Mental Health Services for Native Americans in the 21st Century United States.

As the population of American Indians and Alaska Natives continues to expand in the 21st century United States, an increasing number of professional psychologists will be called upon to provide culturally appropriate mental health services for Native American people and their communities. This article provides a general overview of contemporary tribal America before describing the legal, political, and institutional contexts for mental health service delivery administered through the federally sponsored Indian Health Service. Recommendations for mental health professionals who desire to avoid a subtle but profound Western cultural proselytization in their therapeutic service to Native clients and their communities are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

超高效液相色谱-二极管阵列检测法测定油基类保健食品中的维生素K2的含量

建立了超高效液相色谱-二极管阵列检测法(UPLC-PDA)测定油基类保健食品中维生素K 2(七烯甲萘醌)含量的方法。试验显示维生素K 2对紫外光、强碱条件敏感。样品经脂肪酶酶解后,皂化、萃取、复溶,C 18色谱柱(100×2.1 mm,1.7μm)分离,甲醇为流动相,流速为0.3 mL/min,254 nm检测。本法在1.0~20.0 mg/L线性关系良好,R 2=0.9999。当取样量为1 g,定容至10 mL时,方法LOD为1μg/g,LOQ为3μg/g,RSD为1.2%,加标回收率为98.7%~102.2%。该法准确、高效,对各类保健食品具有良好的普适性。     

Experimental validation of a resilient monitoring and control system

Complex, high performance, engineering systems have to be closely monitored and controlled to ensure safe operation and protect public from potential hazards. One of the main challenges in designing monitoring and control algorithms for these systems is that sensors and actuators may be malfunctioning due to malicious or natural causes. To address this challenge, this paper addresses a resilient monitoring and control (ReMAC) system by expanding previously developed resilient condition assessment monitoring systems and Kalman filter-based diagnostic methods and integrating them with a supervisory controller developed here. While the monitoring and diagnostic algorithms assess plant cyber and physical health conditions, the supervisory controller selects, from a set of candidates, the best controller based on the current plant health assessments. To experimentally demonstrate its enhanced performance, the developed ReMAC system is then used for monitoring and control of a chemical reactor with a water cooling system in a hardware-in-the-loop setting, where the reactor is computer simulated and the water cooling system is implemented by a machine condition monitoring testbed at Idaho National Laboratory. Results show that the ReMAC system is able to make correct plant health assessments despite sensor malfunctioning due to cyber attacks and make decisions that achieve best control actions despite possible actuator malfunctioning. Monitoring challenges caused by mismatches between assumed system component models and actual measurements are also identified for future work.     

基于共词聚类分析法的医院管理相关研究热点主题

以PubMed检索系统作为数据来源，采用共词聚类分析法对医院管理相关文献的主题词进行分析，旨在揭示国际医院管理研究领域的热点主题，为医院管理者制定管理策略提供依据、为国内学者和相关研究机构了解该领域的发展趋势提供参考。     

Work-related musculoskeletal disorders in home care nurses: Study of the main risk factors

BackgroundNurses are a risk group for work-related musculoskeletal disorders (WMSDs). Several studies reveal that nurses have high prevalence rates of injuries and symptoms related to WMSDs. However, many of these studies focus mostly on hospital nurses. Worldwide, few studies include home care nurses.ObjectiveThis work aimed to identify the body region most affected by musculoskeletal complaints in home care nursing, and subsequently develop a statistical model, that includes the main risk factors, to predict the risk of having musculoskeletal complaints in the identified region.MethodsThe research method was based on the Standardised Nordic Questionnaire applied to home care nurses working at Health Centres of northern Portugal. Univariate and multivariate models of logistic regression were used to meet the goals of this work.ResultsHome care nurses have a three times greater chance of having lumbar complaints than their counterparts working only at Health Centres (OR = 3.19 (p < 0.05), with a 95% confidence interval [1.256; 8.076]). A statistical model with seven variables (forearm posture; static postures; arm posture; arm supported; bed height; job satisfaction; assistive devices) was obtained to predict lumbar complaints.ConclusionsThe lumbar region was identified as the most affected by musculoskeletal complaints. These complaints were associated with seven factors.     

基于B/S模式的孕妇儿童体检系统的设计与实现

为了改善孕妇、儿童体检流程的繁重手工管理,提高保健质量和体检效率,同时实现系统在妇幼保健等医疗单位更好地共享。参照《国家基本公共卫生服务规范(2011年)》提出基于B/S模式的孕妇儿童体检系统。介绍系统的总体结构,开发环境、数据库及功能模块设计,并以医生平台为例详细说明儿童体检模块的具体实现过程。系统基本上实现了妇幼保健机构孕妇儿童体检信息及工作考核等的无纸化、规范化和高效化管理,具有较好的实用价值。     

Work organization and Low back pain in nursing personnel

Nursing personnel are at a high risk from occupational low back injury. Work organization has been suggested as one factor playing a part in the aetiology of occupational low back pain. Baseline data for a prospective epidemiology study were gathered by means of a questionnaire. One part of the questionnaire elicited characteristics of work organization, perceived autonomy, the relationship with head nurse and satisfaction in the relationship with co-workers. Information on history of musculoskeletal problems, reported frequency of lifting and personal characteristics was also gathered. Of 787 nursing staff at two acute care hospitals, 154 (19-6%) reported troublesome low back pain occurring within the previous 6 months. From univariate analyses, such characteristics of work organization as shift, type of schedule and primary versus functional nursing were not associated with low back pain. The relationship with head nurse and perceived autonomy of the job also were not related to recent back pain. Recent low back pain was significantly associated with younger age, the job category ‘registered nurse’ and greater satisfaction in relationships with co-workers. These associations were confirmed in multivariate analysis. None of the work organization factors examined, with the exception of satisfaction with co-workers, were associated with back pain in this study. Moreover, the positive association of satisfaction with coworkers suggests that interventions to improve working relationships may not be helpful in prevention programmes. To some extent, these results are susceptible to biases resulting from selective attrition from nursing and selective participation in the study.     

Health benefits and costs of filtration interventions that reduce indoor exposure to PM2.5 during wildfires

Increases in hospital admissions and deaths are associated with increases in outdoor air particles during wildfires. This analysis estimates the health benefits expected if interventions had improved particle filtration in homes in Southern California during a 10‐day period of wildfire smoke exposure. Economic benefits and intervention costs are also estimated. The six interventions implemented in all affected houses are projected to prevent 11% to 63% of the hospital admissions and 7% to 39% of the deaths attributable to wildfire particles. The fraction of the population with an admission attributable to wildfire smoke is small, thus, the costs of interventions in all homes far exceeds the economic benefits of reduced hospital admissions. However, the estimated economic value of the prevented deaths exceed or far exceed intervention costs for interventions that do not use portable air cleaners. For the interventions with portable air cleaner use, mortality‐related economic benefits exceed intervention costs as long as the cost of the air cleaners, which have a multi‐year life, are not attributed to the short wildfire period. Cost effectiveness is improved by intervening only in the homes of the elderly who experience most of the health effects of particles from wildfires.     

Finding meaning in a celebrity’s death: The relationship between parasocial attachment,grief, and sharing educational health information related to Robin Williams on social network sites

Celebrity health events can have a positive effect on public health education and awareness, in part because people spread health information related to the celebrity on social network sites. This may be particularly true in the event of celebrity deaths or other tragedies, when social network sites provide a convenient, public space to connect with others to mourn. However, little is understood about the circumstances that encourage health information sharing following these events. Using a Mechanical Turk sample (N = 281), this study employed a questionnaire to examine the role of parasocial attachment to Robin Williams and experienced grief following his suicide in explaining health information sharing on social network sites (i.e., sharing information about clinical depression, suicide prevention, substance abuse treatment, and Parkinson’s disease). Grief mediated the effect of parasocial attachment on health information sharing, but a moderated mediation analysis revealed that grief motivated health education on social network sites only for individuals who were coping by trying to find positive meaning in his death.     

Optimisation of immobilisation conditions for chick pea β-galactosidase (CpGAL) to alkylamine glass using response surface methodology and its applications in lactose hydrolysis

Response surface methodology was advantageously used to optimally immobilise a β-galactosidase from chick pea onto alkylamine glass using Box–Behnken experimental design, resulting in an overall 91% immobilisation efficiency. Analysis of variance was performed to determine the adequacy and significance of the quadratic model. Immobilised enzyme showed a shift in the optimum pH; however, optimum temperature remained unaffected. Thermal denaturation kinetics demonstrated significant improvement in thermal stability of the enzyme after immobilisation. Galactose competitively inhibits the enzyme in both soluble and immobilised conditions. Lactose in milk whey was hydrolysed at comparatively higher rate than that of milk. Immobilised enzyme showed excellent reusability with retention of more than 82% enzymatic activity after 15 uses. The immobilised enzyme was found to be fairly stable in both dry and wet conditions for three months with retention of more than 80% residual activity.