scholarly journals Epidemiological study of snakebite cases in Sikkim: Risk modeling with regard to the habitat suitability of common venomous snakes

2021 ◽  
Vol 15 (11) ◽  
pp. e0009800
Author(s):  
Ananta Rai ◽  
Manita Chettri ◽  
Sailendra Dewan ◽  
Bidita Khandelwal ◽  
Basundhara Chettri
Keyword(s):  
Rural Areas ◽  
Habitat Suitability ◽  
Potential Distribution ◽  
Ecological Niche Modeling ◽  
World Health ◽  
Risk Modeling ◽  
Venomous Snakes ◽  
District Hospitals ◽  
Medical Facilities ◽  
Community Data

Background Snakebite envenoming is listed as category ‘A’ Neglected Tropical Disease. To achieve the target of WHO (World Health Organization) 2019, it becomes necessary to understand various attributes associated with snakebite including community awareness, improvisation of medical facilities and to map the potential distribution of venomous snakes responsible for the bite. Hence this study is conducted in Sikkim, India to understand the epidemiology of snakebite in Sikkim. The potential distribution and risk mapping of fivecommon venomous snakes are done for effective management of snakebite cases. Methods and findings The snakebite cases registered in six district hospitals and four PHCs (Primary Health Centers) of Sikkim were collected from the year 2011 to 2018. Community survey was also conducted to supplement the data. Ecological Niche Modeling (ENM) was performed to predict the potential habitat of five common venomous snakes of Sikkim. Therisk modeling of snakebite cases was done at the level of Gram Panchayat Unit (GPU) using Geographically Weighted Regression (GWR) and Ordinary Linear Square (OLS) model. We found higher number of male victims inflicted with snakebite envenomation. The potential distribution of the five venomous snakes showed satisfactory mean AUC (Area under Curve) value. Both the models showed significant positive association of snakebite cases with habitat suitability of the venomous snakes.Hospital data revealed no death cases whereas community data reported 24 deaths. Conclusions Death from snakebite reflected in community data but not in hospital data strongly indicates the people’s belief in traditional medicine. Though people of Sikkim have rich traditional knowledge, in case of snakebite traditional practices may be ineffective leading to loss of life. Sensitizing people and improving medical facilities along with proper transport facilities in rural areas might significantly reduce the snakebite casualties in the state.

scholarly journals Using Ecological Niche Modeling For Biodiversity Conservation Guidance In The Western Podillya (Ukraine): Amphibians

2015 ◽  
Vol 49 (2) ◽  
pp. 135-144 ◽  
Author(s):  
V. Tytar ◽  
S. Mezhzherin ◽  
L. Sobolenko
Keyword(s):  
Habitat Suitability ◽  
Ecological Niche ◽  
Potential Distribution ◽  
Ecological Niche Modeling ◽  
Niche Modeling ◽  
Amphibian Species ◽  
Potential Habitat ◽  
Human Footprint ◽  
Bombina Variegata ◽  
The Mean

Abstract Maximum entropy niche modeling was employed as a tool to assess potential habitat suitability for 13 amphibian species and to map their potential distribution in the Western Podillya (Ukraine). The predictor variables used were of climate, topography and human impact (assessed by the Human Footprint). The “mean temperature of coldest quarter” and “isothermality” were two of the most important factors in predicting habitat suitability and distribution. Another profound contribution has been displayed by the Human Footprint, meaning that human infrastructure may benefit amphibians, a phenomenon that perhaps is much more widespread than thought. Areas have been distinguished that in the first place should be of interest to nature conservationists targeting amphibians (exemplified by Bombina variegata) and a map summarizing species richness was produced.

scholarly journals Online Retrieval and Indexing of Images using Multi Feature Vectors

2019 ◽  
Vol 8 (11S) ◽  
pp. 626-628
Keyword(s):  
Rural Areas ◽  
Neural Nets ◽  
Image Feature ◽  
World Health ◽  
Modern World ◽  
Feature Vectors ◽  
Image Descriptors ◽  
Medical Facilities ◽  
Pros And Cons ◽  
Analysis Of The Images

In technology proliferated era of modern world, health care has witnessed huge developments. The cutting edge technologies have paved way for sophisticated and feature rich image processing in medical field using colour tomography and medical resonance imaging. The images obtained using radiological techniques can be stored in a database and the features and implications can be recorded in the database after the analysis of those images by physicians. These databases can be used in obtaining the meaningful analysis of the images obtained through radiology in rural areas of developing countries like India, where sophisticated medical facilities are a dream for many in developing nations. The dataset of images can be divided into training and testing set. Training set of data is utilized to obtain multi feature vectors based on Caffe. Caffe is used in this training with a focus on image recognition. The image feature is a simple image pattern based on which the description of image can be obtained. The features of an image are transformed to a vector space using computer vision algorithms. Moreover a framework has been evolved in this paper to extract the features from image using image descriptors-white box algorithms and neural nets-black box algorithms. We also present the pros and cons of our novel framework for online retrieval and indexing of images using multi feature vectors.

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

RURAL MEDICINE. CONDITION AND ISSUES

2020 ◽  
pp. 103-110
Author(s):  
Yuliya M. Beglyakova ◽  
◽  
Aleksander S. Shchirskii ◽  
Keyword(s):  
Health Services ◽  
Medical Care ◽  
Rural Areas ◽  
Rural Population ◽  
Rural Medicine ◽  
Self Medication ◽  
Medical Facilities ◽  
Treatment Facilities ◽  
Number Of Treatment ◽  
The Village

The article analyses the accessibility of medical facilities in rural areas of modern Russia and the specifics of their organization and development. The authors reveal causes why rural residents have much less opportunities to seek quality medical care than urban ones, what leads to a disparity between the inhabitants of the city and the village. The thesis is substantiated that state programmes that should make health services accessible to the rural population to a greater extent do not cope with the task at hand. An attempt is made to highlight the public’s response to the existing disparity in the health services of the villagers compared to urban dwellers. Such a reaction can be considered an outflow of people from rural areas, and an increase in self-medication among rural people as a result of the difficulty in obtaining health services. The decrease in the number of treatment facilities in rural areas leads to a deterioration in the medicine situation in rural areas. That, according to the authors of the article, justifies the need to study the issues associated with the provision of medical care to the rural population.

scholarly journals Physical Activity Patterns in India Stratified by Zones, Age, Region, BMI and Implications for COVID-19: A Nationwide Study

2021 ◽  
pp. 097275312199850
Author(s):  
Vivek Podder ◽  
Raghuram Nagarathna ◽  
Akshay Anand ◽  
Patil S. Suchitra ◽  
Amit Kumar Singh ◽  
...  
Keyword(s):  
Physical Activity ◽  
World Health Organization ◽  
Rural Areas ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Home Work ◽  
The World ◽  
Health Organization ◽  
Physically Inactive ◽  
At Home

Rationale: India has a high prevalence of noncommunicable diseases (NCDs), which can be lowered by regular physical activity. To understand this association, recent population data is required which is representative of all the states and union territories of the country. Objective: We aimed to investigate the patterns of physical activity in India, stratified by zones, body mass index (BMI), urban, rural areas, and gender. Method: We present the analysis of physical activity status from the data collected during the phase 1 of a pan-India study. This ( Niyantrita Madhumeha Bharata 2017) was a multicenter pan-India cluster sampled trial with dual objectives. A survey to identify all individuals at a high risk for diabetes, using a validated instrument called the Indian Diabetes Risk Score (IDRS), was followed by a two-armed randomized yoga-based lifestyle intervention for the primary prevention of diabetes. The physical activity was scored as per IDRS (vigorous exercise or strenuous at work = 0, moderate exercise at home/work = 10, mild exercise at home/work = 20, no exercise = 30). This was done in a selected cluster using a mobile application. A weighted prevalence was calculated based on the nonresponse rate and design weight. Results: We analyzed the data from 2,33,805 individuals; the mean age was 41.4 years (SD 13.4). Of these, 50.6% were females and 49.4% were males; 45.8% were from rural areas and 54% from urban areas. The BMI was 24.7 ± 4.6 kg/m 2 . Briefly, 20% were physically inactive and 57% of the people were either inactive or mildly active. 21.2% of females were found physically inactive, whereas 19.2% of males were inactive. Individuals living in urban localities were proportionately more inactive (21.7% vs. 18.8%) or mildly active (38.9% vs. 34.8%) than the rural people. Individuals from the central (29.6%) and south zones (28.6%) of the country were also relatively inactive, in contrast to those from the northwest zone (14.2%). The known diabetics were found to be physically inactive (28.3% vs. 19.8%) when compared with those unaware of their diabetic status. Conclusion: 20% and 37% of the population in India are not active or mildly active, respectively, and thus 57% of the surveyed population do not meet the physical activity regimen recommended by the World Health Organization. This puts a large Indian population at risk of developing various NCDs, which are being increasingly reported to be vulnerable to COVID-19 infections. India needs to adopt the four strategic objectives recommended by the World Health Organization for reducing the prevalence of physical inactivity.

Lifeline Express: Hospital Train in Rural India

2021 ◽  
pp. 251660422197724
Author(s):  
Jashim Uddin Ahmed ◽  
Saima Siddiqui ◽  
Asma Ahmed ◽  
Kazi Pushpita Mim
Keyword(s):  
Southeast Asia ◽  
Rural Areas ◽  
Medical Service ◽  
Service Industry ◽  
Rural India ◽  
Medical Team ◽  
Rural People ◽  
Quality Healthcare ◽  
The People ◽  
Medical Facilities

India’s medical service industry is an emerging force in Southeast Asia, which should be recognized. A large portion of the country’s GDP is being earned through this sector. Paradoxically, India’s rural sphere has always been highly deprived of medical facilities even in rudimentary level. This huge imbalance was previously an issue for India to reach to a footing through innovation. India still being a developing country has majority of people living in rural areas where quality healthcare is not only difficult to avail but sometimes even hard to access. In such circumstances, an initiative like Lifeline Express (LLE) has provided the people with access to quality healthcare which has been crucially needed. It is a very simple idea but incredibly complex in terms of execution throughout the whole region. The LLE is a hospital which moves throughout rural India in a form of a fully equipped train. Since 1991, this initiative in India has generated some commendable projects through which it has served many rural Indians. Through this case, it will be comprehensible of how the train and the medical team function and will show the limitations and challenges healthcare in India is facing and how LLE has proved its fantastic ability to fight with the constraints and make healthcare reach the doorsteps of the rural people. Despite the challenges and limitations, it is also been revealed how the journey of LLE has grown from a three-coach train to seven-coach train where patients get treatment of many diseases from the early 1990s to this day.

scholarly journals Salt intake and blood pressure in Iranian children and adolescents: a population-based study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammad Hassan Emamian ◽  
Hossein Ebrahimi ◽  
Hassan Hashemi ◽  
Akbar Fotouhi
Keyword(s):  
Blood Pressure ◽  
Rural Areas ◽  
Urban Areas ◽  
Salt Intake ◽  
Daily Intake ◽  
Population Based ◽  
World Health ◽  
Second Phase ◽  
Salt Consumption ◽  
The Mean

Abstract Background Previous studies have reported a high prevalence of hypertension in Iranian students, especially in rural areas. The aim of this study was to investigate the daily intake of salt in students and its association with high blood pressure. Methods A random sub-sample was selected from the participants of the second phase of Shahroud schoolchildren eye cohort study and then a random urine sample was tested for sodium, potassium and creatinine. Urine electrolyte esexcretion and daily salt intake were calculated by Tanaka et al.’s formula. Results Among 1455 participants (including 230 participants from rural area and 472 girls), the mean age was 12.9 ± 1.7 year and the mean daily salt intake was 9.7 ± 2.6 g (95% CI 9.5–9.8). The mean salt consumption in rural areas [10.8 (95% CI 10.4–11.2)] was higher than urban areas [9.4 (95% CI 9.3–9.6)], in people with hypertension [10.8 (95% CI 10.3–11.3)] was more than people with normal blood pressure [9.4 (95% CI 9.3–9.6)], and in boys [9.8 (95% CI 9.7–10.0)] was more than girls [9.3 (95% CI 9.1–9.6)]. Higher age, BMI z-score, male sex and rural life, were associated with increased daily salt intake. Increased salt intake was associated with increased systolic and diastolic blood pressure. Conclusion Daily salt intake in Iranian adolescents was about 2 times the recommended amount of the World Health Organization, was higher in rural areas and was associated with blood pressure. Reducing salt intake should be considered as an important intervention, especially in rural areas.

scholarly journals The Vulnerability of Health Infrastructure to the Impacts of Climate Change and Sea Level Rise in Small Island Countries in the South Pacific

2021 ◽  
Vol 14 ◽  
pp. 117863292110208
Author(s):  
Subhashni Taylor
Keyword(s):  
Climate Change ◽  
Sea Level Rise ◽  
Sea Level ◽  
South Pacific ◽  
Well Being ◽  
Marshall Islands ◽  
World Health ◽  
Small Island ◽  
Medical Facilities ◽  
Medical Infrastructure

Anthropogenic climate change and related sea level rise will have a range of impacts on populations, particularly in the low lying Pacific island countries (PICs). One of these impacts will be on the health and well-being of people in these nations. In such cases, access to medical facilities is important. This research looks at the medical facilities currently located on 14 PICs and how climate change related impacts such as sea level rise may affect these facilities. The medical infrastructure in each country were located using information from a range of sources such as Ministry of Health (MoH) websites, World Health Organization, Doctors Assisting in South Pacific Islands (DAISI), Commonwealth Health Online, and Google Maps. A spatial analysis was undertaken to identify medical infrastructure located within 4 zones from the coastline of each country: 0 to 50 m, 50 to 100 m, 100 to 200 m, and 200 to 500 m. The findings indicate that 62% of all assessed medical facilities in the 14 PICs are located within 500 m of the coast. The low-lying coral atoll countries of Kiribati, Marshall Islands, Nauru, Palau, Tokelau, and Tuvalu will be highly affected as all medical facilities in these countries fall within 500 m of the coast. The results provide a baseline analysis of the threats posed by sea-level rise to existing critical medical infrastructure in the 14 PICs and could be useful for adaptive planning. These countries have limited financial and technical resources which will make adaptation challenging.

scholarly journals Lifeline Express: Hospital Train in Rural India

2020 ◽  
Vol 2 (2) ◽  
pp. 87-97
Author(s):  
Jashim Uddin Ahmed ◽  
Saima Siddiqui ◽  
Asma Ahmed ◽  
Kazi Pushpita Mim
Keyword(s):  
Southeast Asia ◽  
Rural Areas ◽  
Medical Service ◽  
Service Industry ◽  
Rural India ◽  
Medical Team ◽  
Rural People ◽  
Quality Healthcare ◽  
The People ◽  
Medical Facilities

India’s medical service industry is an emerging force in Southeast Asia, which should be recognized. A large portion of the country’s GDP is being earned through this sector. Paradoxically, India’s rural sphere has always been highly deprived of medical facilities even in rudimentary level. This huge imbalance was previously an issue for India to reach to a footing through innovation. India still being a developing country has majority of people living in rural areas where quality healthcare is not only difficult to avail but sometimes even hard to access. In such circumstances, an initiative like Lifeline Express (LLE) has provided the people with access to quality healthcare which has been crucially needed. It is a very simple idea but incredibly complex in terms of execution throughout the whole region. The LLE is a hospital which moves throughout rural India in a form of a fully equipped train. Since 1991, this initiative in India has generated some commendable projects through which it has served many rural Indians. Through this case, it will be comprehensible of how the train and the medical team function and will show the limitations and challenges healthcare in India is facing and how LLE has proved its fantastic ability to fight with the constraints and make healthcare reach the doorsteps of the rural people. Despite the challenges and limitations, it is also been revealed how the journey of LLE has grown from a three-coach train to seven-coach train where patients get treatment of many diseases from the early 1990s to this day.

scholarly journals Characterisation of smectite-rich clay soil: Implication for groundwater defluoridation

2016 ◽  
Vol Volume 112 (Number 11/12) ◽  
Author(s):  
Rabelani Mudzielwana ◽  
Mugera W. Gitari ◽  
Titus A.M. Msagati ◽  
◽  
◽  
...  
Keyword(s):  
South Africa ◽  
Rural Areas ◽  
Contact Time ◽  
Clay Soil ◽  
Dental Fluorosis ◽  
Fluoride Concentration ◽  
Limpopo Province ◽  
World Health ◽  
Fluoride Removal ◽  
X Ray

Abstract Groundwater is a widely used and affordable source of drinking water in most of the rural areas of South Africa. Several studies have indicated that groundwater in some boreholes in South Africa has a fluoride concentration above the level recommended by the World Health Organization (1.5 mg/L). Fluoride concentrations above the permissible limit (>1.5 mg/L) lead to dental fluorosis, with even higher concentrations leading to skeletal fluorosis. In the present work, we evaluate the application of smectite-rich clay soil from Mukondeni (Limpopo Province, South Africa) in defluoridation of groundwater. The clay soil was characterised by mineralogy using X-ray diffraction, by elemental composition using X-ray fluorescence and by morphology using scanning electron microscopy. Surface area and pore volume was determined by the Brunauer–Emmett–Teller surface analysis method. Cation exchange capacity and pHpzc of the soil were also evaluated using standard laboratory methods. Batch experiments were conducted to evaluate and optimise various operational parameters such as contact time, adsorbent dose, pH and initial adsorbate concentration. It was observed that 0.8 g/100 mL of smectite-rich clay soil removed up to 92% of fluoride from the initial concentration of 3 mg/L at a pH of 2 with a contact time of 30 min. The experimental data fitted well to a Langmuir adsorption isotherm and followed pseudo second order reaction kinetics. Smectite-rich clay soil showed 52% fluoride removal from field groundwater with an initial fluoride concentration of 5.4 mg/L at an initial pH of 2 and 44% removal at a natural pH of 7.8. Therefore smectite-rich clay soil from Mukondeni has potential for application in defluoridation of groundwater. Chemical modification is recommended to improve the defluoridation capacity.

Sign in / Sign up

Export Citation Format

Share Document