scholarly journals Study of cutaneous leishmaniasis in the State of Campeche (Yucatan Peninsula), Mexico, over a period of two year

2015 ◽  
Vol 57 (1) ◽  
pp. 58 ◽  
Author(s):  
Mirsha Pamela Hernández-Rivera ◽  
Omar Hernández-Montes ◽  
Adelaido Chiñas-Pérez ◽  
Juan Miguel Batiza-Avelar ◽  
Gustavo Sánchez-Tejeda ◽  
...  
Keyword(s):  
Public Health ◽  
Cutaneous Leishmaniasis ◽  
Leishmania Species ◽  
Skin Lesions ◽  
Health Concern ◽  
Leishmania Braziliensis ◽  
Leishmania Mexicana ◽  
Public Health Concern ◽  
Important Public Health ◽  
Mexican Strains

Objective. To study cutaneous leishmaniasis (CL), in the Calakmul municipality of the Campeche State, during two years. Materials and methods. Individuals with skin lesions were evaluated. Aspirates taken from the lesions were cultured, PCR was performed to diagnose the Leishmania species. Results. The culture detected 42% of the samples. PCR diagnosed CL in 76% of the samples; of those 38% were from children and 62% from adults. 89% of the patients were infected with L. mexicana; 14.4% with Mexican strains of L.mexicana; 7% with L. braziliensis; 3.6% with L. mexicana and L. braziliensis. The most affected villages with CL were Dos Lagunas Sur with 12.3%, La Mancolona with 6.5% and La Guadalupe with 2.2% of prevalence, respectively. After the treatment with Glucantime, 96% of the patients were healed. Conclusion. CL is an important public health concern in Calakmul, and the parasite causing it belongs to Leishmania mexicana and Leishmania braziliensis complexes.

Malignant melanoma

2019 ◽  
Vol 12 (6) ◽  
pp. 297-303
Author(s):  
Charlotte Sidebotham
Keyword(s):  
Public Health ◽  
Malignant Melanoma ◽  
Skin Lesions ◽  
Health Concern ◽  
Public Health Concern ◽  
Favourable Prognosis ◽  
Younger Age ◽  
Pigmented Skin Lesions ◽  
Early Primary

Melanoma affects people at a younger age than other cancers, and can rapidly become fatal if not detected. Thus, pigmented skin lesions can cause concern in both doctors and patients. If discovered in the early primary stages, melanomas have a favourable prognosis. Over the last few decades, the incidence of melanoma has significantly increased, and is fast becoming an urgent public health concern. This article aims to shine a light on this dangerous adversary.

scholarly journals Integrated Diabetic Clinic in a Rural Hospital of Nepal

2019 ◽  
Vol 2 (1) ◽  
pp. 77-78
Author(s):  
Niresh Thapa ◽  
Muna Maharjan
Keyword(s):  
Public Health ◽  
Health Care ◽  
Developing Countries ◽  
Cost Effective ◽  
Rural Setting ◽  
Health Concern ◽  
Public Health Concern ◽  
Mortality And Morbidity ◽  
Important Public Health ◽  
Diabetic Clinic

Diabetes is an important public health concern which is increasing rapidly in developing countries. It is challenging to prevent and manage diabetes in a rural setting. The Integrated Diabetic Clinic is comprehensive diabetes care under one roof. Its aim is to provide efficient accessible and affordable comprehensive care. It will make a huge difference in the management of diabetes. This clinic will play a major role in unifying different aspects of health care under one roof and offer the most comprehensive and cost-effective accessible health care to minimize mortality and morbidity associated with diabetes.

Endothelial dysfunction induced by cadmium and mercury and its relationship to hypertension

2021 ◽  
Vol 17 ◽  
Author(s):  
Airton Cunha Martins ◽  
Alessanda Antunes Dos Santos ◽  
Ana Carolina B. Almeida Lopes ◽  
Anatoly V. Skalny ◽  
Michael Aschner ◽  
...  
Keyword(s):  
Public Health ◽  
Nitric Oxide ◽  
Heavy Metals ◽  
Endothelial Dysfunction ◽  
Toxic Elements ◽  
Health Concern ◽  
Public Health Concern ◽  
Important Public Health ◽  
Nitric Oxide Signaling

: Hypertension is an important public health concern that affects millions globally, leading to a large number of morbidities and fatalities. The etiology of hypertension is complex and multifactorial, and it involves environmental factors including heavy metals. Indeed, cadmium and mercury are toxic elements commonly distributed in the environment which contribute to hypertension. We aimed to assess the role of cadmium and mercury-induced endothelial dysfunction in the development of hypertension. A narrative review was carried out through database searches. In this review, we discussed the critical roles of cadmium and mercury in the etiology of hypertension and provide new insights into potential mechanisms of their effect, focusing primarily on endothelial dysfunction. Although, the mechanisms by which cadmium and mercury induce hypertension have yet to be completely elucidated, evidence for both implicates impaired nitric oxide signaling in their hypertensive etiology.

Podiatric Health Needs of Homeless Populations as a Public Health Concern

2012 ◽  
Vol 102 (1) ◽  
pp. 54-56 ◽  
Author(s):  
Bright Chen ◽  
Analiza Mitchell ◽  
David Tran
Keyword(s):  
Public Health ◽  
Health Needs ◽  
Health Concern ◽  
Foot And Ankle ◽  
Foot Care ◽  
Public Health Concern ◽  
Important Public Health ◽  
Medical Needs ◽  
The Us ◽  
Health Need

Background: Foot and ankle health among the homeless is an important public health concern. There are limited studies done thus far on foot and ankle conditions and the podiatric medical needs of homeless populations. A literature review was undertaken to evaluate any studies published about the lower-extremity health needs among the homeless. Methods: We did a literature search through PubMed, the US National Library of Medicine’s database of biomedical citations and abstracts for relevant publications from 1988 through 2008. We also searched the references cited in the articles found for any studies relevant to podiatric needs for homeless populations. Results: We found three relevant articles that addressed the needs of podiatric care for the homeless. The articles highlighted the community health importance of foot care for homeless populations, especially in helping prevent potentially limb-threatening pathologies. Conclusions: The small number of studies published so far all emphasize the major public health need for podiatric care among homeless populations. More studies are needed to help address this important public health concern. (J Am Podiatr Med Assoc 102(1): 54–56, 2012)

Self-harm in adolescence

2017 ◽  
Vol 10 (4) ◽  
pp. 202-208
Author(s):  
Anna Paes
Keyword(s):  
Public Health ◽  
Risk Assessment ◽  
General Practice ◽  
Health Service ◽  
Health Concern ◽  
Public Health Concern ◽  
Important Public Health ◽  
Maladaptive Behaviour ◽  
Provision Of Services ◽  
Self Harm

Self-harm in adolescents is not only an important public health concern but also a prevalent maladaptive behaviour. The behaviour is poorly understood, and these young people still face stigma within our health service, as well as in society. To date, their management has been inadequate, due to some unhelpful attitudes, patchy provision of services and lack of training. This article aims to increase awareness and understanding of why adolescents self-harm, the importance of risk assessment, and how to provide appropriate support and care in general practice.

scholarly journals American cutaneous leishmaniasis: presentation and problems of patient management

1988 ◽  
Vol 21 (4) ◽  
pp. 165-172 ◽  
Author(s):  
Jeffrey D. Chulay ◽  
Charles N. Oster ◽  
Patrick B. McGreevy ◽  
Larry D. Hendricks ◽  
Richard D. Kreutzer
Keyword(s):  
Cutaneous Leishmaniasis ◽  
Incubation Period ◽  
Patient Management ◽  
Leishmania Donovani ◽  
Skin Lesions ◽  
Medical Attention ◽  
Leishmania Braziliensis ◽  
Leishmania Mexicana ◽  
American Cutaneous Leishmaniasis ◽  
The Mean

We report our experience with the diagnosis and treatment of 60 patients with American cutaneous leishmaniasis. They were infected in Panama (55), Brazil (4) or Colombia (I). Among 35 patients with a 3 week exposure in Panama, the mean maximum incubation period was 33 days (range 4-81 days). Diagnosis was delayed an average of 93 days after onset of skin lesions, due to the patient's delay in seeking medical attention (31 days), medical personnel's delay in considering the diagnosis (45 days), and the laboratory's delay in confirming the diagnosis (17 days). Forty-four patients (73%) developed ulcers typical of cutaneous leishmaniasis. Sixteen additional patients (27%) had atypical macular, papular, squamous, verrucous or acneiform skin lesions that were diagnosed only because leishmanial cultures were obtained. Of the 59 patients treated with pentavalent antimonial drugs, only 34 (58%) were cured after the first course of treatment. Lesions which were at least 2 cm in diameter, ulcerated, or caused by Leishmania braziliensis were less likely to be cured after a single course of treatment than were lesions smaller than 2 cm, nonulcerated or caused by Leishmania mexicana or Leishmania donovani.

Stillbirth rate in Bhutan: a retrospective facility-based study

2018 ◽  
Vol 4 (2) ◽  
pp. 35-38
Author(s):  
Pema Lethro ◽  
Kinga Jamphel ◽  
Vandana Joshi ◽  
Chandralal Mongar ◽  
Lobzang Tshering ◽  
...  
Keyword(s):  
Public Health ◽  
Information System ◽  
Retrospective Study ◽  
Health Concern ◽  
Stillbirth Rate ◽  
Public Health Concern ◽  
Data Set ◽  
Important Public Health ◽  
Live Births ◽  
One Year

Introduction: Stillbirth is an important public health concern; yet there is no reliable stillbirth rate for Bhutan. Hence the aim of this study was to estimate the stillbirth rate for Bhutan. Methods: A retrospective study was carried out for live and stillbirths recorded in delivery registers of all 253 health facilities across the country for a period of one year commencing 1st January till 31st December 2015. Results: There were a total of 11,126 live births and 108 stillbirths documented in delivery registers. The stillbirth rate from this data set was 10 per 1000 live births. Conclusions: The stillbirth rate for Bhutan from this study is 10 per 1000 live births lower than 16 per 1000 live births estimated in Lancet Series 2015. In order to find the true burden of stillbirths in the country, a surveillance may be instituted which can facilitate the prevention efforts while at the same time enable to strengthen information system.

Gambling Among Older, Primary-Care Patients: An Important Public Health Concern

2005 ◽  
Vol 13 (1) ◽  
pp. 69-76 ◽  
Author(s):  
Suzi Levens ◽  
Anne-Marie Dyer ◽  
Cynthia Zubritsky ◽  
Kathryn Knott ◽  
David W. Oslin
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Concern ◽  
Public Health Concern ◽  
Important Public Health ◽  
Primary Care Patients

scholarly journals COMPARATIVE STUDY BETWEEN CLASSICAL AND MOLECULAR METHODS IN DIAGNOSIS OF LEISHMANIA SPECIES IN IRAQ

2018 ◽  
Vol 14 (3) ◽  
pp. e69-e76
Author(s):  
Magda A. Ali ◽  
Ali Khamesipour ◽  
Abdulsadah A. Rahi ◽  
Mehdi Mohebali ◽  
Amir Ahmad Akhavan
Keyword(s):  
Public Health ◽  
Nested Pcr ◽  
Age Groups ◽  
Leishmania Species ◽  
Molecular Methods ◽  
Health Concern ◽  
Public Health Concern ◽  
High Incidence ◽  
Clinical Consequences ◽  
Skin Samples

Background and Objective Cutaneous leishmaniasis (CL) remains a serious public health concern in some parts of Iraq. The aims of this study to diagnose the Leishmania sp. causative agent of CL in some parts of Iraq, by different parasitological, cultural, and molecular methods. It was carried during the period  October  2014 to  February 2015. Materials and Methods One hundred-sixty one of skin samples were examined by direct Giemsa-smeared, culture on NNN medium and Nested – PCR methods in different age groups. Results The results of our study showed that  110 (68.3%) gave positives by Giemsa-smeared, 104 (64.6%) by culture and 67 (100%) by Nested – PCR. Our results appeared that there was slight gender predilection ; CL cases were more frequent in males (62.1%) than females (37.9%). Also, the type of infection showed that disease was in wet type 133(82.6%) more than in dry type 28 (17.4%). It was found that 98 (60.9%) of CL cases were in contact with rodents while  63(39.1%) of cases were not.      Conclusions CL disease is endemic in many parts of Iraq with high incidence and expanding to new foci that is considered a public health threat which needs special attention. Women appeared to be better equipped than men to contain the infection and its clinical consequences, but the sex factor tended to lessen at higher levels of exposure.

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