Global health & medicine最新文献_第10页

Perceptions of protective shoes and recommendations from patients with diabetic foot ulcers. 糖尿病足溃疡患者对防护鞋的看法和建议。

IF 2.6

Global health & medicine Pub Date : 2023-10-31 DOI: 10.35772/ghm.2023.01029

Yiru Wang, Qing Cai, Jiaojiao Bai, Yue Ming, Wen Qin

{"title":"Perceptions of protective shoes and recommendations from patients with diabetic foot ulcers.","authors":"Yiru Wang, Qing Cai, Jiaojiao Bai, Yue Ming, Wen Qin","doi":"10.35772/ghm.2023.01029","DOIUrl":"https://doi.org/10.35772/ghm.2023.01029","url":null,"abstract":"Development of diabetic foot can cause serious harm to a patient's body and pose a heavy burden on family members and society. Protective shoes are of great significance to preventing diabetic foot. The aim of the current study was to understand patients' views and suggestions concerning the selection and promotion of protective shoes for diabetics in order to explore existing obstacles and to provide a reference for improving relevant public health care policies and clinical decision-making for patients with diabetic foot ulcers (DFUs). A total of 10 patients with DFUs were recruited. All participants completed a one-hour semi-structured interview, and results reflected the participants' choice of footwear, the patients' perceptions and acceptance of protective footwear, and factors influencing those processes. The use and promotion of protective shoes in China requires greater support, including improved medical insurance policies, promotion of multidisciplinary cooperation between medicine and industry in clinical practice, and better health education.","PeriodicalId":12556,"journal":{"name":"Global health & medicine","volume":"5 5","pages":"306-310"},"PeriodicalIF":2.6,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71422734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Low fertility and fertility policies in the Asia-Pacific region. 亚太地区的低生育率和生育政策。

IF 2.6

Global health & medicine Pub Date : 2023-10-31 DOI: 10.35772/ghm.2023.01058

Victoria Boydell, Rintaro Mori, Sadequa Shahrook, Stuart Gietel-Basten

{"title":"Low fertility and fertility policies in the Asia-Pacific region.","authors":"Victoria Boydell, Rintaro Mori, Sadequa Shahrook, Stuart Gietel-Basten","doi":"10.35772/ghm.2023.01058","DOIUrl":"https://doi.org/10.35772/ghm.2023.01058","url":null,"abstract":"Declining fertility is an increasing global trend. In many low fertility contexts, people are having fewer children then they want, and these unfulfilled fertility desires have been associated with wider socio-economic changes in education and labour force participation and conflicting and often contradictory expectations of women at home and at work. The right to determine if, when and how one has children is enshrined in international law yet many policies responses to low fertility fail to meet these standards. This paper summarizes why people in the Asia-Pacific region are having fewer children than they desire, and the range of policy responses, particularly those that make life easier for working parents. This raises two important points. First, we need to contend to the gender dynamics that underpin this in the region, despite gradual changes in women's roles, they are still seen as \"caregivers\" and undertake a disproportionate amount of unpaid care work, often having to lean-out of their employment, and/or face gender discrimination in the workplace. Second, the \"emergency\" of low fertility arises from complex social and economic conditions that cannot be solved by population policies solely focused on making babies.","PeriodicalId":12556,"journal":{"name":"Global health & medicine","volume":"5 5","pages":"271-277"},"PeriodicalIF":2.6,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71422733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of the project on enhancement of teaching skills in gerontic nursing practice of Indonesian nursing lecturer and clinical nurse preceptor. 项目对印尼护理讲师和临床护理导师提高老年护理实践教学技能的影响。

IF 2.6

Global health & medicine Pub Date : 2023-10-31 DOI: 10.35772/ghm.2023.01046

Kyoko Sudo, Shigeaki Watanuki, Hikaru Matsuoka, Eriko Otake, Yumiko Yatomi, Namiko Nagaoka, Keiko Iino

{"title":"Effects of the project on enhancement of teaching skills in gerontic nursing practice of Indonesian nursing lecturer and clinical nurse preceptor.","authors":"Kyoko Sudo, Shigeaki Watanuki, Hikaru Matsuoka, Eriko Otake, Yumiko Yatomi, Namiko Nagaoka, Keiko Iino","doi":"10.35772/ghm.2023.01046","DOIUrl":"https://doi.org/10.35772/ghm.2023.01046","url":null,"abstract":"The Indonesia health care services require knowledgeable and skilled nurses as professional service providers, especially in a gerontic nursing area. Moreover, widening the gap between academic and clinical practice is also an issue, which affects the care service quality. In these circumstances, the project to enhance the educational skills of nursing lecturers and clinical nurse preceptors in gerontic nursing practice was started in 2020. Japanese nursing education experts provided guidance on the principle theory of nursing practice in basic nursing education and conducted workshops to develop nursing practice materials for 10 Indonesian trainees. The project provided 3 webinars for more than 100 Indonesian nursing lecturers and preceptors each time, 18 workshops and developed 2 virtual reality (VR) materials, 8 supervisions of the trial class and 5 lectures onsite and online. This study aimed to clarify the effects of the project evaluated in the process and its impact using a questionnaire survey and interviews conducted. The results of the questionnaire survey for students showed that 20% of their knowledge and skills in gerontic nursing, increased and the extent of understanding and satisfaction was high. Lecurers and preceptors perceived improvement in their teaching skills, especially in theoretical thinking and evidence-based teaching methods. Notably, \"the evaluation from others\" would be a facilitating factor of the project. The project effects were clarified and achieved the goal and objectives of the project.","PeriodicalId":12556,"journal":{"name":"Global health & medicine","volume":"5 5","pages":"285-293"},"PeriodicalIF":2.6,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71422730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Promoting healthy ageing in the Western Pacific: A mini review of good practices and policy responses. 促进西太平洋健康老龄化：对良好做法和政策对策的小型审查。

IF 1.9

Global health & medicine Pub Date : 2023-10-31 DOI: 10.35772/ghm.2023.01005

Wenqian Xu, Siwon Lee, Hiromasa Okayasu

引用次数: 0

Advanced age - a critical risk factor for recurrent miscarriage. 高龄——反复流产的关键风险因素。

IF 2.6

Global health & medicine Pub Date : 2023-10-31 DOI: 10.35772/ghm.2023.01066

Hongmei Sun, Youhui Lu, Qing Qi, Meiling Li, Jing Zhou, Jing Wang, Jing Lin, Liwen Cao, Yan Du, Lisha Li, Ling Wang

引用次数: 0

Assessment of skeletal muscle using deep learning on low-dose CT images. 在低剂量CT图像上使用深度学习评估骨骼肌。

IF 2.6

Global health & medicine Pub Date : 2023-10-31 DOI: 10.35772/ghm.2023.01050

Yumi Matsushita, Tetsuji Yokoyama, Tomoyuki Noguchi, Toru Nakagawa

{"title":"Assessment of skeletal muscle using deep learning on low-dose CT images.","authors":"Yumi Matsushita, Tetsuji Yokoyama, Tomoyuki Noguchi, Toru Nakagawa","doi":"10.35772/ghm.2023.01050","DOIUrl":"https://doi.org/10.35772/ghm.2023.01050","url":null,"abstract":"The visceral fat area obtained by computed tomography (CT) at the navel level is clinically used as an indicator of visceral fat obesity in Japan. Analysis of skeletal muscle mass using CT images at the navel level may potentially support concurrent assessment of sarcopenia and sarcopenic obesity. The purpose of this study was to assess the performance of deep learning models (DLMs) for skeletal muscle mass measurement using low-dose abdominal CT. The primary dataset used in this study included 11,494 low-dose abdominal CT images at navel level acquired in 7,370 subjects for metabolic syndrome screening. The publicly available Cancer Imaging Archive (TCIA) dataset, including 5,801 abdominal CT images, was used as a complementary dataset. For abdominal CT image segmentation, we used the SegU-net DLM with different filter size and hierarchical depth. The segmentation accuracy was assessed by measuring the dice similarity coefficient (DSC), cross-sectional area (CSA) error, and Bland-Altman plots. The proposed DLM achieved a DSC of 0.992 ± 0.012, a CSA error of 0.41 ± 1.89%, and a Bland-Altman percent difference of -0.1 ± 3.8%. The proposed DLM was able to automatically segment skeletal muscle mass measurements from low-dose abdominal CT with high accuracy.","PeriodicalId":12556,"journal":{"name":"Global health & medicine","volume":"5 5","pages":"278-284"},"PeriodicalIF":2.6,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71432292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ageing and shrinking population: The looming demographic challenges of super-aged and super-low fertility society starting from Asia. 老龄化和人口萎缩：从亚洲开始的超老龄化和超低生育率社会迫在眉睫的人口挑战。

IF 1.9

Global health & medicine Pub Date : 2023-10-31 DOI: 10.35772/ghm.2023.01057

Hiroki Nakatani

{"title":"Ageing and shrinking population: The looming demographic challenges of super-aged and super-low fertility society starting from Asia.","authors":"Hiroki Nakatani","doi":"10.35772/ghm.2023.01057","DOIUrl":"10.35772/ghm.2023.01057","url":null,"abstract":"The world is generally getting more prosperous and healthier, and people live longer. Japan, with the world's most advanced population ageing, has made various efforts over the past half-century to prepare for the ageing society. Globally, many countries observe today's rapid demographic changes accompanied by low birth rate and start acknowledging population shrinkage as a looming challenge beyond that of population ageing. The world will face dual challenges of population ageing and shrinkage, but these two issues have been considered in isolation. In addition, the progression differs from region to region and country to country, preventing policymakers from taking a future-back approach to address the core challenges. This issue of Global Health & Medicine carries two valuable articles on population ageing and related policies reported by staff members of the WHO Western Pacific Regional Office (WPRO) and the United Nations Population Fund (UNFPA). This paper will consider the importance of ageing and low fertility rate (declining birthrate) as global issues by placing the WHO and UNFPA articles in a broader context. Population ageing and shrinkage overlap and significantly impact society through health issues. Still, the impact on countries, regions, and the world will become obvious with a time lag. Therefore, this paper advocates analyzing and critically reviewing the experience of countries in which demographic changes are already well advanced, and sharing them with the world. This will contribute significantly to those regions and countries that will walk the same path in the future.","PeriodicalId":12556,"journal":{"name":"Global health & medicine","volume":"5 5","pages":"257-263"},"PeriodicalIF":1.9,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71422728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lessons from the "Humanization of Childbirth" Projects: Qualitative analysis of seven projects funded by the Japan International Cooperation Agency. “生育人性化”项目的经验教训：对日本国际协力机构资助的七个项目的定性分析。

IF 1.9

Global health & medicine Pub Date : 2023-10-31 DOI: 10.35772/ghm.2023.01054

Emi Tahara-Sasagawa, Keiji Mochida, Toru Sadamori, Miho Suzuki, Carmina Guerrero, Megumi Haruna, Chizuru Misago

{"title":"Lessons from the \"Humanization of Childbirth\" Projects: Qualitative analysis of seven projects funded by the Japan International Cooperation Agency.","authors":"Emi Tahara-Sasagawa, Keiji Mochida, Toru Sadamori, Miho Suzuki, Carmina Guerrero, Megumi Haruna, Chizuru Misago","doi":"10.35772/ghm.2023.01054","DOIUrl":"10.35772/ghm.2023.01054","url":null,"abstract":"The \"Humanization of Childbirth\" Project is one of the various maternity care models that respect women and their newborn children. For more than a quarter of a century, the Japan International Cooperation Agency (JICA) has been implementing technical cooperation projects worldwide that place the humanization of childbirth at the center of the concept. By reviewing the project reports, the following 11 key processes were found for the formulation and implementation of future projects for the humanized maternity care: i) project-finding/exploration of unmet needs, ii) identification of local key persons, iii) organization of a project team and a back-up committee, iv) development of an action plan, v) sharing of concepts, vi) development of local leadership, vii) organization of infrastructure, viii) final evaluation and wrap-up seminar, ix) ensuring sustainability, x) development of younger generation experts, and xi) sustainable and autonomous action.","PeriodicalId":12556,"journal":{"name":"Global health & medicine","volume":"5 5","pages":"301-305"},"PeriodicalIF":1.9,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71422732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Four decades of continuing innovations in the development of antiretroviral therapy for HIV/AIDS: Progress to date and future challenges. 四十年来在开发艾滋病毒/艾滋病抗逆转录病毒疗法方面不断创新：迄今取得的进展和未来的挑战。

IF 2.6

Global health & medicine Pub Date : 2023-08-31 DOI: 10.35772/ghm.2023.01013

Arun K Ghosh

{"title":"Four decades of continuing innovations in the development of antiretroviral therapy for HIV/AIDS: Progress to date and future challenges.","authors":"Arun K Ghosh","doi":"10.35772/ghm.2023.01013","DOIUrl":"10.35772/ghm.2023.01013","url":null,"abstract":"The treatment of HIV-1 infection and AIDS represents one of the greatest challenges in medicine. While there is no cure for HIV/AIDS, truly remarkable progress has been made for treatment of HIV/AIDS patients today. The advent of combination antiretroviral therapy (cART) in the mid-1990s dramatically improved HIV-1 related morbidity, greatly prolonged life expectancy, and delayed progression of AIDS. Due to current antiretroviral therapy, the mortality rate for HIV infected patients is closely approaching the mortality rate for the general population. The long-term success of HIV-AIDS treatment requires continued enhancement of cART with further development of novel drugs that would exhibit fewer side effects, higher genetic barrier to the development of resistance, and longer action with durable virologic suppression. This editorial article provides a quick review of four decades of intense drug development research efforts targeting various viral enzymes and cellular host factors leading to the evolution of today's treatment of patients with HIV-1 infection and AIDS. It also touches on challenges of future treatment options.","PeriodicalId":12556,"journal":{"name":"Global health & medicine","volume":"5 4","pages":"194-198"},"PeriodicalIF":2.6,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461327/pdf/ghm-5-4-194.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10510500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Construction of a risk index system for the prediction of chronic post-surgical pain after video-assisted thoracic surgery for lung resection: A modified Delphi study. 构建预测胸腔镜肺切除术后慢性术后疼痛的风险指标体系:修正德尔菲研究

IF 2.6

Global health & medicine Pub Date : 2023-08-31 DOI: 10.35772/ghm.2023.01061

Zhimin Guo, Fei Zhong, Haihua Shu

{"title":"Construction of a risk index system for the prediction of chronic post-surgical pain after video-assisted thoracic surgery for lung resection: A modified Delphi study.","authors":"Zhimin Guo, Fei Zhong, Haihua Shu","doi":"10.35772/ghm.2023.01061","DOIUrl":"https://doi.org/10.35772/ghm.2023.01061","url":null,"abstract":"In the present study, several research methods were adopted, including literature retrieval, theoretical analysis, and qualitative research, and then the draft of the prognostic factors for the chronic post-surgical pain (CPSP) index system after video-assisted thoracoscopic surgery (VATS) for lung resection was constructed. A Delphi survey was used for the study of 24 experts in the field of pain from three different grade-A tertiary hospitals in Guangzhou, China. In the two rounds of survey, the experts rated these indicators for the importance and feasibility of measurement (round 1, n = 21 participants; round 2, n = 20). Finally, we calculated Kendall's W index as a measure of consensus. A general consensus was reached on predicting CPSP after VATS, consisting of 10 first-level domains and 64 second-level indicators, involving biological, psychological and social perspectives. This study provides a comprehensive draft of risk factors developed and identified by experts to inform research-based evidence on chronic pain. Increased clinical awareness and a full understanding of how to screen and identify people with CPSP problems may lead to earlier recognition of chronic pain and greater facilitation of professional prevention.","PeriodicalId":12556,"journal":{"name":"Global health & medicine","volume":"5 4","pages":"229-237"},"PeriodicalIF":2.6,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461330/pdf/ghm-5-4-229.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10137214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0