scholarly journals Seroprevalence and sociocultural conditionants of Chagas disease in school aged children of marginal zones of Asunción

1998 ◽  
Vol 31 (4) ◽  
pp. 347-353 ◽  
Author(s):  
Ninfa I. Vera ◽  
Marisel Maldonado ◽  
Gloria Yaluff ◽  
Luis Simancas ◽  
Antonieta Rojas de Arias

Chagas disease is becoming a public health problem in Latin America due to the wide distribution, the high prevalence, the magnitude of the damage caused and the difficulties to control it. In Paraguay, the disease is mainly distributed in the departments of Paraguari, Cordillera and Central. Prevalence in marginal zones, where migrations from rural populations and endemic areas make possible the urbanization of the disease, has no been studied yet. This is a descriptive study with a cross-sectional sampling and a probabilistic system recruitment carried out in school aged children from marginal zones of Asuncion to determine the prevalence of Chagas' disease. Serological methods, parasite isolation and questionnaires were used to achieve the goals. Nine hundred and fifty three children were studied to determine the prevalence of Chagas' disease in marginal zones which was 1.4%.

2015 ◽  
Vol 24 (2) ◽  
pp. 344-352 ◽  
Author(s):  
Julliane Messias Cordeiro Sampaio ◽  
Gabriela Valente Santos ◽  
Wanderlei Abadio de Oliveira ◽  
Jorge Luiz da Silva ◽  
Marcelo Medeiros ◽  
...  

The objective was to estimate the prevalence of school bullying and identify the emotions of students involved. In this cross-sectional and descriptive study, a questionnaire was applied to 232 sixth-grade students of a public school. The results show a large number of students involved in bullying (39.6%): 22.2% were victims and 17.4% were aggressors. Anger was the most frequent emotion experienced by the victims when suffering aggression, while most aggressors reported that no emotions were experienced when abusing their peers. The high prevalence of bullying, its characteristics and the negative consequences that arise make it a public health problem. This study covers the importance of identifying emotions associated with school bullying, a subject seldom explored, which can contribute to the development of integral healthcare delivered to students.


Author(s):  
Susana Valido ◽  
Ermelinda do Carmo Caldeira ◽  
Felismina Mendes

Sociodemographic changes occurring in past decades are reflected as increased population aging, resulting in a higher need to institutionalize elderly. Violence against elderly is a relevant public health problem. The aims of the present cross-sectional exploratory and descriptive study with a quantitative approach were to analyze burnout among formal caregivers at institutions for elderly and to assess the risk of violence against institutionalized elderly. As a part of project ESACA—Envelhecer com Segurança no Alentejo (Prevenir as Quedas e a Violência sobre Idosos)—Compreender para Agir (Aging Safely in Alentejo [Preventing Falls and Violence against Elderly]), the present study analyzed 34 formal caregivers from three institutions that provide care to elderly in the Evora district, Portugal. No situations involving violence against institutionalized elderly were detected. Most participants (96.3%) did not exhibit burnout, although they did report feeling physically and emotionally tired.


2020 ◽  
Author(s):  
Klodeta Kura ◽  
Diepreye Ayabina ◽  
Jaspreet Toor ◽  
T. Deirdre Hollingsworth ◽  
Roy M. Anderson

AbstractBackgroundThe 2030 goal for schistosomiasis is elimination as a public health problem (EPHP), with mass drug administration (MDA) of praziquantel to school-aged children (SAC) a central pillar of the strategy. However, due to COVID-19, many mass treatment campaigns for schistosomiasis have been halted with uncertain implications for the programmes.MethodWe use mathematical modelling to explore how postponement of MDA and various mitigation strategies affect achievement of the EPHP goal for Schistosoma mansoni and S. haematobium.ResultsIn moderate and some high prevalence settings, the disruption may delay the goal by up to two years. In some high prevalence settings EPHP is not achievable with current strategies, and so the disruption will not impact this. Here, increasing SAC coverage and treating adults can achieve the goal.The impact of MDA disruption and the appropriate mitigation strategy varies according to the baseline prevalence prior to treatment, the burden of infection in adults and stage of the programme.ConclusionsSchistosomiasis MDA programmes in medium and high prevalence areas should restart as soon as is feasible, and mitigation strategies may be required in some settings.


2022 ◽  
pp. 1392-1407
Author(s):  
Susana Valido ◽  
Ermelinda do Carmo Caldeira ◽  
Felismina Mendes

Sociodemographic changes occurring in past decades are reflected as increased population aging, resulting in a higher need to institutionalize elderly. Violence against elderly is a relevant public health problem. The aims of the present cross-sectional exploratory and descriptive study with a quantitative approach were to analyze burnout among formal caregivers at institutions for elderly and to assess the risk of violence against institutionalized elderly. As a part of project ESACA—Envelhecer com Segurança no Alentejo (Prevenir as Quedas e a Violência sobre Idosos)—Compreender para Agir (Aging Safely in Alentejo [Preventing Falls and Violence against Elderly]), the present study analyzed 34 formal caregivers from three institutions that provide care to elderly in the Evora district, Portugal. No situations involving violence against institutionalized elderly were detected. Most participants (96.3%) did not exhibit burnout, although they did report feeling physically and emotionally tired.


2017 ◽  
Vol 28 (3) ◽  
Author(s):  
Angel Gabriel Polanco-Rodríguez ◽  
Hugo A. Ruiz-Piña ◽  
Fernando I. Puerto-Manzano

Introducción: La Investigación Participativa (IP) es una herramienta que puede abordarse para el análisis de procesos socioculturales, medioambientales, y de salud pública. La participación de niños en edad escolar en la apropiación del conocimiento para la prevención de la Enfermedad de Chagas (EC) puede romper su ciclo de transmisión. La EC es un problema de salud pública que afecta principalmente a comunidades rurales endémicas de países en desarrollo. Objetivo: Desarrollar una estrategia para la adquisición y transferencia de nuevos conocimientos en niños, debido en la falta de información acerca del ciclo de transmisión de la Enfermedad de Chagas. Material y Métodos: Estudio observacional de corte transversal, realizado con un grupo de 48 niños de una comunidad en pobreza extrema en Yucatán, México. Mediante herramientas de IP y con el apoyo de padres de familia, autoridades ejidales y escolares, se impartieron talleres educativos a niños en la escuela de educación básica para conocer el ciclo de transmisión, y prevenir la EC debido a la abundancia del vector en el área de estudio. Se implementó un programa denominado “Pequeños Investigadores”, para iniciar procesos de apropiación y socialización del conocimiento en la comunidad. Resultados: El nuevo conocimiento adquirido por el grupo de niños fue aprovechado y diseminado a sus familias, compañeros de escuela, y círculos sociales, fomentando la prevención de la enfermedad. Fueron recolectados 182 triatomas a nivel domiciliar y peri domiciliar. Conclusiones: Los nuevos conocimientos, actitudes y prácticas adquiridos por los niños bajo esquemas de participación, resulta benéfico para la prevención de la EC. Se recomienda al sector oficial la participación en la promoción de la salud en niños bajo el esquema del presente estudio en países en desarrollo. Keywords: Enfermedad de Chagas, niños, promoción de la salud, investigación participativa ABSTRACT INTRODUCTION: Participatory Research (PR) is a tool that can be approached for the analysis of sociocultural, environmental, and public health processes. The participation of school-age childrens in the appropriation of knowledge for the prevention of Chagas' Disease (CD) can break the cycle of transmission. CD is a public health problem that mainly affects rural endemic communities of developing countries. METHODS: A cross-sectional study was carried out with a group of 48 childrens from a community in extreme poverty in Yucatan, Mexico. Through PR tools and with the support of parents, ejidal and school authorities, educational workshops were given to children of the basic education to know the cycle of transmission, and to prevent CD due to the abundance of the vector in the study area. A program called "Small Investigators" was implemented to initiate processes of appropriation and socialization of knowledge in the community. RESULTS: The new knowledge acquired by the group of children was used and disseminated to their families, partners, and social circles, promoting the prevention of the disease. 182 triatomas were collected at home and peri domicile. CONCLUSIONS: The new knowledge, attitudes and practices acquired by children under participation schemes is beneficial for the prevention of the Chagas Disease. The official sector is recommended to design the promotion health programs in children under the scheme of the present study in developing countries. Keywords: Chagas Disease, childs, promotion health, participatory research


Author(s):  
Siavaah CHALABIANI ◽  
Mina KHODADAD NAZARI ◽  
Nada RAZAVI DAVOODI ◽  
Mahdi SHABANI ◽  
Masoud MARDANI ◽  
...  

Background: Brucellosis as a zoonotic disease is widespread among human and animal that it continues to be a major public health problem. Due to the shortage of recent epidemiologic data regarding the brucellosis distribution in Iran, we convinced to evaluate the prevalence of brucellosis in provinces of Iran. Methods: In this descriptive study, data were collected from brucellosis suspected patients referred to Noor Pathobiology Laboratory, Tehran, Iran from 18 out of 31 provinces of Iran during 2013-2015. Results: Overall, 2635 out of 17103 attending cases (15.4%) were recognized as brucellosis patients. The most prevalent rate was found in patients aged 20-39 yr old (41%) which of them 67% were male. Patients with brucellosis were significantly diagnosed in spring season (Apr to late May). Among included provinces, Hamadan Province had the highest (25%) prevalence followed by Markazi and Mazandaran with 24.7% and 22.5%, respectively. Conclusion: Brucellosis is still considered as an important infectious disease with a high prevalence in many provinces of Iran. It is necessary to implement a national brucellosis control program by increasing medical education, public knowledge and various controlling plans for preventing, controlling and eradicating of brucellosis.  


Author(s):  
Thannuse Silva Athie ◽  
Gesiane Cavalcante Nascimento ◽  
Maria José Labis da Costa ◽  
Juliana de Sales Silva ◽  
Edna Afonso Reis ◽  
...  

Aim: Chagas disease is a serious public health problem, endemic in 21 countries in Latin America. A future vaccine can contribute to decreasing the number of cases and its complications. Methods: A cross-sectional study was conducted with residents of the northern region of Brazil, on the willingness to pay for a hypothetical vaccine against Chagas disease (effective protection of 80%). Results: We interviewed 619 individuals and seven were excluded from the analysis and the value of willingness to pay was US$23.77 (100.00 BRL). Conclusion: The Northern region of Brazil is one of the largest markets for this vaccine, due to its epidemiological relevance, so economic studies with this vaccine will be important to assist in the assessment of technologies.


2013 ◽  
Vol 5 (2) ◽  
pp. 406-410
Author(s):  
Sunil Arya ◽  
Sehrish Gazal ◽  
Anil K. Raina

A cross-sectional study was conducted among the residents of three villages of Doda district, J&K. A total of 391 individuals (202 males and 189 females) were examined from 60 households by house to house survey for recording the prevalence and severity of dental fluorosis by using Dean’s Index (1942) along with WHO health assessment form (1997b) and Community fluorosis Index. Of the total studied population 299 (76.47%) have found to be affected with various grades of dental fluorosis with moderate (33.5%) level of fluorosis to be the most frequent category observed. Prevalence of dental fluorosis was more in males (86.61%) than females (63.49%). No significant relation (P>0.05) between prevalence of dental fluorosis to the socioeconomic status was found. Community fluorosis Index was found to be 2.05 which denotes “marked” category of public health significance. High prevalence and high community fluorosis Index suggest that fluorosis is a major public health problem in the area.


2020 ◽  
Vol 11 (1) ◽  
pp. 54-58
Author(s):  
AKM Farhad Hossain ◽  
Md Mahmudur Rahman Siddiqui ◽  
Sayada Fatema Khatun

Background: Thyroid cancer is the most common malignant disease in endocrine system. It is an emerging public health issue associated with burden on the family, community and the nation. The aim of this study is to determine the socio-demographic and clinical characteristics of patient with thyroid cancer attending in tertiary hospital. Methods: This cross sectional study was conducted among 246 thyroid cancer patients in two tertiary hospitals of Dhaka city from 01 July 2018 to 30 June 2019. The subjects were selected purposively following specific selection criteria and maintaining ethical issues. Data were collected by face to face interview using a semi-structured questionnaire and checklist. Data were analyzed by the statistical package for the social science (SPSS) version 23. Results: This study revealed that majority (74.4%) of respondents was female, married (72%), housewife (61.4%), rural respondent (41.1%) and had primary education (69%). Mean (± SD) age of the respondent was 37.85(±12.20) years (Range 14-70 years) and mean (± SD) monthly family income was Tk. 17681(±10602). Out of 246 cases, 204 (82.9%) was papillary and 42 (17.1%) was follicular carcinoma. Various clinical presentations included visible neck swelling in 225 (91.5%), swollen lymph node in 103 (41.9%), pain 90 (36.6%), Difficulties in swallowing 87 (35.4%), Hoarseness of voice in 141 (57.3%), cough along with swelling 47(19.1%), Difficulties in breathing due to swelling in 13(5.3%) of the patients. Conclusion: Incidence of thyroid cancer has increased worldwide specially in female patients in 3rd and 4th decades of life. As thyroid cancer is a growing public health problem in Bangladesh, proper screening and early diagnostic facilities at all level should be available to measure its actual burden in the country. Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 54-58


Author(s):  
Cristina Alvarez-Peregrina ◽  
Clara Martinez-Perez ◽  
Cesar Villa-Collar ◽  
Cristina Andreu-Vázquez ◽  
Alicia Ruiz-Pomeda ◽  
...  

Background: Myopia is a public health problem, with estimations that 50% of the world population will be myopic by 2050. Some environmental factors, such as time spent outdoors, doing near work, and using digital devices, influence the development of myopia in children. Home confinement in Spain has increased these risk factors, so this study aims to investigate the impact of home confinement during the COVID-19 outbreak in the vision of school-aged children; Methods: A cross-sectional study in children between 5 and 7 years old that completed a visual screening and a questionnaire about their lifestyles at opticians in Spain in September and October of 2019 and 2020. Statistical analysis to compare lifestyles pre and post confinement, and vision in 2020 versus a similar cohort examined at the same opticians in 2019, was conducted; Results: Spanish children spent less time outdoors and more time doing near work in 2020 than in 2019 (p ≤ 0.001). There was a significant decrease of the spherical equivalent (mean ± standard deviation; 0.66 ± 2.03 D in 2019 vs. 0.48 ± 1.81 D in 2020; p ≤ 0.001); Conclusions: Lifestyles of Spanish children changed during the home confinement at the beginning of 2020. Together with changes in their lifestyles, spherical equivalents have decreased, which implies higher figures of myopia for children aged between 5 and 7.


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