scholarly journals 2310. No Recurrence in Recovered People with CCHF: A Cross-Sectional Study From Turkey, Preliminary Report

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S792-S792
Author(s):  
Iftihar Koksal ◽  
Firdevs Aksoy ◽  
Selcuk Kaya ◽  
Mustafa Tas ◽  
Gurdal Yilmaz

Abstract Background Crimean-Congo hemorrhagic fever (CCHF) is a widespread, tick-borne disease of humans. CCHF is an endemic in Turkey, and since 2004 many cases have been reported from different regions in the country. CCHF infection in humans can lead to antibody responses that can be protective but there is limited data about the immunity of CCHF. The aim of this study was to investigate the possibility of recurrence of CCHF in people who previously had this disease. Methods The patients who were diagnosed with CCHF between 2005 and 2018 were followed up and contacted via phone in order to answer several survey questions about CCHF. Patients who still live in the same places, who have high risks of disease transmission because of husbandry or farming and high potential of contact with ticks were included in this study. Those who changed their living place and stopped husbandry or farming were excluded from this study. The questions in the survey are the following: Have you had CCHF after your discharge from the hospital?; Has there been any tick contact?; Did you ever get a tick removed from your body? Did you or your family members have CCHF at the same time or at different periods of time? Has anyone had CCHF in the area you live? Do your animals have ticks? Do you live in the same place? Have you changed your job? Results Ninety-nine out of 351 patients who were contacted via phone had data eligible to be included in the criteria. The amount of time elapsed after the discharge of the patients was between 1 and 14 years in average. None of the patients had experienced CCHF disease again. Also, 6 of these patients were bitten by ticks repeatedly (2–5 times). An average of 7–10 years had passed since the transmission of the disease by the patients. Conclusion The results show that the CCHF disease creates an immune response and this response continues for a long time. The findings will be more enlightening with the measurement of the serum antibody levels of patients. Disclosures All authors: No reported disclosures.

2020 ◽  
Vol 18 (5) ◽  
pp. 373-380 ◽  
Author(s):  
SeyedAhmad SeyedAlinaghi ◽  
Maryam Ghadimi ◽  
Mahboubeh Hajiabdolbaghi ◽  
Mehrnaz Rasoolinejad ◽  
Ladan Abbasian ◽  
...  

Background: COVID-19 has spread globally with remarkable speed, and currently, there is limited data available exploring any aspect of the intersection between HIV and SARSCoV- 2 co-infection. Objective: To estimate the prevalence of clinical symptoms associated with COVID-19 among people living with HIV (PLWH) in Tehran, Iran. Design: Cross-sectional study. Methods: A total of 200 PLWH were recruited through the positive club via sampling, and completed the symptom-based questionnaire for COVID-19, which was delivered by trained peers. Results: Of 200 participants, respiratory symptoms, including cough, sputum, and shortness of breath, were the most prevalent among participants, but only one person developed symptoms collectively suggested COVID-19 and sought treatments. Conclusions: It appears that existing infection with HIV or receiving antiretroviral treatment (ART) might reduce the susceptibility to the infection with SARS-CoV-2 or decrease the severity of the infection acquired. Further research is needed to understand causal mechanisms.


2019 ◽  
Vol 18 (1) ◽  
pp. 51-58
Author(s):  
Nirju Ranjit ◽  
Bidur Adhikari ◽  
Rajani Shrestha ◽  
Anusuya Shrestha ◽  
Rosha Bhandari ◽  
...  

Introduction: Palm creases have been studied for a long time and have been recently found to be helpful in tracking underlying medical and genetic conditions. Scientific study and typing of palm prints have been found to be lacking in the Nepalese population Methods: A cross sectional study was done on 252 subjects, 153 male and 99 females, from Kathmandu, Nepal. Subjects were selected by purposive sampling from different age groups. Demographic profile including age, sex, and handedness was collected. Palm print pattern was recorded by digital photography. Each photograph was analysed visually by single observer and pattern of palm crease was noted. Variation of each crease was also noted. Results: On the basis of relation between radial longitudinal crease and proximal transverse crease, 17.3% subjects had open type of palm crease which was significantly more in females while 76.6% subjects had closed type crease which was significantly more in males. Meeting type of palm crease was found in 5.7% of subjects. On the basis of relation between proximal and distal transverse crease, normal crease type was found in 90.1% of subjects, Simian type was found in 7.7% subjects and Sydney type was found in 1.4% of subjects. The concordance of this pattern in left and right palms was found statistically significant. Conclusions: This study presented data from 252 seemingly normal healthy subjects and found that most of them had the normal with no branching, that is normal 1 and closed crease types. Most of the individual major creases were seen to be branched type.  


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Kemal Ahmed Kuti ◽  
Rameto Aman Nur ◽  
Geroma Morka Donka ◽  
Amene Abebe Kerbo ◽  
Adem Esmael Roba

Background. Intestinal parasitic infection is one of the major health problems globally. It is more common in developing countries including Ethiopia. So, adequate evidence is needed regarding the predictors of intestinal parasitic infection. This study was aimed at determining the predictors of intestinal parasitic infection among food handlers working in Madda Walabu University, Ethiopia. Methods. An institution-based cross-sectional study was conducted from 15 May to 10 June 2017 among 198 symptom-free food handlers. Data on sociodemographic variables were collected through face-to-face interview using a structured questionnaire. Stool samples were collected immediately after the interview using labeled wide-mouthed plastic container and clean wooden applicator. Direct wet-mount method and formal-ether concentration techniques were performed to identify intestinal parasites. The data were analyzed using SPSS version 21.0. Descriptive statistics and crude and adjusted odds ratios with 95% confidence interval (CI) were calculated. p value of <0.05 was considered to declaration level of significance. Result. The response rate was 98% (198/202). The overall prevalence of intestinal parasites was 25.3% (50/198). The top three intestinal parasites found in this study were Ascaris lumbricoides 7.6% (15/198), Entamoeba histolytica/dispar 7.6% (15/198), and hookworm 5.6% (11/198). Inadequate handwashing practice (AOR: 13.876; 95% CI: 4.129, 46.632), inadequate knowledge about foodborne diseases (AOR: 3.596; 95% CI: 1.438, 8.989), lack of training on proper food handling (AOR: 5.960; 95% CI: 1.450, 24.497), and untrimmed fingernail (AOR: 2.939; 95% CI: 1.368, 6.135) were independent predictors of intestinal parasitic infection. Conclusion. High prevalence of intestinal parasites was observed among symptom-free food handlers who could be unobservable source of disease transmission. Inadequate handwashing, untrimmed fingernail, inadequate knowledge, and lack of training were independent predictors of intestinal parasitic infection in this study. This implies the need for timely and adequate training and enforcement of regular medical checkup system for food handlers.


Author(s):  
Abdallah Y. Naser ◽  
Eman Zmaily Dahmash ◽  
Zahra Khalil Alsairafi ◽  
Hassan Alwafi ◽  
Hamad Alyami ◽  
...  

Objectives: This study aimed to assess the knowledge and practices of the general public in the Middle Eastern countries during the COVID-19 pandemic. Methods: A cross-sectional study using an online survey was conducted between the 19th of March and the 6th of April 2020 in three Middle Eastern countries (Jordan, Saudi Arabia, and Kuwait) to explore the knowledge and practices of the Middle Eastern population regarding COVID-19. A previously developed questionnaire was adapted and used for this study. Multiple linear regression analysis was used to identify predictors of COVID-19 knowledge. Results: A total of 1208 participants (members of the public) participated from the three countries (Jordan = 389, Saudi Arabia = 433, and Kuwait = 386). The majority of participants (n = 810, 67.2%) were females aged 30 to 49 years (n = 501, 41.5%). Participants had moderate overall COVID-19 knowledge, with a mean (SD) score of 7.93 (±1.72) out of 12 (66.1%). Participants had better knowledge about disease prevention and control (83.0%), whereas the lowest sub-scale scores were for questions about disease transmission routes (43.3%). High education level was an important predictor of greater COVID-19 knowledge scores (p < 0.01). Conclusions: Further public education is needed to address the relatively low level of education regarding the transmission of COVID-19 in the Middle Eastern countries. Policymakers are recommended to develop informative COVID-19 related campaigns that specifically target young people (university students), unemployed individuals, and those with lower levels of education.


e-GIGI ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Waraney Mamengko ◽  
Shirley E. S. Kawengian ◽  
Krista V. Siagian

Abstract: Cavity is a classic problem that has existed since long time ago which is one of the causes of tooth ache. Caries is a disease that involves enamel, dentin and cementum. Caries caused by microorganism action on fermented carbohydrate. The prevalence of active caries in Indonesia and in some countries is still high. Caries can occur among all ages, including children. Factors that cause caries regarding to the attitude and the nature of children who like to eat snacks and sweet foods that can cause dental caries. This study aimed to describe the consumption of snacks and status of caries in children aged 3-5 years in the Rinegetan village Tondano. This was a descriptive study with a cross sectional design. There were 52 children aged 3-5 years obtained by using total sampling method. Data were obtained by using def-t index and questionnaire. The results showed that snacks consumed by the children were: candy (75%) and milk (73,07%). The average of dental caries amog the children aged 3-5 years in the Rinegetan village, Tondano, was 2.36 (low category).Keywords: caries, children, snacks, def–t indexAbstrak: Gigi berlubang merupakan masalah klasik yang sejak dahulu sudah ada yang menjadi salah satu penyebab seseorang merasakan rasa sakit gigi. Karies merupakan suatu penyakit yang menyerang jaringan keras gigi, yaitu email, dentin dan sementum, yang disebabkan oleh aktivitas suatu jasad renik dalam suatu karbohidrat yang dapat diragikan. Prevalensi terjadinya karies aktif pada penduduk Indonesia dan di bebera panegara di dunia adalah cukup tinggi. Karies dapat dialami oleh semua usia termasuk anak-anak. Faktor penyebab karies salah satunya yang dapat diteliti berkaitan dengan sikap maupun sifat dari anak-anak yang suka mengonsumsi jajanan makanan yang manis-manis dapat menyebabkan karies pada gigi. Penelitian ini bertujuan untuk mengetahui gambaran konsumsi jajanan dan status karies pada anak umur 3-5 tahun di kelurahan Rinegetan Kecamatan Tondano Barat. Penelitian ini bersifat deskriptif dengan pendekatan cross sectional study. Penelitian ini dilaksanakan di kelurahan Rinegetan Kecamatan Tondano Barat pada bulan September 2015. Sampel terdiri dari 52 anak umur 3-5 tahun diperoleh dengan total sampling method. Data diperoleh dengan menggunakan instrumen yaitu lembar pemeriksaan def-t dan kuesioner. Hasil penelitian memperlihatkan bahwa konsumsi jajanan yang masuk dalam kategori paling sering yaitu permen (75%) dan susu (73,07%). Status karies gigi anak berusia 3-5 tahun di Kelurahan Rinegetan, Kecamatan Tondano Barat rata-rata 2,36 yag termasuk dalam kategori rendah.Kata kunci : karies, anak-anak, jajanan, indeks def-t


Author(s):  
Anita Gębska-Kuczerowska ◽  
Izabela Kucharska ◽  
Agnieszka Segiet-Święcicka ◽  
Marcin Kuczerowski ◽  
Robert Gajda

Appropriate waste management is increasingly relevant due to environmental and infectious disease transmission concerns. An anonymous observational cross-sectional study was conducted from 2013–2017 of 262 tattooists and 824 beauticians throughout Poland. Knowledge, attitudes, behavior, and compliance with blood-borne infection controls and correct waste disposal were assessed. Tattooists correctly addressed hazardous waste significantly more often than did beauticians (83.3% vs. 44.8%). Medical waste was collected by a specialist company in 90.1% of tattoo parlors and 63.3%of beauty parlors. Tattooists correctly used and disposed of sharps more frequently than beauticians (93.1% vs. 68.9%); however, 46.4% of beauticians and 12.4% of tattooists discarded waste into municipal trash, including sharps (27.1% and 2.6%, respectively). Incorrect collection and labeling of biological waste present occupational risk to waste disposal personnel. Education and instructional controls could improve health safety in this industry. Biological waste management processes are restrictive for medical services and liberal for beauty services, an industry for which they should also be applied more comprehensively.


2019 ◽  
Vol 13 (05) ◽  
pp. 394-399
Author(s):  
Hui Han ◽  
Zhiqiang Fang ◽  
Xiangguang Ye ◽  
Hailei Wu ◽  
Feng Zuo ◽  
...  

Introduction: Despite high population immunity, pertussis remains one of the leading causes of vaccine-preventable deaths worldwide. The aim of this study was to determine the seroprevalence of IgG antibodies to pertussis toxin (PT) and diphtheria among the adult male population leaving or entering China. Methodology: Blood samples were obtained from 240 Chinese and 207 African healthy adults that were leaving and entering China, respectively. Serum IgG antibodies against PT (anti-PT IgG) and diphtheria were determined. Results: The mean concentration of anti-PT IgG antibodies was 13.82 IU/mL and 18.11 IU/mL for the leaving and entering populations, respectively. None of the studied Chinese leaving China were seropositive for pertussis. Of the 240 subjects leaving China, 209 (87.1%) had anti-diphtheria antibody concentrations of ≥ 0.1 IU/mL and 31 (12.9%) had antibody concentrations between 0.01 and 0.099 IU/mL. Eleven (5.31%) of the studied Africans entering China had anti-PT IgG antibodies higher than 30 IU/mL and thus were considered seropositive for pertussis. Of the 207 Africans entering China, antibody concentrations of ≥ 0.1 IU/mL were found in 164 subjects (79.2%) while 43 (20.8%) had antibody concentrations between 0.01 and 0.099 IU/mL. Conclusions: Almost all Chinese adult men leaving China and most African men entering China have very low serum antibody levels of pertussis. Furthermore, the antibody level of diphtheria among these two populations was low among adults. A larger population study is needed to determine whether booster vaccinations against pertussis and diphtheria should be considered for adults in China and also for Africans entering China.


2020 ◽  
Author(s):  
Papa mamadou Faye ◽  
NIASSE Abdou ◽  
NDONG Abdourahmane ◽  
MBAYE Khalifa Ababacar ◽  
DIALLO Adja Coumba ◽  
...  

Abstract Background: in many countries, medical intern work hours have been discussed for a long time and many schedules has been modified in order to improve it. In our country, this topic has never been studied.Methods: It was a cross sectional study including all resident regardless of their specialties. An online questionnaire was shared to all the members of the Senegalese association of medical Interns.Results: Overall, 102 answers were collected. The average age was 28.3 years. More than half of the resident stated that they stay at hospital more than eight hours a day. Besides, 83,5 % declared doing more than 40 hours a week. In addition, 37,2 % of resident said that they were “on call” between 4 and 8 times monthly and 15,1% were “on call” more than 8 times per month. We have seen an average of 55,7 hours with up to eighty hours extremes. Conclusion: Medical intern work hours is a good subject of discussion, in such an under developed country like ours.


2020 ◽  
Author(s):  
Kate Honeyford ◽  
Charles Coughlan ◽  
Paul Expert ◽  
Gabriel Burcea ◽  
Ian Maconochie ◽  
...  

Background Emergency Department (ED) attendances have fallen across the UK since the "lockdown" introduced on 23rd March 2020 to limit the spread of coronavirus disease 2019 (COVID-19). We hypothesised that reductions would vary by patient age and disease type. We examined pre- and in-lockdown ED attendances for two COVID-19 unrelated diagnoses; one likely to be affected by lockdown measures (gastroenteritis) and one likely to be unaffected (appendicitis). Methods Retrospective cross-sectional study conducted across two EDs in one London hospital Trust. We compared all adult and paediatric ED attendances, before (January 2020) and during lockdown (March/April 2020). Key patient demographics, method of arrival and discharge location were compared. We used SNOMED codes to define attendances for gastroenteritis and appendicitis. Results ED attendances fell from 1129 per day before lockdown to 584 in-lockdown; 51.7% of pre-lockdown rates. In-lockdown attendances were lowest for under-18s (16.0% of pre-lockdown). The proportion of patients admitted to hospital increased from 17.3% to 24.0% and the proportion admitted to intensive care increased four-fold. Attendances for gastroenteritis fell from 511 to 103; 20.2% of pre-lockdown rates. Attendances for appendicitis also decreased, from 144 to 41; 28.5% of pre-lockdown rates. Conclusion ED attendances fell substantially following lockdown implementation. The biggest reduction was for under-18s. We observed reductions in attendances for gastroenteritis and appendicitis. This may reflect lower rates of infectious disease transmission, though the fall in appendicitis-related attendances suggests that behavioural factors are also important. Larger studies are urgently needed to understand changing patterns of ED use and access to emergency care during the COVID-19 pandemic.


2021 ◽  
Vol 9 ◽  
pp. 205031212110524
Author(s):  
Talal Shaikhain ◽  
Faisal Al-Husayni ◽  
Ghufran Bukhari ◽  
Bushra Alhawsa ◽  
Nora Shalabi ◽  
...  

Background: Coronavirus disease 19 is a pandemic affecting millions worldwide. Since February 2020, new cases are reported in Saudi Arabia, and regulations have been imposed to control the spread of the disease and raise awareness. This study aimed to assess the knowledge and attitudes of the Kingdom’s residents toward coronavirus disease 19 during the early stages of the pandemic. Method: A cross-sectional study of 2071 participants who were recruited from various cities in Saudi Arabia. An online questionnaire was shared through social media, which contained questions about demographic data, general knowledge of coronavirus disease 19, and participants’ attitudes. Results: The mean age of the study population was 34 ± 12.4 years. Most of the participants agreed that coronavirus disease 19 is a pandemic and is more serious than seasonal influenza. More than 90% believed that handwashing and social distancing are effective in preventing disease transmission. No significant results were observed when comparing the knowledge of high-risk participants and the normal population. More than half of the cohort were strictly compliant with curfew regulations, handwashing, and face mask. Around 80% of the population is following coronavirus disease 19 news and information through official authorities’ press releases. Conclusion: The Kingdom of Saudi Arabia residents showed decent knowledge of coronavirus disease 19. Nevertheless, some information needs emphasizing and proper education. Frequent communication between healthcare authorities and the public is highly recommended.


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