System Health Research Articles

Metabolic Changes of Active Components of Important Medicinal Plants on the basis of Traditional Chinese Medicine under Different Environmental Stresses

Abstract: Traditional Chinese medicine is an ancient system of wellness and health that has been used in almost all countries of the world, specially in Asia for thousands of years. : The growth, development, final yield and chemical compounds of medicinal plants can be negatively influenced by different kinds of biotic and abiotic stresses. Abiotic stress signals are chemical stress (Mineral salts, heavy metal, aerosols, gaseous toxins, pesticides, and pollutants), salinity (salt), temperature (Heat, cold), radiation (Ionisation radiation, light and UV), water (Flooding, drought) and mechanical stress (Submergence, wind, soil movement). Relevant literature has been obtained using the keywords “Traditional Chinese Medicine”, “Abiotic Stress”, “Biotic Stress”, “Ginseng”, “Ginger”, “Goji berry”, “Astragalus”, “Ginkgo”, “Artemisia annua L.”, “LC-MS”, “GC-MS”, and “NMR” in scientific information, namely “Web of Science”, “PubMed”, “SciFinder”, and “Elsevier”. Some of the plants’ secondary metabolites under different growth conditions are Camptothecin (Camptotheca acuminata), Capsaicin (Capsicum sp.), Rosmarinic acid (Salvia miltiorrhiza), Codeine (Papaver somniferum), Resveratrol (Grapes, groundnut), Artemisinin (Artemesia annua), Allicin (Allium sativum), Rohitukine (Dysoxylum binectariferum), Stevioside (Stevia rebaudiana), Andrographolide (Andrographis paniculata), Saikosaponins (Bupleurum chinense), Sennosides (Cassia augustifolia), Rutin (Dimorphandra mollis), Valepotriates (Valeria species), Indole alkaloids (Catharanthus roseous), and Furanocoumarins (Bituminaria bituminosa). : The aim of this article is a survey of active chemical compounds and metabolic changes of some of the most important medicinal plants in traditional Chinese medicine (TCM) in both abiotic and biotic stresses. : Future research is needed to evaluate the effects of biotic and abiotic stresses on chemical compounds and active metabolites of medicinal plants specially traditional Chinese medicine, and more surveys on the roles of LC-MS, GC-MS and NMR techniques for a better understanding of chemical components of medicinal plants.

MORBIDITY PATTERN AMONG SCHOOL CHILDREN IN A TRIBAL DISTRICT OF MAHARASHTRA: A DESCRIPTIVE STUDY BASED ON SECONDARY DATA.

Background: India harbours one of the largest tribal populations in the world. Ashram schools are established in tribal districts, which are meant to uplift the education of tribal children. Rashtriya Bal Swasthya Karyakram (RBSK) was launched in 2013 to provide targeted and comprehensive health care to children aged 0 –18 years. This study targets to nd morbidity patterns among them with the help of data collected by RBSK and to give suitable recommendations based on the ndings This secondary Methodology: data-based observational descriptive study was carried out in two blocks of the Palghar district of Maharashtra State. After obtaining ethical approval and necessary permissions, health-related data of all Ashram School children collected by the RBSK team from November 2021 to October 2022 was retrieved and stored in electronic format. The proportion of different health problems was calculated. Rashtriya Bal Results: Swasthya Karyakram (RBSK) team screened 21,818 school children (49.4% boys and 50.6% girls) of the age group of 10-18 years from different Ashram schools for one year (November 2021 to October 2022). The team referred a total of 2016 students to higher medical facilities. Amongst the total screened 26.56% with 24 diseases as per the RBSK report. Additionally, 87% of students had 'Disease or Disorder', 5.8% had 'Deciencies', 4.5% had any kind of 'Defect' and 2.7% had any kind of 'Developmental delay'. The majority of the students were affected by respiratory airway diseases (44.5%), menstrual problems (16.1%) and skin conditions (11.1%). Study Conclusion: ing morbidity patterns under 4Ds approach enables intervention at an early stage of diseases. Capacity building of RBSK program and digitalised standard reporting system and integration of school health with other National Health Programmes may contribute to improving children's health.

Grief Response of Nursing Professionals Is Associated With Their Depression, Loneliness, Insomnia, and Work-Related Stress While Working in COVID-19 Inpatients Wards.

We aimed to explore whether nursing professionals' psychological states affect their grief response for a patient's death in the coronavirus disease-2019 (COVID-19) inpatients' ward. Survey was conducted among frontline nursing professionals working in COVID-19 inpatients wards at three tertiary-level affiliated hospitals of the University of Ulsan during April 7-26, 2022. Participants' information such as age, years of employment, or marital status were collected, and their responses to rating scales including Pandemic Grief Scale (PGS) for healthcare workers, Stress and Anxiety to Viral Epidemics-9 items (SAVE-9), Patient Health Questionnaire-9 (PHQ-9), Loneliness and Social Isolation Scale, and Insomnia Severity Scale (ISI) were collected. All 251 responses were analyzed. We observed that 34% reportedly suffered from depression. The linear regression analysis showed that a high PGS score was expected by high SAVE-9 (β=0.12, p=0.040), high PHQ-9 (β=0.25, p<0.001), high loneliness (β=0.17, p=0.006), and high ISI score (β=0.16, p=0.006, F=20.05, p<0.001). The mediation analysis showed that the depression of nursing professionals directly influenced their pandemic grief reaction, and their work-related stress and viral anxiety, insomnia severity, and loneliness partially mediated the association. We confirm that frontline nursing professionals' depression directly influenced their grief reaction, and their work-related stress and viral anxiety, insomnia severity, and loneliness partially mediated the association. We hope to establish a psychological and social support system for the mental health of nurses working in the COVID-19 wards.

Sustainability: Advances and Applications. An Introduction to Manuscripts Based on the ACS Presidential–Agricultural &amp; Food Chemistry Division Symposium Held during the 261st ACS National Meeting in April 2021

The symposium Sustainability: Advances and Applications was held during the virtual 261st ACS National Meeting, April 2021. The symposium was co-organized by 2021 ACS President H. N. Cheng and the Agricultural and Food Chemistry Division of ACS. Sixty (60) invited speakers presented their research on Biobased Polymers, Biobased Molecules, Byproduct Utilization, Waste-product Utilization, the Food-Energy-Water Nexus, Nanotech that Drives Sustainability, Food Safety and Security, and Sustainable Food Systems for Health. Contributions to this issue of ACS Food Science & Technology can be generally categorized as leveraging renewable resources for health and nutrition benefits, modifying renewable resources to extend their utility, and computational approaches to help enhance or increase the safety of renewable agricultural resources.

Gut Microbiome in Post-COVID-19 Patients Is Linked to Immune and Cardiovascular Health Status but Not COVID-19 Severity.

The composition of the gut microbiome stores the imprints of prior infections and other impacts. COVID-19 can cause changes in inflammatory status that persist for a considerable time after infection ends. As the gut microbiome is closely associated with immunity and inflammation, the infection severity might be linked to its community structure dynamics. Using 16S rRNA sequencing of stool samples, we investigated the microbiome three months after the end of the disease/infection or SARS-CoV-2 contact in 178 post-COVID-19 patients and those who contacted SARS-CoV-2 but were not infected. The cohort included 3 groups: asymptomatic subjects (n = 48), subjects who contacted COVID-19 patients with no further infection (n = 46), and severe patients (n = 86). Using a novel compositional statistical algorithm (nearest balance) and the concept of bacterial co-occurrence clusters (coops), we compared microbiome compositions between the groups as well as with multiple categories of clinical parameters including: immunity, cardiovascular parameters and markers of endothelial dysfunction, and blood metabolites. Although a number of clinical indicators varied drastically across the three groups, no differences in microbiome features were identified between them at this follow-up point. However, there were multiple associations between the microbiome features and clinical data. Among the immunity parameters, the relative lymphocyte number was linked to a balance including 14 genera. Cardiovascular parameters were associated with up to four bacterial cooperatives. Intercellular adhesion molecule 1 was linked to a balance including ten genera and one cooperative. Among the blood biochemistry parameters, calcium was the only parameter associated with the microbiome via a balance of 16 genera. Our results suggest comparable recovery of the gut community structure in the post-COVID-19 period, independently of severity or infection status. The multiple identified associations of clinical analysis data with the microbiome provide hypotheses about the participation of specific taxa in regulating immunity and homeostasis of cardiovascular and other body systems in health, as well as their disruption in SARS-CoV-2 infections and other diseases.

Thoughts on the construction of public health informatization for community health archives grass roots management system.

With the development of social economy and the continuous improvement of people's living standards, people expect to receive high-level medical services, and the requirements for medical care are also getting higher and higher. However, there are still objective problems such as rising medical costs, difficulty in seeking medical treatment, uneven distribution of medical resources, low efficiency of medical services, and uneven medical quality. This paper first analyzes the significance of public health informatization construction, focuses on the elements of public health informatization construction, and expounds the status quo of health informatization construction and the existing problems in community health informatization. Then, this paper expounds the construction of public health informatization based on the grass-roots management system of community health records, and discusses the construction of a health information platform centered on the health records of community residents. Afterwards, this paper proposes and studies the functions of the community medical information archives management system from three aspects: the composition of the community medical information archives management system, the problems of system management, and the development requirements of the system, and proposes an algorithm based on a decision tree model to enhance public health informology. Finally, on the basis of experiments and investigations, Internet technology and decision tree model algorithms are introduced into the public health information system construction of the community health archives system to build a new public health information system, and the satisfaction rate can be increased by 23%.

Chronic circadian desynchronization of feeding-fasting rhythm generates alterations in daily glycemia, LDL cholesterolemia and microbiota composition in mice.

The circadian system synchronizes behavior and physiology to the 24-h light- dark (LD) cycle. Timing of food intake and fasting periods provide strong signals for peripheral circadian clocks regulating nutrient assimilation, glucose, and lipid metabolism. Mice under 12 h light:12 h dark (LD) cycles exhibit behavioral activity and feeding during the dark period, while fasting occurs at rest during light. Disruption of energy metabolism, leading to an increase in body mass, was reported in experimental models of circadian desynchronization. In this work, the effects of chronic advances of the LD cycles (chronic jet-lag protocol, CJL) were studied on the daily homeostasis of energy metabolism and weight gain. Male C57 mice were subjected to a CJL or LD schedule, measuring IPGTT, insulinemia, microbiome composition and lipidemia. Mice under CJL show behavioral desynchronization and feeding activity distributed similarly at the light and dark hours and, although feeding a similar daily amount of food as compared to controls, show an increase in weight gain. In addition, ad libitum glycemia rhythm was abolished in CJL-subjected mice, showing similar blood glucose values at light and dark. CJL also generated glucose intolerance at dark in an intraperitoneal glucose tolerance test (IPGTT), with increased insulin release at both light and dark periods. Low-density lipoprotein (LDL) cholesterolemia was increased under this condition, but no changes in HDL cholesterolemia were observed. Firmicutes/Bacteroidetes ratio was analyzed as a marker of circadian disruption of microbiota composition, showing opposite phases at the light and dark when comparing LD vs. CJL. Chronic misalignment of feeding/fasting rhythm leads to metabolic disturbances generating nocturnal hyperglycemia, glucose intolerance and hyperinsulinemia in a IPGTT, increased LDL cholesterolemia, and increased weight gain, underscoring the importance of the timing of food consumption with respect to the circadian system for metabolic health.

Understanding the relationship between oral health and psychosis: qualitative analysis

Individuals with psychosis have poor oral health compared with the general population. The interaction between oral health and psychosis is likely to be complex and have important ramifications for improving dental and mental health outcomes. However, this relationship is poorly understood and rarely studied using qualitative methods. To explore patient perspectives on the relationship between oral health and psychosis. The authors recruited 19 people with experiences of psychosis from community mental health teams, early intervention in psychosis services, and rehabilitation units. Participants completed a qualitative interview. Transcripts were analysed with reflexive thematic analysis. The analysis resulted in three themes: theme 1, psychosis creates barriers to good oral health, including a detachment from reality, the threat of unusual experiences and increased use of substances; theme 2, the effects of poor oral health in psychosis, with ramifications for self-identify and social relationships; and theme 3, systems for psychosis influence oral health, with central roles for formal and informal support networks. Psychosis was perceived to affect adherence to oral health self-care behaviours and overall oral health. Poor oral health negatively affected self-identity and social relationships. Clinical implications include a systemic approach to provide early intervention and prevention of the sequelae of dental disease, which lead to tooth loss and impaired oral function and aesthetics, which in turn affect mental health. Participants felt that mental health services play an important role in supporting people with oral health.

The environment a young person grows up in is associated with their mental health: A nationwide geospatial study using the integrated data infrastructure, New Zealand

BackgroundMental health conditions often arise during adolescence, are multifaceted in aetiology, and may be related to the type of environment in which young people reside. This study used nationwide population-level data to investigate whether the environment a young person grows up in is associated with their mental health. MethodData were extracted from the Integrated Data Infrastructure (IDI), a large nationwide research repository, for 917,211 young people (aged 10–24 years) including sociodemographic and mental health data (i.e. emotional, behavioural, substance problems, and self-harm). Environmental data were sourced from the nationwide area-based Healthy Location Index (HLI), which has comprehensive data on the location of several health-constraining (i.e. fast-food outlets) and health-promoting features (i.e. physical activity facilities). Environments were classified as: i) health-promoting, ii) health-constraining, or iii) neither. Associations between the HLI and mental health were investigated using multi-level mixed effects logistic regression modelling. ResultsOverall, there was evidence of an association between the environment a young person resided in and their mental health. Young people residing in health-constraining environments had higher odds of any mental health condition (Adjusted Odds Ratio (AOR) = 1.020 [1.001, 1.040]) and any emotional condition (AOR = 1.037 [1.012, 1.062]). Young people residing in health-promoting environments had lower odds of substance problems (AOR = 0.950 [0.905, 0.997]). There were no significant effects of the environment on behavioural conditions. ConclusionOur study utilises a large national sample of almost one million young people to confirm the importance of environmental determinants for mental health. It is possible that leverage points for improving the mental health of young people, and reducing the burden to the health system of mental health, can be sought in upstream environmental based interventions.

PROSER: A Web-Based Peripheral Blood Smear Interpretation Support Tool Utilizing Electronic Health Record Data.

Peripheral blood smear (PBS) interpretation represents a cornerstone of pathology practice and resident training but has remained largely static for decades. Here, we describe a novel PBS interpretation support tool. In a mixed-methods quality improvement study, a web-based clinical decision support (CDS) tool to assist pathologists in PBS interpretation, PROSER, was deployed in an academic hospital over a 2-month period in 2022. PROSER interfaced with the hospital system's electronic health record and data warehouse to obtain and display relevant demographic, laboratory, and medication information for patients with pending PBS consults. PROSER used these data along with morphologic findings entered by the pathologist to draft a PBS interpretation using rule-based logic. We evaluated users' perceptions of PROSER with a Likert-type survey. PROSER displayed 46 laboratory values with corresponding reference ranges and abnormal flags, allowed for entry of 14 microscopy findings, and computed 2 calculations based on laboratory values; it composed automated PBS reports using a library of 92 prewritten phrases. Overall, PROSER was well received by residents. In this quality improvement study, we successfully deployed a web-based CDS tool for PBS interpretation. Future work is needed to quantitatively evaluate this intervention's effects on clinical outcomes and resident training.

An Automated Irrigation and Monitoring System Using IoT: A Survey

The Internet of Things (IoT) is revolutionizing the agricultural business and assisting farmers to overcome the enormous obstacles they confront. Agriculture is a vast area that needs to be studied. About 80% of India’s surface water is used for agriculture. It can be used for a plethora of applications. Proper irrigation is still a challenge in most agriculture practices. Farming is critical to the development of a nation like Ethiopia. Agriculture-related issues have consistently stymied the country's development. The difficulties that the Internet of Things (IoT) may handle, include regulating cattle, sustainability, and plants and soil. The only solution to this challenging problem is contemporary agriculture and technology for sustainable water use by updating traditional agricultural techniques. By solving issues in farming, having to cut IoT applications boosts agricultural production's efficiency, quality, durability, and cost-effectiveness. This reduces the risk of over or under-watering, resulting in healthier plants and higher yields. Today's enormous and tiny farms may apply IoT to monitor the location that may monitor crop development, identify insects, and assess water content as well as their smart linked cultivators and irrigation. Moreover, the system also reduces the need for manual monitoring and intervention, saving time and reducing labour costs. This project improves the watering operation while monitoring soil parameters including water content, temperatures, and conductivity. Node-MCU is applied to make judgements. If there is a deviation from the impact on succeeding, the user is warned by text message. This guarantees the whole system's health and it enables the system to use an appropriate quantity of water which avoids over/under irrigation.

Acceptance Analysis of The Electronic Kohort Information System for Maternal and Child Health (MCH) Using the Technology Acceptance Model (TAM) Method at the Bima City Health Centers

The Maternal and Child Health (MCH) Program in Indonesia is faced with a diversity of achievements between regions caused by disparities in the capacity of the health system and exacerbated by the Covid-19 pandemic which has caused a decrease in service activities and reporting quality so that digitalization of services is needed. This type of research is qualitative research with the design of phenomenological studies using thematic analysis with the help of the Nvivo 12 application. Primary data collection was carried out by means of observation and in-depth interviews with research informants by purposive sampling. To increase the credibility of the data use source triangulation. The research informants consisted of the head of the family health services section, the head of the health centers and the midwife as the user of the e-cohort. Thirteen informants (11 women and 2 men) participated in the study. Most informants can use the core functions of the e-cohort app navigation menu. The study proposes that the perceived perception of ease of use may not be in line with the perceived expediency of explaining variations in the successful acceptance of MCH e-cohort applications. The study also found that there were differences in outcomes between user perceptions at the operational level and policy makers at the managerial level. In general, the analysis collects several types of obstacles and potentially problems that negatively affect the usefulness of the e-cohort application : not being able to make the work of midwives easier and faster, ineffective and not so much to increase the productivity of performance. With regard to ease of use, users feel that the e-cohort can be easily learned and used. The e-cohort is considered to have value as a system that makes the work of midwives more difficult and hinders the work, however, the appearance, elements, features and design are perceived to be quite easy to use. In addition, users also highlight the need to consider how the system can be implemented in order to minimize the impact and optimize usability

PELATIHAN DAN PERAWATAN KENDARAAN RODA EMPAT NEGLA UNTUK MENINGKATKAN KUALITAS PELAYANAN NEGLA SARI TANGERANG

The car repair business does not only rely on car maintenance service activities, but is supported by comfortable facilities and excellent service. The "Koh Aloy" car repair shop is a micro-small business with a number of limitations, including limitations on the types of service services, infrastructure facilities, sources of funds, and the ability to manage a repair shop. The objectives of this training include car service with injection technology, application of a workshop administration system and management of the Occupational Health and Safety Environment (LK3). The target subjects of the activity are workshop managers and mechanics. Evaluation of training participant satisfaction is carried outthrough customer satisfaction measurement instruments. The results of the training and mentoring activities for small and micro car repair shops in Negla Sari Tangerang to increase the competitiveness of this service are; 1) the service activities carried out at the "Koh Aloy" Car Repair Shop, received a pretty good response. The indicators are that both the manager and the mechanics of the partner car repair shop participate in the activity from start to finish; 2) training and mentoring activities for car repair shop managers and mechanics, have increased knowledge about injection technology and service for injection technology cars, entrepreneurship and marketing management, workshop administration systems, recording financial reports, and environmental management, occupational safety and health (LK3 ); and 3) training and mentoring activities have provided provisions for car repair shop managers and mechanics to be better prepared in providing injection car service services.

Renzo Guinto: creating resilient planetary systems for health

Renzo Guinto: creating resilient planetary systems for health

DARPP-32 cells and neuropil define striosomal system and isolated matrix cells in human striatum.

The dorsal striatum forms a central node of the basal ganglia interconnecting the neocortex and thalamus with circuits modulating mood and movement. Striatal projection neurons (SPNs) include relatively intermixed populations expressing D1-type or D2-type dopamine receptors (dSPNs and iSPNs) that give rise to the direct (D1) and indirect (D2) output systems of the basal ganglia. Overlaid on this organization is a compartmental organization, in which a labyrinthine system of striosomes made up of sequestered SPNs is embedded within the larger striatal matrix. Striosomal SPNs also include D1-SPNs and D2-SPNs, but they can be distinguished from matrix SPNs by many neurochemical markers. In the rodent striatum the key signaling molecule, DARPP-32, is a exception to these compartmental expression patterns, thought to befit its functions through opposite actions in both D1- and D2-expressing SPNs. We demonstrate here, however, that in the dorsal human striatum, DARPP-32 is concentrated in the neuropil and SPNs of striosomes, especially in the caudate nucleus and dorsomedial putamen, relative to the matrix neuropil in these regions. The generally DARPP-32-poor matrix contains scattered DARPP-32-positive cells. DARPP-32 cell bodies in both compartments proved negative for conventional intraneuronal markers. These findings raise the potential for specialized DARPP-32 expression in the human striosomal system and in a set of DARPP-32-positive neurons in the matrix. If DARPP-32 immunohistochemical positivity predicts differential functional DARPP-32 activity, then the distributions demonstrated here could render striosomes and dispersed matrix cells susceptible to differential signaling through cAMP and other signaling systems in health and disease. DARPP-32 is highly concentrated in cells and neuropil of striosomes in post-mortem human brain tissue, particularly in the dorsal caudate nucleus. Scattered DARPP-32-positive cells are found in the human striatal matrix. Calbindin and DARPP-32 do not colocalize within every spiny projection neuron in the dorsal human caudate nucleus.

Koncepcja systemu informacji o bezpieczeństwie i zdrowiu w miejscu pracy

The paper presents the concept of a full automation of the data collection process with regard to surveys examining the working conditions and accidents at work, conducted by official statistics in Poland and developed in accordance with the principles of Lean management. The term full automation of data collection relates to the activities performed by an information system (without human participation) in the process of obtaining data from an indicated source. The study is based on the design science research approach, which allows the inspection of the current effects of the modernisation of surveys examining working conditions, achieved since 2018, and the preparation of a coherent concept of further multidimensional activities aimed at a thorough reorganisation of statistical business processes. The conclusion of this article is that the construction of an efficient information system of workplace safety and health would eliminate the existing constraints. Creating such a system requires a harmonious cooperation at both operational and strategic level in order to obtain the desired effect which is to gain access to useful data corresponding to the needs of each stakeholder of the system.

Health-seeking behaviors and associated factors in individuals with substance use disorders at Chainama Hills College Hospital, Lusaka, Zambia

Introduction: Studies in mental health care for low-resource settings indicate that providing services at the primary care level would significantly improve the provision utilization of mental health services. Challenges related to inadequate funding were noted as significant barriers to service provision, with the contribution of low knowledge of mental health conditions and stigma in the community. Objective: This study aimed to assess and explore health-seeking behaviors and their associated factor at Chainama Hills College Hospital (CHCH), Lusaka, Zambia. The study was conducted at CHCH on clients and/or their caregivers receiving and accessing in- and outpatient (OPD) alcohol and drug detoxification and rehabilitation services at CHCH. 79 participants took part in the study taking into consideration all ethical issues. Methodology: Data was collected using the structured questionnaire administered to 79 participants and primary caregivers. Qualitative data was collected using in-depth interviews captured using the digital recorder. The quantitative data were analyzed using SPSS software and the digitally recorded responses for qualitative data were transcribed and analyzed using thematic analysis. Results: Factors influencing health-seeking behavior were related to health systems, socio-cultural, socioeconomic, and individual factors. The main system issues were related to the availability and attitudes of staff and the shortage of supplies and medicines. Conclusion: The engagement of community health workers and increasing efforts to sensitize the community about mental health would prove beneficial. Strengthening the community health systems for mental health could improve access and increase the utilization of services.

Оценка эффективности интегративной программы мотивационного тренинга (ИПМТ) у больных шизофренией, проходящих лечение в стационаре психиатрической больницы, и у проживающих в ПНИ

&lt;p&gt;&lt;strong&gt;Rationale.&lt;/strong&gt; For effective reforming the system of mental health, the system of residential institutions for psychiatric patients (PRI) in the Russian Federation, the development and validation of efficiency of scientifically based methods of socializing psychiatric patients through the activation and development of their psychological resources and social competencies are of particular significance. Among the residents of PRI 46,9% have schizophrenia. &lt;strong&gt;Study Objective. &lt;/strong&gt;Verification of efficiency of the original integrative motivational training program (IPMT) in two samples of patients with schizophrenia: those on inpatient treatment and those living in PRI. &lt;strong&gt;Materials and methods.&lt;/strong&gt; In total, 11 training groups were carried out for the patients with schizophrenia, undergoing treatment in Psychiatric Clinical Hospital No. 4 n.a. Gannushkin (PCH) (total 45 persons, average age 44, 32 women and 13 men with different duration of the disease), and 7 training groups were conducted for the patients in PRI (total 35 persons, average age 50, 17 women and 18 men with duration of the disease over 5 years). The efficiency of the training was estimated using self-assessment instruments that the patients completed before and after the training: &amp;ldquo;Self-efficacy Diagnostics&amp;rdquo;, &amp;ldquo;Coping Strategy Indicator&amp;rdquo;, &amp;ldquo;Compliance&amp;rdquo;, &amp;ldquo;Social Avoidance and Distress Scale&amp;rdquo; (SADS), &amp;ldquo;Feedback Questionnaire&amp;rdquo;. &lt;strong&gt;Results.&lt;/strong&gt; The proposed program motivational training is based on principles close to those of the recovery-oriented cognitive therapy (CT-R), cultural and historical psychology and reflection-activity approach, and contributes to positive changes in the motivational sphere of patients with schizophrenia. In the sample of patients from PCH, the indicators of social anxiety have statistically significantly reduced and there has been an increase in indicators of self-efficacy and compliance. At the level close to statistical significance, the frequency of using a problem-solving strategy has increased, the indicators of their avoidance strategy have decreased, and the indicators of a seeking social support strategy have not changed. In the sample of patients from the PRI, on the contrary, the frequency of using a constructive seeking social support strategy has statistically significantly increased. At the same time, the overall indicator of their social anxiety has reduced, and the overall indicator of their self-efficacy has increased at the level close to statistical significance. The absence of statistically significant dynamics in the variables of compliance and using a problem-solving strategy, as well as in using a destructive avoidance strategy indicates that these deficits are the most persistent and require an additional targeted work. The training participants from both samples have subjectively highly evaluated the results of the training and the changes that they have experienced. &lt;strong&gt;Output.&lt;/strong&gt; There has been a preliminary conclusion made about the efficiency of IPMT for delivering on the target of increasing the resources for socializing patients with schizophrenia, both in PCH and PRI. The main differences in two samples are related to the fact that in the PRI group, in contrast to the PCH group, the indicator of a seeking social support strategy has increased, and use of dysfunctional strategies and compliance problems are more stable. The prospects for this research work consist in expanding the samples and analyzing the influence of such factors gender, age, duration of the disease and duration of stay in the residential facility.&lt;/p&gt;

Animal health warning labels in nature-based, ecotourism & wildlife tourism

ABSTRACT The purpose of this research note was to introduce a novel system of animal health warning labels to (i) contribute to better welfare (health) of animals used at nature-based ecotourism and wildlife (NEWT) attractions and (ii) provide a method to communicate to tourists in a language they are already exposed to daily. Two different frameworks inform the development of the proposed system, both of which are new to the tourism studies domain. The first situates an animal health warning label system within a ‘health and social-ecological systems’ mode of thinking, while the second focuses on the psychological, social, and philosophical mechanisms that determine participation at NEWT attractions. The research note concludes with policy, practice, implementation and monitoring recommendations.

Analysis on the construction of intelligent public health prevention and control system of infectious diseases at ports based on SWOT-PEST analysis model

The most important thing in epidemic prevention and control is the port. The construction of intelligent prevention and control system of port public health cannot be ignored in maintaining national public health safety, and its development process is bound to be affected by political, economic, social and technical factors. Based on SWOT-PEST analysis model, this paper analyzes the internal and external factors of intelligent public health prevention and control system of port infectious diseases in Hubei Province, aiming at clarifying its own strengths and weaknesses, clarifying external opportunities and threats, and further putting forward corresponding development countermeasures, so as to promote the high-quality development of intelligent public health prevention and control system of port infectious diseases in China.