期刊文献+
共找到30,333篇文章
< 1 2 250 >
每页显示 20 50 100
Exploring the influences of education,intelligence and income on mental disorders 被引量:1
1
作者 Ancha Baranova Hongbao Cao Fuquan Zhan 《General Psychiatry》 CSCD 2024年第1期64-72,共9页
Background Previous studies have shown that educational attainment(EA),intelligence and income are key factors associated with mental disorders.However,the direct effects of each factor on major mental disorders are u... Background Previous studies have shown that educational attainment(EA),intelligence and income are key factors associated with mental disorders.However,the direct effects of each factor on major mental disorders are unclear.Aims We aimed to evaluate the overall and independent causal effects of the three psychosocial factors on common mental disorders.Methods Using genome-wide association study summary datasets,we performed Mendelian randomisation(MR)and multivariable MR(MVMR)analyses to assess potential associations between the 3 factors(EA,N=766345;household income,N=392422;intelligence,N=146808)and 13 common mental disorders,with sample sizes ranging from 9907 to 807553.Inverse-variance weighting was employed as the main method in the MR analysis.Results Our MR analysis showed that(1)higher EA was a protective factor for eight mental disorders but contributed to anorexia nervosa,obsessive-compulsive disorder(OCD),bipolar disorder(BD)and autism spectrum disorder(ASD);(2)higher intelligence was a protective factor for five mental disorders but a risk factor for OCD and ASD;(3)higher household income protected against 10 mental disorders but confers risk for anorexia nervosa.Our MVMR analysis showed that(1)higher EA was a direct protective factor for attention-deficit/hyperactivity disorder(ADHD)and insomnia but a direct risk factor for schizophrenia,BD and ASD;(2)higher intelligence was a direct protective factor for schizophrenia but a direct risk factor for major depressive disorder(MDD)and ASD;(3)higher income was a direct protective factor for seven mental disorders,including schizophrenia,BD,MDD,ASD,post-traumatic stress disorder,ADHD and anxiety disorder.Conclusions Our study reveals that education,intelligence and income intertwine with each other.For each factor,its independent effects on mental disorders present a more complex picture than its overall effects. 展开更多
关键词 protective DISORDERS income
下载PDF
TPI缺乏症斑马鱼模型的构建及分析
2
作者 孙飘 李颖 +1 位作者 刘帆 王璐 《遗传》 CAS CSCD 北大核心 2024年第3期232-241,共10页
磷酸丙糖异构酶缺乏症(triosephosphate isomerase deficiency,TPI DF)是一种严重的多系统退行性疾病,通常表现为溶血性贫血、神经肌肉功能障碍和易感染,患者多于起病5年内死亡。目前尚不清楚TPI DF的具体发病机制,缺乏有效的临床治疗... 磷酸丙糖异构酶缺乏症(triosephosphate isomerase deficiency,TPI DF)是一种严重的多系统退行性疾病,通常表现为溶血性贫血、神经肌肉功能障碍和易感染,患者多于起病5年内死亡。目前尚不清楚TPI DF的具体发病机制,缺乏有效的临床治疗方法。本研究选取TPI DF患者中最常见的突变位点TPI1^(E105D),构建了表达人源性TPI1^(E105D)(hTPI1^(E105D))的转基因斑马鱼(Danio rerio)模型[Tg(Ubi:TPI1^(E105D)-eGFP)]。功能分析表明,过表达TPI1^(E105D)影响红系及髓系细胞发育、导致神经以及肌肉发育异常。综上所述,本研究构建了磷酸丙糖异构酶缺乏症的斑马鱼疾病模型,并能够复现TPI DF患者的大部分临床表型,该模型为后续研究TPI DF的发病机制及药物筛选提供了新的实验动物模型。 展开更多
关键词 磷酸丙糖异构酶缺乏症 tpi1^(E105D) 斑马鱼 疾病模型
下载PDF
Cost of Medical Treatment for Primary Open-Angle Glaucoma in Relation to Patients’ Income and Its Impact on the Prognosis of the Disease, in Bouaké University Hospital
3
作者 Yves Ouattara Liliane Ella Godé +5 位作者 Zana Diabaté Franck Hermann Koffi Mamadou Korka Diallo Philippe Emile France Koffi Bilé Diomandé François Gossé Ibrahim Abib Diomandé 《Open Journal of Ophthalmology》 2024年第1期8-17,共10页
Introduction: Medical treatment for POAG is continuous and lifelong treatment. The aim of this study was to evaluate the relationship between the cost of this treatment and patients’ income and the impact of this rel... Introduction: Medical treatment for POAG is continuous and lifelong treatment. The aim of this study was to evaluate the relationship between the cost of this treatment and patients’ income and the impact of this relationship on treatment compliance. Materials and Methods: Prospective cross-sectional study with a descriptive aim covering sociodemographic data, average incomes, and direct and indirect costs of treatment of 57 patients followed for POAG during the period from January 1, 2012, to December 31, 2016 (5 years). Results: The patients were aged 25 to 77 years (mean = 54.4 years) with a male predominance (sex ratio = 1.5). Retirees were the most represented (26.32%), followed by workers in the informal sector (14.04%) and housewives (12.28%). Patients who had an annual income less than or equal to 900,000 CFA francs (€1370.83) per year represented 56.14% and those who did not have health coverage represented 57.89%. The treatment was monotherapy (64.91%), dual therapy (31.58%) or triple therapy (3.05%) and the average ratio of “annual cost of treatment to annual income” was 0.56 with for maximum 2.23 and 0.02 as minimum. Patients who considered the cost of treatment unbearable for their income represented 78.95%. Conclusion: Prevention of blindness due to glaucoma requires early detection but also the establishment of health coverage mechanisms to improve compliance with medical treatment. In addition, consideration should be given to the development of glaucoma surgery in our country, the indication of which could be the first intention in certain patients, considering for those patients, the geographical and financial accessibility of medical treatment. . 展开更多
关键词 Primary Open-Angle Glaucoma Treatment Cost Medical Treatment income BLINDNESS
下载PDF
Influence of Transportation Accessibility on Urban-rural Income Disparity and Its Spatial Heterogeneity
4
作者 HUANG Xiaoyan KANG Chenchen +1 位作者 YIN Chun TANG Junqing 《Chinese Geographical Science》 SCIE CSCD 2024年第3期453-467,共15页
Transportation accessibility has been treated as an important means of reducing the urban-rural income disparity.However,only a few studies have examined the effects of different types of transportation accessibility ... Transportation accessibility has been treated as an important means of reducing the urban-rural income disparity.However,only a few studies have examined the effects of different types of transportation accessibility on urban-rural income disparity and their spatial heterogeneity.Based on data from 285 prefecture-level(and above)Chinese cities in 2000,2005,2010,2015,and 2020,this study uses spatial econometric models to examine how highway accessibility and railway accessibility influence the urban-rural income disparity and to identify their spatial heterogeneity.The result reveals that highway accessibility and railway accessibility have‘coreperiphery’ring-like circle structures.The urban-rural income disparity exhibits strong spatial clustering effects.Both highway accessibility and railway accessibility are negatively associated with urban-rural income disparity,and the former having a greater effect size.Moreover,there is a substitution effect between highway accessibility and railway accessibility in the whole sample.Furthermore,these associations differ in geographic regions.In the central region,highway accessibility is more important in reducing the urban-rural income disparity,but its effect is weakened with the increase of railway accessibility.In the western region,railway accessibility has a larger effect on narrowing the urban-rural income disparity,and this effect is strengthened by the increase of highway accessibility.We conclude that improving transportation accessibility is conducive to reducing the urban-rural income disparity but its effect is spatial heterogenetic.Highways and railways should be developed in a coordinated manner to promote an integrated transport network system. 展开更多
关键词 transport accessibility income gap regional divergence spatial heterogeneity urban and rural areas China
下载PDF
Digitalization’s Effects on Income Growth and Distribution-Evidence from the CHDES Database
5
作者 Huang Yanghua Zhang Jiajia +1 位作者 Cai Yuhan Zhang Jinshuo 《China Economist》 2024年第4期37-56,共20页
Using the CHDES database,we created the CIDI to comprehensively quantify digital adoption at the individual level and examine digitalization’s impact on individual income.Empirical analysis results indicate that incr... Using the CHDES database,we created the CIDI to comprehensively quantify digital adoption at the individual level and examine digitalization’s impact on individual income.Empirical analysis results indicate that increasing the CIDI by one standard deviation(0.13)improves individual income by 5.93 percentage points,which remains true after a series of endogeneity and robustness tests.In the heterogeneity analysis,we discovered that when digital adoption grows,residents in the countryside and county seats can earn more money through internet business operations and other channels.This helps to decrease the urban-rural income divide,but it has also pushed those digitally skilled into high-paying sectors,widening the income gaps between sectors.In the mechanism analysis,we developed an income function that takes into account the individual level of digitalization to show that digitalization can boost income by increasing working hours or labor participation and adjusting the portfolio of individual material,human,and social capital.In this paper,we have expanded the system for measuring the individual levels of digitalization by offering basic data,research methodology,and policy suggestions for the digital economy’s inclusive development. 展开更多
关键词 Digital economy level of digitalization digital empowerment income function
下载PDF
First experience in laparoscopic surgery in low and middle income countries: A systematic review
6
作者 Rebekka Troller Jasmine Bawa +1 位作者 Olivia Baker James Ashcroft 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第2期546-553,共8页
BACKGROUND Laparoscopic surgery has reduced morbidity and mortality rates,shorter post-operative recovery periods and lower complication rates than open surgery.It is routine practice in high-income countries and is b... BACKGROUND Laparoscopic surgery has reduced morbidity and mortality rates,shorter post-operative recovery periods and lower complication rates than open surgery.It is routine practice in high-income countries and is becoming increasingly common in countries with limited resources.However,introducing laparoscopic surgery in low-and-middle-income countries(LMIC)can be expensive and requires resour-ces,equipment,and trainers.AIM To report the challenges and benefits of introducing laparoscopic surgery in LMIC as well as to identify solutions to these challenges for countries with limited finances and resources.METHODS MEDLINE,EMBASE and Cochrane databases were searched for studies reporting first experience in laparoscopic surgery in LMIC.Included studies were published between 1996 and 2022 with full text available in English.Exclusion criteria were studies considering only open surgery,ear,nose,and throat,endoscopy,arthro-scopy,hysteroscopy,cystoscopy,transplant,or bariatric surgery.RESULTS Ten studies out of 3409 screened papers,from eight LMIC were eligible for inclusion in the final analysis,totaling 2497 patients.Most reported challenges were related to costs of equipment and training programmes,equipment pro-blems such as faulty equipment,and access to surgical kits.Training-related challenges were reliance on foreign trainers and lack of locally trained surgeons and theatre staff.The benefits of introducing laparoscopic surgery were economic and clinical,including a reduction in hospital stay,complications,and morbidi-ty/mortality.The introduction of laparoscopic surgery also provided training opportunities for junior doctors.CONCLUSION Despite financial and technical challenges,many studies emphasise the overall benefit of introducing laparoscopic surgery in LMICs such as reduced hospital stay and the related lower cost for patients.While many of the clinical centres in LMICs have proposed practical solutions to the challenges reported,more support is critically required,in particular regarding training. 展开更多
关键词 Laparoscopic surgery Low and middle income country First experience Training in laparoscopic surgery
下载PDF
The pain of inequality:Income gap and carbon intensity of well-being
7
作者 LIU Guo-ping 《Ecological Economy》 2024年第3期202-218,共17页
The 2030 Agenda for Sustainable Development of the United Nations sets out 17 sustainable development goals(SDGs)that call for global action to end poverty,protect the planet,and improve the lives and futures of all p... The 2030 Agenda for Sustainable Development of the United Nations sets out 17 sustainable development goals(SDGs)that call for global action to end poverty,protect the planet,and improve the lives and futures of all people,including reducing inequality and taking climate action.The academic and policy issues corresponding to these two goals are income distribution and low-carbon development respectively.This paper makes a connection between the two and examines the impact of income gap on carbon intensity of well-being(CIWB)based on panel data of 40 countries around the world,which has important theoretical significance and empirical reference value.The main conclusions are as follows:(1)During the sample period,the carbon intensity of well-being of 36 in the 40 countries showed a downward trend,indicating that the pressure brought by the increase of unit well-being level on carbon emission space was gradually decreasing.The biggest drop in carbon intensity of well-being is in Estonia.(2)According to the average value of the past years,the income gaps are large in Colombia,Costa Rica,Paraguay,Ecuador and Peru,and the five countries with the smallest income gap are Ukraine,Slovenia,Belarus,the Czech Republic and Kyrgyzstan Republic.(3)The regression results of the econometric model with carbon intensity of well-being as the dependent variable,income gap as the independent variable,and urbanization rate,energy consumption structure and export trade as the control variables show that the increase of income gap will increase carbon intensity of well-being,and the increase of urbanization rate,renewable energy consumption and export dependence will reduce carbon intensity of well-being.Finally,according to the research conclusions,the policy implications for China's future high-quality development are extracted. 展开更多
关键词 income gap carbon intensity of well-being(CIWB) low-carbon development ecological economics
下载PDF
Effect of nutrition-related infodemics and social media on maternal experience: A nationwide survey in a low/middle income country
8
作者 Marwa M Zein Noha Arafa +1 位作者 Mortada H F El-Shabrawi Nehal Mohammed El-Koofy 《World Journal of Clinical Pediatrics》 2024年第1期93-106,共14页
BACKGROUND Undernutrition is a crucial cause of morbidity and mortality among children in low-or middle-income countries(LMICs).A better understanding of maternal general healthy nutrition knowledge,as well as misbeli... BACKGROUND Undernutrition is a crucial cause of morbidity and mortality among children in low-or middle-income countries(LMICs).A better understanding of maternal general healthy nutrition knowledge,as well as misbeliefs,is highly essential,especially in such settings.In the current era of infodemics,it is very strenuous for mothers to select not only the right source for maternal nutrition information but the correct information as well.AIM To assess maternal healthy nutritional knowledge and nutrition-related misbeliefs and misinformation in an LMIC,and to determine the sources of such information and their assessment methods.METHODS This cross-sectional analytical observational study enrolled 5148 randomly selected Egyptian mothers who had one or more children less than 15 years old.The data were collected through online questionnaire forms:One was for the general nutrition knowledge assessment,and the other was for the nutritional myth score.Sources of information and ways of evaluating internet sources using the Currency,Relevance,Authority,Accuracy,and Purpose test were additionally analyzed.RESULTS The mean general nutrition knowledge score was 29±9,with a percent score of 70.8%±12.1%(total score:41).The median myth score was 9(interquartile range:6,12;total score:18).The primary sources of nutrition knowledge for the enrolled mothers were social media platforms(55%).Half of the mothers managed information for currency and authority,except for considering the author's contact information.More than 60%regularly checked information for accuracy and purpose.The mothers with significant nutrition knowledge checked periodically for the author's contact information(P=0.012).The nutrition myth score was significantly lower among mothers who periodically checked the evidence of the information(P=0.016).Mothers dependent on their healthcare providers as the primary source of their general nutritional knowledge were less likely to hold myths by 13%(P=0.044).However,using social media increased the likelihood of having myths among mothers by approximately 1.2(P=0.001).CONCLUSION Social media platforms were found to be the primary source of maternal nutrition information in the current era of infodemics.However,healthcare providers were the only source for decreasing the incidence of maternal myths among the surveyed mothers. 展开更多
关键词 Nutrition Infodemics Maternal knowledge MYTH Low/middle income country
下载PDF
TPI的门尼粘度对NR/TPI减震制品性能的影响
9
作者 宋雅婷 于龙 +2 位作者 王鹏 盛恩恬 王崴 《橡胶科技》 CAS 2024年第4期208-211,共4页
研究反式异戊橡胶(TPI)的门尼粘度对天然橡胶(NR)/TPI减震性能的影响。结果表明:与NR硫化胶相比,NR/TPI硫化胶的硬度增大,拉伸性能和抗撕裂性能降低,压缩永久变形减小,在-30,23和70℃下的耐屈挠龟裂性能提高,但在100℃×48 h热老化... 研究反式异戊橡胶(TPI)的门尼粘度对天然橡胶(NR)/TPI减震性能的影响。结果表明:与NR硫化胶相比,NR/TPI硫化胶的硬度增大,拉伸性能和抗撕裂性能降低,压缩永久变形减小,在-30,23和70℃下的耐屈挠龟裂性能提高,但在100℃×48 h热老化后23℃下的耐屈挠龟裂性能降低;随着TPI门尼粘度的提高,NR/TPI硫化胶的拉伸性能、撕裂强度和回弹值提高,静态压缩永久变形、动静刚度比和损耗因子减小,耐压缩疲劳性能以及在-30,23和70℃下的耐屈挠龟裂性能提高;高门尼粘度TPI在橡胶减震制品中的应用性能更优异。 展开更多
关键词 反式异戊橡胶 天然橡胶 橡胶减震制品 门尼粘度 物理性能 耐疲劳性能
下载PDF
Research on the Influence of Digital Economy on the Income Gap between Urban and Rural Areas in China
10
作者 Limei Fu 《Proceedings of Business and Economic Studies》 2024年第5期194-199,共6页
In recent years,with the rapid advancement of information technology and the widespread proliferation of the Internet,digital technology has been reshaping the value chains of traditional industries and giving rise to... In recent years,with the rapid advancement of information technology and the widespread proliferation of the Internet,digital technology has been reshaping the value chains of traditional industries and giving rise to entirely new business models and industrial forms.Technologies such as the Internet,big data,and artificial intelligence are being applied across various sectors,while new formats like e-commerce,the sharing economy,and online education are flourishing.These developments have driven new consumption patterns and employment methods.The rapid rise of the digital economy not only boosts production efficiency and economic growth but also influences the income distribution between urban and rural areas to some extent.This paper begins by examining the current state and characteristics of the digital economy and then analyzes its impact on the urban-rural income gap.Additionally,it offers countermeasures and recommendations for narrowing this gap,providing theoretical support for promoting common prosperity. 展开更多
关键词 Digital economy Urban-rural income gap IMPACT COUNTERMEASURES
下载PDF
Taxation Models and Improvement Proposals for Personal Income Tax in the Sharing Economy
11
作者 Xinyao Ruan 《Proceedings of Business and Economic Studies》 2024年第3期220-226,共7页
As an innovative economic model,the sharing economy has seen rapid growth globally in recent years.It has not only brought a profound impact on traditional economies but also injected new vitality and momentum into th... As an innovative economic model,the sharing economy has seen rapid growth globally in recent years.It has not only brought a profound impact on traditional economies but also injected new vitality and momentum into the sustainable development of the social economy.However,for the sharing economy,the process of collecting personal income tax is facing several issues,such as the ambiguity of tax policies regarding personal income,challenges in identifying taxpayers,and difficulties in defining income.To achieve the fairness and efficiency of personal income tax collection in the sharing economy,this study proposes optimized regulatory mechanisms and conducts in-depth discussions on the adjustment of personal income tax policies,innovation in tax management technology,and improvement in the quality of personal income tax services. 展开更多
关键词 Sharing economy Personal income tax Taxation models
下载PDF
Study on the Influence of the Coordinated Development of Resident Income and GDP on Local Economic Development:Take Shandong Province as an Example
12
作者 Yamin Sun 《Proceedings of Business and Economic Studies》 2024年第4期195-201,共7页
With the rapid development of China’s economy,the coordinated development of resident income and GDP has become an important indicator to measure local economic development.How to realize the synergistic growth of th... With the rapid development of China’s economy,the coordinated development of resident income and GDP has become an important indicator to measure local economic development.How to realize the synergistic growth of the two in the new era is of great significance for promoting the sustainable development of the local economy.Based on the theory of the coordinated development of resident income and GDP,this paper will take Shandong Province as an example to analyze the interaction between resident income growth and GDP,find out the influencing factors that restrict the coordinated development of resident income and GDP,and explore the impact of the coordinated development of resident income and GDP on local economic development.Finally,relevant policies will be studied.How to effectively increase residents’income,promote the sustainable and healthy development of the local economy,and put forward relevant suggestions to promote the coordinated development of residents’income and GDP. 展开更多
关键词 Household income Gross domestic product Coordinated development Influence mechanism
下载PDF
Study on the Impact of Collective Commercial Construction Land Entering the Market on Rural Residents’Income:Taking Deqing County,Zhejiang Province as an Example
13
作者 Panpan He Haolong Zhao 《Proceedings of Business and Economic Studies》 2024年第4期53-59,共7页
The entry of collective construction land for business purposes is an important measure for deepening the reform of the rural land system,promoting the flow of urban and rural factors,and realizing rural revitalizatio... The entry of collective construction land for business purposes is an important measure for deepening the reform of the rural land system,promoting the flow of urban and rural factors,and realizing rural revitalization.Since the production of the first batch of pilot projects in 2015,33 county-level cities have participated in the pilot policy by 2023.Deqing County,Zhejiang Province,as the first area to participate in the pilot project,aims to achieve more fruitful results.This paper first examines how promoting farmers’income through the market entry of agricultural land can be achieved,then uses the synthetic control method to quantitatively study the impact of collective operational construction land on farmers’income using panel data from 2011 to 2019,and finally proposes relevant suggestions from the perspective of system reform. 展开更多
关键词 Collective operational construction land into the market Farmers’income Synthetic control method
下载PDF
Epidemiological, Clinical Aspects and Outcome of Measles in a Low-Income Country in 2023
14
作者 Sime Tchouamo Arielle Annick Enyama Dominique +7 位作者 Noukeu Diomède Atyam Ekotto Marie Christine Abouame Palma Haoua Epee Ngoue Jeannette Kago Tague Daniel Armand Touka Eric Brice Tasse Simo Nathalie Ines Nguéfack Félicité 《Open Journal of Pediatrics》 2024年第1期139-148,共10页
Introduction: Measles remains a worrying health problem in sub-Saharan African countries. There have been measles outbreaks in Cameroon with the most recent occurring between October 2022 and September 2023. The Centr... Introduction: Measles remains a worrying health problem in sub-Saharan African countries. There have been measles outbreaks in Cameroon with the most recent occurring between October 2022 and September 2023. The Centre region of Cameroon was the most affected in the country and being at the frontline of the fight against this illness, we conducted this study in order to determine the epidemiological and clinical characteristics as well as the outcome of children who contracted the measles and were hospitalized at the Yaoundé Gynaeco-Obstetric and Pediatric Hospital. Methodology: We conducted a cross-sectional descriptive and prospective study for one year from October 2022 to November 2023 corresponding to the duration of the outbreak. We included all children admitted in the pediatric unit for measles and its complications during this period. Results: In total, 60 children were enrolled. Their caregivers were mostly their mothers who had a mean age of 34.71 ± 9.55 years living in significant precarious conditions for the majority. The median age of children was 16 months (09 - 30 months). Twenty six percent of children (16) were less than 9 months. Girls were predominant (55%). Most children were not up to date with their routine EPI vaccination (80%) and most did not receive the measles and Rubella vaccine (76.67%). Clinical manifestations, included fever, conjunctivitis, and cough. Skin rash and catarrh (98.33% and 86.67% respectively) are the case definition signs of measles. The outcome was unfavorable for 4 children. One had a neurological disorder: coma and three presented with pneumonia and severe respiratory distress (6.67%). Conclusion: Measles is still being a reality and claiming lives in our context, emphasis should be made on immunization coverage and if possible, advocacies should be formulated to decrease the age of measles vaccine administration. 展开更多
关键词 MEASLES COMPLICATIONS Low-income Countries
下载PDF
Key Factors to Consider When Introducing a New Vaccine in Low-Income Settings: Lessons from Malawi Expanded Program on Immunization
15
作者 Samuel Mpinganjira Kimberly Konono +5 位作者 Joseph Mwaka Adidja Amani Habtamu Anteneh Michael Ngigi Boston Zimba Atupele Kapito 《World Journal of Vaccines》 CAS 2024年第1期1-23,共23页
Introduction: As new vaccines become available, countries must assess the relevance to introduce them into their vaccination schedules. Malawi has recently introduced several new vaccines and plans to introduce more. ... Introduction: As new vaccines become available, countries must assess the relevance to introduce them into their vaccination schedules. Malawi has recently introduced several new vaccines and plans to introduce more. This study was conducted to identify key factors that need to be considered when deciding to introduce a new vaccine and current challenges faced by low and middle income countries using Malawi as an example. Methodology: The study employed a desk review approach, examining published literature from various sources such as PubMed, Medline, and Google Scholar. Policy documents from organizations like the World Health Organization, GAVI the Alliance, and the Ministry of Health for Malawi were also included. A total of 99 articles and documents on new vaccine introduction, challenges of immunization, policy documents in immunization and health systems strengthening were included. The review focused on addressing five key areas critical to new vaccine introduction namely: the need for a vaccine, availability of the vaccine, safety and effectiveness of the vaccine, demand for the vaccine, and the prudent use of public or private funds. Results: Malawi considered the burden of cervical cancer and the significance of malaria in the country when introducing the HPV and malaria vaccines. The country opted for vaccines that can be handled by the cold chain capacity and available human resources. Despite that malaria vaccine and Typhoid Conjugate Vaccine trials were done in country, there are limited vaccine safety and efficacy trials conducted in Malawi, leading to a reliance on WHO-prequalified vaccines. Demand for newly introduced vaccines varied, with high demand for Oral Cholera Vaccine during a cholera outbreak, while demand for COVID-19 vaccines decreased over time. Although cost-effectiveness studies were limited in the country, 2 studies indicated that Typhoid Conjugate Vaccine and malaria vaccine would be cost effective. All these have been implemented despite having challenges like lack of accurate surveillance data, inadequate cold chain capacity, limited safety and efficacy vaccine clinical trials, political influence, and limited funding. Conclusion: Despite several challenges Malawi set a good example of the careful considerations required before introducing a new vaccine. The process involves data review, priority setting, precise planning, and consultation with stakeholders. Low-income countries should invest in vaccine safety, efficacy, and cost-effectiveness trials. 展开更多
关键词 VACCINE Introduction Implementation Expanded Program on Immunization LOW-income STAKEHOLDERS
下载PDF
Characteristics of Infertile Clientele Attending a Public in Vitro Fertilization Clinic: Appraising Priorities in a Low-Income Country
16
作者 Gbolahan O. Obajimi Olugbenga O. Saanu +2 位作者 Ayodeji S. Adeyanju Ademola S. Olutoye Mofiyinfoluwa M. Adeyeye 《Open Journal of Epidemiology》 2024年第2期343-352,共10页
Introduction: Infertilityaffects one in six couples, and it is an important public health issue largely due to thepervasive effects on the emotional and psychological wellbeing of affected couples. In many developing ... Introduction: Infertilityaffects one in six couples, and it is an important public health issue largely due to thepervasive effects on the emotional and psychological wellbeing of affected couples. In many developing nations emphasis is placed on childbirth and inability to fulfill this role can be very distressing. There is an unmet need for assisted reproductive technology (ART) in many developing countries and where facilities exist, they are mostly privately owned, expensive and concentrated in urban areas. To bridge this gap, public fertility clinics have been established to provide subsidized care. Evaluating the characteristics and peculiarities of clientele presenting at these public facilities will aid planning and prioritization of care. Methodology: A descriptive retrospective study of 116 infertile patients presenting to the fertility clinic of the University College Hospital, Ibadan, Nigeria from inception on the 14<sup>th</sup> of February 2019 and 31<sup>st</sup> of December 2022.Data was analyzed using the Statical Package for Social Sciences (IBM, SPSS, New York) version 23. Descriptive statistics were used to summarize the results which were presented with the aid of bar charts and frequency tables. Result: The mean age of the patients was 40.70 ± 6.62 years. Post-menopausal patients accounted for about one-fifth of the study population while 80.2% (93 women) were older than 35 years. The mean duration of infertility was 9.39 ± 6.11years and nine patients (7.8%) had a duration greater than 2 decades. Secondary infertility occurred in 67.2% of the women. Twenty-nine women (25%) had undergone myomectomy prior to presentation. Hypertension (11.2%) was the most prevalent comorbidity. Nineteen patients (16.4%) had used contraceptives in the past with the male condom (36.8%)being the most preponderant. Sixty-seven patients had experienced pregnancy losses before 28 weeks of gestation while just 16 patients (13.8%) had undergone ART, and none was successful. Conclusion: Secondary infertility was the prevalent type of infertility and may not be unconnected with the low contraceptive usage and high risk of sexually transmitted infection. Late presentation coupled with a large proportion of post-menopausal clientele suggests delayed health-seeking behavior most probably due to the prohibitive cost of ART. The need to streamline services offered in public fertility clinics is paramount in low-income countries grappling with scarce resources. A pragmatic approach will involve the provision of low-cost ART, while enhancing gamete donation programs through the implementation of gamete sharing policies. This will invariably bridge the unmet need and skewed access to ART in developing countries. 展开更多
关键词 INFERTILITY Assisted Reproductive Technology LOW-income Priorities.
下载PDF
Impact of Plastic Waste on the Human Health in Low-Income Countries: A Systematic Review
17
作者 Ramde Wendkoaghenda Sophie Gbandama Koffi Kouame Pacome +5 位作者 Gansore Aminata Camara Kelety Tolno Barthélemy Assogba Ange Wenceslas Vinciale Niare Boubacar Patrice Ngangue 《Journal of Environmental Protection》 2024年第5期572-595,共24页
Background: Plastic pollution is the accumulation of waste composed of plastic and its derivatives all over the environment. Whether in the form of visible garbage or microparticles, as it slowly degrades, plastic pol... Background: Plastic pollution is the accumulation of waste composed of plastic and its derivatives all over the environment. Whether in the form of visible garbage or microparticles, as it slowly degrades, plastic pollution poses significant threats to terrestrial and aquatic habitats and the wildlife that call them home, whether through ingestion, entanglement or exposure to the chemicals contained in the material. Unfortunately, there is a lack of documentation on the impact of plastic waste on human health in low- and middle-income countries (LMICs). Methods: We searched five electronic databases (PubMed, Embase, Global Health, CINAHL and Web of Science) and gray literature, following the preferred reporting elements for systematic reviews and meta-analyses (PRISMA), for the impact of plastic waste on human health in developing countries. We included quantitative and qualitative studies written in English and French. We assessed the quality of the included articles using the Mixed Methods Appraisal tool (MMAT). Results: A total of 3779 articles were initially identified by searching electronic databases. After eliminating duplicates, 3167 articles were reviewed based on title and abstract, and 26 were selected for full-text review. Only three articles were retained. The three articles dealt with practices likely to lead to oral exposure to plastic chemicals in human health, as well as the level of awareness of participants concerning the possible impact of plastic on human health, namely, the use of plastic baby bottles, the use of microwaves to cook food and reheat precooked food, the use of plastic bottles to store water in the refrigerator, water purifier containers with plastic bodies and plastic lunch boxes, the reuse of plastic bags and the inadequacy of treatment facilities. Conclusion: Plastic waste poses different risks to human health at every stage of its life cycle. Hence, strategies must be adopted to raise public awareness of the dangers of plastic waste to their health. Trial registration: The review protocol is registered in the PROSPERO international prospective register of systematic reviews (ID = CRD42023409087). 展开更多
关键词 Human Population Plastic Waste Health Impact Low-income-Countries (Humans Iatrogenic Disease PLASTICS POLICY RECYCLING Waste Management)
下载PDF
NR/BR/TPI共混物硫化体系的研究 被引量:6
18
作者 赵金义 孟凡良 +2 位作者 黄宝琛 姚薇 张玉瑾 《橡胶工业》 CAS 北大核心 2004年第10期581-585,共5页
研究了普通硫化体系 (CV)、半有效硫化体系 (SEV)和有效硫化体系 (EV)对NR/BR/TPI共混物 (共混比为40 / 40 / 2 0 )性能的影响 ,特别是CV体系中硫黄和促进剂DM用量的影响。结果表明 ,采用CV体系 ,NR/BR/TPI共混物的耐疲劳性能等物理性... 研究了普通硫化体系 (CV)、半有效硫化体系 (SEV)和有效硫化体系 (EV)对NR/BR/TPI共混物 (共混比为40 / 40 / 2 0 )性能的影响 ,特别是CV体系中硫黄和促进剂DM用量的影响。结果表明 ,采用CV体系 ,NR/BR/TPI共混物的耐疲劳性能等物理性能较好 ,硫黄用量为 3份、促进剂DM用量为 1份时 ,共混物的撕裂强度和耐屈挠性能最好 ,其它性能也保持在较高水平。配合剂直接加入共混胶中混炼比分别加入 3种生胶混炼后再加以混合的方式可获得更好的力学性能 ,但正硫化时间和焦烧时间缩短。 展开更多
关键词 NR BR tpi 胎侧胶 硫化体系
下载PDF
TPI/HVBR共混物用于胎面胶的研究 被引量:9
19
作者 黄宝琛 张文禹 +3 位作者 杜爱华 姚薇 杨少英 王名东 《橡胶工业》 CAS 北大核心 2002年第3期133-137,共5页
在传统的胎面胶配方NR/SBR15 0 0 (并用比为 60 / 40 )和SBR1712 /SBR15 0 0 (并用比为 60 / 40 )的基础上 ,采用高反式 1,4 聚异戊二烯 (TPI)和 /或高乙烯基聚丁二烯橡胶 (HVBR)取代或部分取代SBR15 0 0 ,研究共混物的物理性能和动态... 在传统的胎面胶配方NR/SBR15 0 0 (并用比为 60 / 40 )和SBR1712 /SBR15 0 0 (并用比为 60 / 40 )的基础上 ,采用高反式 1,4 聚异戊二烯 (TPI)和 /或高乙烯基聚丁二烯橡胶 (HVBR)取代或部分取代SBR15 0 0 ,研究共混物的物理性能和动态粘弹性。结果表明 ,添加了TPI和HVBR的胎面胶 ,其力学性能可满足使用要求 ,定伸应力和抗屈挠疲劳性有较大提高 ,滚动阻力和动态生热明显降低 ,而抗湿滑性仍有较高的保持率 ,达到了滚动阻力和抗湿滑性能的良好兼备。相对而言 ,NR/TPI/HVBR并用胎面胶具有更小的滚动阻力和生热 ,而SBR/TPI/HVBR并用胎面胶具有更好的抗湿滑性、抗屈挠疲劳性和耐磨性。 展开更多
关键词 tpi/HVBR共混物 胎面胶 研究 高反式-1 4-聚异戊二烯 高乙烯基聚丁二烯橡胶 NR SBR 物理性能 动态粘弹性 配方 轮胎
下载PDF
利用TPI自建特色数据库的探索 被引量:17
20
作者 曹如国 徐兴余 谭永钦 《大学图书馆学报》 CSSCI 北大核心 2008年第6期89-92,共4页
通过对高校图书馆自建特色数据库的现状分析,利用TPI数字化图书馆建设和管理软件,根据学科建设发展的需要,能够方便快捷地建设自己需要的特色数据库,指出了利用TPI软件建设数据库应注意的问题。
关键词 tpi 数字图书馆 特色数据库 自建数据库
下载PDF
上一页 1 2 250 下一页 到第
使用帮助 返回顶部