Background: Preventing anterior cruciate ligament(ACL) injuries is important to avoid long-term adverse health consequences. Identifying barriers to implementation of these prevention programs is crucial to reducing t...Background: Preventing anterior cruciate ligament(ACL) injuries is important to avoid long-term adverse health consequences. Identifying barriers to implementation of these prevention programs is crucial to reducing the incidence of these injuries. Our purpose was to identify barriers of implementation for ACL injury prevention programs and suggest mechanisms for reducing the barriers through application of a SocioEcological Model(SEM).Methods: Studies investigating ACL prevention program effectiveness were searched in Medline via PubMed and the Cochrane Library, and a subsequent review of the references of the identified articles, yielded 15 articles total. Inclusion criteria encompassed prospective controlled trials, published in English, with ACL injuries as the primary outcome. Studies were independently appraised by 2 reviewers for methodological quality using the PEDro scale. Barriers to implementation were identified when reported in at least 2 separate studies. A SEM was used to suggest ways to reduce the identified barriers.Results: Five barriers were identified: motivation, time requirements, skill requirements for program facilitators, compliance, and cost. The SEM suggested ways to minimize the barriers at all levels of the model from the individual through policy levels.Conclusion: Identification of barriers to program implementation and suggesting how to reduce them through the SEM is a critical first step toward enabling ACL prevention programs to be more effective and ultimately reducing the incidence of these injuries.展开更多
The coronavirus disease 2019(COVID-19)and concerns about several other pandemics in the 21st century have attracted extensive global attention.These emerging infectious diseases threaten global public health and raise...The coronavirus disease 2019(COVID-19)and concerns about several other pandemics in the 21st century have attracted extensive global attention.These emerging infectious diseases threaten global public health and raise urgent studies on unraveling the underlying mechanisms of their transmission from animals to humans.Although numerous works have intensively discussed the cross-species and endemic barriers to the occurrence and spread of emerging infectious diseases,both types of barriers play synergistic roles in wildlife habitats.Thus far,there is still a lack of a complete understanding of viral diffusion,migration,and transmission in ecosystems from a macro perspective.In this review,we conceptualize the ecological barrier that represents the combined effects of cross-species and endemic barriers for either the natural or intermediate hosts of viruses.We comprehensively discuss the key influential factors affecting the ecological barrier against viral transmission from virus hosts in their natural habitats into human society,including transmission routes,contact probability,contact frequency,and viral characteristics.Considering the significant impacts of human activities and global industrialization on the strength of the ecological barrier,ecological barrier deterioration driven by human activities is critically analyzed for potential mechanisms.Global climate change can trigger and expand the range of emerging infectious diseases,and human disturbances promote higher contact frequency and greater transmission possibility.In addition,globalization drives more transmission routes and produces new high-risk regions in city areas.This review aims to provide a new concept for and comprehensive evidence of the ecological barrier blocking the transmission and spread of emerging infectious diseases.It also offers new insights into potential strategies to protect the ecological barrier and reduce the wide-ranging risks of emerging infectious diseases to public health.展开更多
研究以渤海湾为生态系统服务需求区,以渤海湾滨海地区为生态系统服务供给区,从生态系统服务供需的视角,以水资源、水环境、水生态为问题与目标维度构建了渤海湾滨海地区生态安全屏障功能评价体系。根据渤海湾生态问题,截污净化、产水量...研究以渤海湾为生态系统服务需求区,以渤海湾滨海地区为生态系统服务供给区,从生态系统服务供需的视角,以水资源、水环境、水生态为问题与目标维度构建了渤海湾滨海地区生态安全屏障功能评价体系。根据渤海湾生态问题,截污净化、产水量和生境质量3类指标被筛选为生态安全屏障功能的关键指标,并分别使用生态系统服务和权衡的综合评估模型(Integrated Valuation of Ecosystem Services and Trade-offs,InVEST)模型中的营养物迁移模型、产水量模型和生境质量模型进行评价。此外,对2000—2020年渤海湾滨海地区土地利用格局和截污净化、产水量、生境质量3类生态安全屏障功能指标的时空变化进行评价,并分析了生态安全屏障功能时空演变的驱动因素。研究的主要结果如下:(1)在20 a间渤海湾滨海地区,耕地、未利用地面积减少而建设用地和湿地面积增加,氮磷截留率和产水量增加,但生境质量下降。(2)渤海湾滨海地区综合生态安全屏障功能供给良好,但近年来呈下降趋势。(3)人类活动引起的土地利用变化是影响渤海湾滨海地区生态安全屏障功能时空演变的主要驱动力。研究对渤海湾滨海地区生态安全屏障功能评价方法及结果不仅可指导本区域生态建设,同时对其他区域的生态安全屏障功能评价具有借鉴意义。展开更多
文摘Background: Preventing anterior cruciate ligament(ACL) injuries is important to avoid long-term adverse health consequences. Identifying barriers to implementation of these prevention programs is crucial to reducing the incidence of these injuries. Our purpose was to identify barriers of implementation for ACL injury prevention programs and suggest mechanisms for reducing the barriers through application of a SocioEcological Model(SEM).Methods: Studies investigating ACL prevention program effectiveness were searched in Medline via PubMed and the Cochrane Library, and a subsequent review of the references of the identified articles, yielded 15 articles total. Inclusion criteria encompassed prospective controlled trials, published in English, with ACL injuries as the primary outcome. Studies were independently appraised by 2 reviewers for methodological quality using the PEDro scale. Barriers to implementation were identified when reported in at least 2 separate studies. A SEM was used to suggest ways to reduce the identified barriers.Results: Five barriers were identified: motivation, time requirements, skill requirements for program facilitators, compliance, and cost. The SEM suggested ways to minimize the barriers at all levels of the model from the individual through policy levels.Conclusion: Identification of barriers to program implementation and suggesting how to reduce them through the SEM is a critical first step toward enabling ACL prevention programs to be more effective and ultimately reducing the incidence of these injuries.
基金the Major Program of National Natural Science Foundation of China(52091543)the Chinese Academy of Engineering(2020-ZD15)for the financial support of this work。
文摘The coronavirus disease 2019(COVID-19)and concerns about several other pandemics in the 21st century have attracted extensive global attention.These emerging infectious diseases threaten global public health and raise urgent studies on unraveling the underlying mechanisms of their transmission from animals to humans.Although numerous works have intensively discussed the cross-species and endemic barriers to the occurrence and spread of emerging infectious diseases,both types of barriers play synergistic roles in wildlife habitats.Thus far,there is still a lack of a complete understanding of viral diffusion,migration,and transmission in ecosystems from a macro perspective.In this review,we conceptualize the ecological barrier that represents the combined effects of cross-species and endemic barriers for either the natural or intermediate hosts of viruses.We comprehensively discuss the key influential factors affecting the ecological barrier against viral transmission from virus hosts in their natural habitats into human society,including transmission routes,contact probability,contact frequency,and viral characteristics.Considering the significant impacts of human activities and global industrialization on the strength of the ecological barrier,ecological barrier deterioration driven by human activities is critically analyzed for potential mechanisms.Global climate change can trigger and expand the range of emerging infectious diseases,and human disturbances promote higher contact frequency and greater transmission possibility.In addition,globalization drives more transmission routes and produces new high-risk regions in city areas.This review aims to provide a new concept for and comprehensive evidence of the ecological barrier blocking the transmission and spread of emerging infectious diseases.It also offers new insights into potential strategies to protect the ecological barrier and reduce the wide-ranging risks of emerging infectious diseases to public health.
文摘研究以渤海湾为生态系统服务需求区,以渤海湾滨海地区为生态系统服务供给区,从生态系统服务供需的视角,以水资源、水环境、水生态为问题与目标维度构建了渤海湾滨海地区生态安全屏障功能评价体系。根据渤海湾生态问题,截污净化、产水量和生境质量3类指标被筛选为生态安全屏障功能的关键指标,并分别使用生态系统服务和权衡的综合评估模型(Integrated Valuation of Ecosystem Services and Trade-offs,InVEST)模型中的营养物迁移模型、产水量模型和生境质量模型进行评价。此外,对2000—2020年渤海湾滨海地区土地利用格局和截污净化、产水量、生境质量3类生态安全屏障功能指标的时空变化进行评价,并分析了生态安全屏障功能时空演变的驱动因素。研究的主要结果如下:(1)在20 a间渤海湾滨海地区,耕地、未利用地面积减少而建设用地和湿地面积增加,氮磷截留率和产水量增加,但生境质量下降。(2)渤海湾滨海地区综合生态安全屏障功能供给良好,但近年来呈下降趋势。(3)人类活动引起的土地利用变化是影响渤海湾滨海地区生态安全屏障功能时空演变的主要驱动力。研究对渤海湾滨海地区生态安全屏障功能评价方法及结果不仅可指导本区域生态建设,同时对其他区域的生态安全屏障功能评价具有借鉴意义。
