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Malaria Preventive Behaviour among Rural Households in the North West Region of Cameroon 喀麦隆西北地区农村家庭的疟疾预防行为
Pub Date : 2019-01-01 DOI: 10.35248/2329-891X.19.7.312
N. O. Nlinwe, N. G. Forgha, Yakum Ivan Mboambogoh, Fozoh Isiah Aziseh
Malaria remains a major threat to life in Cameroon and in the North West Region in particular. This threat is especially common in rural areas despite the fact that it is preventable and treatable. It is from the above count that this study examines the role of; Household income, Family Size, Gender and Age of household head, Educational level of the Household head, Knowledge on signs, symptoms, and prevention of malaria among Households in the North West Region of Cameroon. This study used data collected from 6341 households selected from ten health districts with the highest malaria prevalence in the North West Region. Data were analyzed using ordered logit Regression. The findings of this study reveal the significant ability of; gender, age, marital status and educational attainments of household heads; household per capita income; household size; knowledge on malaria prevention/ transmission, in predicting households ’ malaria prevention seeking behaviors in the North West Region of Cameroon. There is also evidence of the knowledge gap on the signs, causes, and prevention of malaria. The study strongly recommends sensitization campaigns; creation of community-based malaria control committees; sponsored media programs; household empowerment programs and free distribution of Insecticide Treated Bed Nets, as ways of curbing the prevalence of malaria in the North West Region in particular and Cameroon in general.
在喀麦隆,特别是在西北地区,疟疾仍然是对生命的主要威胁。这种威胁在农村地区尤其普遍,尽管它是可以预防和治疗的。正是从上述统计中,本研究考察了;喀麦隆西北地区家庭收入、家庭规模、户主的性别和年龄、户主的教育程度、家庭对疟疾征兆、症状和预防的了解。这项研究使用了从西北地区疟疾流行率最高的十个卫生区选出的6341户家庭收集的数据。数据分析采用有序logit回归。本研究结果揭示了显著的能力;户主的性别、年龄、婚姻状况和教育程度;家庭人均收入;家庭规模;疟疾预防/传播知识在预测喀麦隆西北地区家庭寻求疟疾预防行为方面的作用。还有证据表明,在疟疾的迹象、病因和预防方面存在知识差距。该研究强烈建议开展宣传活动;建立以社区为基础的疟疾控制委员会;赞助媒体节目;家庭赋权方案和免费发放经杀虫剂处理过的蚊帐,以此作为遏制疟疾在西北地区特别是整个喀麦隆流行的方法。
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引用次数: 2
Prevalence and Factors Associated with Hepatitis B Surface Antigen Positivity among Women Receiving Antenatal Care at Mbarara Regional Referral Hospital 在姆巴拉拉地区转诊医院接受产前护理的妇女中乙型肝炎表面抗原阳性的患病率和相关因素
Pub Date : 2019-01-01 DOI: 10.35248/2329-891x.19.7.321
A. Hillary, Mugisha Julius, Ngonzi Joseph, K. Musa, M. Ronald, Kanyesigye Hamson, Wasswa Salongo, Lugobe Henry Mark, M. Richard, Bakibinga Pauline, Masembe Sezalio, Kab, a Taseera
Background: Hepatitis B infection is a disease of public health significance. The burden of the disease among the pregnant women at Mbarara Regional Referral Hospital was not known yet determining seropositivity at antenatal care could prevent HBV in the newborn. This study assessed the prevalence and factors associated with hepatitis B surface antigen positivity among women attending antenatal care at Mbarara Regional Referral Hospital. Methods: This was a cross-sectional study that consisted of 385 pregnant women who attended antenatal care clinic at Mbarara Regional Referral Hospital in a period of three months beginning December 2018 to February 2018. Blood samples were tested for HBsAg using immune-chromatography and positive samples confirmed using the ARCHITECT S2000r system. Data was collected using a structured questionnaire. Logistic regression analysis to assess associated factors with HBsAg was done, results were presented in tables. Results: Three hundred eighty-five women were enrolled in the study. Their median age was 26 years. Prevalence of current (HBsAg) was 3.12% (95% CI 1.62-5.38%). Prevalence of HBsAg was higher. The factors associated with HBsAg positivity were having more than one sexual partner 10.3% or 4.695% CI (1.34-16.30) pvalue= 0.016, history of valval ulcerations 0. R=3.35(CI 1.04-10.77), p-value=0.045 and history of body piercing 12.88% (CI 1.34-124.40), p=0.0027. Conclusion: The prevalence of hepatitis B surface antigen positivity among pregnant women receiving antenatal care at Mbarara Regional Referral Hospital is high. According to the WHO classification of hepatitis B infection, results show intermediate endemicity, and this clearly points to the need for universal screening of all women attending antenatal care at Mbarara Hospital.
背景:乙型肝炎感染是一种具有公共卫生意义的疾病。Mbarara地区转诊医院孕妇的疾病负担尚不清楚,确定产前护理血清阳性可以预防新生儿感染HBV。本研究评估了在姆巴拉拉地区转诊医院接受产前护理的妇女中乙型肝炎表面抗原阳性的患病率和相关因素。方法:这是一项横断面研究,包括在2018年12月至2018年2月的三个月内在姆巴拉拉地区转诊医院产前保健诊所就诊的385名孕妇。血样采用免疫层析法检测HBsAg,阳性样本采用ARCHITECT S2000r系统确认。使用结构化问卷收集数据。Logistic回归分析与HBsAg相关因素,结果见表。结果:385名女性参与了这项研究。他们的平均年龄为26岁。当前(HBsAg)患病率为3.12% (95% CI 1.62 ~ 5.38%)。HBsAg患病率较高。与HBsAg阳性相关的因素为:有多于一个性伴侣10.3%或4.695% CI (1.34-16.30) p值= 0.016,瓣膜溃疡史0。R=3.35(CI 1.04 ~ 10.77), p值=0.045,穿刺史12.88% (CI 1.34 ~ 124.40), p=0.0027。结论:在姆巴拉拉地区转诊医院接受产前护理的孕妇中,乙型肝炎表面抗原阳性率较高。根据世卫组织对乙型肝炎感染的分类,结果显示为中等地方性,这清楚地表明需要对在姆巴拉拉医院接受产前护理的所有妇女进行普遍筛查。
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引用次数: 5
Antimicrobial Activities of Extracts of Tobacco Leaf (Nicotiana tabacum) and Its Grounded Snuff (Utaba) on Candida albicans and Streptococcus pyogenes 烟叶及其鼻烟提取物对白色念珠菌和化脓性链球菌的抑菌活性研究
Pub Date : 2019-01-01 DOI: 10.4172/2329-891X.1000300
Christian Kosisochukwu Anumudu, Nwachukwu Mi, Obasi Cc, Nwachukwu Io, Ihenetu Fc
This study was designed to investigate the antimicrobial activity of leaf and ground snuff extracts of Tobacco (Nicotiana tabacum) against Candida albicans and Streptococcus pyogenes using methanol and water as extracting solvents. The study employed the agar diffusion and tube dilution assays. Methanol extracts of tobacco leaf produced zones of inhibition of 13.0 mm against Streptococcus and 9.5 mm against Candida, whereas the water extracts produced inhibition zones of 10.0 mm for Streptococcus and no inhibitory activity on Candida. A minimum inhibitory concentration of 25 mg/ml was recorded by the methanol extracts of tobacco leaves against Candida and 100 mg/ml MIC against Streptococcus. The methanolic leaf extracts had both bactericidal and fungicidal effect on both Streptococcus and Candida at a concentration of 200 mg/ml. The zones of inhibition obtained from methanolic extracts of grounded snuff against Streptococcus was 10.5 mm and 15.0 mm against Candida whereas the water extracts produced inhibition zones of 7.5 mm for Streptococcus and 11.0 mm against Candida. A minimum inhibitory concentration of 100 mg/ml was recorded by both methanolic and water snuff extracts against Streptococcus. While the MIC obtained from the methanolic extract of ground snuff against Candida was 50 mg/ml. The water extracts of ground snuff showed no bactericidal or fungicidal activity. Whereas 200 mg/ml of the methanolic extract of ground snuff was microbiocidal against Streptococcus and Candida. In summary, the study showed that Grounded snuff is more of an antifungal agent than antibacterial while tobacco leaves have great antibacterial potential. This may justify the use of tobacco leaves and its ground snuff in the treatment of oral thrush caused by Candida albicans and strep throat caused by Streptococcus pyogenes.
以甲醇和水为提取溶剂,研究了烟草叶和碎鼻烟提取物对白色念珠菌和化脓性链球菌的抑菌活性。本研究采用琼脂扩散法和试管稀释法。烟叶甲醇提取物对链球菌和念珠菌的抑制区分别为13.0 mm和9.5 mm,而水提取物对链球菌的抑制区为10.0 mm,对念珠菌无抑制活性。烟叶甲醇提取物对念珠菌的最低抑菌浓度为25 mg/ml,对链球菌的最低抑菌浓度为100 mg/ml。甲醇叶提取物在浓度为200 mg/ml时对链球菌和念珠菌均有杀菌和杀真菌作用。鼻烟甲醇提取物对链球菌的抑制区为10.5 mm,对念珠菌的抑制区为15.0 mm,而水提取物对链球菌的抑制区为7.5 mm,对念珠菌的抑制区为11.0 mm。甲醇和水鼻烟提取物对链球菌的最低抑制浓度均为100 mg/ml。而鼻烟甲醇提取物对念珠菌的MIC为50 mg/ml。鼻烟水提物无杀菌、杀真菌活性。而鼻烟甲醇提取物200 mg/ml对链球菌和念珠菌有杀菌作用。综上所述,研究表明,鼻烟粉的抗真菌作用大于抗菌作用,而烟叶具有很强的抗菌潜力。这可能证明使用烟叶及其碎鼻烟治疗由白色念珠菌引起的鹅口疮和由化脓性链球菌引起的链球菌性咽喉炎是合理的。
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引用次数: 10
Pulmonary Haemorrhage due to Hump-Nosed Viper Bite: Excellent Response to Methyl Prednisolone-Case Report and Review of Literature 峰鼻毒蛇咬伤致肺出血:甲泼尼松龙治疗效果佳1例报告及文献复习
Pub Date : 2019-01-01 DOI: 10.35248/2329-891X.19.7.309
A. Srirangan, J. Pushpakumara, K. Wanigasuriya
Background: Hump-nosed viper bite, the commonest venomous snake bite in Sri Lanka, is associated with significant morbidity. Specific anti-venom is not available for hump-nosed viper envenomation which is usually managed with supportive treatment. Pulmonary hemorrhage is an unusual manifestation of hump-nosed viper bite. Here we present a case of hump-nosed viper envenomation which complicated by pulmonary hemorrhage and was successfully treated with systemic steroids. To the best of our knowledge, it has not been reported in the literature before. Case Presentation: A previously healthy 55-year-old man presented to the local hospital 18 hours after a humpnosed viper bite. He developed bilateral severe pulmonary hemorrhages, evidenced by rapid desaturation which needed intubation and mechanical ventilation, bleeding from the endotracheal tube and bilateral alveolar shadows in a chest X-ray. He had no other bleeding manifestations. Because of the life-threatening situation, he was treated with methylprednisolone pulse therapy. There was a rapid improvement of hypoxia with a resolution of X-ray changes. He was successfully weaned off from the ventilation after 24 hours. Conclusion: This case highlights the importance of suspecting pulmonary hemorrhage in a patient who develops desaturation and alveolar shadow following hump-nosed viper bite even in the absence of other bleeding manifestation. Early and timely treatment with systemic steroid can be lifesaving in such patients.
背景:驼鼻毒蛇咬伤是斯里兰卡最常见的毒蛇咬伤,发病率高。特定的抗蛇毒是不可用的驼鼻毒蛇中毒,这通常是管理与支持治疗。肺出血是驼鼻毒蛇咬伤的一种不寻常的表现。在这里我们提出一个病例驼鼻毒蛇中毒合并肺出血,并成功地治疗全身类固醇。据我们所知,这在以前的文献中没有报道过。病例介绍:一名先前健康的55岁男子在被人鼻蛇咬伤18小时后被送往当地医院。患者出现双侧严重肺出血,表现为快速去饱和,需要插管和机械通气,气管内管出血,胸部x线片显示双侧肺泡影。他没有其他出血症状。由于病情危及生命,他接受了甲基强的松龙脉冲治疗。随着x线改变的分辨率,缺氧迅速改善。24小时后,他成功地脱离了呼吸机。结论:本病例强调了在没有其他出血表现的情况下,在驼鼻毒蛇咬伤后出现去饱和和肺泡影的患者怀疑肺出血的重要性。早期和及时的全身性类固醇治疗可以挽救这些患者的生命。
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引用次数: 0
Public Health Planning and Citizen Engagement: Exploring the Need and the Sustainability of an Open Source Platform for Dengue Prevention in Sri Lanka 公共卫生规划和公民参与:探索斯里兰卡登革热预防开源平台的必要性和可持续性
Pub Date : 2019-01-01 DOI: 10.35248/2329-891X.19.7.310
N. Wickramaarachchi, P. Mahanama, R. Ratnayake, B. Ns, ara
The rise of Information Communication Technology (ICT) has offered the world a new and efficient mechanism to increase active citizen engagement. Growth in open source technology has widened the space for engaging a vast number of citizens limitless of geographical and hierarchical boundaries via crowdsourcing real-time data. Even though there is a boom in using ICTs in connecting and sharing knowledge and information among different stakeholders, still, there is a considerable gap in using open source technology in combating public health issues around the world. As a country with a high internet usage rate, Sri Lanka still shows underutilization of such technologies in monitoring and preventing non-communicable diseases. Dengue is a serious health threat in Sri Lanka which shows the need for active surveillance in prevention. The main objective of the paper is to seek the potential possibility of using the Internet of Things (IoT) in preventing dengue outbreak in Sri Lanka. Also, it aims to identify the opportunities for using a mobile application and even tries to address the usability issues that could arise when introducing and retaining a mobile application. By doing that, this paper will contribute to filling the gap in research on functionality and usability issues and also introduces a user-friendly open source application to prevent dengue outbreak in Sri Lanka. The proposed development of the mobile platform for dengue prevention has considered the economic and social understanding of people as rational thinkers and collective actors and also has used the user-friendly guidelines of mobile application development.
信息通信技术(ICT)的兴起为世界提供了一种新的有效机制来增加公民的积极参与。开源技术的发展扩大了通过众包实时数据吸引大量公民的空间,不受地理和等级界限的限制。尽管利用信通技术在不同利益攸关方之间建立联系和分享知识和信息方面出现了蓬勃发展,但在利用开源技术解决世界各地的公共卫生问题方面仍存在相当大的差距。作为一个互联网使用率很高的国家,斯里兰卡在监测和预防非传染性疾病方面仍未充分利用这类技术。登革热在斯里兰卡是一种严重的健康威胁,这表明需要在预防方面进行积极监测。本文的主要目的是寻求在斯里兰卡使用物联网(IoT)预防登革热爆发的潜在可能性。此外,它旨在确定使用移动应用程序的机会,甚至试图解决引入和保留移动应用程序时可能出现的可用性问题。通过这样做,本文将有助于填补在功能和可用性问题研究方面的空白,并介绍一个用户友好的开源应用程序,以防止斯里兰卡的登革热爆发。拟议的登革热预防移动平台开发考虑了人们作为理性思考者和集体行为者的经济和社会理解,并使用了移动应用程序开发的用户友好指南。
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引用次数: 0
Prevalence of Soil Transmitted Helminthes Infections and its Determinants among Primary School Children in Gena Bossa Tiworeda, Ethiopia: Cross-Sectional Study 埃塞俄比亚Gena Bossa tiwooreda小学儿童土壤传播蠕虫感染流行及其决定因素:横断面研究
Pub Date : 2019-01-01 DOI: 10.35248/2329-891X.19.7.316
Teklemariam Yarinbab, Abebe Demissie Darcha
Background: Soil-Transmitted Helminths (STH) infection is a major public health problem among school-aged children in developing countries. In Ethiopia, school-aged children have been identified as a high-risk group of population to be infected with Soil Transmitted Helminthes. Effective prevention and control of STH infection require the identification of risk factors among high-risk groups. Therefore, the aim of this study was to assess the prevalence of Soil Transmitted Helminthes infections and its determinants among primary school children in Gena Bossa Woreda, Ethiopia. Methods: Cross-sectional study was conducted in Gena Bossa Woreda, Ethiopia. The data were collected using pre-tested and structured questionnaires. Simple random sampling technique was used. Data analysis was done by SPSS for Windows Version 20.0. Bivariate and Multivariate logistic regressions analyses were conducted. p-value <0.05 was used to declare statistically significant variables. Result: About 303 (97.7%) of the study subjects participated in the study. Above one-third (38.3%) of the study, participants were tested positive for at least one of the STH species. lumbricoides (42.1%) was the predominant parasite followed by Hookworms (37.4%) and T. trichiura (11.2%). Lack of private latrines (AOR=4.12, 95% CI: 1.64 and 3.37), not wearing shoes always (AOR=1.80, 95% CI: 1.01, 3.23), age of children (5 to 10 years) (AOR=2.43, 95%, CI: 1.42 and 4.16) and not knowing causative agents of STH infection (AOR=2.60, 95% CI: 1.37 and 4.93) were found to be determinants of Soil Transmitted Helminthes Infections. Conclusion: Lack of private latrines, not wearing shoes always, age of children (5 to 10 years) and not knowing causative agents of STH infections were found to be major determinants of STH Infections. Therefore; public health policymakers and stakeholders working in the area should focus their intervention against STH infections on integrated control programs including regular health education on children ’ s shoes wearing habits, raising awareness of school children and their families on STH infections and promoting private latrines in every household.
背景:土壤传播蠕虫(STH)感染是发展中国家学龄儿童的一个主要公共卫生问题。在埃塞俄比亚,学龄儿童已被确定为感染土壤传播蠕虫的高危人群。有效预防和控制STH感染需要识别高危人群中的危险因素。因此,本研究的目的是评估埃塞俄比亚Gena Bossa wooreda小学生中土壤传播蠕虫感染的流行情况及其决定因素。方法:在埃塞俄比亚Gena Bossa wooreda进行横断面研究。数据是通过预先测试和结构化的问卷收集的。采用简单随机抽样技术。数据分析采用SPSS for Windows Version 20.0软件。进行了双变量和多变量logistic回归分析。以p值<0.05表示变量有统计学意义。结果:约303名(97.7%)研究对象参与研究。超过三分之一(38.3%)的研究参与者在至少一种STH物种的检测中呈阳性。寄生虫以蚓类为主(42.1%),其次为钩虫(37.4%)和毛螺旋体(11.2%)。缺乏私人厕所(AOR=4.12, 95% CI: 1.64和3.37)、不经常穿鞋(AOR=1.80, 95% CI: 1.01和3.23)、儿童年龄(5至10岁)(AOR=2.43, 95% CI: 1.42和4.16)和不知道STH感染的病原体(AOR=2.60, 95% CI: 1.37和4.93)是土壤传播性蠕虫感染的决定因素。结论:缺乏私人厕所、不常穿鞋、儿童年龄(5 ~ 10岁)和不了解STH感染病原体是STH感染的主要决定因素。因此;公共卫生政策制定者和利益相关方应将预防STH感染的干预措施重点放在综合控制计划上,包括定期对儿童穿鞋习惯进行健康教育,提高学童及其家庭对STH感染的认识,以及在每个家庭推广私人厕所。
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引用次数: 1
Direct DNA Modified CTAB Preparation from Nasal Exudate in Live M. bovis Infected Cattle in Mexico Provide with a Valuable Assay Extrapolated to Humans TB Diagnostic Test 从墨西哥感染牛分枝杆菌的活牛鼻渗出液中直接制备DNA修饰的CTAB为人类结核病诊断试验提供了一种有价值的外推分析方法
Pub Date : 2019-01-01 DOI: 10.35248/2329-891x.19.7.325
Sanchez-Garza J.J, G. B.M., M. G.A, Cepeda Hortensia, Vázquez A.J, F. J.M., Guerrero Gg
Detection, identification, and differentiation of members of the MTB complex rely on specificity, sensitivity, and accuracy of the methods that have been developed since the decades of the ’90s. Despite this, still, in endemic areas of developing countries tuberculin field test as well as conventional techniques (histopathology and bacteriology) are performed due primarily to the costs and availability. Therefore, it is an urgent need to have a routine assay to boost field test (false positive and negative tests) in live cows while avoiding the unnecessary sacrifice of animals. To this end, in the present work, we designed a dual experimental strategy that can be used as a routine assay for the M. bovis or M. tuberculosis detection through PCR mediated amplification of RD’s. DNA can be prepared from fast-growing colonies (7 to 8 days) or from homogenized tissue, nasal exudate and purification mediated cetyl-trimethylammonium bromide (CTAB) cationic buffer. The method was extraplated to positive TB positive nasal/oral human exudate.with similar results. Collectively these findings indicate that this strategy represent a valuable tool for TBb epidemiological survey and research.
MTB复合体成员的检测、鉴定和分化依赖于自90年代以来发展起来的方法的特异性、敏感性和准确性。尽管如此,在发展中国家的流行地区,主要由于费用和可获得性的原因,仍然进行结核菌素现场试验以及常规技术(组织病理学和细菌学)。因此,迫切需要一种常规的检测方法,以提高活牛的现场检测(假阳性和阴性检测),同时避免不必要的动物牺牲。为此,在目前的工作中,我们设计了一种双重实验策略,可以作为常规检测方法,通过PCR介导的RD 's扩增检测牛分枝杆菌或结核分枝杆菌。DNA可以从快速生长的菌落(7 - 8天)或匀浆组织、鼻渗出液和纯化介导的十六烷基三甲基溴化铵(CTAB)阳离子缓冲液中制备。该方法适用于结核阳性人鼻/口渗出液。结果相似。总的来说,这些发现表明,这一战略是TBb流行病学调查和研究的一个有价值的工具。
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引用次数: 0
Prevalence of Salmonella typhi Infection among Food Handlers in Imo State University Owerri Nigeria and its Environs 尼日利亚奥韦里伊莫州立大学及其周边地区食品处理人员中伤寒沙门氏菌感染的流行情况
Pub Date : 2019-01-01 DOI: 10.35248/2329-891X.19.7.315
Edoama Edet Gbodo, Christian Kosisochukwu Anumudu
Typhoid fever caused by Salmonella enterica serovar Typhi is an endemic acute febrile illness which causes a high disease mortality and morbidity rate in developing countries. The disease can be transmitted through contaminated food and water and has gained an endemic status as the bacterium can be carried and shed by some individuals who have recovered from the disease. This study investigates the carriership of the bacteria by food handlers who may shed the bacteria into street vended foods they serve, thus spreading the disease and correlating this data to sex, age and source of drinking water. 420 blood and stool samples were collected from volunteers working in the food retail sector (cafeterias) around Imo State University Owerri and its environs using stratified random sampling methods. Widal test (rapid slide agglutination) was utilized as a presumptive screening test with titer values of 1:80 and above considered as positive. Stool culture served as confirmatory assay and resultant bacterial colonies were subjected to a series of biochemical tests to confirm the presence of S. typhi. The overall prevalence rate recorded in this study is 66.2%, with females having a prevalence rate of 67.4% while males had a prevalence of 64.2%. Older adults in the age group of 41-55 had the highest prevalence of 82.9% followed by children within the ages of 8 to 18 (80%). With respect to the source of drinking water, the highest prevalence of Salmonella carriership was recorded for individuals consuming untreated water from boreholes and sachet water at 82.4% and 83.2% respectively while individuals that drank treated water recorded a percentage prevalence of Salmonella carriership of 29.8%. The results obtained from this study highlights the high carriership rate of Salmonella amongst food handlers and the possibility of these individuals introducing the bacteria into foods, posing a public health risk. It also identifies the consumption of untreated water as the possible source of infection of these individuals, thus indicating the need for public health interventions in the provision of portable water to reduce the morbidity and mortality rates of typhoid fever.
伤寒是由肠炎沙门氏菌引起的一种地方性急性发热性疾病,在发展中国家具有很高的疾病死亡率和发病率。该病可通过受污染的食物和水传播,并已成为地方性疾病,因为某些从该病中康复的个体可携带和传播该细菌。本研究调查了食品处理人员携带细菌的情况,他们可能将细菌传播到他们所供应的街头摊贩食品中,从而传播疾病,并将这一数据与性别、年龄和饮用水来源联系起来。采用分层随机抽样方法,从在伊莫州立大学奥韦里及其周边地区的食品零售部门(自助餐厅)工作的志愿者中收集了420份血液和粪便样本。采用快速玻片凝集试验(Widal test,快速玻片凝集试验)作为推定筛选试验,滴度为1:80及以上为阳性。粪便培养作为确认试验,结果菌落进行了一系列生化试验,以确认伤寒沙门氏菌的存在。本研究记录的总患病率为66.2%,其中女性患病率为67.4%,男性患病率为64.2%。41-55岁年龄组的老年人患病率最高,为82.9%,其次是8 - 18岁的儿童(80%)。饮用水来源方面,饮用未经处理的钻孔水和小袋水的人群沙门氏菌感染率最高,分别为82.4%和83.2%,饮用处理过的水的人群沙门氏菌感染率最高,为29.8%。从这项研究中获得的结果强调了沙门氏菌在食品处理人员中的高带菌率,以及这些人将细菌引入食品的可能性,从而构成公共卫生风险。报告还指出,饮用未经处理的水可能是这些人感染的来源,因此表明需要在提供便携式水方面采取公共卫生干预措施,以降低伤寒的发病率和死亡率。
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引用次数: 3
Level of Dietary Diversity and Associated Factors among Adult Patients on HAART at Public Health Facilities of Ambo town, West Shoa Zone Ethiopia 埃塞俄比亚西绍阿区安博镇公共卫生机构接受HAART治疗的成年患者饮食多样性水平及相关因素
Pub Date : 2019-01-01 DOI: 10.35248/2329-891x.19.7.324
K. Taye, Diriba Alemayehu, Esayas Tadesse, T. Tiki
Background: Nutrition and HIV are strongly related to each other, any immune impairment as a result of HIV/ AIDS leads to malnutrition, and malnutrition leads to immune impairment. HIV infected patients are at nutritional risk at any time of their illness. In developing countries HIV/AIDS, food insecurity and malnutrition are common. Dietary diversity scores have been positively correlated with increased micronutrient adequacy of diet in adults. Thus this study aims to assess level dietary diversity and associated factors among Adults on HAART at Public Health facilities of Ambo town. Methods and Materials: The study was conducted at Ambo Town, West Shoa Zone Ethiopia. A facility-based crosssectional study was conducted from January 26-February 26, 2019. A total of 313 study participants were included in the study. Systematic random sampling technique was applied to reach the study subjects. A structured questionnaire which included socio-demographic and health-related factors were prepared based on objectives of the study after reviewing different kinds of literature. Questionnaires on Dietary diversity were adopted from FAO 2010. Data were coded and entered to Epi-data version 3.1 and exported to SPSS version 21 for analyses. Frequency, mean and standard deviations from descriptive statistics and analytic statistics such as bivariate and multivariable logistic regression analysis were computed to determine the effect of various factors on the outcome variable. Result: In this study, 310 HIV positive adults on HAART follow up at Public health facilities of Ambo town were participated in the study making a response rate of 99%. This study shows 71% of adults had low individual dietary diversity score. It was noticed that HIV positive Males were 57% less likely to have low dietary diversity than females (AOR at 95% CI=0.43 (0.21-0.87). Adult patients those who were separated from their husband/wife were about 68% less likely to have low dietary diversity than widowed HIV positive adults (AOR at 95% CI=0.32 (0.11-0.88). Monthly income was also seen to be the factors significantly associated with dietary diversity. Conclusion and Recommendation: This study revealed that about 71% of adult patients on HAART had low dietary diversity score which indicates severe nutrient inadequacy among the study participants. Therefore the town administration, NGO’s working on HIV and other stakeholders should work on empowering females and sustainable income generating projects for HIV patients.
背景:营养与艾滋病毒密切相关,艾滋病毒/艾滋病导致的任何免疫功能障碍都会导致营养不良,而营养不良又会导致免疫功能障碍。感染艾滋病毒的患者在患病的任何时候都面临营养风险。在发展中国家,艾滋病毒/艾滋病、粮食不安全和营养不良很常见。膳食多样性得分与成人饮食中微量营养素充足性的增加正相关。因此,本研究旨在评估在安博镇公共卫生机构接受HAART治疗的成年人的饮食多样性水平及其相关因素。方法与材料:本研究在埃塞俄比亚西肖亚区安博镇进行。2019年1月26日至2月26日进行了一项基于设施的横断面研究。共有313名研究参与者参与了这项研究。采用系统随机抽样技术对研究对象进行抽样。在查阅了不同类型的文献后,根据研究目标编制了一份包含社会人口和健康相关因素的结构化问卷。膳食多样性调查问卷采用粮农组织2010年提供的资料。将数据编码并输入Epi-data 3.1版本,导出到SPSS 21版本进行分析。计算描述性统计和分析性统计(如双变量和多变量逻辑回归分析)的频率、均值和标准差,以确定各种因素对结果变量的影响。结果:在安博镇公共卫生机构接受HAART随访的HIV阳性成人共310例参与研究,有效率达99%。这项研究表明,71%的成年人的个人饮食多样性得分较低。值得注意的是,艾滋病毒阳性的男性饮食多样性低的可能性比女性低57% (AOR在95% CI=0.43(0.21-0.87))。与丧偶的艾滋病毒阳性成人相比,与丈夫/妻子分居的成年患者饮食多样性低的可能性约低68% (AOR 95% CI=0.32(0.11-0.88))。月收入也被认为是与饮食多样性显著相关的因素。结论与建议:本研究显示,约71%的HAART成人患者饮食多样性评分较低,这表明研究参与者存在严重的营养不足。因此,镇政府、从事艾滋病毒工作的非政府组织和其他利益相关者应该致力于赋予女性权力,并为艾滋病毒患者提供可持续的创收项目。
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引用次数: 4
Shaming the Enemy? The Use of Gender Based Violence as a Weapon in Darfur Conflict 羞辱敌人?在达尔富尔冲突中使用基于性别的暴力作为武器
Pub Date : 2019-01-01 DOI: 10.4172/2329-891X.1000299
Ezzan Kunna
Since the eruption of the ongoing conflict in the Darfur region of western Sudan, systematic physical and sexual violence against women is being used as a weapon. This heinous act has proven to be a very destructive weapon in the conflict, as it has been very effective in terrorizing people, demoralizing them and breaking their will. Gender-Based Violence (GBV) has devastating effects on the lives of the victims, as they suffer lifelong stigma and discrimination leading to their rejection by their communities. This paper describes the problem and the factors contributing to its escalation and the health, social-cultural and psychological impacts of GBV on the victims. It also discusses possible measurements that can be carried out by different concerned parties to stop all human rights violations especially GBV.
自苏丹西部达尔富尔地区持续冲突爆发以来,针对妇女的系统性身体暴力和性暴力被用作武器。这一令人发指的行为已被证明是冲突中一种极具破坏性的武器,因为它在恐吓人民、使他们士气低落和摧毁他们的意志方面非常有效。基于性别的暴力(GBV)对受害者的生活造成毁灭性的影响,因为他们终身遭受耻辱和歧视,导致他们被社区拒绝。本文描述了这一问题和导致其升级的因素,以及性别暴力对受害者的健康、社会文化和心理影响。它还讨论了不同有关各方可以采取的可能措施,以制止所有侵犯人权行为,特别是性别暴力。
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引用次数: 0
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Journal of tropical diseases & public health
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