Injuries,inequalities and health in Europe

Injuries account for a significant burden of mortality, morbidity, disability and health care costs. They differentially affect age and sex groups and reveal massive inequalities in occurrence within and between countries in Europe. Within countries, the poor suffer most and have least ability to change their exposures to risk. Addressing inequalities in injury occurrence would play a valuable role in reducing the differential burden of ill-health between rich and poor. Despite the evidence for many effective injury-related interventions, limited attention has been devoted to addressing injuries as a public health priority. This paper questions why attention has been limited to date and suggests policy action to support injuries being addressed as a mainstream concern by national and international health policy-makers. The paper briefly highlights the public health burden of injuries and violence; illustrates the range of inequalities that characterise their occurrence; highlights the scope for public health action and considers the extent to which policies that reduce the overall burden of injuries may also reduce inequalities in their occurrence; and finally examines why there has been a limited policy response to date and suggests ways of advancing the agenda.     

Graphics for the Minimal Sufficient Cause Model

Graphical representations of causation have been usedfor at least seventy years, and the modern developmentof directed acyclic graphs to portray causal systemscontinues the trend. It is sometimes difficult tounderstand, however, what it is about these diagramsthat is `causal'. The approach to causal graphicsthat is taken here is to base the development ofgraphics on the concepts of an underlying causaltheory, the minimal sufficient cause model. Thisleads to defining a Boolean `and' for arrows thatrepresent causal pathways, and a Boolean `or' forcollections of pathways. Complementation is a morecomplex operation in the minimal sufficient causetheory than simply inverting the sense of a causalrelationship, and this also is represented in thegraphics. By using diagrams that are more faithful tounderlying causal systems, and using a coherent causaltheory, both the perception of causation and itsanalysis might be enhanced.     

产妇产后抑郁症病因分析及预防措施初探

本文通过分析产后抑郁的形成原因,采取营造舒适修养环境、疏导产妇心理、调整生活习惯等措施,能够较好地预防产后抑郁症的发生。