Objective: Exploring how an ethnic culture-focused collective narrative strategy can be effectively used to promote resilience among the affected Qiang children for post-disaster psychological trauma at scale. Design:...Objective: Exploring how an ethnic culture-focused collective narrative strategy can be effectively used to promote resilience among the affected Qiang children for post-disaster psychological trauma at scale. Design: The study was conducted with a cohort of ethnic Qiang children through a pretest(n=1100) and post-three years test(n=957) to evaluate the effect of the intervention program from myth story-based collective narrative cultural practices. Results: Data from the study clearly indicate that children's resilience behaviour had been greatly improved by the myth story-based collective narrative activities with average scores on 11 items showing a significant increase from 2.08 at baseline to 4.12 at 3 years follow-up posttest(mean=2.04, 95% CI=0.97, 3.11, p <0.0001). No similar change occurred in the control groups(mean=0.74, 95% CI=-0.75, 2.23, n.s). Conclusion: The adoption of an ethnic culture-focused collectivism narrative approach for reduction of vulnerability was able to greatly promote the cultural variable to enhance coping for Qiang children affected by trauma at scale, which informed the urgency for developing an indigenous psych-cultural agenda for collectively responding to disaster trauma in ethnic minority contexts.展开更多
The prevalence of obesity and obesity related comorbidities including diabetes and nonalcoholic fatty liver disease (NAFLD) has been rising globally. Nonalcoholic fatty liver disease is emerging as a common liver dise...The prevalence of obesity and obesity related comorbidities including diabetes and nonalcoholic fatty liver disease (NAFLD) has been rising globally. Nonalcoholic fatty liver disease is emerging as a common liver disease among adults which can lead to the eventua development of complications including cirrhosis and hepatocellular carcinoma. With the rise of obesity in children, the development of detection methods for the presence of NAFLD is becoming imperative. Although the gold standard for diagnosis is liver biopsy, practica issues limit pediatric use and warrant development of noninvasive or minimally invasive screening tools for the detection and staging of NAFLD. A variety of diagnostic methods have been studied including use aminotransferases, imaging studies and serologic markers which have some population-based limitations. Additional factors such as gender and ethnicity may also play a role in the screening of NAFLD in pediatric population studies.展开更多
基金the volunteer participants and the John and Daphne Keats Endowment Research Fund from the University of Newcastle,Australia(G1500214,G0189569,G0900100)UNICEF which funded the fieldwork of the project in China
文摘Objective: Exploring how an ethnic culture-focused collective narrative strategy can be effectively used to promote resilience among the affected Qiang children for post-disaster psychological trauma at scale. Design: The study was conducted with a cohort of ethnic Qiang children through a pretest(n=1100) and post-three years test(n=957) to evaluate the effect of the intervention program from myth story-based collective narrative cultural practices. Results: Data from the study clearly indicate that children's resilience behaviour had been greatly improved by the myth story-based collective narrative activities with average scores on 11 items showing a significant increase from 2.08 at baseline to 4.12 at 3 years follow-up posttest(mean=2.04, 95% CI=0.97, 3.11, p <0.0001). No similar change occurred in the control groups(mean=0.74, 95% CI=-0.75, 2.23, n.s). Conclusion: The adoption of an ethnic culture-focused collectivism narrative approach for reduction of vulnerability was able to greatly promote the cultural variable to enhance coping for Qiang children affected by trauma at scale, which informed the urgency for developing an indigenous psych-cultural agenda for collectively responding to disaster trauma in ethnic minority contexts.
文摘The prevalence of obesity and obesity related comorbidities including diabetes and nonalcoholic fatty liver disease (NAFLD) has been rising globally. Nonalcoholic fatty liver disease is emerging as a common liver disease among adults which can lead to the eventua development of complications including cirrhosis and hepatocellular carcinoma. With the rise of obesity in children, the development of detection methods for the presence of NAFLD is becoming imperative. Although the gold standard for diagnosis is liver biopsy, practica issues limit pediatric use and warrant development of noninvasive or minimally invasive screening tools for the detection and staging of NAFLD. A variety of diagnostic methods have been studied including use aminotransferases, imaging studies and serologic markers which have some population-based limitations. Additional factors such as gender and ethnicity may also play a role in the screening of NAFLD in pediatric population studies.
