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1.
Zhejiang Da Xue Xue Bao Yi Xue Ban ; 49(5): 614-617, 2020 Oct 25.
Artigo em Chinês | MEDLINE | ID: mdl-33210489

RESUMO

OBJECTIVE: To evaluate the effect of standardized health education on the sputum specimen collection rate for nucleic acid detection of coronavirus disease 2019 (COVID-19). METHODS: Two hundred and twenty-seven patients in fever clinics and isolation wards of Sir Run Run Shaw Hospital of Zhejiang University and 307 migrant workers returning to 5 enterprises in Shanghai from February 3 to March 14, 2020 were enrolled in the study. Through clarifying the procedures of collecting sputum specimens, making graphic/video health education materials, standardizing the contents and methods of health education, we conducted education to the subjects. The subject expectorated spontaneously or with medical assistance. For patients, the number of sampling attempts and sputum acquisition times were documented before and after the implementation of the standardized expectoration method; for the returning migrant employees in the enterprises, only the number of collected samples after the implementation of the standardized expectoration method were recorded. RESULTS: A total of 378 sputum samples were collected from 227 patients. The sputum sampling rates before and after the implementation of health education were 40.9%and 58.4%, respectively (P<0.01). A total of 304 sputum samples were obtained from 307 enterprise returnees, with a sample collection rate of 99.0%. CONCLUSIONS: The education for standardized sputum sample collection method can effectively increase the sputum collection rate.


Assuntos
Infecções por Coronavirus , Técnicas de Amplificação de Ácido Nucleico , Pandemias , Pneumonia Viral , Manejo de Espécimes , Escarro , Betacoronavirus/genética , China , Infecções por Coronavirus/diagnóstico , Eficiência , Humanos , Técnicas de Amplificação de Ácido Nucleico/métodos , Pneumonia Viral/diagnóstico , Manejo de Espécimes/métodos , Fatores de Tempo
2.
Biomedica ; 40(Supl. 2): 104-115, 2020 10 30.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-33152194

RESUMO

Introduction: The propagation of COVID-19, an infectious disease caused by the novel SARS-CoV-2 coronavirus, has become a pandemic which, along with its rapid dissemination worldwide, has brought about an exponential increase in the amount of research related to the subject to which Latin American researchers have contributed actively. Objective: To conduct a descriptive bibliometric study of the main trends in research on COVID-19 produced in Latin America. Materials and methods: We searched in the Web of Science, Scopus, and Pubmed databases to retrieve the Latin American scientific production on COVID-19. Bibliometric indicators of production, visibility, impact, and collaboration were analyzed to assess the regional participation in studies on the subject. Results: The analysis of 142 documents evidenced an exponential growth of scientific production in the period analyzed, an important level of international collaboration (51.4%) in scientific production, and the leadership of regional institutions (71%) in the research with publications in high-visibility jounals especially in Colombia, Brazil, and México. Conclusions: The results regarding the regional participation in the research on COVID-19 were relevant not only in relation to its quantity and exponential growth during the period analyzed but also in terms of its quality and excellence with a high rate of international collaboration and publications in important scientific journals, which besides their visibility, represent a considerable contribution to the research compared to the other geographical contexts.


Assuntos
Bibliometria , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Academias e Institutos/estatística & dados numéricos , Autoria , Betacoronavirus , Bases de Dados Bibliográficas , Eficiência , Humanos , Internacionalidade , América Latina , Liderança , Publicações Periódicas como Assunto/estatística & dados numéricos
4.
J Neurointerv Surg ; 12(11): 1049-1052, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32998982

RESUMO

BACKGROUND: Academic physicians aim to provide clinical and surgical care to their patients while actively contributing to a growing body of scientific literature. The coronavirus disease 2019 (COVID-19) pandemic has resulted in procedural-based specialties across the United States witnessing a sharp decline in their clinical volume and surgical cases. OBJECTIVE: To assess the impact of COVID-19 on neurosurgical, stroke neurology, and neurointerventional academic productivity. METHODS: The study compared the neurosurgical, stroke neurology, and neurointerventional academic output during the pandemic lockdown with the same time period in previous years. Editors from a sample of neurosurgical, stroke neurology, and neurointerventional journals provided the total number of original manuscript submissions, broken down by months, from the year 2016 to 2020. Manuscript submission was used as a surrogate metric for academic productivity. RESULTS: 8 journals were represented. The aggregated data from all eight journals as a whole showed that a combined average increase of 42.3% was observed on original submissions for 2020. As the average yearly percent increase using the 2016-2019 data for each journal exhibited a combined average increase of 11.2%, the rise in the yearly increase for 2020 in comparison was nearly fourfold. For the same journals in the same time period, the average percent of COVID-19 related publications from January to June of 2020 was 6.87%. CONCLUSION: There was a momentous increase in the number of original submissions for the year 2020, and its effects were uniformly experienced across all of our represented journals.


Assuntos
Infecções por Coronavirus , Eficiência , Neurologia/estatística & dados numéricos , Neurocirurgia/estatística & dados numéricos , Pandemias , Pneumonia Viral , Pesquisa/estatística & dados numéricos , Acidente Vascular Cerebral/fisiopatologia , Acidente Vascular Cerebral/cirurgia , Universidades/estatística & dados numéricos , Humanos , Neurocirurgia/tendências , Publicações Periódicas como Assunto , Editoração , Quarentena/estatística & dados numéricos , Pesquisa/tendências , Universidades/tendências
6.
Artigo em Inglês | MEDLINE | ID: mdl-32867133

RESUMO

OBJECTIVE: The outbreak of infectious diseases has a negative influence on public health and the economy. The prediction of infectious diseases can effectively control large-scale outbreaks and reduce transmission of epidemics in rapid response to serious public health events. Therefore, experts and scholars are increasingly concerned with the prediction of infectious diseases. However, a knowledge mapping analysis of literature regarding the prediction of infectious diseases using rigorous bibliometric tools, which are supposed to offer further knowledge structure and distribution, has been conducted infrequently. Therefore, we implement a bibliometric analysis about the prediction of infectious diseases to objectively analyze the current status and research hotspots, in order to provide a reference for related researchers. METHODS: We viewed "infectious disease*" and "prediction" or "forecasting" as search theme in the core collection of Web of Science from inception to 1 May 2020. We used two effective bibliometric tools, i.e., CiteSpace (Drexel University, Philadelphia, PA, USA) and VOSviewer (Leiden University, Leiden, The Netherlands) to objectively analyze the data of the prediction of infectious disease domain based on related publications, which can be downloaded from the core collection of Web of Science. Then, the leading publications of the prediction of infectious diseases were identified to detect the historical progress based on collaboration analysis, co-citation analysis, and co-occurrence analysis. RESULTS: 1880 documents that met the inclusion criteria were extracted from Web of Science in this study. The number of documents exhibited a growing trend, which can be expressed an increasing number of experts and scholars paying attention to the field year by year. These publications were published in 427 different journals with 11 different document types, and the most frequently studied types were articles 1618 (83%). In addition, as the most productive country, the United States has provided a lot of scientific research achievements in the field of infectious diseases. CONCLUSION: Our study provides a systematic and objective view of the field, which can be useful for readers to evaluate the characteristics of publications involving the prediction of infectious diseases and for policymakers to take timely scientific responses.


Assuntos
Bibliometria , Doenças Transmissíveis , Surtos de Doenças , Publicações , Doenças Transmissíveis/epidemiologia , Eficiência , Previsões , Humanos , Países Baixos , Philadelphia
8.
Lima; Perú. Ministerio de Salud; 20200900. 27 p.
Monografia em Espanhol | LILACS, MINSAPERÚ | ID: biblio-1118679

RESUMO

El documento contiene los criterios de calidad, seguridad y eficiencia de vacunas en investigación, destinadas a la prevención de enfermedades infecciosas.


Assuntos
Pesquisa , Segurança , Vacinas , Saúde , Doenças Transmissíveis , Eficiência , Prevenção de Doenças , Normas Técnicas
9.
J Pediatr Orthop ; 40(9): 531-535, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32931692

RESUMO

BACKGROUND: The demand for pediatric orthopaedic surgery consultation has grown rapidly, leading to longer wait times for elective consultation in some regions. Some specialties are addressing this increased demand through electronic consultation services. We wanted to examine the impact of pediatric orthopaedic e-consultations in Canada's Eastern Ontario region. METHODS: We developed a cross-sectional study of all the cases directed to a pediatric orthopaedic surgery specialist using the Champlain Building Access to Specialists through eConsultation (BASE) eConsult service over a 2-year period and examined their impact on in-person referrals, time of e-consultation and primary care satisfaction as well as types of clinical questions that were asked. RESULTS: Electronic consultations avoided in-person appointments in 68% of the submitted cases. The median response by specialists received by the primary care providers (PCPs) was <20 hours. A total of 69% of consultations involve >1 type of clinical questions, most commonly about basic trauma/fracture care and management recommendations. Ninety-seven percent of the PCPs found the overall value for the care of the patients to be good or excellent. CONCLUSIONS: This cross-sectional study demonstrates the effective and timely use of eConsult in pediatric orthopaedic surgery. It also shows a significant reduction in the number of in-person consultations required and demonstrates a high satisfaction rate by PCPs using the service. CLINICAL RELEVANCE: In addition to the efficacy and time-sensitive care provided to the patients, the study shows that, professionally, 89% of PCPs found this service to be excellent or good. The broader implications of electronic consultation on overall quality of care, population health, and patient satisfaction requires further investigation.


Assuntos
Ortopedia , Pediatria , Consulta Remota , Atitude do Pessoal de Saúde , Estudos Transversais , Eficiência , Acesso aos Serviços de Saúde , Humanos , Ontário , Atenção Primária à Saúde/organização & administração , Fatores de Tempo
10.
Orv Hetil ; 161(36): 1522-1533, 2020 09.
Artigo em Húngaro | MEDLINE | ID: mdl-32886627

RESUMO

INTRODUCTION: Health disorders may affect negatively work productivity of individuals, leading to absence from work (absenteeism) and/or decreased functioning in the workplace (presenteeism). AIM: To assess the health-related work productivity of the adult population in Hungary by the Work Productivity and Activity Impairment questionnaire (WPAI). METHOD: A cross-sectional survey was performed in 2019 involving a sample (n = 2023) representative for the adult population of Hungary. Socio-demographic characteristics were recorded. Health-related productivity of the participants was assessed by the WPAI questionnaire, health status was measured by the EQ-5D-3L measurement tool and the Minimum European Health Module (MEHM). STATISTICAL ANALYSES: Descriptive statistics were performed, subgroups were compared by Mann-Whitney and Kruskal-Wallis tests. Spearman's rank correlation was applied to analyze the relationship between WPAI, age and EQ-5D-3L index score. RESULTS: Among those in a paid job (n = 1194, 59%), altogether 70 respondents (6%) were absent from work during the week before the survey, which resulted in an average 1.9 (SD = 8.5) work hours loss per week. Presenteeism occurred in 166 (14%) cases. The average absenteeism was 3.6%, presenteeism was 4.4%, and activity impairment in the total sample was 9.5%. Absenteeism did not correlate with age and did not differ significantly across socio-demographic subgroups. Presenteeism was the highest among actively working retired people, disability pensioners and part-time employees. Presenteeism correlated moderately (r = -0.379), absenteeism weakly (r = -0.113) with EQ-5D-3L index. Correlation was significant between activity impairment and age (r = 0.412) as well as the EQ-5D-3L index score (r = -0.592). All WPAI items showed significant worsening across MEHM status levels. CONCLUSION: This is the first study in Hungary to present population reference values with the WPAI. Productivity loss due to presenteeism deserves special attention from the employers as well as from decision makers in the labour, health and social sectors. Orv Hetil. 2020; 161(36): 1522-1533.


Assuntos
Absenteísmo , Eficiência , Presenteísmo/estatística & dados numéricos , Trabalho/estatística & dados numéricos , Adulto , Estudos Transversais , Humanos , Hungria , Inquéritos e Questionários
13.
West J Emerg Med ; 21(5): 1095-1101, 2020 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-32970560

RESUMO

The unprecedented COVID-19 pandemic has resulted in rapidly evolving best practices for transmission reduction, diagnosis, and treatment. A regular influx of new information has upended traditionally static hospital protocols, adding additional stress and potential for error to an already overextended system. To help equip frontline emergency clinicians with up-to-date protocols throughout the evolving COVID-19 crisis, our team set out to create a dynamic digital tool that centralized and standardized resources from a broad range of platforms across our hospital. Using a design thinking approach, we rapidly built, tested, and deployed a solution using simple, out-of-the-box web technology that enables clinicians to access the specific information they seek within moments. This platform has been rapidly adopted throughout the emergency department, with up to 70% of clinicians using the digital tool on any given shift and 78.6% of users reporting that they "agree" or "strongly agree" that the platform has affected their management of COVID-19 patients. The tool has also proven easily adaptable, with multiple protocols being updated nearly 20 times over two months without issue. This paper describes our development process, challenges, and results to enable other institutions to replicate this process to ensure consistent, high-quality care for patients as the COVID-19 pandemic continues its unpredictable course.


Assuntos
Betacoronavirus , Tomada de Decisão Clínica/métodos , Infecções por Coronavirus/terapia , Sistemas de Apoio a Decisões Clínicas , Serviços Médicos de Emergência/métodos , Pneumonia Viral/terapia , Atitude do Pessoal de Saúde , Protocolos Clínicos , Árvores de Decisões , Eficiência , Emergências , Humanos , Internet , Pandemias , Padrões de Prática em Enfermagem/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Desenvolvimento de Programas , São Francisco
14.
Artigo em Inglês | MEDLINE | ID: mdl-32784753

RESUMO

With the deepening of industrialization and urbanization in China, air pollution has become the most serious environmental issue due to huge energy consumption, which threatens the health of residents and the sustainable development of the country. Increasing attention has been paid to the efficiency evaluation of industrial system due to its fast development and severe air pollution emissions, but the efficiency evaluation on China's industrial waste gas still has scope for improvement. This paper proposes a global non-radial Network Data Envelopment Analysis (NDEA) model from the perspective of pollution prevention (PP) and end-of-pipe treatment (ET), to explore the potential reduction of generation and emission of air pollutants in China's industrial system. Given the differences of different air pollution treatment capacities, the ET stage is further subdivided into three parallel sub-stages, corresponding to SO2, NOX, and soot and dust (SD), respectively. Then, grey relation analysis (GRA) is adopted to figure out the key factor affecting the unified efficiency. The main findings are summarized as follows: firstly, the unified efficiency of China's industrial waste gas underperformed nationwide, and most provinces had the potential to reduce the generation and emission of industrial waste gas. Secondly, the PP efficiency outperformed the ET efficiency in many provinces and the efficiency gap between two stages increasingly narrowed except in 2014. Thirdly, the unified efficiency in the eastern area performed well, while the area disparities increased significantly after 2012. Fourthly, significant differences were found in three ET efficiencies and the ET efficiency of NOX was higher than that of SO2 and SD in the sample period. Finally, the results of GRA indicated that different air pollutants had distinct influence on the improvement of the unified efficiency in three areas. To promote the unified efficiency of industrial waste gas, some pertinent policy suggestions are put forward from the perspectives of sub-stages, air pollutants and areas.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Resíduos Industriais , Poluição do Ar/análise , Poluição do Ar/prevenção & controle , China , Eficiência , Poluição Ambiental , Humanos , Indústrias
15.
Rev. psicol. trab. organ. (1999) ; 36(2): 103-110, ago. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-194180

RESUMO

This study investigated the relationship between followers' strengths-based leadership (FSBL) and innovative behavior and the mediating role of psychological well-being (PWB) and the moderating role of core self-evaluations (CSE) in the relationship. In order to test our hypotheses data from Chinese enterprises were used. Results of multiple linear regression and bootstrapping analyses showed that FSBL is positively related to follower innovative behavior and PWB significantly mediates the FSBL-innovative behavior relationship. In addition, CSE negatively moderates the direct effect of FSBL on PWB and the indirect effect of FSBL on innovative behavior via PWB such that the direct effect of FSBL on PWB and the indirect effect of FSBL on innovative behavior via PWB will be stronger for followers with a low level of CSE rather than for followers with a high level of CSE. Theoretical implications, practical implications and future research were also discussed


Este estudio analiza la relación entre el liderazgo sustentado en las fortalezas de los subordinados (FSBL), su comportamiento innovador y el papel mediador del bienestar psicológico (PWB), así como el papel que juegan en dicha relación las autoevaluaciones principales (CSE). Para poner a prueba nuestras hipótesis se dispuso de datos emparejados de empresas chinas. Los resultados de la regresión linear múltiple y de los análisis bootstrapping mostraron que el FSBL se relaciona positivamente con el comportamiento innovador de los subordinados y el bienestar psicológico mediatiza de modo significativo la relación entre el FSBL y el comportamiento innovador. Por otra parte, las evaluaciones principales moderan negativamente el efecto directo del FSBL en el bienestar psicológico y el efecto indirecto del FSBL en el comportamiento innovador a través del bienestar psicológico, de modo que dichos efectos directo e indirecto del FSBL serán mayores en los subordinados con un bajo nivel en las autoevaluaciones principales que en los subordinados que tienen un nivel elevado en las mismas. Se comentan las implicaciones teóricas y prácticas y la investigación futura


Assuntos
Humanos , Masculino , Feminino , Adulto , Capacidade de Liderança e Governança/métodos , Inovação Organizacional , Engajamento no Trabalho , 16054/psicologia , Autoeficácia , Relações Trabalhistas , Autoavaliação , Avaliação de Desempenho Profissional/tendências , Trabalho/psicologia , Eficiência/classificação
16.
J Environ Manage ; 275: 111246, 2020 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-32858271

RESUMO

The Air Pollution Prevention and Control Action Plan (APCP) is an important pollution control policy formulated by the Chinese government to promote green development. However, there are few studies of its impact. Based on a province-level panel dataset from 2007 to 2017, we use a three-hierarchy meta-frontier slack-based data envelopment analysis (SBM-DEA) model and the global Malmquist (GM) index to estimate the green total factor productivity (GTFP) of China's chemical sub-industries. Next, we use the difference-in-differences (DID) method to explore the effect of the implementation of the APCP in 2013 on the GTFP of China's chemical industry. We find an increasing trend in the GTFP of China's chemical industry between 2007 and 2017. A decomposition of the change in GTFP shows that technical progress was the main driving factor and management inefficiency was the main inhibitory factor. The APCP had a significant positive effect on GTFP. Overall, in the post-implementation period, the increase in the GTFP of the treatment group was approximately 7.9% greater than in the control group. The APCP also significantly improved the technical efficiency change index. A dynamic effect analysis shows that the positive effect of the APCP on GTFP had an inverted U-shaped trend. A series of robustness tests, including counterfactual, re-grouping, and quasi-DID tests, suggest that our findings are reliable. In addition, changes in exports, capital deepening, and energy prices all significantly improved the GTFP of China's chemical industry.


Assuntos
Poluição do Ar , Indústria Química , Poluição do Ar/prevenção & controle , China , Eficiência , Poluição Ambiental/prevenção & controle
18.
PLoS One ; 15(8): e0238260, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32845941

RESUMO

BACKGROUND: Obesity and long term health condition (LTHC) are major public health concerns that have an impact on productivity losses at work. Little is known about the longitudinal association between obesity and LTHC with impaired productivity. OBJECTIVE: This study aims to explore the longitudinal association between obesity and LTHC with presenteeism or working while sick. DESIGN: Longitudinal research design. SETTING: Australian workplaces. METHODS: This study pooled individual-level data of 111,086 employees collected in wave 6 through wave 18 from the Household, Income and Labour Dynamics in Australia (HILDA) survey. The study used a Generalized Estimating Equation (GEE) model with logistic link function to estimate the association. RESULTS: The findings suggest that overweight (Odds Ratios [OR]: 1.09, 95% Confidence Interval [CI]: 1.05-1.14), obesity (OR: 1.38, 95% CI: 1.31-1.45), and LTHC (OR: 3.03, 95% CI: 2.90-3.16) are significantly positively associated with presenteeism. CONCLUSIONS: The longitudinal association between obesity and LTHC with presenteeism among Australian employees implies that interventions to improve workers' health and well-being will reduce the risk of presenteeism at work.


Assuntos
Doença Crônica/epidemiologia , Nível de Saúde , Obesidade/epidemiologia , Presenteísmo/economia , Presenteísmo/estatística & dados numéricos , Absenteísmo , Adolescente , Adulto , Austrália/epidemiologia , Eficiência , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Saúde do Trabalhador/estatística & dados numéricos , Adulto Jovem
20.
PLoS One ; 15(8): e0237337, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32760125

RESUMO

Mobile phone use is increasing in Sub-Saharan Africa, spurring a growing focus on mobile phones as tools to increase agricultural yields and incomes on smallholder farms. However, the research to date on this topic is mixed, with studies finding both positive and neutral associations between phones and yields. In this paper we examine perceptions about the impacts of mobile phones on agricultural productivity, and the relationships between mobile phone use and agricultural yield. We do so by fitting multilevel statistical models to data from farmer-phone owners (n = 179) in 4 rural communities in Tanzania, controlling for site and demographic factors. Results show a positive association between mobile phone use for agricultural activities and reported maize yields. Further, many farmers report that mobile phone use increases agricultural profits (67% of respondents) and decreases the costs (50%) and time investments (47%) of farming. Our findings suggest that there are opportunities to target policy interventions at increasing phone use for agricultural activities in ways that facilitate access to timely, actionable information to support farmer decision making.


Assuntos
Uso do Telefone Celular/estatística & dados numéricos , Produção Agrícola/estatística & dados numéricos , Eficiência , Fazendeiros/estatística & dados numéricos , Fazendas/estatística & dados numéricos , Adulto , Uso do Telefone Celular/economia , Produção Agrícola/economia , Fazendas/economia , Feminino , Humanos , Renda/estatística & dados numéricos , Invenções , Masculino , População Rural/estatística & dados numéricos , Autorrelato/estatística & dados numéricos , Tanzânia , Zea mays
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