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OPD-ScanⅢ及IOL-Master 700测量白内障术前角膜曲率和水平角膜直径的比较
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作者 郭晓娜 陆惠 +2 位作者 寇豆 于璐 凌宇 《眼科新进展》 CAS 北大核心 2024年第5期391-395,共5页
目的比较OPD-ScanⅢ与IOL-Master 700在角膜曲率(平坦曲率K1与陡峭曲率K2)及水平角膜直径(WTW)测量上的差异性及一致性。方法选取2021年10月至2022年9月在航天中心医院眼科行白内障手术的患者268例328眼(右眼164例,左眼164例)。采用OPD-... 目的比较OPD-ScanⅢ与IOL-Master 700在角膜曲率(平坦曲率K1与陡峭曲率K2)及水平角膜直径(WTW)测量上的差异性及一致性。方法选取2021年10月至2022年9月在航天中心医院眼科行白内障手术的患者268例328眼(右眼164例,左眼164例)。采用OPD-ScanⅢ及IOL-Master 700仪器分别检测患者左右眼的K1、K2以及WTW值并进行分析比较。采用配对t检验进行参数比较;Pearson相关分析检测参数间的相关性;Bland-Altman以及组内相关系数(ICC)分析确定两种仪器相关参数测量的一致性。结果在左右眼参数的测量中,OPD-ScanⅢ测得的K1及K2值均大于IOL-Master 700,WTW值均低于IOL-Master 700的测量值,差异均有统计学意义(均为P<0.001)。OPD-ScanⅢ在左右眼中测得的K1、K2及WTW值与IOL-Master 700所测得的对应值均呈正相关,差异均有统计学意义(均为P<0.001)。两种仪器K1、K2及WTW值在95%一致性界限外的比例均在5%以内,但95%界限内差值绝对值均接近或超过了1.0 D,存在较大的临床偏差。ICC分析证实两种仪器左右眼测量K1及K2值一致性均极好(ICC>0.90)。两种仪器测得的WTW差值与K2值均显著相关(均为P<0.05)。WTW正偏差范围外有5例(83.33%)样本IOL-Master 700测得的K 2在47.03以上。结论OPD-ScanⅢ及IOL-Master 700在测量K1、K2及WTW上存在偏差,临床应用中不可互相替代。IOL-Master 700测得的WTW值大于OPD-ScanⅢ,当其测量的K2≥47.03时,所获得的WTW值参考价值可能有限。 展开更多
关键词 OPD-ScanⅢ IOL-master 700 角膜曲率 角膜水平直径
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IOL Master 700与Lenstar LS900对高度近视合并白内障患者术前生物测量及人工晶状体计算的比较
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作者 陶露莎 高铃 +3 位作者 喻娟 冯英 陈爽 吴敏 《国际眼科杂志》 CAS 2024年第4期612-617,共6页
目的:比较IOL Master 700与Lenstar LS900对高度近视合并白内障患者术前眼生物测量的差异性、相关性、一致性及人工晶状体(IOL)度数计算的准确性。方法:回顾性研究。收集2021-03/2023-03于陆军特色医学中心眼科行白内障超声乳化联合IOL... 目的:比较IOL Master 700与Lenstar LS900对高度近视合并白内障患者术前眼生物测量的差异性、相关性、一致性及人工晶状体(IOL)度数计算的准确性。方法:回顾性研究。收集2021-03/2023-03于陆军特色医学中心眼科行白内障超声乳化联合IOL植入手术的高度近视合并白内障患者136例136眼,平均年龄57.38±8.08岁。根据眼轴长度(AL)将患者分为3组:A组(26 mm≤AL≤28 mm)41眼,B组(28 mm30 mm)52眼。术前分别使用两种仪器测量AL、平均角膜曲率(Km)、前房深度(ACD)、晶状体厚度(LT)和白到白距离(WTW)。所有患者均采用Barrett UniversalⅡ公式计算IOL度数,个性化选择适宜的预留屈光度,比较两种仪器的预测屈光误差(PE)和绝对屈光误差(AE)。结果:三组患者中Lenstar LS900测量的AL和ACD均大于IOL Master 700测量值(均P<0.05),且两种仪器测量AL的平均差值C组>B组>A组。两种仪器测量LT、Km与WTW值均无差异(均P>0.05)。两种仪器所得各组生物参数均具有正相关性(均r>0.9,P<0.05)且一致性较好(95%LoA范围较窄)。两种仪器计算的AE无差异(P>0.05),但IOL Master 700计算的PE小于Lenstar LS900(P<0.05),且前者远视偏移百分比更低。结论:在高度近视合并白内障患者中,Lenstar LS900测量AL值大于IOL Master 700,且该差异随着AL的增加而增大,两种仪器对IOL的计算均具有良好的预测性,但IOL Master 700术后屈光误差更小,远视偏移百分比更低。 展开更多
关键词 IOL master 700 Lenstar LS900 高度近视 白内障 生物测量 眼轴 人工晶状体 Barrett UniversalⅡ
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Variations, effectiveness and its associated factors of a nationwide web-based hypertension management training project in China: insights from a government-led campaign for 1.2 million lay health workers
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作者 Wei WANG Hai-Bo ZHANG +7 位作者 Jia-Min LIU Yan LI Na TIAN Lei YAN Jin-Xiao SONG Mei-Li LI Yue PENG Jing LI 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2024年第7期733-750,共18页
OBJECTIVES To evaluate the effectiveness of a large-scale,web-based,in-service hypertension management training project among lay health workers(LHWs) at primary care health(PHC) settings in China,and to examine the f... OBJECTIVES To evaluate the effectiveness of a large-scale,web-based,in-service hypertension management training project among lay health workers(LHWs) at primary care health(PHC) settings in China,and to examine the factors contributing to the variations of effectiveness.METHODS We used data from a web-based national hypertension management training project implemented in 2018,it was designed to facilitate LHWs to learn,understand,and apply the relevant knowledge and skills in hypertension management through providing training courses by use of the web-based platform with unified standards.All LHWs were required to participate in the exams before and after training to acquire scores for the use of evaluating their performance of hypertension management knowledge.We first used descriptive analysis to present the variations of effectiveness in hypertension management knowledge among LHWs by important subgroups.Afterwards,we used multilevel logistic regression to examine the individual and regional factors contributing to the variations and quantify the magnitude of how these factors affected training effectiveness.RESULTS There were 1,208,610 LHWs who completed training and were certificated.Nationally,the scores of LHWs increased significantly from 62.87 ± 21.14 out of 100 in the pre-test to 88.30 ± 11.31 in the post-test by 25.43(95% confidence interval[CI]:25.40-25.47).Training contents involved in antihypertensive medication showed the lowest score(54.36) in the pre-test and soared the most after training,up to 84.22 by 54.94%.Individual factors associated with disparities in the knowledge of hypertension management decreased substantially after training,which included sex,age,education,practice type,professional level,and hierarchy of working institutions.Geographical variations were shown at the provincial level,with the majority of them being explained by factors at the regional level.CONCLUSIONS Accessible web-based training modality,government efforts,accompanied with experiences derived from the training,could be generalized to other low-and middle-income countries in facilitating the hypertension management capacity of LHWs.Localization and evaluation is warranted on the way to its further application. 展开更多
关键词 HYPERTENSION workers NATIONWIDE
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Unveiling health rights:A call to action for sex workers'HIV care in the Philippines
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作者 Sheikh Mohd Saleem Shah Sumaya Jan 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2024年第1期45-46,共2页
We are writing in response to the article titled“Addressing the needs and rights of sex workers for HIV healthcare services in the Philippines”[1].The article calls for attention on the significant challenges faced ... We are writing in response to the article titled“Addressing the needs and rights of sex workers for HIV healthcare services in the Philippines”[1].The article calls for attention on the significant challenges faced by sex workers in the Philippines in accessing HIV healthcare.We appreciate the article’s effort to examine these issues in depth.We would like to present a constant flow of thoughts in this letter while highlighting the positive aspects,potential obstacles,and additional points that contribute to this ongoing discussion. 展开更多
关键词 workers action LETTER
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Effectiveness of mindfulness-based interventions on the well-being of healthcare workers:a systematic review and meta-analysis
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作者 Natasha Yixuan Ong Finn Jing Jie Teo +4 位作者 Jane Zi Ying Ee Chun En Yau Julian Thumboo Hiang Khoon Tan Qin Xiang Ng 《General Psychiatry》 CSCD 2024年第3期335-344,共10页
Background Growing evidence attests to the efficacy of mindfulness-based interventions(MBIs),but their effectiveness for healthcare workers remains uncertain.Aims To evaluate the evidence for MBIs in improving healthc... Background Growing evidence attests to the efficacy of mindfulness-based interventions(MBIs),but their effectiveness for healthcare workers remains uncertain.Aims To evaluate the evidence for MBIs in improving healthcare workers’psychological well-being.Methods A systematic literature search was conducted on Medline,Embase,Cumulative Index for Nursing and Allied Health Literature,PsycINFO and Cochrane Central Register of Controlled Trials up to 31 August 2022 using the keywords‘healthcare worker’,‘doctor’,‘nurse’,‘allied health’,‘mindfulness’,‘wellness’,‘workshop’and‘program’.Randomised controlled trials with a defined MBI focusing on healthcare workers and quantitative outcome measures related to subjective or psychological well-being were eligible for inclusion.R V.4.0.3 was used for data analysis,with the standardised mean difference as the primary outcome,employing DerSimonian and Laird’s random effects model.Grading of Recommendations,Assessment,Development and Evaluation framework was used to evaluate the quality of evidence.Cochrane’s Risk of Bias 2 tool was used to assess the risk of bias in the included studies.Results A total of 27 studies with 2506 participants were included,mostly from the USA,involving various healthcare professions.MBIs such as stress reduction programmes,apps,meditation and training showed small to large effects on anxiety,burnout,stress,depression,psychological distress and job strain outcomes of the participants.Positive effects were also seen in self-compassion,empathy,mindfulness and well-being.However,long-term outcomes(1 month or longer postintervention)varied,and the effects were not consistently sustained.Conclusions MBIs offer short-term benefits in reducing stress-related symptoms in healthcare workers.The review also highlights limitations such as intervention heterogeneity,reduced power in specific subgroup analyses and variable study quality. 展开更多
关键词 NURSE SUSTAINED workers
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Assessment of Knowledge, Attitude and Practices among Healthcare Workers in a Tertiary Care Hospital on Needle Stick Injury
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作者 Komal Kanani Sangita Rajdev Summaiya Mullan 《Advances in Infectious Diseases》 CAS 2024年第2期487-495,共9页
Purpose: Needle-stick injury (NSI) is one of the most potential occupational hazards for healthcare workers because of the transmission of blood-borne pathogens. As per recent data, around 30 lakh healthcare workers s... Purpose: Needle-stick injury (NSI) is one of the most potential occupational hazards for healthcare workers because of the transmission of blood-borne pathogens. As per recent data, around 30 lakh healthcare workers sustain Needle stick injuries each year. This study was conducted to assess healthcare workers’ knowledge, attitude and practices regarding needle stick injury. Materials & Methods: A cross-sectional study was conducted in a Tertiary Care Hospital over the period of 3 months. The study population consisted of Intern Doctors, Post Graduate resident Doctors, Staff Nurses, laboratory technicians of Government Medical College and New Civil Hospital, Surat (n = 300). The data were collected using a self-administered questionnaire via the means of Google Forms. Questionnaire was made with prior review literature. The data obtained were entered and analysed in Microsoft Excel. Results: The prevalence of NSI in our study was 46%, with a higher prevalence among the PG residents (72%). Overall scores regarding knowledge and attitude were better in PG residents (knowledge score > 7 in 71% and Attitude Score > 7 in 68% of PG Residents). Even though the PG residents scored highest in the knowledge category, the majority of them suffered needle stick injuries as a result of poor practice scores. Among those who had NSI (n = 139/300), 70% of study participants had superficial injuries, only 9% reported the incident, 18% got medical attention within 2 hours of the incident, and 7% followed up to recheck their viral markers status. Most incidents of NSI were due to hypodermic needles while recapping needles. Conclusion: Exposure to needle stick injuries and their underreporting remains a common problem. It is imperative that healthcare workers receive regular training on the proper handling of sharp objects. We can also draw the conclusion that preventing NSIs requires putting knowledge into practice. 展开更多
关键词 Needle Stick Injury KNOWLEDGE ATTITUDE Practice Healthcare workers
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《广西植物》被国际知名数据库ICI World of Journals和ICI Journals Master List收录
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《广西植物》 CAS CSCD 北大核心 2024年第3期F0002-F0002,共1页
日前,《广西植物》正式被波兰《哥白尼索引》(IC)旗下的两个知名数据库哥白尼索引期刊数据库(ICI World of Journals)和哥白尼索引精选数据库(ICI Journals Master List)全文收录,这是该期刊继被瑞典知名数据库(DOAJ)成功收录后的又一... 日前,《广西植物》正式被波兰《哥白尼索引》(IC)旗下的两个知名数据库哥白尼索引期刊数据库(ICI World of Journals)和哥白尼索引精选数据库(ICI Journals Master List)全文收录,这是该期刊继被瑞典知名数据库(DOAJ)成功收录后的又一大喜讯。 展开更多
关键词 数据库 World master ICI of 哥白尼
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Prevalence and Factors Associated with Violence among Primary and Secondary School Workers in Ouagadougou, Burkina Faso
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作者 Marthe Sandrine Sanon Lompo Issa Traoré +5 位作者 Yannick Wilfried Boenzemwende Ninkéma Guiegui-Kouamé Chimène Pulcherie Constant Gouba Adama François Ouédraogo Souka Gaston Kaboré Arouna Ouédraogo 《Occupational Diseases and Environmental Medicine》 2024年第3期225-241,共17页
Introduction: Violence is a major problem in today’s workplace. It affects workers in all sectors of activity. The aim of the study was to determine the prevalence and factors associated with violence among primary a... Introduction: Violence is a major problem in today’s workplace. It affects workers in all sectors of activity. The aim of the study was to determine the prevalence and factors associated with violence among primary and secondary school staff in Ouagadougou. Materials and Methods: This was a cross-sectional, descriptive and analytical study that took place from April 22, 2020 to February 18, 2021 in primary and secondary schools in Ouagadougou. It focused on the educational staff of these establishments. Results: A total of 362 agents took part in the study. The average age of participants was 36.5 ± 6.89 years. The sex ratio was 1.62 men to one woman. The majority of workers were teachers, with 300 participants (82.87%). The average job tenure was 7 years ± 6.91 years. With regard to violence in the workplace, 87 workers were victims, representing a prevalence of 24.03%. Of these workers, 59 (67.81%) were men and 36 (41.38%) had less than six years’ experience. Acts of violence were predominantly pushing observed in 15 workers (50%), while shouting and aggressive tone dominated psychological violence and concerned 54 cases (36.24%). On univariate analysis, the factors associated with violence were age (p = 0.046) and type of establishment (p = 0.012). On multivariate analysis, only the nature of the establishment was the only factor associated with the occurrence of violence among teaching staff (OR = 2.3690, p = 0.0213). Conclusion: The prevalence of violence is high in these educational establishments. Age and type of establishment are factors associated with its occurrence. It is therefore necessary to develop an effective strategy for preventing this risk in the workplace. 展开更多
关键词 VIOLENCE PREVALENCE FACTORS workers OUAGADOUGOU
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Construction Activity Analysis of Workers Based on Human Posture Estimation Information
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作者 Xuhong Zhou Shuai Li +2 位作者 Jiepeng Liu Zhou Wu Yohchia Frank Chen 《Engineering》 SCIE EI CAS CSCD 2024年第2期225-236,共12页
Identifying workers’construction activities or behaviors can enable managers to better monitor labor efficiency and construction progress.However,current activity analysis methods for construction workers rely solely... Identifying workers’construction activities or behaviors can enable managers to better monitor labor efficiency and construction progress.However,current activity analysis methods for construction workers rely solely on manual observations and recordings,which consumes considerable time and has high labor costs.Researchers have focused on monitoring on-site construction activities of workers.However,when multiple workers are working together,current research cannot accu rately and automatically identify the construction activity.This research proposes a deep learning framework for the automated analysis of the construction activities of multiple workers.In this framework,multiple deep neural network models are designed and used to complete worker key point extraction,worker tracking,and worker construction activity analysis.The designed framework was tested at an actual construction site,and activity recognition for multiple workers was performed,indicating the feasibility of the framework for the automated monitoring of work efficiency. 展开更多
关键词 Pose estimation Activity analysis Object tracking Construction workers Automatic systems
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Pattern of Eye Diseases among Tea Workers
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作者 Rifat Binth Rezayee Md. Showkat Kabir +4 位作者 Mohammed Moinul Hoque Nirupam Chowdhury Mohammad Shish Rahman Nawreen Binte Anwar Shah-Noor Hassan 《Open Journal of Ophthalmology》 2024年第2期117-127,共11页
Background: Bangladesh’s tea industry is essential to the country’s economic expansion. Since tea workers in Bangladesh are marginalized within our community, they have limited access to comprehensive eye care servi... Background: Bangladesh’s tea industry is essential to the country’s economic expansion. Since tea workers in Bangladesh are marginalized within our community, they have limited access to comprehensive eye care services. Productivity and well-being are cornerstones of comprehensive health care strategy. Ocular disorders are influenced by life expectancy, sociodemographic status, and the epidemiological transition. In this context, the state of ocular health and the many eye illnesses remain to be significantly addressed. Purpose: To evaluate the pattern of eye diseases among tea workers in a tea estate of Bangladesh. Methods: This cross-sectional observational study was carried out in Halda Valley Tea Estate, Nazirhat, Fatickchari, Chattogram, Bangladesh, under the supervision of the Department of Community Ophthalmology, BSMMU, following ethical clearance and approval by the IRB board of BSMMU. With informed written consent and approval from the authority of the tea estate, a total of 110 tea workers were recruited. Socio-demographic characteristics, ocular findings, and patterns of eye diseases were determined and recorded. Results: The mean age of the study participants was 39.60 ± 11.63 years. The maximum (58.1%) study participants were 31 - 50 years old, female (64.5%), illiterate (82.7%), and tribal (71.8%) indigenes. Eye diseases were found in 94.5% of workers. Presbyopia (28.2%), cataracts (27.3%), and refractive error (26.4%) were the most common. Tea workers with eye diseases were significantly older than those who did not have any eye diseases (40.20 ± 11.57 vs. 29.17 ± 7.31 years, p Conclusion: A significant number of tea workers had eye diseases, of which presbyopia, cataracts, and refractive error were the most common. 展开更多
关键词 Tea workers Eye Diseases PRESBYOPIA CATARACT Refractive Errors
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Prevalence and Factors Associated with Low Back Pain among Healthcare Workers in Two Hospitals in Yaoundé-Cameroon: A Cross-Sectional Study
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作者 Brian Gweha Ahmadou Musa Jingi +2 位作者 Baudelaire Fojo Talongong Claude Tayou Madeleine Singwé-Ngandeu 《Open Journal of Rheumatology and Autoimmune Diseases》 2024年第3期89-107,共19页
Background: Low back pain (LBP) is a very common health problem amongst the general population and a major cause of disability that affects work performance and well-being. Healthcare workers (HCWs) are especially at ... Background: Low back pain (LBP) is a very common health problem amongst the general population and a major cause of disability that affects work performance and well-being. Healthcare workers (HCWs) are especially at risk of developing LBP because of physical and emotional factors. Little is known about the burden of LBP in Cameroon. Objective: To determine the prevalence of low back pain and identify its associated factors among healthcare workers. Methods: A cross-sectional study using a self-administered questionnaire was conducted among healthcare workers in the Yaound Central Hospital and the Yaound University Teaching Hospital. The questionnaire collected data regarding recent, past year and lifetime occurrences of LBP, socio-demographics and work conditions. Data were analysed using IBM Statistical Package for Social Sciences (SPSS) version 26. Results: A total number of 268 HCWs participated in the study, including 197 (73.5%) females and 71 (26.5%) males. The mean age of the study participants was 40.60 8.38 years (extremes of 20 and 65 years). The lifetime, annual, and point prevalences of LBP among the participants were 67.5% (CI: 61.6 - 73.1), 61.5% (CI: 55.6 - 67.1) and 35.7% (CI: 29.7 - 41.5) respectively. Multivariate analysis confirmed a moderate stress level, a sedentary lifestyle, working in the medicine and specialities department, lifting heavy objects and bending to work as associated factors to LBP. Most sufferers had a minimal functional disability (65.7%) while 34.3% had a moderate to severe disability. Conclusions: Healthcare providers have a considerably high prevalence of low back pain. Factors associated with LBP found in this study were similar to those widely recognized in the literature. A substantial proportion of healthcare providers are suffering from functional disability associated with low back pain, affecting their social and work lives. There is a need for multilevel interventions to prevent and control low back pain in this highly vulnerable occupational group. 展开更多
关键词 PREVALENCE Associated Factors Low Back Pain Healthcare workers Yaoundé
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IOL Master 700与Tomey OA⁃2000测量4~12岁儿童眼球生物学参数的对比研究
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作者 孟丽珠 邓胜果 +3 位作者 崔海龙 邢青 闫永红 高洁 《临床眼科杂志》 2024年第5期407-411,共5页
目的研究应用IOL Master 700与Tomey OA⁃2000测量4~12岁儿童眼球生物学参数的异同,分析两种仪器在学龄(前)儿童屈光发育建档中检测结果是否具有一致性。方法前瞻性病例对照研究。选取我院2021年9月屈光发育建档的4~12岁学龄(前)儿童共16... 目的研究应用IOL Master 700与Tomey OA⁃2000测量4~12岁儿童眼球生物学参数的异同,分析两种仪器在学龄(前)儿童屈光发育建档中检测结果是否具有一致性。方法前瞻性病例对照研究。选取我院2021年9月屈光发育建档的4~12岁学龄(前)儿童共163例(326只眼),分别采用IOL Master 700和Tomey OA⁃2000进行眼球生物学参数测量,获得眼轴长度(AL)、中央角膜厚度(CCT)、中央前房深度(ACD)、晶状体厚度(LT)、角膜平坦曲率(Kf)、角膜陡峭曲率(Ks)、角膜横径(WTW)、瞳孔直径(P),采用配对t检验、Pearson相关性分析、Bland⁃Altman法对两组数据进行比较。结果IOL Master 700和Tomey OA⁃2000两种设备对AL、CCT、ACD、LT、Kf、Ks检出率均为100%;WTW的检出率:IOL Master 700为99.40%,Tomey OA⁃2000为98.79%;P检出率IOL Master 700为100%,Tomey OA⁃2000为98.79%。IOL Master 700和Tomey OA⁃2000对AL、CCT、ACD、LT、Kf、Ks、WTW、P测量的平均差值分别为:(-0.0059±0.1322)mm、(12.374±7.195)μm、(-0.017±0.076)mm、(-0.075±0.078)mm、(-0.043±0.249)D、(-0.055±0.417)D、(-0.016±0.580)mm、(0.081±1.010)mm(t=-0.809,31.053,-3.947,-17.185,-3.106,-2.367,-0.501,-1.457;P=0.419,0.001,0.001,0.001,0.002,0.019,0.617,0.146)。Pearson相关性分析显示:IOL Master 700与Tomey OA⁃2000在AL、CCT、ACD、LT、Kf、Ks的测量中具有较高的相关性:r=0.992、0.976、0.958、0.930、0.984、0.963,WTW和P中等相关:r=0.435、0.445(均P<0.001)。采用Bland⁃Altman法对两种设备测量的眼球生物学参数进行一致性分析,结果显示两种设备检测的眼球生物学参数在95%LoA内一致性均良好,尤其是AL值。结论IOL Master 700与Tomey OA⁃2000用于儿童青少年眼球生物学参数测量平均差值不具有临床意义,两组数据具有较高的一致性;尤其是AL值,应用于大规模学龄儿童屈光发育筛查建档及近视防控效果随访时,检查结果具有一致性。筛查时两台设备可同时进行,以提高筛查效率。 展开更多
关键词 IOL master 700 Tomey OA⁃2000眼轴 眼球生物学参数 屈光发育
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Prevalence of Gender-Based Violence among Sex Workers in Bangui, Central African Republic (CAR)
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作者 D. Mossoro-Kpinde Hermione S. C. Diemer Henri +2 位作者 R. Tende Nzengou Richard S. Siki Francis J. D. D. Tekpa Bertrand 《Advances in Sexual Medicine》 2024年第2期13-20,共8页
Background: Violence against women has become an international public health and human rights issue in recent decades. The violence suffered by sex workers is of little interest for research, yet it constitutes a majo... Background: Violence against women has become an international public health and human rights issue in recent decades. The violence suffered by sex workers is of little interest for research, yet it constitutes a major health and safety problem. We propose to assess the extent of the phenomenon of gender-based violence (GBV) among sex workers (SWs) in the city of Bangui in the CAR. Methodology: This is a descriptive cross-sectional epidemiological study covering the period from July to October 2021 carried out among SWs in Bangui, the capital of the CAR. Given that the SWs association had only 159 members in Bangui, an exhaustive sampling was retained. Were included in the study, any SW present during the data collection period and having given their written consent. The parameters studied were socio-demographic characteristics: age, sex, residence, level of education, marital status, and characteristics linked to violence: the notion of violence during their professional activity, the type of violence, the declaration and the declaration if necessary, the response and management of this violence. The data collected was analyzed using Epi info version 7 software. Results: Of the 159 SWs that counted the association, 108 had been included. The average age was 27.0 years with extremes of 14 and 46 years. The age groups of 25 to 34 years were the most represented (43.5%). Fifty-six SWs (51.9%) had reached the secondary level. Unemployed SWs were in the majority at 74.1%;Sixty-six (66) SWs in our sample (61.1%) had already been victims of violence during the exercise of their activity Sexual violence was the most represented (28.5%) followed by verbal violence (22.4%). Sixty-eight (62.9%) wanted to stop the professional activity of SWs and 93.1% would accept another income-generating activity in place of sex work. Conclusion: It is necessary to supervise SWs and protect them within the framework of respect for human rights, rather than criminalizing them and the exploiters flouting their human dignity and putting their lives in danger. . 展开更多
关键词 Female Sex workers Gender-Based Violence Central African Republic
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Influence of the continuing COVID-19 epidemic on sleep quality and psychological status of healthcare workers in private institutions
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作者 Man-In Ho Zhe-Hao Wu +11 位作者 Yu-Ying Chen Weng-Io Leong Jue Wang Hua Zhou Zi-Tuo Wu Ying-Qi Mao Jia-An Du Yi Zheng Yi Yu Paulo Do Lago Comandante Li-Li Yu Qi-Biao Wu 《World Journal of Psychiatry》 SCIE 2024年第10期1495-1505,共11页
BACKGROUND On January 22,2020,Macao reported its first case of coronavirus disease 2019(COVID-19)infection.By August 2021,the situation had escalated into a crisis of community transmission.In response,the government ... BACKGROUND On January 22,2020,Macao reported its first case of coronavirus disease 2019(COVID-19)infection.By August 2021,the situation had escalated into a crisis of community transmission.In response,the government launched a recruitment campaign seeking assistance and services of healthcare workers(HCWs)from the private sector throughout Macao.These participants faced concerns about their own health and that of their families,as well as the responsibility of maintaining public health and wellness.This study aims to determine whether the ongoing epidemic has caused them physical and psychological distress.AIM To examine the influence of COVID-19 on the sleep quality and psychological status of HCWs in private institutions in Macao during the pandemic.METHODS Data were collected from December 2020 to January 2022.Two consecutive surveys were conducted.The Pittsburgh Sleep Quality Index(PSQI)scale,Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)were employed as investigation tools.RESULTS In the first-stage survey,32%of HCWs experienced a sleep disorder,compared to 28.45%in the second-stage survey.A total of 31.25%of HCWs in the first-stage survey and 28.03%in the second had varying degrees of anxiety.A total of 50.00%of HCWs in the first-stage survey and 50.63%in the second experienced varying degrees of depression.No difference in PSQI scores,SAS scores,or SDS scores were observed between the two surveys,indicating that the COVID-19 epidemic influenced the sleep quality and psychological status of HCWs.The negative influence persisted over both periods but did not increase remarkably for more than a year.However,a positive correlation was observed between the PSQI,SAS,and SDS scores(r=0.428-0.775,P<0.01),indicating that when one of these states deteriorated,the other two tended to deteriorate as well.CONCLUSION The sleep quality,anxiety,and depression of HCWs in private institution in Macao were affected by the COVID-19 epidemic.While these factors did not deteriorate significantly,the negative effects persisted for a year and remained noteworthy. 展开更多
关键词 COVID-19 Healthcare workers Sleep quality ANXIETY DEPRESSION Psychological status
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Mc Master模式家庭干预在肝母细胞瘤新生儿中的应用
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作者 张静雯 袁嘉艺 姚婉婉 《癌症进展》 2024年第18期2031-2035,共5页
目的探讨Mc Master模式家庭干预在肝母细胞瘤(HB)新生儿中的应用效果。方法将20例HB新生儿依据干预方式的不同分为对照组(n=9)和观察组(n=11),对照组接受常规护理干预,观察组接受Mc Master模式家庭干预。比较两组家庭功能[家庭功能评定... 目的探讨Mc Master模式家庭干预在肝母细胞瘤(HB)新生儿中的应用效果。方法将20例HB新生儿依据干预方式的不同分为对照组(n=9)和观察组(n=11),对照组接受常规护理干预,观察组接受Mc Master模式家庭干预。比较两组家庭功能[家庭功能评定量表(FAD)]、家属应对方式[简易应对方式问卷(SCSQ)]、亲职压力[亲职压力指数简表(PSI-SF)]、患儿每日哭闹次数和哭闹持续时间。结果干预后,两组FAD、SCSQ消极应对维度评分均下降,SCSQ积极应对维度评分均升高,且观察组FAD、SCSQ消极应对维度评分均低于对照组,SCSQ积极应对维度评分高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组亲职愁苦、困难儿童、亲子互动失调评分及总分均较干预前下降,且观察组亲职愁苦、困难儿童、亲子互动失调评分及总分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患儿每日哭闹次数均减少,哭闹持续时间均缩短,且观察组患儿每日哭闹次数少于对照组,哭闹持续时间短于对照组,差异均有统计学意义(P﹤0.05)。结论Mc Master模式家庭干预应用于HB患儿中,能够提高家庭功能,降低亲职压力水平,促使家长采用积极应对方式,减少患儿哭闹,具有一定应用价值。 展开更多
关键词 肝母细胞瘤 新生儿 Mc master模式家庭干预 家庭功能
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Multi-Objective Optimization of Multi-Product Parallel Disassembly Line Balancing Problem Considering Multi-Skilled Workers Using a Discrete Chemical Reaction Optimization Algorithm
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作者 Xiwang Guo Liangbo Zhou +4 位作者 Zhiwei Zhang Liang Qi Jiacun Wang Shujin Qin Jinrui Cao 《Computers, Materials & Continua》 SCIE EI 2024年第9期4475-4496,共22页
This work investigates a multi-product parallel disassembly line balancing problem considering multi-skilled workers.A mathematical model for the parallel disassembly line is established to achieve maximized disassemb... This work investigates a multi-product parallel disassembly line balancing problem considering multi-skilled workers.A mathematical model for the parallel disassembly line is established to achieve maximized disassembly profit and minimized workstation cycle time.Based on a product’s AND/OR graph,matrices for task-skill,worker-skill,precedence relationships,and disassembly correlations are developed.A multi-objective discrete chemical reaction optimization algorithm is designed.To enhance solution diversity,improvements are made to four reactions:decomposition,synthesis,intermolecular ineffective collision,and wall invalid collision reaction,completing the evolution of molecular individuals.The established model and improved algorithm are applied to ball pen,flashlight,washing machine,and radio combinations,respectively.Introducing a Collaborative Resource Allocation(CRA)strategy based on a Decomposition-Based Multi-Objective Evolutionary Algorithm,the experimental results are compared with four classical algorithms:MOEA/D,MOEAD-CRA,Non-dominated Sorting Genetic Algorithm Ⅱ(NSGA-Ⅱ),and Non-dominated Sorting Genetic Algorithm Ⅲ(NSGA-Ⅲ).This validates the feasibility and superiority of the proposed algorithm in parallel disassembly production lines. 展开更多
关键词 Parallel disassembly line balancing problem MULTI-PRODUCT multiskilled workers discrete chemical reaction optimization algorithm
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Assessing healthcare workers’knowledge and confidence in the diagnosis,management and prevention of Monkeypox
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作者 Epipode Ntawuyamara Thierry Ingabire +3 位作者 Innocent Yandemye Polycarpe Ndayikeza Bina Bhandari Yan-Hua Liang 《World Journal of Clinical Cases》 SCIE 2025年第1期38-47,共10页
BACKGROUND Monkeypox(Mpox),is a disease of global public health concern,as it does not affect only countries in western and central Africa.AIM To assess Burundi healthcare workers(HCWs)s’level of knowledge and confid... BACKGROUND Monkeypox(Mpox),is a disease of global public health concern,as it does not affect only countries in western and central Africa.AIM To assess Burundi healthcare workers(HCWs)s’level of knowledge and confidence in the diagnosis and management of Mpox.METHODS We conducted a cross-sectional study via an online survey designed mainly from the World Health Organization course distributed among Burundi HCWs from June-July 2023.The questionnaire comprises 8 socioprofessional-related questions,22 questions about Mpox disease knowledge,and 3 questions to assess confidence in Mpox diagnosis and management.The data were analyzed via SPSS software version 25.0.A P value<0.05 was considered to indicate statistical significance.RESULTS The study sample comprised 471 HCWs who were mainly medical doctors(63.9%)and nurses(30.1%).None of the 22 questions concerning Mpox knowledge had at least 50%correct responses.A very low number of HCWs(17.4%)knew that Mpox has a vaccine.The confidence level to diagnose(21.20%),treat(18.00%)or prevent(23.30%)Mpox was low among HCWs.The confidence level in the diagnosis of Mpox was associated with the HCWs’age(P value=0.009),sex(P value<0.001),work experience(P value=0.002),and residence(P value<0.001).The confidence level to treat Mpox was significantly associated with the HCWs’age(P value=0.050),sex(P value<0.001),education(P value=0.033)and occupation(P value=0.005).The confidence level to prevent Mpox was associated with the HCWs’education(P value<0.001),work experience(P value=0.002),residence(P value<0.001)and type of work institution(P value=0.003).CONCLUSION This study revealed that HCWs have the lowest level of knowledge regarding Mpox and a lack of confidence in the ability to diagnose,treat or prevent it.There is an urgent need to organize continuing medical education programs on Mpox epidemiology and preparedness for Burundi HCWs.We encourage future researchers to assess potential hesitancy toward Mpox vaccination and its associated factors. 展开更多
关键词 MONKEYPOX Public health emergency of international concern Healthcare workers EPIDEMIC PREPAREDNESS KNOWLEDGE CONFIDENCE
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Epidemiological Profile of Men Who Have Sex with Men: First Data about Male Sex Workers in Central African Republic (CAR)
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作者 Hermione Dahlia Mossoro-Kpinde Balekouzou Augustin +1 位作者 Paola Julienne Demba Henri Saint Calvaire Diemer 《Advances in Sexual Medicine》 2024年第1期1-11,共11页
Objectives: Sex work is not well documented among African men. The aim of this study was to describe the epidemiological profile of men who have sex with men (MSM) and eventually to determine the proportion of sex wor... Objectives: Sex work is not well documented among African men. The aim of this study was to describe the epidemiological profile of men who have sex with men (MSM) and eventually to determine the proportion of sex workers (SW) among them, as well as the proportion of MSM who have been victims of gender-based violence (GBV). Material and Methods: A cross-sectional study coordinated by the Direction de la Médecine du Travail was carried out at the headquarters of the association ALTERNATIVES in Bangui Bangui from July 1 to October 31, 2021. Consenting MSM present during the study period were systematically included. Sociodemographic variables, those relating to the future vision of the activity and to GBV were collected and analyzed using Epi-Info version 7 software. Results: Forty MSM with an average age of 23 years and mainly secondary education (75.0%) were included. The vast majority of MSM were unemployed (85.0%). 45.0% had been victims of GBV and wanted to stop working as an MSM (47.5%), and almost 2/3 (65.0%) would accept another income-generating activity in exchange for the MSM. Violence was sexual (32.5%), economic (22.5%), physical (20.0%), verbal (12.5%) and psychological (12.5%). Conclusion: The MSM were mainly young, poorly educated, unemployed, and almost half were victims of GBV. The desire to change MSM activity to another income-generating activity alongside that of MSM shows that many of them are SW, workers in the informal sector. This must be taken into account in prevention activities, even if the data needs to be confirmed on a much larger sample. 展开更多
关键词 Men Who Have Sex with Men Sex workers Gender-Based Violence Informal Sector Central Africa
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Study on Influencing Factors of Mental Health of Mobile Young White-Collar Workers in China
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作者 Tao Liu Lin Liu +1 位作者 Zeyu Chen Rong Fu 《International Journal of Mental Health Promotion》 2024年第2期127-138,共12页
Mobile young white-collar workers not only have the characteristics of mobile young people,but also have the characteristics of general white-collar workers.Under the influence of both,their mental health may be suffe... Mobile young white-collar workers not only have the characteristics of mobile young people,but also have the characteristics of general white-collar workers.Under the influence of both,their mental health may be suffering from“double disadvantage”.So,based on an ecological model of the stress process,this paper tries to use the data of the questionnaire on the mental health of mobile young white-collar workers in Zhejiang Province to explore the influence of some factors in the middle workplace and residence place on the mental health of micro individuals.The results show that:(1)The working environment with high control and low freedom and the workplace discrimination against the mobile status will have a negative impact on the mental health of mobile young white-collar workers;(2)Financial anxiety in daily life will lead to a decline in the mental health level of mobile young white-collar workers;(3)Good organizational support and neighborhood social relations can significantly relieve life pressure,so as to effectively improve the mental health of mobile young white-collar workers.It can be seen that we also need to pay more attention to the mental health of mobile young white-collar workers in order to improve their situation. 展开更多
关键词 Mobile population young white-collar workers mental health ecological model stress process
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Violence study of healthcare workers and systems in the Caribbean:ViSHWaS-Caribbean study
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作者 Reshon Hadmon Daniella Myriam Pierre +12 位作者 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 《World Journal of Methodology》 2024年第3期106-118,共13页
BACKGROUND Violence against healthcare workers(HCWs)in the Caribbean continues to prevail yet remains underreported.Our aim is to determine the cause,traits,and consequences of violence on HCWs in the Caribbean.AIM To... BACKGROUND Violence against healthcare workers(HCWs)in the Caribbean continues to prevail yet remains underreported.Our aim is to determine the cause,traits,and consequences of violence on HCWs in the Caribbean.AIM To determine the cause,traits,and consequences of violence on HCWs in the Caribbean.METHODS 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,etc.Logistic regression analysis was performed to evaluate the variables that influence violence,including gender,age,years of experience,institution type,and night shift frequency.RESULTS The survey was completed by 225 HCWs.Females comprised 61%.Over 51%of respondents belonged to the 21 to 35 age group.Dominica(n=61),Haiti(n=50),and Grenada(n=31)had the most responses.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 respondents.About 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 violence.Nearly 63%of respondents identified patients or their relatives as the most frequent aggressors.Univariate 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 violence.More than 50%of HCWs felt less motivated and had decreased job satisfaction post-violent conduct.CONCLUSION A large proportion of HCWS in the Caribbean are exposed to violence,yet the phenomenon remains underreported.As a result,HCWs’job satisfaction has diminished. 展开更多
关键词 ViSHWaS Healthcare workers VIOLENCE SURVEY Workplace violence Caribbean Cross-sectional study
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