造成的损失,但是在中低等收入国家中这一问题却很少受到关注。目标:评估非专业临床人员和志愿者进行以社区为基础的心理干预对缓解慢性躯体疾病患者抑郁和焦虑症状的疗效。方法:将共计10,164名接受糖尿病或高血压治疗的上海社区居民任意分配到常规治疗组(n=2042)或干预组(n=8122),对干预组的干预包括社区范围的心理健康教育、同伴支持小组和个人咨询。采用自评患者健康问卷(Patient health Questionnaire,PHQ-9)、广泛性焦虑量表(Generalized Anxiety Disorder scale,GAD-7)和12项健康状况调查问卷(12-item Short-Form health Survey,SF-12)来评定基线和干预6个月后的抑郁症状、焦虑症状和生活质量。结果:8813人完成了基线评估,其中16%的人有轻度或较严重的抑郁或焦虑症状(PHQ-9或GAD-7>5),并有4%的人伴有中度或重度抑郁或焦虑症状(PHQ-9或GAD-7>10)。本研究有效实施了干预内容中的健康教育部分,但是在符合条件成为同伴支持小组的成员中仅31%的对象接受了干预措施,接受个人咨询的仅9%。本研究脱落率较高(51%),并且在完成和没有完成随访评估的人群之间存在显著差异。经过这些混杂因素的调整后,在完成两项评估的对象中,结果表明抑郁症状(F=9.98,p<0.001)、焦虑症状(F=12.85,p<0.001)以及SF-12中的心理部分总分(F=16.13,p<0.001)均得到显著改善。然而,自我报告未受控制的糖尿病或高血压的率没有显著变化。结论:这些结果支持了以社区为基础的干预措施的可行性,以降低在精神科人力资源有限的中低等收入国家中慢性疾病患者抑郁和焦虑症状的严重程度。然而,在确认该措施广泛大规模实施前还有大量方法学上的挑战需在未来研究中解决。

关键词：抑郁焦虑社区干预糖尿病高血压社区医疗服务中国

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Limited Social Support,but Comparable health Literacy and Service Utilization,Among Elderly People Living Alone—Six PLADs,China,May-September 2020

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China CDC weekly 2024年第39期6卷 1011-1016页

作者： Hao Lin Meijun Chen Yuhui Shi Ying Ji Yuting Lin Wangnan Cao Chun Chang Department of Social Medicine and health Education School of Public HealthPeking University Health Science CenterBeijingChina center for healthy Aging Peking University Health Science CenterBeijingChina School of Public health The University of Hong KongHong Kong Special Administrative RegionChina

What is already known about this topic?The proportion of elderly living alone in China is approximately 10%.Living away from family poses enormous challenges for older *** is added by this report?Compared to those living with family,elderly individuals living alone exhibit a lower registration rate with general practitioners and have less social *** are the implications for public health practice?While the current health service system for elderly people living alone is working relatively well,there is a need for additional programs to enhance social support and improve their social well-being.

关键词： alone elderly service

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From potential to practice: how accelerating access to HPV tests and screen and treat programmes can help eliminate cervical cancer

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Family Medicine and community health 2019年第4期7卷 46-52页

作者： William Cherniak Nikki Tyler Kriti Arora Ilana Lapidos-Salaiz Emma Sczudlo Amy Lin Matthew Barnhart John Flanigan Shannon Silkensen Bridge to health Medical and Dental TorontoOntarioCanada Family and community Medicine University of Toronto Faculty of MedicineTorontoOntarioCanada Bureau for Global health USAIDWashingtonDCUSA center for Global health National Cancer InstituteBethesdaMarylandUSA

Human papillomavirus(HPV)vaccination campaigns to prevent cervical cancer are being considered and implemented in countries around the *** vaccination will protect future generations,it will not help the millions of women currently infected,leading to an estimated 311000 deaths per year *** paper examines a selection of strategies that when applied to both existing and new technologies,could accelerate access to HPV *** from the US Agency for International Development,the National Institutes of health,and the Bridge to health Medical and Dental,a non-governmental organisation,joined forces to propose a scalable and country-directed solution for preventing cervical cancer using an end-to end ***,the authors offer seven evidence-based strategies,that when used alone or in combination have the ability to reduce HPV-caused cervical cancer deaths and *** strategies include(1)consistent HPV test intervals to decrease HPV DNA test costs;(2)exploring market shaping opportunities;(3)employing iterative user research methodologies like human-centred design;(4)target product profiles for new HPV tests;(5)encouraging innovation around cervical cancer screen and treat programmes;(6)developing national cancer control plans;and(7)integrating cervical cancer screen and treat services into existing *** using the strategies outlined here,in combination with HPV vaccination campaigns,national governments will be able to scale and expand cervical cancer screening programmes and provide evidence-based treatment programmes for HPV-infected women.

关键词： cervical eliminate programme

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Prioritization of factors related to mental health of women during an earthquake:A qualitative study

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World Journal of Emergency Medicine 2019年第3期10卷 160-168页

作者： Rahele Samouei Shahin Shooshtari Masud Bahrami Mohammad Reza Abedi Mohammad Reza Maracy Social Determinants of health Research center Isfahan University of Medical Sciences Isfahan Iran Student Research Committee Isfahan University of Medical Sciences Isfahan Iran Department of community health Sciences Rady Faculty of Health Sciences University of Manitoba Winnipeg Manitoba Canada Nursing and Midwifery Care Research center Faculty of Nursing and Midwifery Isfahan University of Medical Sciences Isfahan Iran Department of Counseling Faculty of Education and Psychology University of Isfahan Isfahan Iran Department of Epidemiology and Biostatistics Environment Research Center Research Institute for Primordial Prevention of Non-communicable Disease School of Public Health Isfahan University of Medical Sciences Isfahan Iran

BACKGROUND: According to the fact that women account for the highest rate of victims of mental health loss during disasters, prioritization of their requirements is of remarkable signifi cance. Therefore, the present study was carried out with the aim to prioritize factors related to women's mental health during an earthquake. METHODS: This study was conducted using the Delphi method in 2017. Participants consisted of experts including psychologists, counselors and psychiatrists, social medicine specialists, and psychiatric-mental health nurses with experience in service and disaster awareness, especially earthquake. They were selected using purposive and snowball sampling methods. The Delphi method was used in 2 rounds with 21 components and the fi nal attendance of 19 participants and the collective agreement of 75%. RESULTS: Of the 21 factors related to women's mental health during the earthquake, the following components were, respectively, preferred by the participants: psychological well-being training, group relationships and support of women in emergency situations, fair treatment in the provision of rights and services to women, crisis awareness and management of behavior and diffi cult conditions, and social security during disasters with the total mean standard deviation (SD) of 13.4 (2.4), 13.0 (2.4), 12.7 (2.5), 12.5 (2.4), and 12.3 (2.2), respectively. CONCLUSION: Training in the fi eld of psychology and disasters, and social and cultural factors were prioritized among factors related to women's mental health during an earthquake. Therefore, the results of this study can be applied by the planners and executives of mental health, women and disasters, and the women's community itself.

关键词： Mental health Women Earthquake Qualitative study

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Contralateral Needling Method and Its Applications in Treating Upper-limb Pain

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Journal of Acupuncture and Tuina Science 2012年第1期10卷 58-61页

作者：叶明柱 Jiangsu community health Service center of Changning District

Contralateral Needling is an ancient needling method recorded in Nei Jing （Inner Canon）. It said in the Guan Zhen chapter of Ling Shu （chapter of needling technique of Spiritual Pivot） that contralateral needling ... 详细信息

关键词： Acupuncture Therapy Opposing Needling Shoulder Pain Tennis Elbow Tenosynovitis Medical Records

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