scholarly journals Social distance and spatial distance are not the same, observations on the use of GIS in leprosy epidemiology

2008 ◽  
Vol 136 (12) ◽  
pp. 1624-1627 ◽  
Author(s):  
T. A. HOEVEN ◽  
E. A. J. FISCHER ◽  
D. PAHAN ◽  
J. H. RICHARDUS
Keyword(s):  
High Risk ◽  
Social Distance ◽  
Geographical Information Systems ◽  
Index Patient ◽  
Low Risk ◽  
Geographical Information ◽  
Spatial Distance ◽  
Disease Epidemiology ◽  
Infectious Disease Epidemiology ◽  
Leprosy Patients

SUMMARYContacts of leprosy patients have a higher risk of developing clinical leprosy. Being a contact is defined socially, but with the introduction of geographical information systems (GIS) in infectious disease epidemiology, it is necessary to relate spatial distance to social distance. We measured the distances between patients and their socially defined contacts in northwest Bangladesh. Contact categories differ in mean distance to the index patients. Sixty-seven per cent of the high-risk contacts lived within 10 metres (m), while all low-risk contacts lived >10 m from the index patient. Classification based on intervals of spatial distance creates categories that contain contacts of different socially defined categories, illustrated by a category of people living between 10 m and 20 m consisting of 47% of high-risk contacts and 52% low-risk contacts. Classification of contacts based on the spatial distance, as performed with GIS techniques, produces other groups than with social definitions.

scholarly journals Drought Hazard Modelling of Klaten Regency Central Java Using AHP and TOPSIS Method

2021 ◽  
Vol 936 (1) ◽  
pp. 012043
Author(s):  
Meiga Nugrahani ◽  
Purnama Budi Santosa
Keyword(s):  
Decision Making ◽  
High Risk ◽  
Geographical Information Systems ◽  
Public Works ◽  
Disaster Mitigation ◽  
Geographical Information ◽  
Topsis Method ◽  
Drought Vulnerability ◽  
Central Java ◽  
The Impact

Abstract According to information of areas at high risk of drought provided by Central Java disaster risk assessment in 2016 - 2020, Klaten Regency is in the top ten at high risk of drought in Central Java. Drought is an annual disaster in this region, which usually occurs during the dry season. The impact of the drought has caused some areas to experience a lack of clean water. For the purpose of disaster mitigation in anticipating and minimizing drought disasters losses, it is necessary to analyze the level of drought with a decision-making system by comparing two methods, namely the AHP with TOPSIS. Both methods are decision-making methods that are composed of various criteria to obtain an alternative sequence of choices. Both the AHP and TOPSIS methods produces weight values and a positive ideal solution value, respectively. These are used as input data in the mapping of drought vulnerability analysis with Geographical Information Systems (GIS). The results of the analysis are visualized with a map that shows the level of drought vulnerability. AHP and TOPSIS method decision making generates the order of the drought classes in predicting the distribution of areas experiencing drought. To validate the model, the authors compare the results of the analysis of drought vulnerability of the two methods with drought data from BPBD (Local Agency for Disaster Prevention) and DPUPR (Public Works and Public Housing Department). The results show that AHP provides better results than TOPSIS based on results validation with BPBD and DPUPR data. By comparing the two models with BPBD data, the results show that the percentage of AHP suitability is higher than TOPSIS at 47,619% and 19,048% respectively.

scholarly journals Spatio-temporal distribution of malaria one year after the implementation of additional preventive strategies in Bandiagara, Mali

2020 ◽  
Author(s):  
Drissa Coulibaly ◽  
Boureima Guindo ◽  
Fayçal Maiga ◽  
Salimata Konate ◽  
Astou Diallo ◽  
...  
Keyword(s):  
Time Series ◽  
High Risk ◽  
Clinical Malaria ◽  
Google Earth ◽  
Low Risk ◽  
Geographical Information ◽  
Asymptomatic Malaria ◽  
Entire Study ◽  
North East ◽  
Spatio Temporal

Abstract BackgroundEvaluation of local transmission epidemiology to characterize malaria risk is essential for planning malaria control and elimination programmes. The use of geographical information systems (GIS) has been a major asset to this approach. This study aimed to characterize the local spatio-temporal pattern of malaria infection and clinical disease after implementation of Seasonal Malaria Chemoprevention (SMC) and Indoor Residual Spraying (IRS) in Bandiagara, a Malian town.MethodsFrom October 2017 to December 2018, an active and passive surveillance system was established in a cohort study of three hundred children aged from 6 months to 15 years old. Weekly time-series of clinical malaria and monthly time-series of asymptomatic Plasmodium carriage and rainfall were plotted. Numbers of clinical malaria episodes and asymptomatic parasite carriers were mapped using Quantum Geographic Information System (QGIS). Landscape features of Bandiagara were obtained from Google earth. Clusters of high or low risk were identified under SaTScan® software using a Bernoulli model. ResultsFrom October 2017 to December 2018, 167 clinical malaria cases were recorded, mostly from July to December, while asymptomatic parasite carriage was observed during the entire study period. Three clusters of clinical episodes were found. All were hotspots. They were located in the north-east, south and west. No low risk cluster was identified. Three significant high-risk clusters of asymptomatic parasite carriage were identified in the south, north-east and north. These clusters were located near standing water. ConclusionThis study confirms the seasonality of clinical malaria in Bandiagara. The continued presence of asymptomatic parasite carriers maintains malaria transmission. To advance malaria elimination, control strategies must also target hotspots of asymptomatic parasite carriage. There was a spatial heterogeneity of clinical and asymptomatic malaria. Despite the implementation of additional preventives strategies, the locations of high-risk clusters were stable.

scholarly journals Risk of transmission via medical employees and importance of routine infection-prevention policy in a nosocomial outbreak of Middle East respiratory syndrome (MERS): a descriptive analysis from a tertiary care hospital in South Korea

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hyun Kyun Ki ◽  
Sang Kuk Han ◽  
Jun Seong Son ◽  
Sang O Park
Keyword(s):  
High Risk ◽  
Middle East ◽  
South Korea ◽  
Infection Prevention ◽  
Index Patient ◽  
Middle East Respiratory Syndrome ◽  
Low Risk ◽  
National Database ◽  
Care Hospital ◽  
Prevention Policy

Abstract Background In 2015, South Korea experienced an outbreak of Middle East respiratory syndrome (MERS), and our hospital experienced a nosocomial MERS infection. We performed a comprehensive analysis to identify the MERS transmission route and the ability of our routine infection-prevention policy to control this outbreak. Methods This is a case–cohort study of retrospectively analysed data from medical charts, closed-circuit television, personal interviews and a national database. We analysed data of people at risk of MERS transmission including 228 in the emergency department (ED) and 218 in general wards (GW). Data of personnel location and movement, personal protection equipment and hand hygiene was recorded. Transmission risk was determined as the extent of exposure to the index patient: 1) high risk: staying within 2 m; 2) intermediate risk: staying in the same room at same time; and 3) low risk: only staying in the same department without contact. Results The index patient was an old patient admitted to our hospital. 11 transmissions from the index patient were identified; 4 were infected in our hospital. Personnel in the ED exhibited higher rates of compliance with routine infection-prevention methods as observed objectively: 93% wore a surgical mask and 95.6% washed their hands. Only 1.8% of personnel were observed to wear a surgical mask in the GW. ED had a higher percentage of high-risk individuals compared with the GW (14.5% vs. 2.8%), but the attack rate was higher in the GW (16.7%; l/6) than in the ED (3%; 1/33). There were no transmissions in the intermediate- and low-risk groups in the ED. Otherwise 2 patients were infected in the GW among the low-risk group. MERS were transmitted to them indirectly by staff who cared for the index patient. Conclusions Our study provide compelling evidence that routine infection-prevention policies can greatly reduce nosocomial transmission of MERS. Conventional isolation is established mainly from contact tracing of patients during a MERS outbreak. But it should be extended to all people treated by any medical employee who has contact with MERS patients. Trial registration NCT02605109, date of registration: 11th November 2015.

Papillary Thyroid Carcinoma: How Radical Lymphadenectomy Should be Performed?

Swiss Surgery ◽  
2003 ◽  
Vol 9 (2) ◽  
pp. 63-68
Author(s):  
Schweizer ◽  
Seifert ◽  
Gemsenjäger
Keyword(s):  
High Risk ◽  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Low Risk ◽  
Papillary Thyroid ◽  
Sentinel Nodes ◽  
Fand Sich ◽  
Radical Lymphadenectomy ◽  
N Status

Fragestellung: Die Bedeutung von Lymphknotenbefall bei papillärem Schilddrüsenkarzinom und die optimale Lymphknotenchirurgie werden kontrovers beurteilt. Methodik: Retrospektive Langzeitstudie eines Operateurs (n = 159), prospektive Dokumentation, Nachkontrolle 1-27 (x = 8) Jahre, Untersuchung mit Bezug auf Lymphknotenbefall. Resultate: Staging. Bei 42 Patienten wurde wegen makroskopischem Lymphknotenbefall (cN1) eine therapeutische Lymphadenektomie durchgeführt, mit pN1 Status bei 41 (98%) Patienten. Unter 117 Patienten ohne Anhalt für Lymphknotenbefall (cN0) fand sich okkulter Befall bei 5/29 (17%) Patienten mit elektiver (prophylaktischer) Lymphadenektomie, und bei 2/88 (2.3%) Patienten ohne Lymphadenektomie (metachroner Befall) (p < 0.005). Lymphknotenrezidive traten (1-5 Jahre nach kurativer Primärtherapie) bei 5/42 (12%) pN1 und bei 3/114 (2.6%) cN0, pN0 Tumoren auf (p = 0009). Das 20-Jahres-Überleben war bei TNM I + II (low risk) Patienten 100%, d.h. unabhängig vom N Status; pN1 vs. pN0, cN0 beeinflusste das Überleben ungünstig bei high risk (>= 45-jährige) Patienten (50% vs. 86%; p = 0.03). Diskussion: Der makroskopische intraoperative Lymphknotenbefund (cN) hat Bedeutung: - Befall ist meistens richtig positiv (pN1) und erfordert eine ausreichend radikale, d.h. systematische, kompartiment-orientierte Lymphadenektomie (Mikrodissektion) zur Verhütung von - kurablem oder gefährlichem - Rezidiv. - Okkulter Befall bei unauffälligen Lymphknoten führt selten zum klinischen Rezidiv und beeinflusst das Überleben nicht. Wir empfehlen eine weniger radikale (sampling), nur zentrale prophylaktische Lymphadenektomie, ohne Risiko von chirurgischer Morbidität. Ein empfindlicherer Nachweis von okkultem Befund (Immunhistochemie, Schnellschnitt von sampling Gewebe oder sentinel nodes) erscheint nicht rational. Bei pN0, cN0 Befund kommen Verzicht auf 131I Prophylaxe und eine weniger intensive Nachsorge in Frage.

Individuals at high risk for suicide are categorically distinct from those at low risk.

2017 ◽  
Vol 29 (4) ◽  
pp. 382-393 ◽  
Author(s):  
Tracy K. Witte ◽  
Jill M. Holm-Denoma ◽  
Kelly L. Zuromski ◽  
Jami M. Gauthier ◽  
John Ruscio
Keyword(s):  
High Risk ◽  
Low Risk

Assessment of land-use change in coastal areas through geographical information systems

2020 ◽  
Vol 13 (10) ◽  
Author(s):  
Verónica Lango-Reynoso ◽  
Karla Teresa González-Figueroa ◽  
Fabiola Lango-Reynoso ◽  
María del Refugio Castañeda-Chávez ◽  
Jesús Montoya-Mendoza
Keyword(s):  
Land Use ◽  
Land Use Change ◽  
Geographical Information Systems ◽  
Design Methodology ◽  
Scientific Information ◽  
Coastal Ecosystems ◽  
Coastal Areas ◽  
Geographical Information ◽  
Coastal Zones ◽  
Computer Based

Objective: This article describes and analyzes the main concepts of coastal ecosystems, these as a result of research concerning land-use change assessments in coastal areas. Design/Methodology/Approach: Scientific articles were searched using keywords in English and Spanish. Articles regarding land-use change assessment in coastal areas were selected, discarding those that although being on coastal zones and geographic and soil identification did not use Geographic Information System (GIS). Results: A GIS is a computer-based tool for evaluating the land-use change in coastal areas by quantifying variations. It is analyzed through GIS and its contributions; highlighting its importance and constant monitoring. Limitations of the study/Implications: This research analyzes national and international scientific information, published from 2007 to 2019, regarding the land-use change in coastal areas quantified with the digital GIS tool. Findings/Conclusions: GIS are useful tools in the identification and quantitative evaluation of changes in land-use in coastal ecosystems; which require constant evaluation due to their high dynamism.

A protocol for sampling pastures in hill country

2016 ◽  
Vol 78 ◽  
pp. 203-209 ◽  
Author(s):  
K.J. Hutchinson ◽  
D.R. Scobie ◽  
J. Beautrais ◽  
A.D. Mackay ◽  
G.M. Rennie ◽  
...  
Keyword(s):  
Random Sampling ◽  
Geographical Information Systems ◽  
Field Measurements ◽  
Decision Support Tool ◽  
Accurate Estimate ◽  
Ease Of Use ◽  
Geographical Information ◽  
Support Tool ◽  
Topographic Complexity ◽  
Hill Country

To develop a protocol to guide pasture sampling for estimation of paddock pasture mass in hill country, a range of pasture sampling strategies, including random sampling, transects and stratification based on slope and aspect, were evaluated using simulations in a Geographical Information Systems computer environment. The accuracy and efficiency of each strategy was tested by sampling data obtained from intensive field measurements across several farms, regions and seasons. The number of measurements required to obtain an accurate estimate was related to the overall pasture mass and the topographic complexity of a paddock, with more variable paddocks requiring more samples. Random sampling from average slopes provided the best balance between simplicity and reliability. A draft protocol was developed from the simulations, in the form of a decision support tool, where visual determination of the topographic complexity of the paddock, along with the required accuracy, were used to guide the number of measurements recommended. The protocol was field tested and evaluated by groups of users for efficacy and ease of use. This sampling protocol will offer farmers, consultants and researchers an efficient, reliable and simple way to determine pasture mass in New Zealand hill country settings. Keywords: hill country, feed budgeting, protocol pasture mass, slope

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