scholarly journals Analysis of COVID-19 Test Positivity Rate in West Sumatra, Indonesia: A Cross-sectional Study of One-year Observation

Author(s):  
Syandrez Prima Putra ◽  
Mutia Lailani ◽  
Liganda Endo Mahata ◽  
SM Rezvi ◽  
Andani Eka Putra

Abstract Background: The test positivity rate (TPR) of COVID-19 is an epidemiological indicator used to estimate SARS-CoV-2 transmission in a population at a certain time. However, large data analysis on the TPR in Indonesia is still limited. In this study, we determined COVID-19 TPR dynamics of Indonesian West Sumatra Province in the first year of cases were recorded.Method: We conducted an observational study with a cross-sectional approach from one-year secondary data of COVID-19 test using qualitative reverse transcription polymerase chain reaction (q-RT-PCR) in West Sumatra collected from April 2020 until March 2021. The TPR(s) in the province, its regions (cities/ regencies), and districts were determined annually, quarterly, and monthly to analyze their trends.Results: From a total of 410,424 individuals taking COVID-19 q-RT-PCR examination during one-year observation, the provincial TPR was 8.11%. The highest TPR quarterly and monthly was detected in the third quarter (October 2020 – December 2020, 12.18%) and October 2020 (15.62%) respectively. The TPR of cities was likely two times higher than regencies. There were significant differences in annual TPR between regions, districts, and any period of times detected in this study.Conclusion: We have shown the COVID-19 q-RT-PCR TPR dynamics to describe SARS-CoV-2 transmission control among different areas in West Sumatra. This study should be beneficial to ensure an effective COVID-19 preventive strategy in the future.

2021 ◽  
Author(s):  
Syandrez Prima Putra ◽  
Mutia Lailani ◽  
Liganda Endo Mahata ◽  
SM Rezvi ◽  
Andani Eka Putra

Abstract Background: COVID-19 test positivity rate (TPR) is essential to estimate and control SARS-CoV-2 transmission in a population at a specific time, yet the TPR trends at a provincial level in Indonesia are unclear. This study aimed to determine the COVID-19 TPR dynamics of the Indonesian West Sumatra province in the first year of documented cases.Methods: We conducted a retrospective study using secondary data of the COVID-19 quantitative reverse transcription-polymerase chain reaction (q-RT-PCR) test in West Sumatra Province from April 2020 to March 2021. To examine trends, we estimated TPR(s) on an annual, quarterly, and monthly basis in the province, its regions (cities/ regencies), and districts.Results: From a total of 410,424 individuals taking the COVID-19 q-RT-PCR examination during one year, the provincial TPR was 8.11%. The third quarter (October 2020 – December 2020, 12.18%) and October 2020 (15.62%) had the highest TPR quarterly and monthly, respectively. The TPR of cities was almost certainly twice that of regencies. Annual TPR varied significantly (p<0.001) across regions, districts, and periods.Conclusion: The COVID-19 TPR trends in West Sumatra at the first year of the pandemic were generally higher than the global recommendation. Further study on population density, public mobility, and implementation of health protocol in the province should be valuable to understand TPR dynamics.


2018 ◽  
Vol 35 (2) ◽  
pp. 125-131
Author(s):  
Alessandro Leite Cavalcanti ◽  
Thaisy Sarmento Batista de Oliveira ◽  
Thaisy Sarmento Batista de Oliveira ◽  
Kívia Gabriella Gomes Muniz ◽  
Christiane Leite Cavalcanti ◽  
...  

Abstract Drowning is one of the accidents with the greatest impact on health. The objective of this paper was to analyze drowning deaths involving children up to four years of age in Campina Grande, Brazil. A cross-sectional study was developed using secondary data, carried out at the Forensic Medicine Unit. All autopsy reports of children 0-4 years of age, victims of drowning in the period from 2008 to 2011 were evaluated. Data referring to the year of occurrence, victims’ gender and age, time of day, day of week and place of occurrence were collected. Data analysis involved descriptive statistics (frequency distribution). Ninety-three cases of fatal drowning were identified, of which 20 (21.5%) involved children under four years of age. Most victims were male (80%), aged one year (35%). The accidents occurred predominantly during the day (85%), mostly at home (75%). The drowning victims were mostly boys in the first year of life and most cases of drowning occurred at their homes.


F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 303
Author(s):  
Vong Pisey ◽  
Pannee Banchonhattakit

Background: Diarrhea is still the leading cause of childhood death worldwide, as well as a major cause for concern in developing countries. This study was conducted to investigate the factors related to childhood diarrhea in Cambodia. Methods: A cross-sectional study of the secondary data from the Cambodia Demographic and Health Survey 2014 was conducted using the combination of household data and children’s data. A generalized linear mixed model was used to analyze the determinant factors of childhood diarrhea. Results: The surveys included 2,828 children, aged 12 to 35 months. The prevalence of diarrhea in the last 2 weeks was 16.44% (95% CI: 14.72%-18.31%). Factors with statistically significant associations with childhood diarrhea in Cambodia were: maternal  unemployment, compared with being in employment (AOR = 1.43; 95% CI: 1.14-1.78); the child being male (AOR = 1.25; 95%CI: 1.02-1.53); the presence of unimproved toilet facilities (AOR = 1.17; 95%CI: 1.05-1.31) compared with improved toilet facilities; and unhygienic disposal of children’s stools (AOR = 1.32; 95%CI: 1.06-1.64) compared with hygienic disposal of children’s stools when controlling for other covariates. Both maternal age (one year older; AOR = 0.85; 95%CI: 0.78– 0.93) and child age (one month older; AOR = 0.86; 95%CI: 0.78-0.94) had significant negative associations with the occurrence of childhood diarrhea. Conclusion: Childhood diarrhea remains a public health concern in Cambodia. The probability of diarrhea occurring is shown to be increased by maternal unemployment, the sex of the child being male, lack of provision of improved toilet facilities, and the unhygienic disposal of children’s stools; whereas increasing maternal age and child’s age were associated with a reduced chance of diarrhea occurring. On the basis of these results, we recommend provision of programs focusing on reducing diarrhea through the construction of improved toilet facilities and the promotion of behavior to improve hygiene, specifically targeting younger mothers.


Author(s):  
Zhijun Zou ◽  
Wei Liu ◽  
Chen Huang ◽  
Chanjuan Sun ◽  
Jialing Zhang

Background: Associations of early antibiotics exposures with childhood asthma, allergies, and airway illnesses are debated. Objectives: We aimed to investigate associations of first-year antibiotics exposure with childhood asthma, allergies, and airway illnesses. Methods: A cross-sectional study was conducted among preschoolers in Shanghai, China during 2011–2012. A questionnaire regarding household environment and lifestyles and childhood health outcomes was reported by the child’s parents. Results: In total, 13,335 questionnaires (response rate: 85.3%) were analyzed and 3049 (24.1%) children had first-year antibiotics exposure. In the multivariate logistic regression analyses, first-year antibiotics exposure had significant associations with the higher odds of lifetime-ever pneumonia (adjusted OR, 95% CI: 2.15, 1.95–2.37), croup (1.46, 1.24–1.73), wheeze (1.44, 1.30–1.60), asthma (1.38, 1.19–1.61), food allergy (1.29, 1.13–1.46), and allergic rhinitis (1.23, 1.07–1.41), and as well as current (one year before the survey) common cold (≥3 times) (1.38, 1.25–1.52), dry cough (1.27, 1.13–1.42), atopic dermatitis (1.25, 1.09–1.43), wheeze (1.23, 1.10–1.38), and rhinitis symptoms (1.15, 1.04–1.26). These associations were different in children with different individual characteristics (age, sex, family history of atopy, and district) and other early exposures (breastfeeding, home decoration, pet-keeping, and environmental tobacco smoke). Conclusions: Our results indicate that first-year antibiotics exposure could be a strong risk factor for childhood pneumonia, asthma, allergies, and their related symptoms. The individual characteristics and other early exposures may modify effects of early antibiotic exposure on childhood allergies and airway illnesses.


F1000Research ◽  
2021 ◽  
Vol 9 ◽  
pp. 303
Author(s):  
Vong Pisey ◽  
Pannee Banchonhattakit ◽  
Wongsa Laohasiriwong

Background:Diarrhea is still the leading cause of childhood death worldwide, as well as a major cause for concern in developing countries. This study was conducted to investigate the factors related to childhood diarrhea in Cambodia. Methods:A cross-sectional study of the secondary data from the Cambodia Demographic and Health Survey 2014 was conducted using the combined dataset of household data and children’s data. A generalized linear mixed model was used to analyze the determinant factors of childhood diarrhea. Results:The surveys included 2,828 children, aged 12 to 35 months. The prevalence of diarrhea in the last 2 weeks was 16.44% (95% CI: 14.72%-18.31%). Factors with statistically significant associations with childhood diarrhea in Cambodia were: maternal unemployment, compared with being in employment (AOR = 1.43; 95% CI: 1.14-1.78); the child being male (AOR = 1.25; 95%CI: 1.02-1.53); the presence of unimproved toilet facilities (AOR = 1.17; 95%CI: 1.05-1.31) compared with improved toilet facilities; and unhygienic disposal of children’s stools (AOR = 1.32; 95%CI: 1.06-1.64) compared with hygienic disposal of children’s stools when controlling for other covariates. Both maternal age (one year older; AOR = 0.85; 95%CI: 0.78– 0.93) and child age (one month older; AOR = 0.86; 95%CI: 0.78-0.94) had significant negative associations with the occurrence of childhood diarrhea. Conclusion:Childhood diarrhea remains a public health concern in Cambodia. The probability of diarrhea occurring is shown to be increased by maternal unemployment, the sex of the child being male, lack of provision of improved toilet facilities, and the unhygienic disposal of children’s stools; whereas increasing maternal age and child’s age were associated with a reduced chance of diarrhea occurring. On the basis of these results, we recommend provision of programs focusing on reducing diarrhea through the construction of improved toilet facilities and the promotion of behavior to improve hygiene, specifically targeting younger mothers.


2021 ◽  
Vol 10 (1) ◽  
pp. 041-047
Author(s):  
Ömer Faruk Tekin

The aim of this study is to evaluate the change of air pollutants in the province of Van compared to the previous year during the COVID-19 pandemic. The study is a cross-sectional study conducted in Van where is a city in eastern Turkey. PM10 and SO2 values obtained from the National Air Quality Monitoring Network website. The lockdowns imposed in the province of Van within the scope of combating COVID-19 have been recorded by examining the decisions of the Sanitary Board on the Van Governorship's official website. The mean of PM10 measurement values in the period before and after COVID-19 were 40.89±19.6 µg/m3 and 41.3±20.39 µg/m3, respectively. The mean of SO2 measurement values were 17.76±18.48 µg/m3 and 23.49±20.96 µg/m3 before and after COVID-19, respectively. When one year after and before COVID-19 was evaluated, there was no difference in PM10 values in terms of year averages, while SO2 value was found to be increased compared to the previous year. However, when analyzed by months, there were months when PM10 values were found to be increased (March, September and October) and decreased (July, August and November) compared to the previous year.


Author(s):  
Rajesh Neeluri ◽  
Kiran Pamarthi

Background: Low birth weight babies have less chances of survival during first year of life.Appropriate and timely care of a newborn especially if he is born with low birth weight is important but this is difficult in developing countries. There is a need to develop simple, inexpensive and practical methods to identify low birth weight newborns soon after birth.Methods: A hospital based Cross sectional study was carried out on 965 live born neonates who were born during one year period. All the anthropometric measurements are taken within 24 hours of birth. Pearson’s correlation was done to assess correlation of various anthropometric parameters with birth weight.Results: Out of 965 live born neonates, 510 (52.8%) were male babies and 455 (47.2%) were female babies. 289 (29.9%) babies had birth weight less than 2500 gms. The highest correlation among all measurements was observed between birth weight and mid arm circumference while the least correlation was between birth weight and crown heel length. AUC value for ROC curves is highest for Mid arm circumference (0.917) which shows that it is a better surrogate predictor of low birth weight (<2500 gms) in our study as compared to other anthropometric parameters.Conclusions: Measurement of mid arm circumference is easier, convenient and statistically superior to other anthropometrical parameters in detection of low birth weight newborn babies. 


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242650
Author(s):  
Ann E. Aronu ◽  
Josephat M. Chinawa ◽  
Obinna C. Nduagubam ◽  
Edmund N. Ossai ◽  
Awoere T. Chinawa ◽  
...  

Background The use of face masks by children for the prevention of COVID 19 is still controversial, especially with regards to who should wear the face mask and at what age. Objectives The study aimed to ascertain the perception of mothers on masking in children as a preventive strategy for COVID-19. Methodology This was a cross-sectional study carried out in two health institutions among 387 mothers who presented with their children for the first time in the hospital during the COVID 19 pandemic. A pretested, semi-structured, interviewer-administered questionnaire which was designed by the researchers was used for data collection. Results Minority (44.7%) of the mothers perceived masking in children as an appropriate measure for the prevention of COVID-19. The frequent reasons given by majority (55.3%) of the mothers for the inappropriateness of face mask in children included perceived difficulty in breathing (38.5%) and the child’s readiness to pull it off (29.3%). A significantly higher proportion of the children whose mothers were 35 years and above, 64.2% would wear face masks when compared with 31.7% of those whose mothers were < 30 years of age (χ2 = 28.632, p<0.001). Similarly, a significantly higher proportion (51.0%) of the children who were more than one year of age would wear a face mask when compared with 20.5% of those aged eight days to one year (χ2 = 19.441, p<0.001). The children whose mothers were <30 years were about four times less likely to wear a face mask when compared with those whose mothers were aged 35 years and above. (AOR = 0.273; 95%CI: 0.155–0.478). The children whose fathers have attained tertiary education were about twice less likely to wear face masks when compared with those whose fathers have attained secondary education and less. (AOR = 0.554; 95%CI: 0.334–0.919). Mothers’ perception of COVID-19 had no significant influence on children’s use of face mask (χ2 = 2.337, p = 0.127) Conclusion Maternal perception of masking in children as an appropriate strategy for preventing COVID-19 is adjudged low in this study. Right perception is significantly enhanced by maternal educational status, employment and marital status.


2014 ◽  
Vol 36 (3) ◽  
pp. 169-172
Author(s):  
Guilherme Astor Torres ◽  
Maria Helena Itaqui Lopes ◽  
Edson Medeiros Cheuiche ◽  
Luiz Gustavo Guilhermano

Introduction: Malariotherapy was a treatment to cure neurosyphilis developed in 1917 by Wagner-Jauregg, by inoculating blood infected with malaria in patients with neurosyphilis. The patient had febrile episodes that often cured him of the syphilitic infection. This treatment won the Nobel Prize in Medicine in 1927 and it was introduced in Hospital Psiquiátrico São Pedro (HPSP) in 1929.Methods: This is a descriptive retrospective cross-sectional study with collection of historical secondary data. Data were collected from a sample of 19 medical records of patients treated with malariotherapy in HPSP, in 1929 and 1930.Results: Most patients were white men aged from 25 to 40 years. The mean length of hospital stay was 1.4 year and the outcomes at this early application of malariotherapy were mostly negative (63.2% died).Discussion: The 19 cases evaluated in this study refer to the first year of application of malariotherapy in HPSP. The statistics available on the total number of dead and cured people over the 10 years this therapy was deployed suggest that the outcomes were better in the subsequent years, possibly due to improvement of technique. As a consequence of this innovative research, which had as its principle reorganizing the central nervous system by using the seizure triggered by malaria fever, other forms of shock therapies were developed, such as insulin therapy, cardiazol shock therapy, and electroconvulsive therapy.


Author(s):  
Ashish Giri ◽  
M. Abdul Wassey ◽  
Vishal Dogra

Background: India today has over 61 million people residing in urban slums. Slums, on one hand, lack the basic requirements of housing, sanitation, and water supply that are detrimental for good health and on the other hand subject its residents to extreme poverty, unemployment and stress. Exposure to these environmental factors is expected to cause a distinct sort of morbidity pattern, which this study seeks to explore.Methods: This cross-sectional study was a secondary data analysis of aggregated data of patients who availed health services at the mobile medical unit (MMU) of the Ujjivan program run by Piramal Swasthya in the last one year. The project has a fleet of MMUs that makes at least one predestined monthly visit to each service point in urban slums of Bangalore (42 sites), Pune (18 sites) and Mumbai (19 sites).Results: Musculoskeletal disorders (30.69%) and cardiovascular diseases (25.56%) together accounted for 56.25% of the total disease burden. The analysis of blood pressure readings of all the registrations showed that the mean systolic and diastolic pressures were 129.71 and 84.92 mmHg respectively. 51.58% of all individuals had hypertension and 23.51 % had diabetes.Conclusions: According to the study a major proportion of urban populous seeking healthcare at the MMU are women and elderly and do so for non-communicable diseases. Hypertension and diabetes are major health threats among them. MMU could be used as an effective mode of service delivery for women and the elderly especially, for chronic diseases.


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