scholarly journals PERSISTENT COLONIC SCHISTOSOMIASIS AMONG SYMPTOMATIC RURAL INHABITANTS IN THE EGYPTIAN NILE DELTA

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Mohamed Emara ◽  
Mohamed Ahmed ◽  
Amr Elfer ◽  
Ayman El-Saka ◽  
Asem Elfert ◽  
...  
Keyword(s):  
Rural Community ◽  
Clinical Examination ◽  
Nile Delta ◽  
Neglected Tropical Diseases ◽  
Risk Groups ◽  
Northern Region ◽  
Portal Fibrosis ◽  
Abdominal Ultrasonography ◽  
Stool Analysis ◽  
Written Informed Consent

Background and Aims: Human schistosomiasisis one of the most important and unfortunately neglected tropical diseases. The aim of the current study was to investigate the prevalence and characterize colonic schistosomiasis, among symptomatizing rural inhabitants of the Middle Northern region of the Egyptian Nile delta. Patients and Methods:  This study recruited 193 inhabitants of the rural community in the Egyptian Nile Delta referred for colonoscopy because of variable symptoms. After giving a written informed consent, they were exposed to thorough history; clinical examination; stool analysis; abdominal ultrasonography, and pan-colonoscopy with biopsies. Results:Twenty-four cases out of the 193 patients had confirmed active schistosomiasis with prevalence rate of 12.4%.  Bleeding with stool was the predominant manifestation of active schistosomainfection among the cases either alone or in combination with abdominal pain. On clinical examination, the majority of the patients (n=17; 70.8%)did not have organomegaly and 25% of them had clinically palpable splenomegaly. As far as, 75% of them had sonographically detected hepatic peri-portal fibrosis. Also 66.6% of patients havesignificant endoscopic lesions (polyps, ulcers, mass-like lesions), and 16.6% of them had colonic affection beyond the recto-sigmoid region. Conclusion:Colonic schistosomiasis still running among symptomatizing rural inhabitants of the Egyptian Nile Delta at a rate of 12.4%. Of them66.6% had significant endoscopic colorectal lesions. This persistent transmission of schistosomiasis in the rural community of the Egyptian Nile Delta sounds the alarm for continuing governmental efforts and plans to screen the high-risk groups.

ON THE ROLE OF BIOMONITORING IN THE ASSESSMENT OF THE HEALTH OF THE POPULATION EXPOSED TO MERCURY

2017 ◽  
pp. 2-7
Author(s):  
L. V. Lukovnikova ◽  
G. I. Sidorin ◽  
L. A. Alikbaeva ◽  
A. V. Galochina
Keyword(s):  
High Risk ◽  
Biological Monitoring ◽  
Clinical Examination ◽  
Inorganic Compounds ◽  
Risk Groups ◽  
Comprehensive Approach ◽  
Chemical Monitoring ◽  
Environmental Objects

When examining the population exposed to organic and inorganic compounds of mercury, a comprehensive approach is proposed, including chemical monitoring of environmental objects, biological monitoring, clinical examination of persons exposed to mercury, identification of high-risk groups.

An Early Old Kingdom Rural Community in the Eastern Nile Delta

2019 ◽  
pp. 143-187
Author(s):  
Frédéric Guyot ◽  
Valentina Azzarà ◽  
François Briois ◽  
Julie Marchand ◽  
Béatrix Midant-Reynes
Keyword(s):  
Rural Community ◽  
Nile Delta ◽  
Old Kingdom

scholarly journals Neglected tropical diseases in Brazil

2009 ◽  
Vol 51 (5) ◽  
pp. 247-253 ◽  
Author(s):  
José Angelo L. Lindoso ◽  
Ana Angélica B.P. Lindoso
Keyword(s):  
Neglected Tropical Diseases ◽  
Clinical Manifestations ◽  
Northern Region ◽  
New Drugs ◽  
World Health ◽  
Tropical Diseases ◽  
The North ◽  
The World ◽  
The Status ◽  
Health Organization

Poverty is intrinsically related to the incidence of Neglected Tropical Diseases (NTDs). The main countries that have the lowest human development indices (HDI) and the highest burdens of NTDs are located in tropical and subtropical regions of the world. Among these countries is Brazil, which is ranked 70th in HDI. Nine out of the ten NTDs established by the World Health Organization (WHO) are present in Brazil. Leishmaniasis, tuberculosis, dengue fever and leprosy are present over almost the entire Brazilian territory. More than 90% of malaria cases occur in the Northern region of the country, and lymphatic filariasis and onchocerciasis occur in outbreaks in a particular region. The North and Northeast regions of Brazil have the lowest HDIs and the highest rates of NTDs. These diseases are considered neglected because there is not important investment in projects for the development of new drugs and vaccines and existing programs to control these diseases are not sufficient. Another problem related to NTDs is co-infection with HIV, which favors the occurrence of severe clinical manifestations and therapeutic failure. In this article, we describe the status of the main NTDs currently occurring in Brazil and relate them to the HDI and poverty.

scholarly journals Questionnaire for initial self-assessment in post-COVID period: Recommendations of Multidisciplinary expert board on screening of post-COVID syndrome during an expanded medical check-up

2021 ◽  
Vol 31 (5) ◽  
pp. 599-612
Author(s):  
Alexander G. Chuchalin ◽  
Alexander S. Ametov ◽  
Gregory P. Arutyunov ◽  
Oksana M. Drapkina ◽  
Mikhail Yu. Martynov ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Risk Groups ◽  
Initial Assessment ◽  
Patient Questionnaire ◽  
The Novel ◽  
Self Assessment ◽  
Symptom Complex ◽  
Coronavirus Infection ◽  
Set Up ◽  
Novel Coronavirus

The post-COVID symptom complex is wide enough and requires special vigilance during clinical examination of patients after the novel coronavirus infection. The aim of the Multidisciplinary Expert Board study was to develop a standardized questionnaire for initial self-assessment by patients who had had COVID-19 before the expanded medical check-up.Methods. The existing validated international and national questionnaires and scales were analyzed to assess their relevance, convenience, and ease of filling out. Results of the analysis were used to set up a screening for post-COVID symptoms.Results. The work of the Multidisciplinary Expert Board in June-August 2021 resulted in a new screening questionnaire for the initial assessment of the health status of patients who have COVID-19. The questionnaire is intended for self-filling before the further clinical examination.Conclusion. A new standardized patient questionnaire to screen for post-COVID symptoms may significantly optimize the doctor’s working time, increase the efficiency of diagnosis, improve the principles of selection and formation of risk groups of patients during an expanded medical check-up.

scholarly journals Improving Access to Diagnostics for Schistosomiasis Case Management in Oyo State, Nigeria: Barriers and Opportunities

Diagnostics ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. 328 ◽  
Author(s):  
G-Young Van ◽  
Adeola Onasanya ◽  
Jo van Engelen ◽  
Oladimeji Oladepo ◽  
Jan Carel Diehl
Keyword(s):  
High Risk ◽  
Case Management ◽  
Community Education ◽  
Health Workers ◽  
Neglected Tropical Diseases ◽  
Point Of Care ◽  
Risk Groups ◽  
World Health ◽  
Health Seeking ◽  
Laboratory Equipment

Schistosomiasis is one of the Neglected Tropical Diseases that affects over 200 million people worldwide, of which 29 million people in Nigeria. The principal strategy for schistosomiasis in Nigeria is a control and elimination program which comprises a school-based Mass Drug Administration (MDA) with limitations of high re-infection rates and the exclusion of high-risk populations. The World Health Organization (WHO) recommends guided case management of schistosomiasis (diagnostic tests or symptom-based detection plus treatment) at the Primary Health Care (PHC) level to ensure more comprehensive morbidity control. However, these require experienced personnel with sufficient knowledge of symptoms and functioning laboratory equipment. Little is known about where, by whom and how diagnosis is performed at health facilities within the case management of schistosomiasis in Nigeria. Furthermore, there is a paucity of information on patients’ health-seeking behaviour from the onset of disease symptoms until a cure is obtained. In this study, we describe both perspectives in Oyo state, Nigeria and address the barriers using adapted health-seeking stages and access framework. The opportunities for improving case management were identified, such as a prevalence study of high-risk groups, community education and screening, enhancing diagnostic capacity at the PHC through point-of-care diagnostics and strengthening the capability of health workers.

scholarly journals Ultrasonographic Application in the Diagnosis and Prognosis of Pericarditis in Cows

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Sheikh Imran ◽  
S. P. Tyagi ◽  
Amit Kumar ◽  
Adarsh Kumar ◽  
Shivali Sharma
Keyword(s):  
Early Diagnosis ◽  
Clinical Examination ◽  
Late Stage ◽  
Definitive Diagnosis ◽  
Abdominal Ultrasonography ◽  
Radiographic Findings ◽  
Diagnosis And Prognosis ◽  
Thoracic And Abdominal ◽  
Postmortem Examinations

The present study was conducted on 5 cows diagnosed with late-stage pericarditis based on a combination of clinical, radiographic, ultrasonographic, and postmortem examinations. On clinical examination, all the cows were found to be depressed, dyspnoeic, and moderately to severely tachycardic. The main radiographic findings were poor thoracic details and indistinguishable cardiophrenic silhouette. Ultrasonographically, the pericardial sac contained varying quantities of hypoechogenic exudate and echogenic fibrin shreds, which had caused physical compression of the cardiac chambers. The clinical and radiographic findings did not allow a definitive diagnosis of pericarditis, because all of the characteristic signs were not present in every case. Thoracic and abdominal ultrasonography played an important role in the early diagnosis and prognosis of the disease.

scholarly journals Knowledge and Preventive Practices against Schistosomiasis in an Endemic Rural Community, Samar Province, Philippines

2015 ◽  
Vol 2 ◽  
pp. 248-257
Author(s):  
Joseph U. Almazan
Keyword(s):  
Rural Community ◽  
Health Knowledge ◽  
Neglected Tropical Diseases ◽  
Cross Sectional Study ◽  
Objective Knowledge ◽  
Sectional Study ◽  
Cross Sectional ◽  
Preventive Practices ◽  
Significant Relationships ◽  
Toilet Facility

Objective: Knowledge and preventative practices of farmers for neglected tropical diseases such as schistosomiasis are important aspects of their control. This study aimed to assess the health knowledge and preventive practices of farmers and fisherfolks against schistosomiasis in Gandara, Samar. Methods: a cross-sectional study conducted using 140 randomly selected farmers and fisherfolks. Results: The data was gathered through the use of a standardized questionnaire developed by HD Mazigo et al. Knowledge of the respondents towards schistosomiasis has significant relationships with their age and income. Preventive Practices towards Scistosomiasis have significant relationships with the Toilet facility. Conclusion: there was still a lack of understanding concerning transmission schistosomiasis. Consequently modifying it and behavioral practices related to schistosomiasis transmission is highly recommended.

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