scholarly journals Prevalence of antibiotic use and household water-sanitation risk factors of acute watery diarrhea among children <5 years: retrospective analysis of multicounty health survey data, 2006-2018

Author(s):  
Md. Shakil Ahmed

Abstract A total 12,69,944 under five year Childs were included in this study among them 1,80,067 Childs were acute watery diarrhea (AWD) and 19,502 Childs were bloody diarrhea respectively. Among them 47,755 Childs were taken antibiotic treatment for AWD. The overall prevalence of acute watery diarrhea ~ 14% (prevalence = 0.142; 95% CI = 0.141, 0.142). On the other hand the prevalence of bloody diarrhea ~ 2% (prevalence = 0.015; 95% CI = 0.015, 0.016). The prevalence of antibiotic treatment for AWD was ~ 27% (prevalence = 0.27, 95% CI = 0.26, 0.27) among the under five years old children in DH survey regions in the world. The prevalence of acute watery diarrhea was higher ~ 17% (prevalence = 0.17, 95% CI = 0.16, 0.17) in the Latin America DHS survey region. The minimum prevalence of AWD was almost equal between South East Asia and Central Asia DHS survey regions ~ 12% (prevalence = 0.12, 95% CI = 0.11, 0.12) and ~ 12% (prevalence = 0.12, 95% CI = 0.10, 0.13) respectively. On the other hand the prevalence of AWD between Europe and West North and Central Africa DHS survey regions ~ 16% (prevalence = 0.16, 95% CI = 0.15, 0.16) and ~ 15% (prevalence = 0.15, 95% CI = 0.14, 0.15) correspondingly. In the central Asia of 15,089 under five Childs were included in the survey. Among them 1,748 Childs were AWD and 967 Childs had taken antibiotic treatment for AWD. The highest prevalence of antibiotic use for AWD in Central Asia ~ 55% (prevalence=(967/1748) = 0.55, 95% CI = 0.52, 0.59) and Europe DH survey region ~ 44% (prevalence=(5483/12502) = 0.44, 95% CI = 0.43, 0.45). The lowest prevalence of antibiotic use for under five Child AWD was ~ 23% (prevalence=(11918/51328) = 0.23, 95% CI = 0.22, 0.24) in the DH survey region South East Asia. On the other hand the DH survey region Latin America and West North and Central Africa region the prevalence of antibiotic use for AWD were ~ 30% (prevalence=(7887/26396) = 0.30, 95% CI = 0.29, 0.31) and ~ 24% (prevalence=(21500/88093) = 0.24, 95% CI = 0.23, 0.24). The South East Asia DH survey region countries DHS 2007 (Bangladesh), DHS 2014 and 2010 (Cambodia), DHS 2017 and 2012 (Indonesia), DHS 2009 (Maldives), DHS 2015–2016 (Myanmar), DHS 2012–2013 (Pakistan), DHS 2017 and 2013 (Philippines), and DHS 2009–2010 (Timor-Leste) were higher risk of AWD for drinking unimproved water sources. The prevalence of antibiotic use for u5c AWD was shown highest prevalence in DHS 2007 (~ 44%), DHS 2012 (~ 49%), DHS 2016 (~ 40%), and DHS 2017 (~ 65%) from DH survey 2006 to 2018 in South East & Central Asia. The linear trend analysis showed that upward trend for using antibiotic of AWD in the South East & Central Asia DH survey region.

2021 ◽  
Author(s):  
Md. Shakil Ahmed

Abstract A total of 12,69,944 under five years Childs were included in this study among them 1,80,067 Children were acute watery diarrhea (AWD) and 19,502 Children were bloody diarrhea respectively. Among them, 47,755 Childs was taken antibiotic treatment for AWD. The overall prevalence of acute watery diarrhea ~ 14% (prevalence = 0.142; 95% CI = 0.141, 0.142). On the other hand the prevalence of bloody diarrhea ~ 2% (prevalence = 0.015; 95% CI = 0.015, 0.016). The prevalence of antibiotic treatment for AWD was ~ 27% (prevalence = 0.27, 95% CI = 0.26, 0.27) among the under five years old children in DH survey regions in the world. The prevalence of acute watery diarrhea was higher ~ 17% (prevalence = 0.17, 95% CI = 0.16, 0.17) in the Latin America DHS survey region. The minimum prevalence of AWD was almost equal between South East Asia and Central Asia DHS survey regions ~ 12% (prevalence = 0.12, 95% CI = 0.11, 0.12) and ~ 12% (prevalence = 0.12, 95% CI = 0.10, 0.13) respectively. On the other hand the prevalence of AWD between Europe and West North and Central Africa DHS survey regions ~ 16% (prevalence = 0.16, 95% CI = 0.15, 0.16) and ~ 15% (prevalence = 0.15, 95% CI = 0.14, 0.15) correspondingly. In the central Asia of 15,089 under five Childs were included in the survey. Among them 1,748 Children were AWD and 967 Childs had taken antibiotic treatment for AWD. The highest prevalence of antibiotic use for AWD in Central Asia ~ 55% (prevalence=(967/1748) = 0.55, 95% CI = 0.52, 0.59) and Europe DH survey region ~ 44% (prevalence=(5483/12502) = 0.44, 95% CI = 0.43, 0.45). The lowest prevalence of antibiotic use for under five Child AWD was ~ 23% (prevalence=(11918/51328) = 0.23, 95% CI = 0.22, 0.24) in the DH survey region South East Asia. On the other hand the DH survey region Latin America and West North and Central Africa region the prevalence of antibiotic use for AWD were ~ 30% (prevalence=(7887/26396) = 0.30, 95% CI = 0.29, 0.31) and ~ 24% (prevalence=(21500/88093) = 0.24, 95% CI = 0.23, 0.24). The southeast Asia DH survey region countries DHS 2007 (Bangladesh), DHS 2014 and 2010 (Cambodia), DHS 2017 and 2012 (Indonesia), DHS 2009 (Maldives), DHS 2015–2016 (Myanmar), DHS 2012–2013 (Pakistan), DHS 2017 and 2013 (Philippines), and DHS 2009–2010 (Timor-Leste) were higher risks of AWD for drinking unimproved water sources. The prevalence of antibiotic use for u5c AWD was shown the highest prevalence in DHS 2007 (~ 44%), DHS 2012 (~ 49%), DHS 2016 (~ 40%), and DHS 2017 (~ 65%) from DH survey 2006 to 2018 in South East & Central Asia. The linear trend analysis showed an upward trend for using antibiotic of AWD in the South East & Central Asia DH survey region.


2016 ◽  
Vol 16 (2) ◽  
pp. 173
Author(s):  
Gazali Gazali

ABSTRACTUmara (the ruler) and ulama (islamic scolar) are two elite groups which are showing an elemental instrument for developing Aceh Darussalam. In the age of Iskandar Muda, there is a truly work-grouping which are filling with many work of them. In the capital kingdom, Hamzah Fansuri and Syamsuddin as-Sumatra’i had played a multidimensional role for strengthern and eriching Aceh as a central Islamic knowledge and Malay literature in South East Asia. They had known as Islamic scholar, diplomat and bishop. Their existence in the sultan palace helped other Sultan’s cabinet for finishing many social problem, include acts arragement, legalizing an prudence and many more. In the other hand, the relation of ulama-umara also seen in village or out-palace life. There are a social system which is based on their activities. In people of Aceh’s ayes, their position regarded as a leader of social and spiritual life. Meunasah, a place that is used for, daily islamic rituals studying many various of islamic knowledge, discussion about social needing, is crowded by their activities. Teungku meunasah, ulama that is leading in meunasah, is the most outstanding men in their society. With keuchik, imeum mukim or uleebalang, they applicate the idea of developing humanity. There is a passion which is created from their bounderies. This article talks about how the relation of umara and ulama is working. This explanation presented their mutual undersatnsing to solve various problem of social-religious life. From that point, we can get some pictures which is describes how the condition of dynamic of social structure of Aceh.Keywords: Relation, Mutual-Working And Social-Religious LifeABSTRAKUmara (pemimpin) dan ulama (sarjana Islam) adalah dua grup elit yang menampilkan instrumen dasar dari perkembangan Aceh Darussalam. Di masa Sultan Iskandar Muda, banyak ditemukan produk-produk kerja sosial dari kerjasama mereka. Di ibukota kerajaan, Hamzah Fansuri dan Symasuddin as-Sumatra’i memainkan peran multiaspek guna mengembangkan Aceh sebagai pusat keilmuan dan sastra Melayu di Asia tenggara. Mereka dikenal sebagai sarjana Islam, diplomat, dan Syeikhul Islam. keberadaan mereka di istana Aceh ikut membantu Sultan dalam memecahkan pelbagai masalah sosial, termasuk menyusun undang-undang, menerbitkan kebijakan dan lain sebagainya. Di sisi lain, hubungan umara dan ulama juga terlihat di pedesaan Aceh. Di sana terdapat sistem sosial yang terbentuk karena keduanya. Di mata orang Aceh, kedudukan mereka diakui sebagai pemimpin dalam kehidupan sosial dan spiritual. Meunasah, suatu tempat yang biasa digunakan sebagai beribadah sehari-hari, belajar ilmu-ilmu agama dan bermusyawarah, diramaikan oleh aktivitas mereka. Teuku meunasah, ulama yang betanggung jawab di meunasah, adalah orang yang dimulyakan di lingkungannya. Bersama dengan keuchik, imeum mukim dan uleebalang mereka mengaplikasikan gagasan untuk mengembangkan kemanusiaan. Hubungan mereka dilingkupi oleh suatu kepaduan dalam bertindak. Artikel ini menerangkan tentang bagaimana relasi umara-ulama berjalan. Pemaparan ini menghadirkan suatu kesepemahaman bersama untuk menyelesaikan masalah sosio-relijius masyarakat. Pada titik ini, kita bisa memperoleh gambaran yang menjelaskan bagaimana kondisi pasang surut struktur sosial di Aceh.Kata kunci: Relasi, Kerja Sama, Kehidupan Sosio-Relijius.


1965 ◽  
Vol 22 ◽  
pp. 143-153 ◽  
Author(s):  
Holmes Welch

China was the second country in the Buddhist world to have a Communist government. The first was Mongolia. But Mongolia was isolated both geographically and by its form of Buddhism (shared only with Tibet). Chinese Buddhists, on the other hand, had been building closer ties with their brethren in South-East Asia for more than half a century. Their form of Buddhism was less remote from South-East Asian forms and they felt the same need as South-East Asian to fit Buddhism into a national revival.


2020 ◽  
Author(s):  
Sumeya Tadesse Abegaz ◽  
Addisu Jember Zeleke ◽  
Zelalem Tilahun Tesfaye

Abstract Background Acute diarrhea management is solely aimed at fluid replacement and nutritional support while antibiotics have a very limited role. Antibiotic treatment is recommended only for bloody diarrhea (dysentery), cholera and invasive bacterial diarrhea. This study is launched to assess the appropriateness of antibiotic use for the management of acute diarrhea among under-five children in Gondar town primary care centers.Methods Institutional based cross-sectional study was conducted in three primary care centers located in Gondar town, Northwest Ethiopia. Children aged from 2–59 months who visited the three primary care centers from September 12, 2015 to September 10, 2016 and received treatment for acute diarrhea were included in the study. We selected 176 cases from Azezo Health Center, 166 from Poly Health Center and 80 from Woleka Health Center. Cases were drawn using systematic random sampling technique. The findings of the study were summarized using tables and figures; binary logistic analysis was used to identify association between the independent and outcome variables at 95% confidence level where p < 0.05 was considered as statistically significant.Results The mean age of the study participants was 19.1 ± 12.8 months. The majority (60.8%) were males. Appropriate antibiotic use was recorded in less than half (47.2%) of the study subjects. Almost all (98.1%) of children subjected to inappropriate antibiotic use were those with watery diarrhea treated with antibiotics. Out of 253 children who received antidiarrheal antibiotics 202 (79.8%) had acute watery diarrhea which should not be treated with antibiotics. Children diagnosed with acute watery diarrhea were less likely to receive treatment qualified as appropriate antibiotic use [AOR: 0.003 (0.001,0.017)]. Conversely, receiving no antibiotic [AOR: 391.00 (92.46, 1653.37)] and prescriber’s profession of Clinical Nurse [AOR: 3.57 (1.02, 12.51)] were positive predictors for appropriate antibiotic use.Conclusion The findings of the study confirm the prevalence of widespread inappropriate antibiotic use on under-five children presenting with acute diarrhea. The findings can be used by stakeholders as input for promoting appropriate antibiotic use in the healthcare system as well as to deter antimicrobial resistance.


Author(s):  
Stefanie Pillai ◽  
Alan N. Baxter ◽  
Wen-Yi Soh

Malacca Portuguese Creole (MPC) (ISO 639-3; code: mcm), popularly known as Malacca Portuguese or locally as (Papiá) Cristang, belongs to the group of Portuguese-lexified creoles of (South)east Asia, which includes the extinct varieties of Batavia/Tugu (Maurer 2013) and Bidau, East Timor (Baxter 1990), and the moribund variety of Macau (Baxter 2009). MPC has its origins in the Portuguese presence in Malacca, and like the other creoles in this subset, it is genetically related to the Portuguese Creoles of South Asia (Holm 1988, Cardoso, Baxter & Nunes 2012).


1984 ◽  
Vol 145 (3) ◽  
pp. 335-335 ◽  
Author(s):  
P. C. Ang ◽  
M. P. I. Weller

‘Koro’ has been described as a culture-bound syndrome with localised depersonalisation confined to the penis, occurring in the context of a panic state with fear of impending disaster (Yap 1965,1969). Because ghosts are not thought to possess genitals, penile shrinkage is believed to be potentially fatal, with the risk that the victim will himself turn into a ghost. Until recently the syndrome was thought to be restricted to Southern Chinese emigres in Hong Kong and South East Asia. We wish to report two such cases, one in a West Indian and the other in a Greek Cypriot, admitted to Friern Hospital.


2004 ◽  
Vol 37 (4) ◽  
pp. 1050-1051
Author(s):  
Abdul Rahman Embong

Democracy, Human Rights, and Civil Society in South East Asia, Amitav Acharya, B.M. Frolic and Richard Stubbs, eds., Toronto: Joint Centre for Asia Pacific Studies, 2001, pp. 208This is an important volume on the hotly debated topic of democracy, human rights and civil society in South East Asia, a region that has witnessed a confrontation between the old order of authoritarian regimes and strong states on one hand, and the new democratic forces embedded in an emerging civil society, on the other. The focus of the book is on the evolution of debates about democracy and human rights during the decade following the end of the Cold War in 1989 to the 1997–98 Asian economic crisis, with the latter being regarded as the watershed that unleashed the democratic forces. The book consists of nine chapters, plus an introduction and a conclusion, contributed by nine political scientists. Except for Johan Saravanamuttu, who is from the region under study, the other contributors are Southeast Asianists teaching at various universities in Canada, the United States, and Australia.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mirjana Radovanović ◽  
Sanja Filipović ◽  
Andrea Andrejević Panić

Abstract Background The paper aims at gaining insight into the implementation of the process of sustainable energy transition in the countries of Central Asia: Kazakhstan, Kyrgyz Republic, Tajikistan, Turkmenistan, and Uzbekistan. Information and scientific studies on the situation in these countries is scarce. On the other hand, these are resource-rich countries, some are exporters, and all are energy transit countries. The main aim of the paper was realized by applying the energy policies and regulatory framework analysis, defining priorities and monitoring selected indicators prescribed by the International Energy Agency. Methods The following methods were used in the quantitative analysis: measurement of data intercorrelation; Pearson test of correlation; principal component analysis (with rotation method: Oblimin with Kaiser normalization); Kaiser–Meyer–Olkin measure of sampling adequacy, Bartlett’s test of sphericity and t-test. The period covered by the quantitative analysis: 1990–2018, provided that the available data for 2019 or 2020 were used in certain cases. Results Sustainable energy transition is, at the analysis of policies and data, at a low level. There is no adequate regulatory framework in these countries. The energy transition takes place exclusively within the framework of providing enough energy, without regard to sustainability, while even energy exporting countries are not making efforts to achieve a sustainable energy transition. Conclusions There are no indications that the energy transition in the countries of Central Asia will take place according to the standards of the European Union or global bodies. On the other hand, having in mind the natural resources of the mentioned countries and the specific geopolitical position, monitoring the changes is of special importance. The impact of changes on sustainability can be determined mainly ex post.


2017 ◽  
Vol 3 (1) ◽  
pp. 13-28
Author(s):  
Furrukh Bashir ◽  
Tusawar Iftikhar Ahmad ◽  
Ismat Nasim ◽  
Kishwar Parveen

Purpose: The present study concentrates on the relationship of electricity with real output in Asia. The paper analyzes this connection individually among all regions of Asia. Some countries are selected from Central Asia, East Asia, South Asia and South East Asia. Time period of 1990 - 2015 has been chosen for the analysis. We have considered Solow growth model and have taken labor and capital as necessary variables for growth. After confirmation of integration of order as 1 for all variables, Kao Co-integration test infers presence of long run relationship in all models. FM-OLS suggests that labor and capital are positively significant factors for the development of real output in all the regions of Asia. Electricity Production is positively influencing real output in Central Asia, South Asia and South East Asia; For East Asia, it has been stated as negative. On the basis of results, study suggests that government should develop more skilled labor, cheap investment opportunities, efficient and cheap electricity production.


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