The Relationship of Occupational Health Nurses’ Experiences with Associated Departments in Relation to Project Development of Mental Health Care for Primary Preventive Treatment

Purpose: The purpose of this study was to clarify the relationship and experiences of occupational health nurses (OHNs) and related departments in project development of mental health care for primary treatment in the Japanese occupational health setting. Method: A total of 235 OHNs who are members of the Japan Academy of Occupational Health Nursing were sent an anonymous self-administered questionnaire survey. The questionnaire included items on the following: the OHN’s background, whether the OHN had experience in project development, the communication between the associated departments, the Japanese version of the Work Engagement Scale (UWES-J), occupational assessments, workplace assessments, and the Transtheoretical Model (TTM) for health promotion in companies and the OHN’s working environment. We performed logistic regression analysis to examine the relationship between experience and these harmonious relationships with other associated departments. Result: Responses from 61 OHNs (valid response rate: 25.9%) were analyzed. The mean number of years of service as an OHN was 18.9, and 82% of respondents had experience in project development. The logistic analysis further revealed that OHNs who had experience in project development of mental health care usually had a harmonious relationship with other associated departments. Conclusion: To promote mental health care for workers, OHNs have the capability to create individual and workplace assessments, enhance their work engagement, and make further improvements to their working environment. .

Health Providers’ Points of View on the Impact of the Project to Strengthen the Expanded Program of Routine Vaccination from 2014 to 2018 in the Barumbu Health Zone in Kinshasa, Democratic Republic of Congo

According to the World Health Organization, approximately 3 million deaths are prevented each year in the world thanks to vaccination and then, in addition, each year, it makes it possible to avoid nearly 750,000 children suffering from serious physical, mental or neurological handicaps and 1.5 million other deaths could be avoided if the vaccination coverage is improved. However, vaccination coverage is often not achieved due to various difficulties encountered by health providers in the expanded program on vaccination activities. Yet, it is important to strengthen the program. This research paper aimed to assess health providers’ points of view on the impact of the project to strengthen the routine expanded program on vaccination in the Barumbu health zone in Kinshasa, Democratic Republic of Congo (RDC). To do so, we surveyed a convenience sample of 234 health providers involved in the implementation of the project, including 210 community relays, 9 permanent nurses, 9 health committee chairpersons and 6 health authorities. A questionnaire related to the objective of the research was submitted to them. After analyzing the data, we found that the points of view of health providers are negative. The performance of the vaccination program was not great. Several reasons were given for this, including the non-involvement of the political and administrative authorities, the failure to respect the funds disbursement circuit and the non-effective financing of vaccination activities in the Barumbu health zone in Kinshasa, DRC.

Perceived ill-health and health seeking behavior in two communities in the nam theun 2 hydroelectric project area in Lao Peoples Democratic Republic

Objective:To compare perceived ill-health and health seeking behavior between two communities affected by the large Nam Theun 2 hydroelectric project in central Lao People’s Democratic Republic(PDR).Methods: Two different affected areas;Nakai plateaubeing remote,sparcely populated and mountainous,and Xe Bang Fai lowland plains,more densely populated and comparatively affluent were included.Data were obtained from two cross-sectional household-based health and socio-economic surveys.Results:We found pronounced differences in the frequency of self-reported fever,cough,headache and myalgia according to location.On the Nakai plateau,45.1%of the individuals with ill-health report(recall period;2 weeks) went to a local health volunteer compared to only 7.2%in the Xe Bang Fai area(P 【 0.001 ).In Nakai,there were disproportionately more illiterates seeking help from local health volunteers when compared to those who attended at least primary schooling(49.2%versus 17.5%,P 【0.01 ).Self-medication with antimalarials was more common in Xe Bang Fai than on Nakai(32.3%versus 7.0%,P 【 0.001).The mean amount of money spent per health consultation was US $ 1.7 in Nakai and US $ 7.2 in Xe Bang Fai.Conclusion:The observed differences in self-reported ill-health and health seeking behavior among these two Lao communities need to be considered when implementing setting-specific mitigation measures as part of the public health action plan of the Nam Theun 2 hydroelectric project.

中国海洋渔业生态系统健康评价及动态演进

本文基于生态系统健康的基本逻辑与科学内涵构建评价指标体系,评价2008—2021年中国沿海11个省、市和自治区的海洋渔业生态系统健康及各要素层水平,借助传统与空间Kernel密度估计方法分析中国海洋渔业生态系统健康水平的分布动态演进和长期转移趋势。研究发现:在动态演化特征方面,中国海洋渔业生态系统健康水平随时间的推移提升效果显著,其内部各地区海洋渔业生态健康水平的绝对差异呈上升趋势,且极化现象存在加剧趋势。从各要素层分布曲线来看,海洋渔业生态系统活力的下滑制约了海洋渔业生态系统健康水平的提升;海洋渔业生态系统弹性的变化拉动了海洋渔业生态系统健康水平的不断攀升。在长期转移趋势方面,不考虑空间因素条件下,沿海各地区海洋渔业生态系统健康水平具有较强的稳定性与连续性,在3年的时间跨度内实现跨越式等级跃迁的可能性较小,且存在向低水平和高水平“俱乐部收敛”的可能性。考虑空间因素条件下,中国海洋渔业生态系统健康水平在空间动态条件下的演进趋势呈现“断层”现象。处于1.2~1.4临界级与良好级的相邻地区间存在趋同性,而处于0.6以下风险级与1.4以上良好级的地区不易与相邻地区发生空间关联作用。

Projecting Health Outcomes for Portuguese Ageing Population: Challenges and Opportunities

Objectives: To project health outcomes for the period 2011-2031, in the Portuguese population aged 65 years and over, considering the expected changes in its demographic and educational structure. Methods: Demographic projections were produced using the multistate cohort component method. Logistic regression models were fitted to estimate current differences in health outcomes, using data from the Portuguese Health Survey. Such differences were applied to the projection results, in order to project the prevalence of “poor” self-reported health status, functional limitations and disability. Results: Our results point to a future improvement in the considered health outcomes. The prevalence of “poor” self-reported health status, functional limitations and disability will decrease in both genders, but will continue to be higher among women than men. Discussion: Beyond age and gender, other determinants of health, like education, should be considered when studying the possible evolution of health outcomes in an ageing population.

2011—2022年我国妇幼保健机构申请和获得国家自然科学基金项目资助情况分析

目的 分析2011—2022年我国妇幼保健机构申请和获得国家自然科学基金(National Natural Science Foundation of China,NSFC)项目资助情况,为妇幼保健机构科研能力建设提供参考。方法 运用NSFC大数据知识管理服务平台和全国妇幼保健机构监测数据,分析NSFC项目申请、获资助、负责人等基本情况,比较获资助和未获资助机构在人力资源和承担科研课题项目上的差异性。结果 2011—2022年我国35家妇幼保健机构作为NSFC依托单位共申请项目861项,获资助率为10.57%;青年科学基金、面上项目、地区科学基金为主要申请和获资助类型,获资助率分别为7.27%、5.34%和15.21%,存在类别间和地区间差异。55.8%的项目负责人在首次获资助前参与过NSFC项目,且78.13%为高等院校牵头项目;项目负责人中,高级职称占58.25%、博士研究生学历占62.64%;获资助机构承担或独立承担科研课题项目数多于未获资助机构,差异有统计学意义(P <0.05)。结论 我国妇幼保健机构科研能力仍相对薄弱,人才储备和科研基础是项目申请成功的有利因素,妇幼保健机构应加强科研人才的引进与培养,以需求为牵引,关注政策导向,聚焦学术前沿,注重学科交叉,增强合作,推动科研创新能力提升,助力妇幼保健机构可持续、高质量地发展。

心理健康教育与服务:拔尖创新人才培养的根基工程

心理健康教育与服务并重,并逐渐从心理健康教育走向心理健康服务,这是时代发展的需要。通过对心理健康教育与服务和拔尖创新人才培养两者关系的梳理与分析,表明积极的心理健康品质可以为拔尖创新人才的创造力培养提供前提与保障,而他们富有创造力的活动也会促进自身心理健康的发展。这两者的辨证关系,再次证明在学校实施心理健康教育、加强心理健康服务及其体系建设的重要价值。积极稳妥地推进中国特色的学校心理健康教育与服务体系建设,需要编制中国特色本土化的心理健康评价工具,开发学校心理健康课程与教育资源,加强学校心理辅导与心理咨询室建设,进一步完善学校危机预防与干预服务系统,切实把心理健康教育与服务作为拔尖创新人才培养的根基工程,把拔尖创新人才培养作为实施心理健康教育与服务的制高点,为实施心理健康教育与服务、拔尖创新型人才培养的国家战略提供新理念和新路径。

某三甲医院继续医学教育项目管理实践探索

继续医学教育是保障医务工作者持续学习、终身学习的重要方法,同时也是优质医疗教育资源下沉的重要途径。随着继教项目逐年增多,如何高效做好项目管理,提高继教培训质量显得尤为重要。笔者通过概述中国医学科学院阜外医院在继续教育项目中采用“智慧+”方法,从项目申报、项目评审、项目通知、项目举办、学分发放、师资培训、考核评价7项措施提高继续医学教育项目质量,并提出了改进“智慧+”继续医学教育项目管理工作建议。

基于博弈论原理的PP-AHP权重优化模型在河流健康评价中的应用

为了解决传统层次分析法在指标权重赋值中主观意识影响过大导致河流健康评价结果具有较强主观随意性的问题,本文利用客观性较强的投影寻踪法来改进层次分析法,综合考虑主客观影响,通过博弈论原理对指标权重进行优化,并运用优化模型权重对扬州市城区三条城市河流进行了丰枯期健康评价。结果表明:优化后的权重能综合主、客观权重的特点,使评价结果更加合理;在进行权重优化的过程中,得到最优加权系数分别为0.5435、0.4565。为了简化权重处理步骤,同时选取0.5、0.5作为加权系数进行等权处理,该处理对评价结果影响较小,可为今后河流建康评价中的主客观权重耦合提供一定的参考。

中枢性闭经患者代谢性指标的相关关系研究

目的探讨中枢性闭经患者代谢性指标异常的发生率,代谢异常指标和高同型半胱氨酸血症(HHcy)、糖代谢异常的相关关系。方法回顾性分析2021年12月1日至2022年6月1日太原市妇幼保健院生殖内分泌科门诊中枢性闭经患者60例为研究对象,同期检查的健康妇女60名,年龄14~40岁。进行血压测量、人体成分分析,并测定甲状腺功能、同型半胱氨酸(Hcy)、尿酸、肝功能、肾功能、血脂以及糖耐量试验和胰岛素释放试验。比较分析60例中枢性闭经患者代谢性指标异常的发生率,同时代谢性指标与Hcy及糖代谢具有相关性。结果中枢性闭经组患者与健康对照组相比,HHcy(87%与57%)、糖代谢异常(93%与50%)、总胆固醇(30%与13%)、三酰甘油(37%与8%)及高密度脂蛋白胆固醇(40%与17%)异常的发生率明显升高,差异有统计学意义(P<0.05);在中枢性闭经与多种因素的相关关系分析中,表明中枢性闭经的危险因素为糖代谢异常的发生、HHcy及高三酰甘油血症。结论中枢性闭经患者是HHcy、糖代谢异常及高脂血症发生的高危人群,建议对于中枢性闭经的患者要常规行Hcy、糖代谢及血脂等代谢性指标的检查,对指导综合治疗有重要意义。

The Public Nutrition Improvement Oligo + Project

The OLIGO+ Project has been launched by PNDC last year further to the observation that the micro-ecology imbalance status in China is responsible for sub-health.Taking the challenge to improve the public health and nutrition,OLIGO+ Project is aiming to raise the issue of micro ecology imbalance to a public level and advocate the addition of Oligo prebiotics in food by food industry.Consumption of prebiotics ingredient will then promote micro-ecological balance and public health.After this first year of successful implementation,OLIGO+ Project will keep the same ambitious objectives for 2009.The soluble fibers,mostly resistant to digestion in the small intestine and largely fermented in the colon demonstrating prebiotic effects have also been included in the OLIGO+ Project.

Evolution trend of the water quality in Dongping Lake after South-North Water Transfer Project in China

To investigate the evolution trend of water quality in Dongping Lake after South-North Water Transfer Project operation as well as to ensure the safe usage of the water receiving areas, water samples were collected and determined before and after water delivery in different hydrological seasons. Then, comprehensive pollution index method, comprehensive nutrition state index method and health risk assessment model were utilized to evaluate the quality, nutrition, and health risk of Dongping Lake water. Results showed that the quality of Dongping Lake water still met level Ⅲ (light pollution) no matter before or after water delivery. The nutrition state was improved from light eutropher before water delivery to mesotropher after water delivery. The health risk level was reduced from high-medium before water delivery to medium level after water delivery. In summary, the operation of the eastern route of South-North Water Transfer Project is beneficial for water environment improvement of Dongping Lake.

黄冈职业技术学院服务武穴市乡村振兴实践初探——基于黄冈武穴市“一秀农场”旅游康养项目实践

实现乡村振兴是农村实现中国式现代化必须解决的时代课题。本文就职业技术学院校服务黄冈市农村农业发展实际,基于服务武穴市“一秀农场”旅游康养项目的实践探索,对其成功尝试进行剖析,对“一秀农场”取得的环保生态效益、产业经济效益和良好社会效益进行研究和总结,对其今后的发展提出改进建议。

农村饮水安全工程的健康绩效评估——基于多期双重差分方法的检验

农村饮水安全工程作为脱贫攻坚“两不愁三保障”的重要工程,是解决农村居民饮水难的关键民生政策。基于2011、2013、2015、2018年中国150个县的450个村和社区的面板数据,利用多期双重差分方法评估了农村饮水安全工程对居民健康状况的影响,并结合匹配和双重差分方法进行了进一步的稳健性检验。实证分析的结论表明:(1)中国农村饮水安全工程能够显著地改善农村居民的总体健康水平和身体机能,缓解居民的精神抑郁和躯体疼痛;(2)进一步的异质性分析发现农村饮水安全工程对女性居民的健康改善作用高于男性,尤其能够显著地缓解女性的躯体疼痛;(3)农村饮水安全工程对家庭经济条件好的居民具有显著的改善作用,对家庭经济条件差的居民则没有显著的改善作用。该研究能够为农村饮水安全工程的进一步完善提供政策参考。

耕地生态保育工程的土壤健康度评价方法初探

目前国内外学者对耕地土壤健康的研究主要以分析县域层次上的农田/设施菜田地块的土壤健康评估,缺乏以耕地保育工程为主体的土壤健康评价,对耕地保育工程为主体的研究仍处于初步探索阶段。为探究不同耕地保育措施类型对农田土壤健康的影响,以在崇明区实施的3种耕地生态保育工程农田土壤为研究对象,构建了包含土壤环境、土壤养分和土壤生物3个一级指标,土壤酸碱度、土壤重金属、土壤有机质、土壤氮磷钾、土壤微生物和土壤动物等6个二级指标,以及17个三级指标的土壤健康度评价指标体系,开展土壤健康度评价。结果表明:两无化工程土壤重金属含量明显低于对照点,除Zn外其他7项重金属比对照点下降了0.830—0.951倍,其中Cd、Cr含量显著低于对照水田土壤(P<0.05);蚯蚓工程土壤As含量均值为8.660 mg·kg^(−1),显著低于生物菌肥及两无化工程(P<0.05)。所有点位土壤中速效钾肥力最高,平均值为216.137 mg·kg^(−1),达到一级水平,而有效磷和全氮均为二级水平;生物菌肥工程土壤氮磷钾含量均为最高,均值分别达到83.104、223.218和1.614 mg·kg^(−1);两无化工程土壤有机质含量均值最高,达到24.85 g·kg^(−1)。生物菌肥工程土壤放线菌密度最大,为3.328×10^(8)ind·g^(−1),显著高于两无化、蚯蚓工程(P<0.05)。蚯蚓和两无化工程土壤蚯蚓密度分别是对照的2.853倍和1.231倍。两无化工程土壤健康度指数最高,达0.843;其次是蚯蚓工程,为0.834;生物菌肥工程最低,三者均为亚健康状态。3种耕地生态保育工程土壤健康度等级由不健康提升为亚健康,影响健康度的最主要指标为土壤养分。崇明生态岛农田土壤健康度提升应重点着眼于提升土壤养分水平。

中医药健康项目管理在公共卫生服务中的价值分析

目的:研究分析公共卫生服务中中医药健康项目管理的应用价值及作用。方法:2022年6月-2022年12月,门诊就诊消化内科患反流性胃炎患者随机选择200例,奇偶数分配,对照组行常规用药,实验组行中医药健康项目管理,分析作用。结果:疾病诊疗情况,诊疗开展后,实验组疾病康复率较高(P<0.05),相比对照组,复诊次数实验组略低(P<0.05),疾病诊疗时长、疾病治疗费用等,均以实验组数据较低(P<0.05)。结论:公共卫生服务中,中医药健康项目管理的开展,有助于增进患者疾病康复率,缩短其疾病诊疗时长、降低其疾病治疗费用,有积极影响。

临床医学社区公共卫生项目学习影响因素分析

为探索临床医学专业本科生开展社区公共卫生项目学习的影响因素及改进途径,文章设计了学生参与项目的积极性和持续性问卷,访谈了参与的师生,梳理出该项目学习的影响因素。结果显示,临床医学专业本科生开展社区公共卫生项目学习的参与度评价为(3.87±0.10),处于中上水平,但经历1年的项目学习后,仅27%的学生表示会继续该研究项目。“学生良好的自主学习能力”和“获得学分和考试的学业压力”对项目开展具有促进作用;“样本量难以达标”和“导师给予指导有限”对项目开展具有阻碍作用。这提示教学主管部门通过提升学生内在学习动机和改善外部支撑条件来推动社区公共卫生项目学习的有效开展,促进学生对公共卫生知识的内化和科研素养的培养。

基于改进云相似度量度方法的大坝综合健康诊断

针对大坝健康综合诊断中普遍存在的信息以及诊断结果不确定性表征的复杂性等问题,从云模型的包络特性出发,通过分别计算两云模型的内外包络曲线的重叠面积占比为基准进行改进,取其均值作为云相似度的量度,提出基于包络曲线的云相似度算法(OECCM).该算法克服了一般云相似度算法的复杂程度高、区分度低、计算结果不稳定等问题,考虑了云模型特性和综合评价区间约束等问题,具有良好的敏感性、有效性、合理性,以及结果的区分性,可对大坝综合健康诊断提供有效技术支持.