scholarly journals Poor nutritional status affecting blood donor deferral pattern at blood centre of North-East region of India

Author(s):  
Ashish Maheshwari ◽  
Nawanita Kumari ◽  
Satya Prakash

Background: Due to the stringent criteria for the selection of blood donors, donor deferral rate is increasing day by day, leading to a decrease in donor base for the blood bank. This study was done to analyze the incidence of deferral rate and deferral pattern to review the donor recruitment and retention policy and to highlight the role of nutrition improvement.Methods: A retrospective observational single-centre study was conducted in the department of transfusion medicine of North-East region of India from April 2018 to April 2019.Results: During the study period, a total of 3920 donations were made, and a total of 1992 donors were deferred. The overall deferral rate was 33.6% with male deferral rate was 29.4%, and the female deferral rate was 78.4%. Low haemoglobin and low weight contribute around 50% of total deferral.Conclusions: Analysis of donor deferral in a specific region is of utmost significance. Strategies to improve the health status of the population will help to increase donor pool in future, making easy availability of blood. The nutritional programme should be initiated for this group of deferred donors.

2021 ◽  
pp. e001696
Author(s):  
Chris M A Kwaja ◽  
D J Olivieri ◽  
S Boland ◽  
P C Henwood ◽  
B Card ◽  
...  

IntroductionCivilian–military relations play an important yet under-researched role in low-income and middle-income country epidemic response. One crucial component of civilian–military relations is defining the role of the military. This paper evaluates the role of Nigerian military during the 2014–2016 West African Ebola epidemic.MethodsFocus groups and key informant interviews were conducted throughout three states in North East region of Nigeria: Borno, Yobe and Adamawa. Participants were identified through mapping of stakeholder involvement in Nigerian epidemic response. English-translated transcripts of each key informant interview and focus group discussion were then coded and key themes were elucidated and analysed.ResultsMajor themes elucidated include developing inclusive coordination plans between civilian and military entities, facilitating human rights reporting mechanisms and distributing military resources more equitably across geographical catchment areas. The Nigerian Military served numerous functions: 37% (22/59) of respondents indicated ‘security/peace’ as the military’s primary function, while 42% (25/59) cited health services. Variations across geographic settings were also noted: 35% (7/20) of participants in Borno stated the military primarily provided transportation, while 73% (11/15) in Adamawa and 29% (7/24) in Yobe listed health services.ConclusionsRobust civilian–military relations require an appropriately defined role of the military and clear civilian–military communication. Important considerations to contextualise civilian–military relations include military cultural–linguistic understanding, human rights promotion, and community-based needs assessments; such foci can facilitate the military’s understanding of community norms and civilian cooperation with military aims. In turn, more robust civilian–military relations can promote overall epidemic response and reduce the global burden of disease.


2004 ◽  
Vol 185 (4) ◽  
pp. 312-317 ◽  
Author(s):  
Dinah Bennett ◽  
Michael Sharpe ◽  
Chris Freeman ◽  
Alan Carson

BackgroundWe set out to determine whether anorexia nervosa exists in a culture where the pressure to be thin is less pervasive.AimsTo determine whether there were any cases of anorexia nervosa in female students attending two secondary schools in the north-east region of Ghana.MethodThe body mass index (BMI) of consenting students was calculated after measuring their height and weight. Those with a BMI ⩽19 kg/m2 underwent a structured clinical assessment including mental state, physical examination and completion of the Eating Attitudes Test and the Bulimic Investigatory Test, Edinburgh. Participants nominated a best friend to serve as a comparison group, and these young women underwent the same assessments.ResultsOf the 668 students who were screened for BMI, 10 with a BMI <175 kg/m2 appeared to have self-starvation as the only cause of their low weight. All 10 viewed their food restriction positively and in religious terms. The beliefs of these individuals included ideas of self-control and denial of hunger, without the typical anorexic concerns about weight or shape.ConclusionsMorbid self-starvation may be the core feature of anorexia nervosa, with the attribution for the self-starvation behaviour varying between cultures.


Author(s):  
Daria K. Markova

The problem of the use of violence as an argument in communication in the North-East Caucasus before the start of Russian policy activation is considered. An assessment of the mountaineers&#x27; raiding practice to adjacent territories is given. That had the most painful effect on the situation in Georgia, which even had to buy off enemy invasions, which had acquired a regular, seasonal character. The influence of this factor on the specifics of Russian-North Caucasian relations is being clarified. After Russian settlements began to appear in the region, the vector of the mountain invasion moved from the south to the north. This could not but cause a response, a very harsh reaction from the empire. The question about the role of hunting trips in the socialization of mountain youthis raised. The circumstances of the use of raids to reduce social contradictions within local societies, their role in the selection of the nobility are examined. One of the consequences of such steps will be the spread of the slave trade. It is suggested that the ideology formed as a result of these actions will become the foundation for the teaching of Muridism in the future. An attempt of the Russian Empire to force the mountaineers to abandon such actions will cause a hostile reaction and result in fierce resistance.


BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e018324 ◽  
Author(s):  
Mireia Obón-Santacana ◽  
Mireia Vilardell ◽  
Anna Carreras ◽  
Xavier Duran ◽  
Juan Velasco ◽  
...  

PurposeThe prevalence of chronic non-communicable diseases (NCDs) is increasing worldwide. NCDs are the leading cause of both morbidity and mortality, and it is estimated that by 2030, they will be responsible for 80% of deaths across the world. The Genomes for Life (GCAT) project is a long-term prospective cohort study that was designed to integrate and assess the role of epidemiological, genomic and epigenomic factors in the development of major chronic diseases in Catalonia, a north-east region of Spain.ParticipantsAt the end of 2017, the GCAT Study will have recruited 20 000 participants aged 40–65 years. Participants who agreed to take part in the study completed a self-administered computer-driven questionnaire, and underwent blood pressure, cardiac frequency and anthropometry measurements. For each participant, blood plasma, blood serum and white blood cells are collected at baseline. The GCAT Study has access to the electronic health records of the Catalan Public Healthcare System. Participants will be followed biannually at least 20 years after recruitment.Findings to dateAmong all GCAT participants, 59.2% are women and 83.3% of the cohort identified themselves as Caucasian/white. More than half of the participants have higher education levels, 72.2% are current workers and 42.1% are classified as overweight (body mass index ≥25 and <30 kg/m2). We have genotyped 5459 participants, of which 5000 have metabolome data. Further, the whole genome of 808 participants will be sequenced by the end of 2017.Future plansThe first follow-up study started in December 2017 and will end by March 2018. Residences of all subjects will be geocoded during the following year. Several genomic analyses are ongoing, and metabolomic and genomic integrations will be performed to identify underlying genetic variants, as well as environmental factors that influence metabolites.


2010 ◽  
Author(s):  
Aja Taitano ◽  
Bradley Smith ◽  
Cade Hulbert ◽  
Kristin Batten ◽  
Lalania Woodstrom ◽  
...  

2016 ◽  
Vol 04 (01) ◽  
pp. 4-10

AbstractImmunosuppression permits graft survival after transplantation and consequently a longer and better life. On the other hand, it increases the risk of infection, for instance with cytomegalovirus (CMV). However, the various available immunosuppressive therapies differ in this regard. One of the first clinical trials using de novo everolimus after kidney transplantation [1] already revealed a considerably lower incidence of CMV infection in the everolimus arms than in the mycophenolate mofetil (MMF) arm. This result was repeatedly confirmed in later studies [2–4]. Everolimus is now considered a substance with antiviral properties. This article is based on the expert meeting “Posttransplant CMV infection and the role of immunosuppression”. The expert panel called for a paradigm shift: In a CMV prevention strategy the targeted selection of the immunosuppressive therapy is also a key element. For patients with elevated risk of CMV, mTOR inhibitor-based immunosuppression is advantageous as it is associated with a significantly lower incidence of CMV events.


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