scholarly journals CHILD-SAN: a new disability-inclusive framework for emergency sanitation for children aged five to 11, based on a systematic review of existing guidance

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Claire Rosato-Scott ◽  
Barbara E. Evans ◽  
Dani J. Barrington
Keyword(s):  
Good Health ◽  
Personal Hygiene ◽  
Moral Obligations ◽  
Key Factors ◽  
Legal Principles ◽  
Preparedness Planning ◽  
Sanitation And Hygiene ◽  
Increased Risk ◽  
Child Friendly ◽  
Age Range

AbstractThe specific sanitation needs of children aged five to 11 years old—those too old to use small potties, but usually too young to safely and confidently use adult latrines during both the day and night, and including children in this age range with disabilities—have often been overlooked in the provision of emergency sanitation. There are multiple reasons to provide sanitation specifically for this age group. They represent a large number of beneficiaries; legal principles and the moral obligations of humanitarian actors should drive their inclusion. Failure to consider their needs results in increased risk of injuries, abuse and/or exploitation when using unsuitable locations to urinate or defecate, and negative health impacts arising from being unable to manage personal hygiene.We have critically reviewed existing guidance for the provision of emergency sanitation for children aged five to 11 and subsequently presents a new disability-inclusive framework: CHILD-SAN. CHILD-SAN is an acronym representing key factors for the water, sanitation and hygiene (WASH) sector to consider in emergency sanitation programmes: child participation, heights, user-friendly, location, décor, scaled-down, accessibility, and monitoring and evaluation.The CHILD-SAN framework recommends (a) safe and meaningful child participation in emergency WASH preparedness planning and emergency WASH programming as a means to develop contextually-appropriate facilities, (b) specific design considerations for child-friendly toilets (that is, they meet the needs of a child), and (c) the collection of sex-, age- and disability-disaggregated data against contextually appropriate indicators to determine the prevalence of child-friendly facilities and their use. We found few examples of emergency WASH programmes adhering to elements of the CHILD-SAN framework, but the implementation of CHILD-SAN would contribute to the WASH sector’s aims of achieving universal sanitation and maximising opportunities for good health, dignity, comfort and safety for all.

scholarly journals Peran Air dan Sanitasi terhadap Pencegahan Infeksi Soil-Transmitted Helminths

2021 ◽  
Vol 2 (1) ◽  
pp. 139-147
Author(s):  
Lustyafa Inassani Alifia
Keyword(s):  
Personal Hygiene ◽  
Clean Water ◽  
Water And Sanitation ◽  
Wastewater Disposal ◽  
Soil Transmitted Helminths ◽  
Sanitation And Hygiene ◽  
Increased Risk ◽  
Global Problems ◽  
Portal Of Entry

Introduction: Soil-Transmitted Helminths (STH) infection is a tropical infectious disease that causes serious global problems. Based on WHO in 2018, there are more than 1.5 billion people or around 24% of the world’s population have been infected at least one of the species that causes STH infection. This STH infection can be prevented by optimizing the use of clean water, good sanitation, and adequate personal hygiene or WASH strategies (Water, Sanitation, and Hygiene). Purpose: The purpose of this article is to determine the role of water and sanitation in preventing infection of soil-transmitted helminths. Methods: This study was conducted with an article review that analyzes the role of water and sanitation in the prevention of STH infection. The article search was carried out by searching through the Google Scholar database by entering the keyword ‘soil-transmitted helminths, water, and sanitation”. This article was used 23 references based on references from reputable national and international journals to produce a comprehensive presentation. Results: Unclean water, unhygienic and unqualified sewage disposal that will eventually pollute the soil, wastewater disposal, and improper waste management are some of the risk factors where these STH species can continue their lifecycle and infect humans as the definitive host. Discussion: Inadequate sanitation can also contribute to an increased risk of STH infection, caused by an increase in the number of infective eggs from these species in the community, including in the soil. Conclusion: Poor sanitation increase the risk of the portal of entry to the host by swallowed by humans.  

scholarly journals Perceived Health among Adolescent and Young Adult Survivors of Childhood Cancer

2021 ◽  
Vol 28 (1) ◽  
pp. 825-836
Author(s):  
Morgan Young-Speirs ◽  
Caitlin Forbes ◽  
Michaela Patton ◽  
K. Brooke Russell ◽  
Mehak Stokoe ◽  
...  
Keyword(s):  
Childhood Cancer ◽  
Health Resources ◽  
Adult Survivors ◽  
Perceived Health ◽  
Good Health ◽  
Adolescent And Young Adult ◽  
Control Group ◽  
Increased Risk ◽  
Patient Reported ◽  
Survivors Of Childhood Cancer

Survivors of childhood cancer (SCCs) are at increased risk of late effects, which are cancer- and treatment-related side-effects that are experienced months to years post-treatment and encapsulate a range of physical, cognitive and emotional problems including secondary malignancies. Perceived health can serve as an indicator of overall health. This study aims to (1) understand how a patient reported outcome (PRO) of perceived health of SCCs compares to controls who have not had a cancer diagnosis and (2) examine the relationships between perceived health and demographic and clinical variables, and health behavior. A total of 209 SCCs (n = 113 (54.10%) males; median age at diagnosis = 6.50 years; median time off treatment = 11.10 years; mean age at study = 19.00 years) were included. SCCs completed annual assessments as part of Long-Term Survivor Clinic appointments, including a question on perceived health answered on a five-point Likert scale. Data were collected retrospectively from medical charts. Perceived health of SCCs was compared to a control group (n = 836) using data from the 2014 Canadian Community Health Survey. Most SCCs (67%) reported excellent or very good health. The mean perceived health of SCCs (2.15 ± 0.91) was not statistically different from population controls (2.10 ± 0.87). Pain (B = 0.35; p < 0.001), physical activity (B = −0.39; p = 0.013) and concerns related to health resources (B = 0.59; p = 0.002) were significant predictors of perceived health. Factors shown to influence SCCs’ perceived health may inform interventions. Exploration into how SCCs develop their conception of health may be warranted.

A controlled family study of late-onset non-affective psychosis (late paraphrenia)

1997 ◽  
Vol 170 (6) ◽  
pp. 511-514 ◽  
Author(s):  
R. J. Howard ◽  
C. Graham ◽  
P. Sham ◽  
J. Dennehey ◽  
D. J. Castle ◽  
...  
Keyword(s):  
At Risk ◽  
Late Onset ◽  
Psychiatric Morbidity ◽  
Late Life ◽  
Lifetime Risk ◽  
First Degree Relatives ◽  
Healthy Elderly ◽  
Increased Risk ◽  
Age Range ◽  
The Relationship

BackgroundThe relationship between those schizophrenia-like conditions that have their onset in late life and early-onset schizophrenia is unclear. Very few family history studies of patients with late-onset psychosis have been reported, and it is not known whether their relatives have an increased risk of psychosis.MethodInformation was collected on the psychiatric morbidity of 269 first-degree relatives of patients with schizophrenia or delusional disorder with an onset after the age of 60 (late paraphrenia), and 272 first-degree relatives of healthy elderly control subjects, using a research diagnostic instrument.ResultsWith a narrow age range (15–50 years) at risk, the estimated lifetime risk of schizophrenia was 1.3% in the relatives of both cases and controls. With a wider age range (15–90 years) at risk, estimated lifetime risk of schizophrenia was 2.3% for the relatives of cases, and 2.2% for the relatives of controls. However, depression was significantly more common among the relatives of cases than controls.ConclusionThose schizophrenia-like psychoses with onset in late life are not genetically associated with schizophrenia.

TINGKAT PENGETAHUAN DAN SIKAP REMAJA PUTRI TUNANETRA TENTANG MENARCHE DI SLB Y TANJUNG MORAWA TAHUN 2018

2021 ◽  
Vol 2 (1) ◽  
pp. 51-58
Author(s):  
Sarinah Sarinah
Keyword(s):  
Young Women ◽  
Population Data ◽  
Reproductive Period ◽  
Good Knowledge ◽  
Personal Hygiene ◽  
Primary Data ◽  
Teenage Girls ◽  
Sufficient Knowledge ◽  
Adolescent Attitudes ◽  
Age Range

Menarche is the first menstruation that usually occurs in the age range of 10-16 years or in early adolescence in the middle of puberty before entering the reproductive period. Knowledge is the result of knowing and this happens after people have sensed a certain object. Sensing occurs through the human senses, namely: vision, hearing, smell, taste and touch. Attitude is a reaction or response of someone who is still closed to a stimulation or object. The manifestation of that attitude cannot be directly seen, but can only be interpreted in advance from closed behavior.This research uses descriptive quantitative method, namely to find out the description of the level of knowledge of blind young women about menarche at Y Tanjung Morawa SLB 2018. The population in this study were all the number of young women at Y Tanjung Morawa SLB aged 10-18 years. And the sample in this study is the entire population. Data collection using primary data. From the results of research on blind teenage girls at Y Tanjung Morawa SLB in 2018 the majority of knowledge is less than 60% and the minority of good knowledge (16.67%) The majority of respondents aged 10-12 years lack knowledge as much as 23.33%, sufficient knowledge 13, 33% and good knowledge as much as 10%, minorities are found at the age of 16-18 years with less knowledge as much as 10%, sufficient knowledge as much as 6.67% and good knowledge as much as 3.33%. The majority of information sources from the environment are lack of knowledge as much as 33.33%, sufficient knowledge of 10% and good knowledge as much as 6.67% of the source of information from health professionals is enough (3.33%). The majority of adolescent attitudes are negative as much as 56.67% and minority positive teen attitudes as much as 43.33%. From the results of the study it is expected that young women will increase their knowledge about menarche because it is very important to maintain personal hygiene during menarche or menstruation.

scholarly journals Pulmonary tuberculosis among men over forty

1959 ◽  
Vol 57 (4) ◽  
pp. 367-385 ◽  
Author(s):  
Cecily M. Tinker
Keyword(s):  
Royal College ◽  
Age Groups ◽  
The Elderly ◽  
Older Age ◽  
Personal Hygiene ◽  
Tuberculous Infection ◽  
Elderly Men ◽  
Female Population ◽  
Heavy Smoking ◽  
Increased Risk

1. A review of the few studies so far made on the high mortality from tuberculosis among elderly men, and a consideration of the available statistics, indicate that urbanization is one of the principal factors responsible.2. In the present inquiry, which was confined to London, 445 newly diagnosed cases of tuberculosis in men over 40, together with the same number of paired controls, were studied by means of a questionnaire and of personal interview.3. It was found that the tuberculous patients differed significantly from the controls in the following characteristics; Scots, Irish, Welsh, or foreign nationality; single, widower or divorced; resident in common lodging houses or hostels; inadequate or special diet; history of gastrectomy; a winter cough; shortness of breath; insufficient sleep; and heavy drinking and smoking. On the other hand, overtime or night work, diabetes, rheumatoid arthritis, asthma, and mental illness were distributed fairly evenly in the two groups.4. Unfortunately no group of elderly women exists in this country living under the same sort of conditions as the elderly men studied here, so that it was impossible to determine how far the various factors considered were responsible for the high rate of late adult male tuberculosis. A study, however, of a population of established civil servants living under ordinary conditions revealed little difference between the observed rates of tuberculosis and those expected on the basis of national notification figures for men and women in the older age groups.5. It appears that a low standard of personal hygiene, associated especially with heavy smoking and drinking and residence in loading houses, predispose to the development of tuberculosis in the elderly male. Part of the evil effect of living in common lodging houses in particular may be due to the increased risk of exposure to tuberculous infection that it entails.6. It is tentatively concluded that the casual workers of an urbanized community are one of the principal reservoirs of tuberculous infection in large towns, and since there is no numerically comparable female population, this group, and its immediate male contacts, account in large measure for the difference between the male and female tuberculosis rates in the older age groups.This work was initiated during the tenure of a Prophit Scholarship of the Royal College of Physicians, and completed with the aid of a grant from the Medical Research Council.I am indebted to members of the Prophit Committee of the Royal College of Physicians for their support and encouragement, and most particularly to Dr G. S. Wilson, Director of the Public Health Laboratory Service, under whose guidance the work was carried out. Figures relating to the incidence of tuberculosis in the Civil Service are published by kind permission of Dr W. E. Chiesman, Treasury Medical Adviser, and Dr M. C. W. Long, Dr J. W. Parks, and Dr H. Stannus Stannus, whose departmental records were used to compute the figures.I am greatly indebted to the consultants and staff of the seventeen chest clinics who co-operated in the investigation, for their interest and help in tracing patients, and to the medical superintendents of numerous sanatoria and chest hospitals, and to the surgeons who permitted me to interview patients under their care as controls.I should like also to acknowledge the assistance received from the medical officers of health of the metropolitan boroughs who kept me informed of notifications from lodging houses in their areas, and supplied information about the accommodation.

scholarly journals Mortality in traffic accidents with older adults in Colombia

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Angela Maria Segura Cardona ◽  
Doris Cardona Arango ◽  
Dedsy Yajaira Berbesí Fernández ◽  
Alejandra Agudelo Martínez
Keyword(s):  
Older Adults ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Adult Population ◽  
Years Of Life Lost ◽  
Distribution Profile ◽  
Safety Measures ◽  
Risk Of Death ◽  
Increased Risk ◽  
Age Range

ABSTRACT OBJECTIVE To analyze the traffic accident mortality in the Colombian older adults during the 1998-2012 period and show the loss of productive years and mortality from this cause. METHODS Quantitative study of the trend analysis of deaths in Colombia in traffic accidents, from 1998 to 2012, according to death records and population projected by the Colombian National Administrative Department of Statistics. Frequency distribution profile of the deceased, death rates per hundred thousand inhabitants, potential years of life lost and calculation of excess mortality by age in the over 60 were made. RESULTS In the study period 100,758 deaths occurred in traffic accidents, 6,717 annual average, of which 18.5% occurred in people aged 60 years and over. The predominated deaths were men; the risk of dying was 32.15 per hundred thousand people in this age range, with double risk of dying those under 60 years. CONCLUSIONS The young population has a higher proportion of deaths, but those over 60 years are at increased risk of death, leading to the need to turn our gaze to the improvement of road infrastructure and standards, to educate the population in self-care and compliance with safety measures and prepare society for an ever more adult population, more numerous and more prone to take risks.

Herpes Zoster with Cutaneous Dissemination in a Patient 21 Years after Splenectomy for Idiopathic Thrombocytopenic Purpura

2012 ◽  
Vol 16 (5) ◽  
pp. 368-371 ◽  
Author(s):  
Rachel A. Moquete ◽  
Barry Hartman ◽  
Richard D. Granstein
Keyword(s):  
Herpes Zoster ◽  
Herpes Simplex ◽  
Idiopathic Thrombocytopenic Purpura ◽  
Good Health ◽  
Immunocompetent Patient ◽  
Thrombocytopenic Purpura ◽  
Virus Family ◽  
Varicella Zoster ◽  
Increased Risk ◽  
History Of

Background: Varicella-zoster virus is a member of the herpes virus family that causes varicella during a primary infection and herpes zoster (HZ) when reactivated. Patients who are immunocompromised often have atypical presentations of HZ and experience complications such as multidermal involvement and dissemination. Objective: We report a case of disseminated HZ in an immunocompetent patient with a history of splenectomy for idiopathic thrombocytopenic purpura (ITP). Our 46-year-old female patient presented with a painful vesiculopapular dermatomal rash with approximately 80 other lesions diffusely spread over her body. She was in good health but had a splenectomy for ITP 21 years earlier and a history of recurrent herpes labialis. The latter led to the tentative diagnosis of a widespread herpes simplex infection. However, laboratory results confirmed a diagnosis of disseminated herpes zoster. A workup of the patient's immune status did not reveal any abnormalities other than the patient's previously noted splenectomy. Conclusions: This case adds to the two reports of patients developing cutaneous disseminated HZ several years after splenectomy. Our case serves as a reminder that patients with a history of splenectomy appear to be at increased risk for cutaneous dissemination of HZ. Renseignements de base: Le virus varicelle-zona est un virus de la famille des Herpesviridae qui cause la varicelle durant une primo-infection, et l'herpès zoster (zona) (HZ) en cas de réactivation. Les patients qui sont immunocompromis ont souvent des présentations atypiques de HZ et affichent des complications telles que la participation et la dissémination multicutanées. Objectif: Nous exposons un cas de zona disséminé chez un patient immunocompétent ayant subi une splénectomie pour traiter un purpura thrombocytopénique idiopathique (PTI). Notre patiente âgée de 46 ans présentait une éruption vésiculo-papuleuse douloureuse localisée dans une zone dermatome avec environ 80 autres lésions diffuses réparties sur son corps. Elle était en bonne santé mais avait subi une splénectomie pour traiter un PTI 21 ans plus tôt et présentait des antécédents d'épisodes récurrents d'herpès labial. Ce dernier a abouti 'a un diagnostic provisoire d'une infection généralisée par le virus herpès simplex. Cependant, les résultats des analyses de laboratoire ont confirmé un diagnostic d'herpès zoster (zona) disséminé. Une investigation de l'état immunitaire de la patiente n'a pas révélé d'anomalies autres que la splénectomie que la patiente a subie antérieurement. Conclusions: Ce cas vient s'ajouter aux deux cas de patients signalés qui ont développé un HZ disséminé plusieurs années après avoir subi une splénectomie. Notre cas sert à rappeler que les patients présentant des antécédents de splénectomie semblent être exposés à un risque accru de dissémination cutanée sous forme de HZ.

scholarly journals An exploration of hydration practices in Maltese residential care homes for older people

2021 ◽  
Vol 23 (11) ◽  
pp. 1-12
Author(s):  
Francesca Micallef ◽  
Marisa Vella ◽  
Alan Sciberras Narmaniya ◽  
Glenda Cook ◽  
Juliana Thompson
Keyword(s):  
Older People ◽  
Residential Care ◽  
Care Home ◽  
Good Health ◽  
Care Homes ◽  
Complex Needs ◽  
Increased Risk ◽  
Adequate Hydration ◽  
Axial Coding ◽  
Sugary Beverages

Background/aims The integral relationship between adequate hydration and good health is widely recognised. Older people with complex needs and frailty can struggle to maintain adequate hydration, with residents in care home settings being at an increased risk of dehydration. The aim of this study was to explore current hydration practices in residential care homes in Malta. Methods An exploratory qualitative approach was adopted to explore staff's views and approaches in supporting residents' hydration. Data was collected via semi-structured, individual and small group interviews with staff from two care homes from the central and southern region of Malta. A process of open coding, followed by axial coding, was used to analyse the data. Peer debriefing was performed throughout, until agreement was reached among the research team about the final themes and sub-themes. Results Three themes emerged from the data: culture of promoting fluid intake; challenges in supporting older people to achieve optimum hydration; hydration practices and approaches. Conclusions A hydration promotion culture was demonstrated through various practices adopted in the care homes. The strong focus on water intake, in response to concerns about consuming sugary beverages, has implications for the promotion of a person-centred approach to hydration care. Inconsistencies in monitoring of fluids and daily recommended targets highlights the importance of policies or guidelines to guide hydration practice. Challenges related to refusal of fluids and language barriers among non-native staff were evident and justify further research is this area.

scholarly journals Use of seroprevalence to guide dengue vaccination plans for older adults in a dengue non-endemic country

2021 ◽  
Vol 15 (4) ◽  
pp. e0009312
Author(s):  
Yi-Hua Pan ◽  
Mei-Ying Liao ◽  
Yu-Wen Chien ◽  
Tzong-Shiann Ho ◽  
Hui-Ying Ko ◽  
...  
Keyword(s):  
Older Adults ◽  
Adult Population ◽  
Age Groups ◽  
The Elderly ◽  
Denv Infection ◽  
Serum Samples ◽  
Increased Risk ◽  
Southern Taiwan ◽  
Older Populations ◽  
Age Range

A shift in dengue cases toward the adult population, accompanied by an increased risk of severe cases of dengue in the elderly, has created an important emerging issue in the past decade. To understand the level of past DENV infection among older adults after a large dengue outbreak occurred in southern Taiwan in 2015, we screened 1498 and 2603 serum samples from healthy residents aged ≥ 40 years in Kaohsiung City and Tainan City, respectively, to assess the seroprevalence of anti-DENV IgG in 2016. Seropositive samples were verified to exclude cross-reaction from Japanese encephalitis virus (JEV), using DENV/JEV-NS1 indirect IgG ELISA. We further identified viral serotypes and secondary DENV infections among positive samples in the two cities. The overall age-standardized seroprevalence of DENV-IgG among participants was 25.77% in Kaohsiung and 11.40% in Tainan, and the seroprevalence was significantly higher in older age groups of both cities. Although the percentages of secondary DENV infection in Kaohsiung and Tainan were very similar (43.09% and 44.76%, respectively), DENV-1 and DENV-2 spanned a wider age range in Kaohsiung, whereas DENV-2 was dominant in Tainan. As very few studies have obtained the serostatus of DENV infection in older adults and the elderly, this study highlights the need for further investigation into antibody status, as well as the safety and efficacy of dengue vaccination in these older populations.

Das Menschenfischlein und der Mensch – was uns der Grottenolm Proteus anguinus (Laurenti, 1768) über Langlebigkeit und Bevölkerungswachstum lehrt

2021 ◽  
Vol 58 ◽  
pp. 146-160
Author(s):  
Frank D. Steinheimer
Keyword(s):  
Population Growth ◽  
Positive Impact ◽  
Good Health ◽  
Reproduction Rate ◽  
Human Beings ◽  
Top Predator ◽  
Key Factors ◽  
Interesting Study ◽  
Proteus Anguinus ◽  
Late Start

Grottenolme Proteus anguinus (Laurenti, 1768) zeigen eine sehr geringe Fortpflanzungsrate, werden sehr alt und haben eine im Vergleich zum Menschen verzögerte Generationenfolge. Damit sind Olme Lebewesen für spannende evolutionsbiologische Fragestellungen, die sich um Populationswachstum drehen. Die vorliegende Arbeit zeigt auf, dass eine stabile Umwelt, wenig Krankheiten, das Fehlen von Fressfeinden und ausreichende Nahrungsressourcen evolutiv einen starken Einfluss auf das fehlende Populationswachstum beim Olm haben. Ein Vergleich mit dem Menschen eröffnet, neben der Bildung und dem Aufbrechen von Bräuchen, auch Wege naturgegebener Mechanismen, wie das Wachstum der Weltbevölkerung sich stabilisieren ließe. Der verzögerte Eintritt in die Reproduktion zeigt beim Grottenolm zudem einen positiven Effekt auf die Langlebigkeit. Human fish and human beings – European Cave Salamander Proteus anguinus (Laurenti, 1768) explains longevity and population growth Abstract: European Cave Salamanders, more specifically olms, show a low reproduction rate, reach methuselah ages and exhibit extended generation frequencies in comparison to humans. Olms are therefore considered an interesting study object for evolutionary questions about population growth. The paper discusses stable environment, good health, top predator position and continuous basic food supply as the key factors for stagnation of population growth in olms as well, if combined with education, as in humans. A late start of reproduction triggers in turn a positive impact on longevity.

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