Schistosomiasis in Children in the Philippines: Beyond Health Issues

2017 ◽  
Vol 12 (04) ◽  
pp. 238-248
Author(s):  
Mario Torres ◽  
Hazel Luyon-Tabo ◽  
Steven Salibay ◽  
Cristina Cabanacan-Salibay

AbstractThis article aims to discuss the issues about Schistosoma japonicum infection in the Philippines based on the research findings of previous studies. This includes reviews about the nature of schistosomiasis, with emphasis on its effects on children. The review also discusses the mode of transmission of the parasite, etiology, and epidemiology, and relates these factors to the persistence of S. japonicum as a major health problem in the Philippines. The efforts, preventive measures, and recommended actions of the government are also mentioned and have been taken into consideration in strengthening the eradication measures against S. japonicum. This review further analyzes the risk factors associated with the infected individuals. Some measures and practices that may contribute to the prevention of S. japonicum infection are highlighted.


KYAMC Journal ◽  
2018 ◽  
Vol 9 (3) ◽  
pp. 133-135
Author(s):  
Joya Debnath ◽  
Arpan Kumar Basak ◽  
Md Zubaidur Rahman ◽  
Anujit Saha

Background : Self poisoning with organophosphate pesticides is a major health problem in world wide. Organophosphorus compound poisoning is a very common toxicological emergency encountered at Mirzapur in Tangail. It is particularly common among the rural agricultural worker's which comprise a substantial group of the population of this region.Objective: The objective of this study was to find out the incidence, frequency, pattern of poisoning, outcome and aetiological aspect of Organo phosphorus poisoning patient admitted in Kumudini Women's Medical college Hospital.Methods: A total 366 cases of OPC poisoning were analysed during 1 year from January 2015 to December 2015. The emphasis was given on age, sex, socio-economic status, occupation, motive of poisoning, types of compound consumed its quality, place, distance from referral place and the ultimate outcome.Results: Young population of rural background, particularly agricultural workers were the commonest patients (51.91%). The most common motive of poisoning was with a suicidal intent, both in males (27.59%) and females (66.39%). Financial crisis was one of the most common reasons analysed as the motive behind the poisoning (54.20%). Three hundred forty four Patients recovered and 22 were expired. The major cause of death in these cases was respiratory failure followed by multi-organ failure.Conclusion : Strict of the pesticide act and involving a new policy by the government to educate the public and youth in large about the dangerous, life threatening effects of Organophosphorus compound could help amelerioating the harmful effects of such poisoning.KYAMC Journal Vol. 9, No.-3, October 2018, Page 133-135



2005 ◽  
Vol 14 (2) ◽  
pp. 191-197 ◽  
Author(s):  
Björn Sondell ◽  
Lars Nyberg ◽  
Staffan Eriksson ◽  
Björn Engström ◽  
Anders Backman ◽  
...  

Falls and fractures among elderly persons constitute a major health problem. Many falls occur while walking and falls that occur during turning often result in a fracture. Methods aimed at understanding the complex mechanisms involved in walking should therefore assess tested individuals during walks and turns. In order to identify persons at risk and take the correct preventive measures, it is important to find methods that quantify movements as the tested persons are processing multisensory input. In a clinical setting this is sometimes difficult to achieve in a controlled manner, since tests are difficult to set exactly the same from one time to another. Using a virtual environment (VE) and a tracker system, conditions such as light, sound, events, body movements, and room size can be controlled and measured. Tests in VE can therefore be identically reproduced over and over again to evaluate if a person can withstand changing outer demands at any given moment. In order to perform quantitative measures 8 persons (21–74 years) were tested in immersive virtual reality. The VE was a corridor in which expected and unexpected events could be produced. Events studied were doors swinging open in front of the subjects during a walk and a virtual tilting of the environment. Trackers were used for collecting and analyzing the movement data. Our results show that the system was well tolerated among the subjects and that there was a clear tendency that the system could generate fall tendency among the subjects. There was also a difference among the subjects regarding walking strategies when subjected to the various events.



2014 ◽  
Vol 54 (3) ◽  
pp. 168
Author(s):  
Keswari Aji Patriawati ◽  
Nurnaningsih Nurnaningsih ◽  
Purnomo Suryantoro

Background Sepsis is a major health problem in children and aleading cause of death. In recent decades, lactate has been studiedas a biomarker for sepsis, and as an indicator of global tissuehypoxia, increased glycolysis, endotoxin effect, and anaerobicmetabolism. Many studies h ave shown both high levels andincreased serial blood lactate level measurements to be associatedwith increased risk of sepsis mortality.Objective To evaluate serial blood lactate levels as a prognosticfactor for sepsis mortality.Methods We performed an observational, prospective study in thePediatric Intensive Care Unit (PICU) at DR. Sardjito Hospital,Yogyakarta from July to November 2012. We collected serialblood lactate specimens of children with sepsis, first at the time ofadmission, followed by 6 and 24 hours later. The outcome measurewas mortality at the end ofintensive care. Relative risks and 95%confidence intervals of the factors associated with mortality werecalculated using univariate and multivariate analyses.Results Sepsis was found in 91 (50.3%) patients admitted tothe PIW , of whom 75 were included in this study. Five patients(6. 7%) died before the 24-hour lactate collection and 39 patients(52.0%) died during the study. Blood lactate levels of ~ 4mmol;Lat the first and 24-hour specimens were associated with mortality(RR 2.9; 95%CI 1.09 to 7 .66 and RR 4.92; 95%CI 1.77 to 13.65,respectively). Lactate clearance of less than 10% at 24 hours(adjusted RR 5.3; 95% CI 1.1 to 24.5) had a significantly greaterrisk fo llowed by septic shock (adjusted RR 1.54; 95%CI 1.36 to6.4 7) due to mortality.Conclusion In children with sepsis there is a greater risk of mortalityin those with increasing or persistently high serial blood lactatelevels, as shown by less than 10% lactate clearance at 24-hours afterPIW admission.



2020 ◽  
Vol 16 ◽  
Author(s):  
Asirvatham Alwin Robert ◽  
Mohamed Abdulaziz Al Dawish

Abstract:: Coronavirus disease 2019 (COVID-19) and diabetes have major impacts on the health of the population across the world. Since the beginning of the COVID-19 pandemic, people with diabetes have been identified to be more vulnerable to infection and greater risk for hospitalization. As diabetes is one of the major health issues in Saudi Arabia, the current study describes the perspectives of COVID-19 in people with diabetes and the steps taken by the government to minimize the impact of it. Most patients with COVID-19 in Saudi Arabia, experience mild illness, while people with diabetes are at increased risk of disease severity and mortality. The government of Saudi Arabia has taken several measures to control and mitigate the effect of the pandemic, as Saudi population gradually returning back to normal life. However, currently there are limited studies from Saudi Arabia on COVID-19 among people with diabetes and the effectiveness of interventions. We emphasize the necessity for comprehensive research, which would provide a better understanding of the incidence of COVID-19 and its association with diabetes to develop evidence-based programs and policies in the country.



Toxins ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 297
Author(s):  
Tomoya Yamashita ◽  
Naofumi Yoshida ◽  
Takuo Emoto ◽  
Yoshihiro Saito ◽  
Ken-ichi Hirata

Cardiovascular diseases (CVDs) have become a major health problem because of the associated high morbidity and mortality rates observed in affected patients. Gut microbiota has recently been implicated as a novel endocrine organ that plays critical roles in the regulation of cardiometabolic and renal functions of the host via the production of bioactive metabolites. This review investigated the evidence from several clinical and experimental studies that indicated an association between the gut microbiota-derived toxins and CVDs. We mainly focused on the pro-inflammatory gut microbiota-derived toxins, namely lipopolysaccharides, derived from Gram-negative bacteria, and trimethylamine N-oxide and described the present status of research in association with these toxins, including our previous research findings. Several clinical studies aimed at exploring the effectiveness of reducing the levels of these toxins to inhibit cardiovascular events are currently under investigation or in the planning stages. We believe that some of the methods discussed in this review to eliminate or reduce the levels of such toxins in the body could be clinically applied to prevent CVDs in the near future.



2017 ◽  
Vol 60 (1) ◽  
pp. 63 ◽  
Author(s):  
A. I. GELASAKIS (Α.Ι. ΓΕΛΑΣΑΚΗΣ) ◽  
G. E. VALERGAKIS (Γ.Ε. ΒΑΛΕΡΓΑΚΗΣ) ◽  
G. ARSENOS (Γ. ΑΡΣΕΝΟΣ)

Lameness is a major health problem in sheep flocks worldwide. It is associated with reduced productivity and welfare of lame animals within a flock. The consequences of lameness on production have been studied in meat and wool producing breeds, but the available research studies are limited. In dairy breeds of sheep the problem has not been investigated. Lameness can be the result of many causes, but it is mostly associated with foot lesions. With the exception of systemic diseases, a number of predisposing factors seem to dictate the epidemiology of lameness. Here, these factors are grouped in two major categories: a) genetic factors that are attributed to individual animals and b) environmental factors that affect the prevalence of lameness within the flock. In this review, different approaches to counteract those factors are presented. In principle, appropriate genetic selection, together with the implementation of preventive measures, could reduce the negative consequences of those factors. Nutrition is a fundamental factor associated with the health of the foot and the animal in general. Hence, the formulation of a balanced rationis crucial, because deficiencies in specific nutrients, involved in the keratinization of hoof wall, could predispose to lameness. The latter could be also associated with inappropriate housing conditions (e.g. bedding, ventilation). In particular, moisture has been identified as an important predisposing factor for foot lesions. Flock management (e.g. foot trimming, foot bathing), particularly in intensively reared sheep, can also affect the prevalence of lameness. Moreover, the implementation of biosecurity measures at farm level could eliminate the possibility of infectious footrot from purchased animals. In conclusion, the implementation of any preventive measures against the predisposing factors of lameness implies that the farmer is aware of the importance and the consequences of lameness in his flock. The role of the veterinarian is also important. The veterinarian should not focus only on the diagnosis and the treatment of lame animals, but should also try to educate the farmer on the epizootiology of the problem.



2021 ◽  
Author(s):  
Dahlia Dewi Apriani

The problem of ship hijacking is a persistent risk near Indonesia. Even though the pirates ships are banned, there is no law in Indonesia under which they may be prosecuted in international waters, however they can be prosecuted when sailing in Indonesian waters. The implementation of the principle of universal jurisdiction regarding the eradication of marine piracy crimes in Indonesia is contained in Article 4 of the Criminal Code. In the case of the Sinar Kudus ship, Indonesia did not use its jurisdiction as the safety of the crew was prioritized. Preventive measures taken by the government in protecting Indonesian-flagged ships in territorial waters include coordinatination with other countries to provide maritime protection and security in their respective territories, working with the agencies involved in maintaining maritime security, and providing all documents and ship components in accordance with the SOLAS Convention. In addition, in preventing armed robbery in the territorial waters of Indonesia, the Philippines and Malaysia have conducted coordinated patrols in their respective territories or jurisdictions. Keywords: Jurisdiction; Ship; Indonesian Sea



2019 ◽  
Vol 1 (3) ◽  
pp. 234-253
Author(s):  
Bipin Jojo ◽  
Abhimanyu Datta

This article discuses some of the major health challenges and their impact on the Indian families living outside the Indo-Bangladesh border fence. Drawing on the qualitative data of 7 group interviews and 25 in-depth individual interviews conducted in the border area of Karimganj district of Assam, it analyses health issues experienced by people having no access to health services. The article argues that although the purpose of border fencing was to restrict the illegal activities across the border, it is causing serious problems for the Indian population who are left outside the border fence. The strict border rules and restriction in the movements across the border have led to lack of access to necessary health services, and people are experiencing a range of health issues without any treatment. Nevertheless, there is no proper intervention mechanism by the government. The article suggests some measures to address the problems of the border dwellers.



Author(s):  
Abraham Nunbogu ◽  
Miriam Harter ◽  
Hans-Joachim Mosler

Open defecation is still a major health problem in developing countries. While enormous empirical research exists on latrine coverage, little is known about households’ latrine construction and usage behaviours. Using field observation and survey data collected from 1523 households in 132 communities in northern Ghana after 16 months of implementation of Community Led Total Sanitation (CLTS), this paper assessed the factors associated with latrine completion and latrine use. The survey tool was structured to conform to the Risk, Attitude, Norms, Ability and Self-regulation (RANAS) model. In the analysis, we classified households into three based on their latrine completion level, and conducted descriptive statistics for statistical correlation in level of latrine construction and latrine use behaviour. The findings suggest that open defecation among households reduces as latrine construction approaches completion. Although the study did not find socio-demographic differences of household to be significantly associated with level of latrine completion, we found that social context is a significant determinant of households’ latrine completion decisions. The study therefore emphasises the need for continuous sensitisation and social marketing to ensure latrine completion by households at lower levels of construction, and the sustained use of latrines by households.



2021 ◽  
Vol 5 (3) ◽  
pp. 312
Author(s):  
Karina Citra Rani ◽  
Nikmatul Ikhrom Eka Jayani ◽  
Noviaty Kresna Darmasetiawan

Permasalahan malnutrisi pada balita merupakan masalah kesehatan utama yang dihadapi oleh sebagian besar negara berkembang, termasuk Indonesia. Daun kelor merupakan salah satu bahan alam yang memiliki kandungan nutrisi dan bermanfaat untuk pemenuhan gizi. Daun kelor selama ini banyak digunakan pada berbagai negara berkembang sebagai alternatif makanan untuk mengatasi malnutrisi. Salah satu desa di Jawa Timur yang memiliki potensi tanaman kelor adalah di Desa Bogo, Bojonegoro. Daun kelor telah dimanfaatkan masyarakat Desa Bogo dalam bentuk olahan makanan sederhana seperti sayur bening, keripik, dan pepes. Produk makanan berbasis daun kelor yang selama ini dikembangkan belum ada yang dapat diterima dan digemari oleh anak-anak, padahal pemenuhan gizi balita merupakan salah satu fokus yang juga diprioritaskan oleh pemerintah Provinsi Jawa Timur. Berdasarkan pada fakta tersebut, diperlukan suatu kegiatan pengembangan produk makanan berbasis daun kelor untuk pemenuhan gizi balita. Produk makanan yang dikembangkan dalam kegiatan ini adalah nugget dan es krim daun kelor. Kegiatan ini bertujuan untuk memberdayakan Kelompok Wanita Tani dan kader PKK di Desa Bogo untuk menciptakan produk makanan berbasis daun kelor yang digemari oleh balita. Kegiatan ini dilakukan dengan evaluasi pemahaman di awal kegiatan, penyampaian materi dengan media vidoe,  praktik pembuatan produk, dan evaluasi akhir kegiatan.Kata Kunci: produk makanan; daun kelor; gizi; balita; Desa Bogo. Training on Making Moringa Leaf-Based Food Products for Toddler Nutrition Fulfillment in Bogo Village, BojonegoroABSTRACTMalnutrition in toddlers is a major health problem suffered by most developing countries, including Indonesia. Kelor leaves are one of the natural ingredients which contain nutrients and beneficial for nutritional requirements. One of the villages in East Java that has the potential of kelor plants is Bogo, Bojonegoro. Kelor leaves have been utilized in Bogo as simple foods product including clear soups, chips, and pepes. Kelor leaf-based food products which have been developed, are not being accepted and favored by children. Whereas, the nutritional fulfillment of toddlers is one of the focus that is prioritized by the government of East Java province. Based on this fact, kelor leaf-based food development activity is required for the fulfillment of toddler nutrition. Food products developed in this activity are nuggets and ice cream based of  kelor leaf. This activity aims to empower Kelompok Wanita Tani and PKK in Bogo village to create a kelor leaf-based food products which are favored by toddlers. This activity is conducted by an evaluation of understanding at the beginning of activities, delivery of material using video, product creation practices, and final evaluation. The final result of this program obtained two new variants of product, including nugget and ice cream. Both products can be used as alternative food products to meet the nutritional needs of children in Bogo, Bojonegoro. Keywords: food product; kelor leaf; nutrition; toddler; Desa Bogo



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