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Leadership,communication,and science:three pillars essential to public health emergency response and closing the gap in the HIV response among key populations
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作者 Tafadzwa Dzinamarira Enos Moyo +2 位作者 Perseverance Moyo Munashe Chimene Grant Murewanhema 《Global Health Journal》 2023年第4期182-185,共4页
Globally,there have been multiple public health emergencies in recent decades.High rates of morbidity,occasionally mortality,and economic instability are usually associated with pandemics.One of the epidemics that has... Globally,there have been multiple public health emergencies in recent decades.High rates of morbidity,occasionally mortality,and economic instability are usually associated with pandemics.One of the epidemics that has significantly increased morbidity and mortality worldwide is the human immunodeficiency virus(HIV)and acquired immune deficiency syndrome(AIDS)pandemic.HIV has a disproportionately negative impact on key populations.Strong leadership,effective communication,and sound science are necessary for public health emergency(PHE)responses to be successful.These three PHE response pllars are also essential for bridging the HIV response gap among key populations in the setting of restrictive laws.In this review,we explored the importance of these three pillars of successful PHEs responses,and how they are essential to closing the gap in the HIV response among key populations.Leaders must make decisions and instil a sense of authority in the populace during PHEs to foster trust and confidence.Leaders should base their choices on scientific evidence.Effective communication during PHEs should be proactive,polite,imaginative,innovative,and constructive.To address gaps in the HIV response among key populations,leaders must create a supportive environment for effective communication and scientific research,communication should be used to raise awareness of HIV and to dispel stigma and discrimination,while science should provide evidence of efficacy and effectiveness of interventions amongkey populations. 展开更多
关键词 Public health emergencies LEADERSHIP COMMUNICATION SCIENCE Key populations HIV response
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Personalized Management of Chronic Myeloid Leukemia Presenting with Ovarian Apoplexy and Review of Health Emergency Cases
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作者 Vasile Musteata 《International Journal of Clinical Medicine》 CAS 2023年第4期206-215,共10页
Introduction: Chronic myeloid leukemia (CML) may significantly affect quality of life and life expectancy in the accelerated and acute phases, especially if presented with health emergencies. Objective: The purpose of... Introduction: Chronic myeloid leukemia (CML) may significantly affect quality of life and life expectancy in the accelerated and acute phases, especially if presented with health emergencies. Objective: The purpose of the study was the evaluation of the personalized management milestones in CML cases presented with ovarian apoplexy and the analysis of the international experience on health emergencies in this leukemia. Materials and Methods: An original, case-report study was performed. The diagnosis was confirmed by cytological, cytogenetic and molecular examinations of the peripheral blood and bone marrow at the comprehensive research cancer center— Institute of Oncology from Moldova. The real-time PCR was performed for quantitative detection of BCR-ABL gene p210 and p190 transcripts. The ECOG Scale and complete hematologic response (CR) estimated the short-term results. The ECOG performance status served as a measure of functional status. Its scores range from 0 to 5 and correlate with the level of patient functioning. CR is the disappearance of all detectable clinical and hematological signs of malignant neoplasm in response to treatment. CR span was assessed in months. The overall and relapse-free survivals asserted the long-term results of treatment, and were evaluated in months as a case. Results: CML may be manifested by life-threatening conditions, including infections and thrombotic events, splenic infarcts and ruptures, bleedings, etc. CML with the uncommon onset under the form of the ovarian apoplexy is described. The hematological CR was obtained under the treatment with imatinib mesylate. The molecular CR and the long-lasting overall survival (197.5 months) were achieved after the treatment with nilotinib. Under the treatment with tyrosine kinase inhibitors, the patient did not experience the disease burden and side effects, and resumed her work, with a good life quality (ECOG score is 0). Discussion: CML may be manifested by life-threatening health emergencies, especially thrombotic events, splenic infarcts and ruptures, bleedings, etc. The CML patients with high leukocyte and platelet counts may experience also different symptoms of hyperviscosity: tinnitus, priapism, stupor, visual abnormalities and cerebrovascular accidents. However, the management of CML with the life-threatening conditions, especially in the accelerated and acute phases, should be realized with participation of the multidisciplinary teams. Conclusions: The ovarian apoplexy may serve as a presenting feature of CML in young females with a highly elevated leukocyte count. The reported CML case underwent successful personalized management with 2 generations of tyrosine kinase inhibitors, even if designated with Socal intermediate-risk score and complicated by a health emergency. 展开更多
关键词 Leukemia BCR-ABL Gene Transcripts health Emergencies Ovarian Apoplexy Tyrosine Kinase Inhibitors Survival
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Enlightenment from the COVID-19 Pandemic:The Roles of Environmental Factors in Future Public Health Emergency Response 被引量:2
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作者 Xiaolei Wang Fengchang Wu +6 位作者 Xiaoli Zhao Xiao Zhang Junyu Wang Lin Niu Weigang Liang Kenneth Mei Yee Leung John P.Giesy 《Engineering》 SCIE EI 2022年第1期108-115,共8页
The coronavirus disease 2019(COVID-19)pandemic is challenging the current public health emergency response systems(PHERSs)of many countries.Although environmental factors,such as those influencing the survival of viru... The coronavirus disease 2019(COVID-19)pandemic is challenging the current public health emergency response systems(PHERSs)of many countries.Although environmental factors,such as those influencing the survival of viruses and their transmission between species including humans,play important roles in PHERSs,little attention has been given to these factors.This study describes and elucidates the roles of environmental factors in future PHERSs.To improve countries’capability to respond to public health emergencies associated with viral infections such as the COVID-19 pandemic,a number of environmental factors should be considered before,during,and after the responses to such emergencies.More specifically,to prevent pandemic outbreaks,we should strengthen environmental and wildlife protection,conduct detailed viral surveillance in animals and hotspots,and improve early-warning systems.During the pandemic,we must study the impacts of environmental factors on viral behaviors,develop control measures to minimize secondary environmental risks,and conduct timely assessments of viral risks and secondary environmental effects with a view to reducing the impacts of the pandemic on human health and on ecosystems.After the pandemic,we should further strengthen surveillance for viruses and the prevention of viral spread,maintain control measures for minimizing secondary environmental risks,develop our capability to scientifically predict pandemics and resurgences,and prepare for the next unexpected resurgence.Meanwhile,we should restore the normal life and production of the public based on the“One Health”concept,that views global human and environmental health as inextricably linked.Our recommendations are essential for improving nations’capability to respond to global public health emergencies. 展开更多
关键词 Public health emergency Public health emergency response system Environmental factors Prevention and control Viral infections
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2022 Monkeypox outbreak:Why is it a public health emergency of international concern?What can we do to control it? 被引量:1
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作者 Shi-Yan Ren Jing Li Rong-Ding Gao 《World Journal of Clinical Cases》 SCIE 2022年第30期10873-10881,共9页
The World Health Organization(WHO) called the recent monkeypox(MPX)outbreak a Public Health Emergency of International Concern on July 23,2022.The United States of America(US) alarmed the recent MPX outbreak as the US... The World Health Organization(WHO) called the recent monkeypox(MPX)outbreak a Public Health Emergency of International Concern on July 23,2022.The United States of America(US) alarmed the recent MPX outbreak as the US public health emergency on August 4,2022.Since early May 2022,more than 35000 MPX cases and 12 deaths had been reported to WHO from 92 countries and territories by August 17,2022,and MPX cases continue rising rapidly with improved surveillance,access to diagnosis,and continuous virus spreading globally.Approximately 99% MPX cases are men,of which 95% cases are men who have sex with man.No evidence of MPX being sexually transmitted infections(STIs) is found;however,a high percentage(25%) of concurrent STIs and frequent anogenital symptoms suggest transmission through local inoculation during close intimate contact or sexual activity.Many approaches including a comprehensive international vaccination strategy and adequate supplies are mandatory to prevent MPX pandemic.Education,vaccination,MPX scrutiny and careful monitoring,and crossborder collaborations with international sectors are practical strategy to contain MPX outbreaks.People are educated to reduce the risk of exposure and to reduce the number of sexual partners especially new ones,to avoid contacting travelers from epidemic regions or animals that may carry MPX virus,and avoid traveling to endemic areas. 展开更多
关键词 MONKEYPOX OUTBREAK Public health emergency of International Concern vaccination Infectivity Transmission Man who have sex with man
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Leveraging the Public Health Emergency Operation Center (PHEOC)for pandemic response: opportunities and challenges 被引量:1
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作者 Jiyan Ma Yangmu Huang Zhi-Jie Zheng 《Global Health Journal》 2020年第4期118-120,共3页
Public Health Emergency Operation Center (PHEOC) was conceptualized and established for coordinatinginformation and resources towards goal-oriented response in large scale public health emergency. Yet, theactivities u... Public Health Emergency Operation Center (PHEOC) was conceptualized and established for coordinatinginformation and resources towards goal-oriented response in large scale public health emergency. Yet, theactivities undertaken by PHEOCs and their intended goals have not been fully optimized in current scenario.This paper revisited the collective efforts invested in PHEOC conceptualization and development, identified theopportunities and challenges in compliance with standards and framework, demonstrated the accountabilityof PHEOC network, thereby promoted best practice guidance for global public health emergency preparednessand response. This review will help navigate emergency response complexities leveraging PHEOC partnershipsand advance the ability to detect and respond to public health emergencies in low resource settings. The reviewshows that the information on how to adapt best practice guidance to local circumstances could incentivizethe full implementation of prevention, early detection and response to outbreaks. Identifying and correctingdeficiencies in effectiveness evaluation will provide the basis for continuous PHEOC improvement. With thegradually reopening economies and public services in some countries, there is an urgent need to emphasize andvalidate the collective efforts undertaken by PHEOCs for tackling the COVID-19 pandemic. 展开更多
关键词 Public health emergency Operation Center PHEOC PREPAREDNESS RESPONSE COVID-19 Coronavirus disease 2019
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Discussion on the Information Collection Methods of Public Health Emergency Files
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作者 Wenni Wang Miaoying Lin +2 位作者 Wenpan Song Fucai Huang Baiyi Wang 《Open Journal of Preventive Medicine》 2021年第7期325-333,共9页
In public health emergencies, the collection of archival information in the area of public health emergencies is very important, which can provide a reference for the early warning and processing mechanism. At the pre... In public health emergencies, the collection of archival information in the area of public health emergencies is very important, which can provide a reference for the early warning and processing mechanism. At the present stage, the unlimited demand of archival users for resources and the convenience of obtaining resources have become the two driving forces to promote the “transformation” and “growth” of archives. Public health emergencies, the transformation of archives collection and service mode, social media has become an indispensable platform for user information exchange, sharing and transmission, which requires archives to change the mode of archives acquisition and storage. Archival users require more interactive, targeted and cutting-edge forms of access and archival services are also developing toward diversified functions and connotations. Archival information resource sharing is also an important link in this development trend. This paper attempts to analyze the collection methods of archives departments in public health emergencies, and then puts forward the corresponding measures for archives departments to play their functions, such as flexibly solving the needs of archives access, strengthening the development of information resources, doing a good job in the collection of relevant archives, and publicizing archives work in combination with hot spots. This paper discusses the completeness of archival data collection, the means of archival management, the scientific classification of archival data, the ways of archival data collection and so on. 展开更多
关键词 Public health emergency FILES INFORMATION MANAGEMENT
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The Impact of a Public Health Emergency on the Demand for Life Insurance-An Empirical Analysis Based on Severe Acute Respiratory Syndrome
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作者 Ying Sun Xiaoyan Li Yuantao Xie 《China & World Economy》 2023年第3期230-266,共37页
We examined changes in personal life insurance purchase decisions after a public health event by incorporating perceived health risk and regret into the expected utility function.The model predicts that the epidemic w... We examined changes in personal life insurance purchase decisions after a public health event by incorporating perceived health risk and regret into the expected utility function.The model predicts that the epidemic will create incremental insurance demand.Based on the 2003 severe acute respiratory syndrome outbreak in China,we used a panel dataset of 30 provinces from 2000 to 2007 and applied the difference-in-differences method to confirm the prediction empirically.The results showed that the epidemic did not significantly impact the demand for life insurance in the short term but played a role in the long term.People increased their health-care expenditure and premiums for new policies after the severe acute respiratory syndrome event,suggesting that the epidemic changed people's perceived risk and triggered anticipated regret,which increased life insurance demand.Some robustness checks also supported our findings. 展开更多
关键词 health risk life insurance demand public health emergency regret theory
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Survey on the Status Quo of Emergency Response Capabilities of Public Health Emergencies in Grassroots Disease Control Institutions in a Certain Area
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作者 Zhaohua Jiang 《Proceedings of Anticancer Research》 2023年第5期47-52,共6页
Objective:To survey and study the emergency response capabilities of grassroots disease control institutions in a certain area for public health emergencies,and to put forward suggestions for rectification.Methods:The... Objective:To survey and study the emergency response capabilities of grassroots disease control institutions in a certain area for public health emergencies,and to put forward suggestions for rectification.Methods:The study was carried out from March 2022 to March 2023.Field surveys,questionnaire surveys,and interviews were used to investigate and analyze the emergency response capabilities of public health emergencies in 5 county Centers for Disease Control and Prevention(CDCs)in the region.Results:Through the survey,it was found that the professional level of the existing emergency team personnel of the grassroots disease control institutions in this region needs to be improved.There was an overall lack of emergency plans,and the compliance rate of the equipment,inspection,and testing items was low.The health emergency system of the CDCs in the region and the ability of the talent team need to be further improved.Conclusion:The emergency response capacity of grassroots disease control institutions in this region needs to be improved.For this reason,government departments need to increase investment and strengthen the construction of talent teams and hardware settings,and grassroots disease control institutions need to strengthen the construction of the public health emergency system to improve the ability to respond to public health emergencies. 展开更多
关键词 Grassroots disease control institutions Public health emergencies emergency response capabilities
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Health Emergency and Disaster Risk Management (Health-EDRM):Developing the Research Field within the Sendai Framework Paradigm 被引量:3
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作者 Sharon Tsoon Ting Lo Emily Ying Yang Chan +5 位作者 Gloria Kwong Wai Chan Virginia Murray Jonathan Abrahams Ali Ardalan Ryoma Kayano Johnny Chung Wai Yau 《International Journal of Disaster Risk Science》 SCIE CSCD 2017年第2期145-149,共5页
The intersection of health and disaster risk reduction(DRR) has emerged in recent years as a field of critical inquiry.Health is recognized as an outcome and a goal of DRR,and the integration of both fields is essenti... The intersection of health and disaster risk reduction(DRR) has emerged in recent years as a field of critical inquiry.Health is recognized as an outcome and a goal of DRR,and the integration of both fields is essential to ensure the implementation of the Sendai Framework for Disaster Risk Reduction 2015–2030.Health Emergency and Disaster Risk Management(Health-EDRM) has emerged as an umbrella field that encompasses emergency and disaster medicine,DRR,humanitarian response,community health resilience,and health systems resilience.In September 2016,an international group of experts met in Hong Kong to assess the current status and potential of the Health-EDRM research field,a research area that these scholars characterized as underdeveloped and fragmented.Key challenges identified include research overlap,lack ofstrategic research agenda,absence of consensus regarding terminology,and limited coordination between stakeholders.The Sendai Framework provides a useful paradigm within which to shape the research field's strategic development.The WHO Thematic Platform for Health-EDRM Research Group was established to coordinate activities,promote information-sharing,develop partnerships,and provide technical advice to strengthen the Health-EDRM research field.This group will promote the generation of robust and scientific health research to support the meaningful implementation of the Sendai Framework. 展开更多
关键词 health disaster risk reduction health emergency and disaster risk management health-EDRM Sendai Framework
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Health Emergency and Disaster Risk Management (Health-EDRM) in Remote Ethnic Minority Areas of Rural China:The Case of a Flood-Prone Village in Sichuan 被引量:1
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作者 Emily Ying Yang Chan Chunlan Guo +2 位作者 Poyi Lee Sida Liu Carman Ka Man Mark 《International Journal of Disaster Risk Science》 SCIE CSCD 2017年第2期156-163,共8页
Remote,rural ethnic-minority communities face greater disaster-related public health risks due to their lack of resources and limited access to health care.The Ethnic Minority Health Project(EMHP) was initiated in 200... Remote,rural ethnic-minority communities face greater disaster-related public health risks due to their lack of resources and limited access to health care.The Ethnic Minority Health Project(EMHP) was initiated in 2009 to work with remote,disaster-prone ethnic-minority villages that live in extreme poverty.One of the project's aims is to develop and evaluate bottom-up health risk reduction efforts in emergency and disaster risk management(HealthEDRM).This article shares project updates and describes field intervention results from the Yi ethnic community of Hongyan village in China's Sichuan Province,an area that experiences recurrent floods.It was found that 64% of the village respondents had never considered any form of disaster preparation,even with the recurrent flood risks.Health intervention participants showed sustained knowledge retention and were nine times more likely to know the correct composition of oral rehydration solution(ORS) after the intervention.Participants also retained the improved knowledge on ORS and disaster preparedness kit ownership12 months after the intervention. 展开更多
关键词 Disaster preparedness kit Disaster risk reduction Ethnic minority health emergency and
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Comparative Analysis of Social Forces Participating in Emergency Management of Public Health Events in China, Australia, Germany and the United States
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作者 Wang Shuling Dou Lele +2 位作者 Lin Xiangpeng Liu Liang Chen Hui 《Asian Journal of Social Pharmacy》 2022年第2期144-158,共15页
Objective To provide a reference and suggestions for Chinese social forces to participate in the emergency management of public health events.Methods Through literature research method,comparative research method and ... Objective To provide a reference and suggestions for Chinese social forces to participate in the emergency management of public health events.Methods Through literature research method,comparative research method and SWOT matrix analysis,four aspects of prevention,early warning,response and recovery of the social forces in China,Germany,Australia and the United States participating in emergency management were studied comparatively.Results and Conclusion In the emergency management of public health events,China’s social forces play greater role in the response and recovery phase than that in the prevention and response phase.As to its shortcomings,the following suggestions are made,such as incorporating social forces into the national emergency management system,strengthening the construction and training of social forces,popularizing public health knowledge and awareness,clarifying property rights and using incentives and punishment together. 展开更多
关键词 social force public health emergency emergency management
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Health Emergency and Disaster Risk Management: Five Years into Implementation of the Sendai Framework 被引量:1
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作者 Natalie Wright Lucy Fagan +4 位作者 Jostacio MLapitan Ryoma Kayano Jonathan Abrahams Qudsia Huda Virginia Murray 《International Journal of Disaster Risk Science》 SCIE CSCD 2020年第2期206-217,共12页
The Sendai Framework for Disaster Risk Reduction 2015–2030 recognizes health at the heart of disaster risk management(DRM)at the global policy level.Five years on,it has catalyzed the rapid development of the field o... The Sendai Framework for Disaster Risk Reduction 2015–2030 recognizes health at the heart of disaster risk management(DRM)at the global policy level.Five years on,it has catalyzed the rapid development of the field of Health Emergency and Disaster Risk Management(Health EDRM)by providing a mandate for building partnerships as well as enhancing scientific research.Key milestones achieved include publication of the World Health Organization’s Health EDRM Framework,development of the WHO Thematic Platform for Health EDRM and the WHO Health EDRM Research Network,and further application of health information principles to DRM.Furthermore,health actors at all levels have continued to engage in the Sendai Framework processes and have had a key role in its implementation and proposed monitoring.There have been significant gains made through the partnership of health and DRM,but the relationship has not been without its challenges.Many national,regional,and global initiatives continue to operate with a lack of consistency and of linkages to respond to the Sendai Framework’s call for embedding health resilience in DRM,and conversely,embedding DRM in health resilience.Overcoming this hurdle is important,and doing so will be a key marker of success of the next 10 years of partnership under the Sendai Framework. 展开更多
关键词 Data collection Disaster risk management health emergencies Research networks Sendai Framework
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Study on Emergency Management Mechanism of Public Health Emergencies
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作者 Jinping GONG Haolin WAN +1 位作者 Kaitai GENG Mingbo WANG 《Meteorological and Environmental Research》 CAS 2021年第2期34-37,共4页
The outbreak of SARS in 2003 opened the way of public health emergency management in China.COVID-19 which suddenly outbroke in 2019 is still raging all over the world,and emergency management mechanism of China is bei... The outbreak of SARS in 2003 opened the way of public health emergency management in China.COVID-19 which suddenly outbroke in 2019 is still raging all over the world,and emergency management mechanism of China is being tested.Efforts to improve the emergency management mechanism can provide effective institutional guarantee for the overall victory of anti epidemic and the prevention and control of public health emergencies. 展开更多
关键词 Public health emergencies emergency management mechanism Voluntary reporting mechanism
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Emergency Optimization Design of Living Room of High-rise Residence Based on Major Public Health Emergencies
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作者 REN Hongguo HONG Guangchao 《Journal of Landscape Research》 2022年第3期13-16,共4页
When a major public health emergency comes,people are forced to be isolated at home.During the period of residential isolation by epidemic,use of indoor space in high-rise residential buildings puts forward higher req... When a major public health emergency comes,people are forced to be isolated at home.During the period of residential isolation by epidemic,use of indoor space in high-rise residential buildings puts forward higher requirements for the health and variability of indoor space in addition to meeting the basic living needs.By analyzing the current situation and characteristics of living room space design of high-rise residence,combined with basic health protection awareness of residents and environmental sanitation requirements,this paper explores the basic functions of living room space design,and puts forward suggestions on space optimization design. 展开更多
关键词 Major public health emergencies Living room emergency optimization design
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Sustainable Community Epidemic Prevention Countermeasures against Public Health Emergencies
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作者 Detai TANG Xinbo YU 《Meteorological and Environmental Research》 CAS 2023年第2期4-7,共4页
How to deal with public health emergencies is an important issue related to the normal life of community residents. However, after the corresponding understanding, it is found that a series of unsustainable epidemic p... How to deal with public health emergencies is an important issue related to the normal life of community residents. However, after the corresponding understanding, it is found that a series of unsustainable epidemic prevention factors have been exposed in the community in the COVID-19, such as blocked access to basic materials, unsafe living environment, and lack of social platforms. In view of these problems, based on Maslow’s hierarchy of needs, the changes in the hierarchy of needs of residents during the epidemic were analyzed, and sustainable community epidemic prevention strategies were proposed from five aspects of material storage, safe environment, social platform, respect opportunity and self-worth realization, so as to provide effective reference for future response to public health emergencies. 展开更多
关键词 Public health emergencies Community epidemic prevention Maslow's hierarchy of needs Epidemic prevention countermeasures
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An Analysis of the Evolution of Online Public Opinion on Public Health Emergencies by Combining CNN-BiLSTM + Attention and LDA
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作者 Hanlu Lei Hu Wang +3 位作者 Linli Wang Yuhang Dong Jingjie Cheng Kui Cai 《Journal of Computer and Communications》 2023年第4期190-199,共10页
In this paper, the Foxconn epidemic event in Zhengzhou was taken as an example to analyze the evolution of online public opinion on public health emergencies. In order to improve the performance of online public opini... In this paper, the Foxconn epidemic event in Zhengzhou was taken as an example to analyze the evolution of online public opinion on public health emergencies. In order to improve the performance of online public opinion analysis, based on the life cycle theory and LDA theory, the emotional changes of Internet users in four stages of the Foxconn incident centered on the evolution of inscription were divided. The emotions of netizen speech at different stages are analyzed based on CNN-BiLSTM + Attention model, which uses Convolutional Neural Network (CNN) to extract local features. Bi-directional Long Short-Term Memory (BiLSTM) is used to efficiently extract contextual semantic features and long distance dependencies, and then combined with attention mechanism to add emotional features. Finally, Softmax classifier realizes text emotion prediction. The experimental results show that: compared with TextCNN, BiLSTM, BiLSTM + Attenion, CNN-BiLSTM model, the emotion classification model has better effects in the accuracy rate, accuracy rate, recall rate and F value. By analyzing the emotional distribution and evolution trend of public opinion under “text topic”, the paper accurately deconstructs the development characteristics of public opinion in public health emergencies, in order to provide reference for relevant departments to deal with public opinion in public health emergencies. . 展开更多
关键词 Public health Emergencies Emotional Evolution CNN-BiLSTM Attention Mechanism LDA
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中国突发公共卫生事件应急能力评价现况 被引量:5
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作者 李倩 邵钰清 +2 位作者 于宏杰 王朝昕 吕奕鹏 《中国卫生资源》 CSCD 北大核心 2023年第1期15-19,24,共6页
目的从评价主客体、评价方法、评价指标、评价应用4方面对中国评价体系现况进行系统综述,总结卫生应急能力评价体系的建设优缺点,为下一步丰富和完善卫生应急体系建设提供参考。方法运用文献研究法,对评价体系的主客体、评价方法、评价... 目的从评价主客体、评价方法、评价指标、评价应用4方面对中国评价体系现况进行系统综述,总结卫生应急能力评价体系的建设优缺点,为下一步丰富和完善卫生应急体系建设提供参考。方法运用文献研究法,对评价体系的主客体、评价方法、评价指标内容和评价指标应用4方面进行系统研究和概括讨论。结果在评价主客体方面,我国现行的卫生应急评价体系由中国疾病预防控制中心制定,评价全国范围内省、市、县各级卫生系统内相关单位的卫生应急能力。在评价方法方面,我国采取自下而上的方式,各级卫生系统行政部门自评普查,并由中国疾病预防控制中心汇总分析评价。在评价指标方面,按照事件发展可分为准备阶段、应对阶段和事后阶段3大类指标,可细分为11类一级指标。在评价指标应用方面,按照评价客体分为个人层面评估、机构组织层面评估和区域卫生系统层面评估。不同层面需根据不同评价客体选择不同侧重的指标用于评价。结论我国未来卫生应急能力评价体系还需加快标准化和个性化融合,适当引入第三方评价,丰富评价主客体,改善指标体系重主观、轻客观现状,推动理论研究向实际应用发展,定期开展评估工作。 展开更多
关键词 卫生应急health emergency 评价体系assessment system 应急能力emergency capacity 突发公共卫生事件public health emergency
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长三角区域公共卫生应急协同联防联控机制研究
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作者 陆殷昊 黄晓燕 +9 位作者 盛华青 张人杰 林君芬 周扬 肖永康 胡建利 侯健 戴阳 吴寰宇 何懿 《中国卫生资源》 CSCD 北大核心 2023年第6期646-652,共7页
目的 了解长三角区域公共卫生应急协同联防联控机制的现状,构建长三角区域卫生应急协同机制框架,提出完善长三角区域公共卫生应急协同联防联控机制的建议。方法 在文献检索、专家访谈的基础上,设计长三角区域卫生应急协同机制框架,编制... 目的 了解长三角区域公共卫生应急协同联防联控机制的现状,构建长三角区域卫生应急协同机制框架,提出完善长三角区域公共卫生应急协同联防联控机制的建议。方法 在文献检索、专家访谈的基础上,设计长三角区域卫生应急协同机制框架,编制专家咨询问卷,选择18位相关领域专家对长三角区域卫生应急协同机制框架的三级主题从重要性、现状完备程度、优化难易程度进行评分,并对专家咨询数据的可靠性进行分析。结果 长三角区域卫生应急协同机制框架包括应急指挥决策的跨区域协同机制、监测预警与风险评估的跨区域联防机制、跨区域应急处置的协同响应机制和跨区域联防联控能力建设机制等4个一级主题,分13个二级主题和29个三级主题。专家积极程度为100%。总体专家权威系数Cr=0.86,表明专家咨询的结果具有一定的权威性。专家意见的Kendall W协调系数为0.60,P <0.001,说明专家评估意见一致性高的结果是可信的。各主题条目的重要性得分均数> 3.9,表明本研究框架中的所有主题均比较重要,有继续发展完善的价值,其中现状完备程度较低、优化较易的主题为联席会议制度、区域专家库建设、应急联合会商研判、区域联合预警、密接协查与跨省追踪、信息联合通报与共享、联合复盘与评估、人才交流与互访、联合应急培训、区域应急梯队建设和应急科研合作。结论 长三角区域协同联防联控机制发挥成效需要顶层设计、政策支持、技术专业人员全面深度融合。建议长三角三省一市加强协同监测预警和信息互通共享,强化跨区域协同应急联合处置,加强人员交流和队伍联合培训,深化区域科研合作和标准化建设,发挥优势,引领全国。 展开更多
关键词 长三角Yangtze River Delta 区域应急协同regional emergency coordination 区域联防联控inter-regional prevention and control 公共卫生应急管理public health emergency management
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医疗卫生应急演练规范化管理的设计和政策建议
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作者 黄晓燕 戴阳 +6 位作者 徐方 黎晶 陈桑桑 李晋哲 吴文涛 何懿 吴文辉 《中国卫生资源》 CSCD 北大核心 2023年第6期642-645,共4页
目的开展上海市医疗卫生应急演练工作规范化管理的设计,统筹全市医疗卫生应急演练的组织,指导医疗卫生单位应急演练项目的实施。方法2023年4—5月,对上海市应急管理和医疗卫生相关21名专家进行半结构化访谈,从计划、组织、指挥、协调、... 目的开展上海市医疗卫生应急演练工作规范化管理的设计,统筹全市医疗卫生应急演练的组织,指导医疗卫生单位应急演练项目的实施。方法2023年4—5月,对上海市应急管理和医疗卫生相关21名专家进行半结构化访谈,从计划、组织、指挥、协调、控制五大管理职能维度进行分析。结果医疗卫生应急演练规范化管理的设计基于“医疗卫生应急演练的规划”和“医疗卫生应急演练项目的组织实施”两个层面开展。工作计划要将目标分解到时间和资源上以形成执行方案,组织安排要在既定的目标下进行任务梳理和职责分解,指挥活动要按照规定或工作流程进行程序化决策,不断地沟通和调整来协调成员单位一致行动,通过检查考核等手段来评价演练工作是否达到预期目标。结论建议进一步开展示范性案例回顾,解析医疗卫生应急演练规范化管理的关键要素;从管理职能出发明确医疗卫生应急演练管理的适用范围、参与主体和工作原则,基于演练进一步完善医疗卫生应急预案;通过长期系统性规范管理,推动医疗卫生应急演练工作高质量发展。 展开更多
关键词 应急演练emergency exercise 卫生应急health emergency 管理职能management function
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上海市公共卫生重点学科建设与人才培养的实践与思考:以2020—2022年上海市疾病预防控制中心承担项目为例 被引量:3
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作者 雷清强 胡逸欢 +8 位作者 邵岑怡 刘览 魏丹阳 黄晓燕 夏天 陈敏 高林峰 祖平 胡敏 《中国卫生资源》 CSCD 北大核心 2023年第1期133-137,共5页
目的以上海市疾病预防控制中心承担项目为例,对上海市公共卫生重点学科建设与人才培养的实践进行客观评估,总结项目实施经验,完善项目评估机制,强化学科发展与人才培养对上海市健全公共卫生应急管理体系的支撑作用。方法基于学科建设验... 目的以上海市疾病预防控制中心承担项目为例,对上海市公共卫生重点学科建设与人才培养的实践进行客观评估,总结项目实施经验,完善项目评估机制,强化学科发展与人才培养对上海市健全公共卫生应急管理体系的支撑作用。方法基于学科建设验收评估申请书,通过定量、定性方法对学科建设期间的项目基本情况、学科建设成效、跨机构科研协作、参与公共卫生实践以及人才培养与建设等进行描述和分析。结果各学科团队承担的科研项目级别较高,较好促进了学科创新发展;各学科团队注重公共卫生实践与应用能力建设,实现了科研成果的转化落地;上海市疾病预防控制中心和复旦大学在论文发表合作网络中占据了主要地位,在多部门科研协作中发挥了重要作用;专业机构和高等院校的合作促进了公共卫生复合型人才培养。结论上海市公共卫生重点学科建设与人才培养取得了良好成效。 展开更多
关键词 学科建设discipline construction 人才培养talent development 公共卫生应急管理public health emergency management 疾病预防控制disease control and prevention
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