A Literature Review of the Experiences of African American and Caucasian TANF Women Transitioning from Welfare to Work

This study examined African American women's perceptions of their adolescent children's well-being since gaining employment. This study departed from other studies that focused on the entire Temporary Assistance to Needy Families (TANF) population and/or compared subgroups within the population. In this study, the sample population is composed of all African American mothers and all of the mothers receive Temporary Assistance to Needy Families benefits and have gained employment. The study explored the relationship between adult supervision of adolescent children that resided in distressed communities and adolescent overall well-being as measured by academic well-being, emotional well-being, and social well-being.     

Risks of Paralytic Disease Due to Wild or Vaccine-Derived Poliovirus After Eradication

After the global eradication of wild polioviruses, the risk of paralytic poliomyelitis from polioviruses will still exist and require active management. Possible reintroductions of poliovirus that can spread rapidly in unprotected populations present challenges to policymakers. For example, at least one outbreak will likely occur due to circulation of a neurovirulent vaccine-derived poliovirus after discontinuation of oral poliovirus vaccine and also could possibly result from the escape of poliovirus from a laboratory or vaccine production facility or from an intentional act. In addition, continued vaccination with oral poliovirus vaccines would result in the continued occurrence of vaccine-associated paralytic poliomyelitis. The likelihood and impacts of reintroductions in the form of poliomyelitis outbreaks depend on the policy decisions and on the size and characteristics of the vulnerable population, which change over time. A plan for managing these risks must begin with an attempt to characterize and quantify them as a function of time. This article attempts to comprehensively characterize the risks, synthesize the existing data available for modeling them, and present quantitative risk estimates that can provide a starting point for informing policy decisions.     

Interdisciplinary Considerations in the Psychotherapy of Psychosomatic Patients

Abstract

Patients with psychosomatic conditions, who comprise a significant proportion of students seeking health care, demonstrate clearly the need for effective functioning of the health care team. These patients usually present themselves with problems of physical illness for practical, social, and psychodynamic reasons. Socially they seek to avoid the stigma attached to acknowledging psychological problems. Psychodynamically, such patients have transformed psychological problems into physical illness and need help in reversing this transformation. Attending only the physical illness or dismissing the patient because “it's all in your head” are inappropriate responses deeply embedded in popular culture. Case illustrations are used to show the need for careful diagnosis from physical and psychological standpoints, for skillful referral and interdisciplinary collaboration, and to show how psychotherapy can reverse the psychosomatic process and the underlying psychological determinants. The illustrations include cases of headache, asthma, ulcers, and disturbances of sleep and appetite. Both specific psychotherapeutic technique and overall theory are discussed.     

Exploration of associations between governance and economics and country level foot-and-mouth disease status by using Bayesian model averaging

Summary.  Using Bayesian model averaging, we quantify associations of governance and economic health with country level presence of foot-and-mouth disease (FMD) and estimate the probability of the presence of FMD in each country from 1997 to 2005. The Bayesian model averaging accounted for countries' previous FMD status and other possible confounders, as well as uncertainty about the 'true' model, and provided accurate predictions (90% specificity and 80% sensitivity). This model represents a novel approach to predicting FMD, and other conditions, on a global scale and in identifying important risk factors that can be applied to global policy and allocation of resources for disease control.     

Issues Related to HIV Stigma in Nepal

ABSTRACT

We conducted a qualitative study to understand and describe experiences of people living with HIV and AIDS with regard to HIV-associated stigma in Nepal. The study has revealed four key themes associated with HIV stigma: a hierarchy of stigma (sexual transmission and women stigmatized more than injecting-drug transmission and men); exclusion and rejection (denial of care services, rejection from family); death as a form of punishment (untimely death is seen as a punishment for something done wrong in the past); and Mumbaiya disease (caught from working in “other places”). Cultural contexts are the best ways to understand HIV stigma in Nepal along with socially and culturally established gender roles. This study has confirmed that stigma manifests at different levels: individual, social, and structural, with denial and rejection being a key mechanism of stigma.     

Quantitative Risk Assessment from Farm to Fork and Beyond: A Global Bayesian Approach Concerning Food-Borne Diseases

A novel approach to the quantitative assessment of food-borne risks is proposed. The basic idea is to use Bayesian techniques in two distinct steps: first by constructing a stochastic core model via a Bayesian network based on expert knowledge, and second, using the data available to improve this knowledge. Unlike the Monte Carlo simulation approach as commonly used in quantitative assessment of food-borne risks where data sets are used independently in each module, our consistent procedure incorporates information conveyed by data throughout the chain. It allows "back-calculation" in the food chain model, together with the use of data obtained "downstream" in the food chain. Moreover, the expert knowledge is introduced more simply and consistently than with classical statistical methods. Other advantages of this approach include the clear framework of an iterative learning process, considerable flexibility enabling the use of heterogeneous data, and a justified method to explore the effects of variability and uncertainty. As an illustration, we present an estimation of the probability of contracting a campylobacteriosis as a result of broiler contamination, from the standpoint of quantitative risk assessment. Although the model thus constructed is oversimplified, it clarifies the principles and properties of the method proposed, which demonstrates its ability to deal with quite complex situations and provides a useful basis for further discussions with different experts in the food chain.     

奶牛真胃变位手术疗法的实践与研讨

经多年 30余例的临床诊疗实践证明 ,奶牛真胃变位最有效的疗法是一旦确诊 ,尽早采取手术疗法。详述了奶牛真胃变位的诊断 ,手术治疗步骤 ,并就手术中应注意的问题 ,真胃变位的发病机理与预防进行了探讨     

A shared component model for detecting joint and selective clustering of two diseases

The study of spatial variations in disease rates is a common epidemiological approach used to describe the geographical clustering of diseases and to generate hypotheses about the possible 'causes' which could explain apparent differences in risk. Recent statistical and computational developments have led to the use of realistically complex models to account for overdispersion and spatial correlation. However, these developments have focused almost exclusively on spatial modelling of a single disease. Many diseases share common risk factors (smoking being an obvious example) and, if similar patterns of geographical variation of related diseases can be identified, this may provide more convincing evidence of real clustering in the underlying risk surface. We propose a shared component model for the joint spatial analysis of two diseases. The key idea is to separate the underlying risk surface for each disease into a shared and a disease-specific component. The various components of this formulation are modelled simultaneously by using spatial cluster models implemented via reversible jump Markov chain Monte Carlo methods. We illustrate the methodology through an analysis of oral and oesophageal cancer mortality in the 544 districts of Germany, 1986–1990.     

“下部病”辨正

关于<百喻经·倒灌喻>中的"下部"、"下部病"等词语,<汉语大词典>与一些学者有着不同的解释.只有考释出"下部"一词的准确含义,才能正确地判定"下部病"的含义."下部"一词在佛经和古代医籍中存在着大量的例证,这些例证足以揭示其准确含义为"肛门"."下部病"是与肛门这一身体部位有关的多种类型疾病的通称,而不是具体指某一种特定的疾病.     

大学生先天性心脏病调查与分析

2000—2006年期间对大学生新生体检中发现，新生常见的心脏病为先天性心脏病，常见病种为房室间隔缺损，二、三尖瓣叶脱垂等。体检中发现农村地区生源心脏病检出率高于城市地区生源。体检中还发现近几年心脏病检出率呈下降趋势。