scholarly journals Recurrence of Falciparum Malaria under Coartem Treatment in the City of Mâncio Lima, Acre, Brazil: A Retrospective Study

2020 ◽  
pp. 1-10
Author(s):  
Andreus Roberto Schlosser ◽  
Saulo Augusto Silva Mantovani ◽  
Rayanne Alves de Arruda ◽  
Felipe Monteiro de Araújo ◽  
Rudi Nogueira ◽  
...  
Keyword(s):  
Falciparum Malaria ◽  
Rural Areas ◽  
Therapeutic Response ◽  
Malaria Episode ◽  
Brazilian Amazon Region ◽  
High Incidence ◽  
Recurrent Malaria ◽  
Age Range ◽  
The City ◽  
Maximum Interval

Background: Malaria remains a health problem in the Amazon and since 2005 the state of Acre has high incidence of malaria. Treatment with Coartem® for cases of falciparum malaria was introduced in Acre in August 2012. In Brazil, there is still no published study on the effectiveness of Coartem in endemic areas. Methods: This study was conducted in Mâncio Lima, Acre, in the western Brazilian Amazon region. All malaria cases notified in Mâncio Lima between August 01st, 2012 and October 31st, 2013 were revised. The therapeutic response to Coartem in Mâncio Lima, Acre, was evaluated. A recurrence of falciparum malaria was defined as a malaria case occurring in the same patient in a maximum interval of 40 days between the day treatments was started and the day the next diagnosis was made. Results: All malaria cases (7,171) notified between August 2012 and July 2013 were revised. About 23.72% (n = 1,701) were falciparum malaria. There were six cases of recurrent falciparum malaria that can be classified as treatment failure. All cases had low parasitemia. The minimum and maximum interval between the first and the recurrent malaria episode was 17 days and 33 days. Age range was 9 to 50 years. Two patients were from rural areas, while all others were from riverine areas. Conclusion: Possible failure to Coartem treatment was identified, however causes are not clear. Further studies are needed.

scholarly journals Demographic indicators of fertility and medico-social influenses on them

2017 ◽  
Vol 66 (2) ◽  
pp. 40-48 ◽  
Author(s):  
S Lunyova Irina ◽  
Oksana Ju Ivanova ◽  
Aleksander V Khardikov ◽  
Tatyana S Ivanova ◽  
Natalya V Abrosimova
Keyword(s):  
Rural Areas ◽  
Birth Rate ◽  
Total Population ◽  
Reproductive Age ◽  
Female Population ◽  
Factors Affecting ◽  
Demographic Indicators ◽  
Major Factors ◽  
Age Range ◽  
The City

Aim. For the past hundred years, changes in the dynamics of fertility has been terrific in Russia, the transition has been from traditional to new, modern type of reproductive behavior. The purpose of the study. To study the demographic indicators of fertility and social factors affecting these figures in the Kursk and Belgorod regions for 25 years (1990-2015). Materials and methods. Based on annual statistical data of RosStat, we researched the dynamics of fertility in the Kursk and Belgorod regions between 1990 and 2015. According to the survey of 1291 women aged 20-34 years living in Kursk, we gave the major factors influencing on the fertility and childlessness. Results. In the Kursk and Belgorod regions from 1990 to 2000 there is a decrease in the birth rate 34.7% and 38%, respectively, with a minimum value in 2000 (р > 0,05). But in the period from 2000 to 2015 there is an increase of this index in Kursk region 50.6%, in Belgorod – by 43.8%, in Russia – 52.9% (р > 0.05), but the birth rate has not reached the 1990 data and remains below the national average. The increase in the birth rate due to increase in births of the second and subsequent children, mostly in rural areas. At the same time, the total fertility rate, which is calculated for the total population, in rural areas recorded significantly lower than in the city. This is due to a lower proportion of residents of reproductive age in the total population of the village compared with the city. Between 1990 and 2015 significantly increases the share of births over the age of 25 and decreases in the age range 18-24 years. Conclusion. It is proved that the birth rate is governed by the number of marriages, with the ratio of male and female population of reproductive age, maternal mortality.

Updates in the Prevalence of Rotavirus Gastroenteritis in Babylon City

2018 ◽  
pp. 1-12
Keyword(s):  
Health Care Providers ◽  
Rural Areas ◽  
Causative Organism ◽  
Care Providers ◽  
Sample Collection ◽  
Rotavirus Infection ◽  
Rotavirus Gastroenteritis ◽  
Age Range ◽  
Latex Test ◽  
Children Under 5

Background: Diarrhea is a main cause of morbidity and mortality in children under 5 years old. Globally it is responsible for approximately four billion cases and three million deaths annually. In developing countries, it causes two million deaths each year. The major causative organism is rotavirus which is responsible for one-third of hospitalizations with approximately 40% mortality. Objectives: To determine the prevalence and demographic characteristics of rotavirus infection in Babylon city, Iraq. Materials and Methods: Fecal samples were taken from children with age range of 6 months to 5 years complained of diarrhea during the period beginning in October 2016 till August 2017. The age, gender, residence, the type of feeding, place of the sample collection and duration of diarrhea were recorded. Specimens were analyzed by Latex test for detection of rotavirus. Results: A total of 349 children presented with diarrhea, the rotavirus antigen was detected in 169 fecal specimens from children with diarrhea (48%). More percentages of positive rotavirus specimens were seen in the 5year of age. No gender differences were observed, meanwhile samples obtained from rural areas and breastfed children showed less rotavirus positive infection. Conclusion: The present study confirms that rotavirus infection is still currently a prevalent gastroenteritis causative agent and required careful clinical attention. Pediatricians and health care providers are needed to be encouraged to take into account the children who at risk for developing rotavirus infection including age, residence and type of feeding.

Updates in the Prevalence of Rotavirus Gastroenteritis in Babylon City

2018 ◽  
pp. 1-12
Keyword(s):  
Health Care Providers ◽  
Rural Areas ◽  
Causative Organism ◽  
Care Providers ◽  
Sample Collection ◽  
Rotavirus Infection ◽  
Rotavirus Gastroenteritis ◽  
Age Range ◽  
Latex Test ◽  
Children Under 5

Background: Diarrhea is a main cause of morbidity and mortality in children under 5 years old. Globally it is responsible for approximately four billion cases and three million deaths annually. In developing countries, it causes two million deaths each year. The major causative organism is rotavirus which is responsible for one-third of hospitalizations with approximately 40% mortality. Objectives: To determine the prevalence and demographic characteristics of rotavirus infection in Babylon city, Iraq. Materials and Methods: Fecal samples were taken from children with age range of 6 months to 5 years complained of diarrhea during the period beginning in October 2016 till August 2017. The age, gender, residence, the type of feeding, place of the sample collection and duration of diarrhea were recorded. Specimens were analyzed by Latex test for detection of rotavirus. Results: A total of 349 children presented with diarrhea, the rotavirus antigen was detected in 169 fecal specimens from children with diarrhea (48%). More percentages of positive rotavirus specimens were seen in the 5year of age. No gender differences were observed, meanwhile samples obtained from rural areas and breastfed children showed less rotavirus positive infection. Conclusion: The present study confirms that rotavirus infection is still currently a prevalent gastroenteritis causative agent and required careful clinical attention. Pediatricians and health care providers are needed to be encouraged to take into account the children who at risk for developing rotavirus infection including age, residence and type of feeding.

KEBANGGAAN TERHADAP BATIK MADURA BAGI WARGA SUMENEP

2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Sayyida Sayyida ◽  
Nurdody Zakki
Keyword(s):  
Logistic Regression ◽  
Rural Areas ◽  
Research Method ◽  
Community Group ◽  
Parametric Regression ◽  
Logit Function ◽  
The Village ◽  
The City ◽  
Level Of Risk ◽  
Non Parametric

Diversity of Indonesian Batik hanging area. One of the very well-known Indonesian batik is Batik Madura. Batik Madura has become a pride for Indonesia, especially for Madura. The purpose of the study is to model the Sumenep pride to Batik Madura and to see the level of risk or tendency of batik madura pride for the community group Sumenep. This research method uses a non parametric regression used a non-parametric regression because the dependent variable in this study is the variable Y are variables not normally distributed. The results of this study states that the level of risk of the village in Sumenep proud of batik is almost 5 times higher than the islands while people in this city who live in the district town at risk Sumenep proud of Batik Madura 8-fold compared to the archipelago. So it can be concluded that the city is much more proud of batik than those who reside in rural areas especially those who reside in the islands. This study uses data from 100 questionnaires were analyzed using logistic regression analysis. The conclusion of this study is the pride of the batik model as follows: Function logistic regression / logit function: g (x) = 0,074 + 1,568X4(1)+2,159X4(2 this is case the islands as a comparison, X4(1)  is the place to stay in the village and X4(2)  is the place to stay in town, so the Model Opportunities p(x) = EXP(g(x))/1+EXP(g(x)).  Hopes for further research is to conduct research on the development of batik in an integrated region, the need to be disseminated to potential areas of particular potential in Madura batik, especially for residents who reside in the Islands.Keywords: Pride, Batik, Sumenep.

TILTAI IR KELTAI KAIP XVIII AMŽIAUS VILNIAUS PAVIETO BAJORŲ TEISINIŲ GINČŲ OBJEKTAI IR NUSIKALTIMŲ ERDVĖS

2018 ◽  
pp. 299-318
Author(s):  
Domininkas Burba
Keyword(s):  
Eighteenth Century ◽  
Rural Areas ◽  
Common Type ◽  
General Situation ◽  
Small Object ◽  
Violent Crimes ◽  
Rural Space ◽  
Green Bridge ◽  
Violent Conflicts ◽  
The City

Bridges and ferries, as objects of dispute and crime locations among the eighteenth century nobles of Vilnius district, is the main topic of research in this article. Case materials and auxiliary documents from the records of Vilnius district castle and land courts reveal how often bridges are mentioned in the court processes in both violent and non-violent crimes. Research explores what types of violent crimes took place on bridges or ferries most often. It also works on questions of geographic localisation and statistics, discussing general situation of bridges in Vilnius and its neighbouring areas in the eighteenth century. Bridges are regularly mentioned in the books of the eighteenth century Vilnius castle and land courts, albeit most references are not related to conflicts and bridges are mentioned as orientation marks or in reference to location of a real estate object. Both non-violent legal disputes, involving bridges as objects, and violent crimes on the bridges were not in multitude, however non-violent crimes were in smaller numbers. There were seven dispute cases about lands, properties and plots of land where bridges and ferries are mentioned. Non-violent conflicts mostly took place in rural areas of the district, four of them, and three such disputes happened in Vilnius (one on the Green Bridge and two on the bridges over the River Vilnia). Most commonly recorded violent crime on a bridge was beating and, since this was the most common type of crime perpetrated by nobles in the eighteenth century Vilnius district, this trend is logical. A bridge is once mentioned in the record about a raid. In terms of location, more crimes on the bridges took place in the rural space, although this particular space wasn’t dominant, since six crimes were reported in the province and five in the city – two in Vilnius on the Green (Stone) Bridge, two on the bridges over the River Vilnia and one on a ferry near Šnipiškės. Trends in crime locations match general crime tendencies in Vilnius district, where more crimes took place in the rural space than in the urban one. One may guess, that the rare mention of bridges partially testifies to the fact that in the eighteenth century Vilnius district level of communication was not high and there were not too many bridges. On the other hand, when assessing trends in violent crimes in Vilnius district it was revealed that bridge based crimes comprised only one percent of all crimes. Having in mind that bridge is a relatively small object, compared to several different or other urban and rural spaces, this number isn’t that small. Keywords: Vilnius district, castle court, land court, crimes, nobles, peasants, bridges, ferries, passings.

Исследование психологических особенностей восприятия города Бишкек городскими и сельскими студентами

2019 ◽  
pp. 98-100
Author(s):  
Д. М. Кудайбердиева
Keyword(s):  
Urban Environment ◽  
Rural Areas ◽  
Space Perception ◽  
Language Barrier ◽  
Rural Students ◽  
Adaptation Period ◽  
Educational Work ◽  
The Past ◽  
Spatial Environment ◽  
The City

Аннотация. В данной статье рассматривается проблема восприятия городской среды студентами из города и сельской местности. Обозначены определения терминов «среда», «пространственная среда», «городская среда». Проведено экспериментальное сравнительное исследование особенностей восприятия города Бишкек городскими и сельскими студентами в количестве 50 человек. Статья содержит результаты проведенного анализа исследования. Выявлены различия и сходства в восприятии города Бишкек у студентов двух групп. В контексте восприятия города изучена неудовлетворенность прошлым и настоящим временем, трудности языкового барьера у студентов из сельской местности. Также было выявлено, что актуальной для студентов обеих групп является потребность в социальных контактах, общении, включенности в социум. Полученные результаты будут иметь пользу в проведении воспитательной работы со студентами из сельской местности, в оказании поддержки им в период адаптации с учетом особенностей восприятия города студентами. Ключевые слова. среда, городская среда, восприятие пространства, городские студенты, сельские студенты, восприятие города Бишкек, неудовлетворенность прошлым и настоящим, языковой барьер, учеба в городе, сходства и различия в восприятии города. Аннотация. Бул макалада шаардык жана айылдан келген студенттердин шаардык чөйрөнү кабыл алуу көйгөйү каралган. «Чөйрө», «мейкиндик чөйрө», «шаардык чөйрө» терминдеринин түшүнүктөрү келтирилген. 50 адамдан турган шаардык жана айылдык студенттердин Бишкек шаарын кабыл алуу өзгөчөлүктөрүнө эксперименталдык салыштырма изилдөө жүргүзүлгөн. Макалада изилдөөнүн анализ жыйынтыктары камтылган. Эки студенттик топторунун Бишкек шаарын кабыл алуусунун айырмачылыктары жана окшоштуктары белгиленген. Шаарды кабыл алуу контекстинде өткөн жана учур чактарга канагаттанбоо, тил барьеринин кыйынчылыктары изилденди. Ошондой эле студенттердин эки тобуна актуалдуу болуп социалдык катнаштарга, баарлашууга, коомго кошулуу муктаждыгы белгиленүүдө. Алынган жыйынтыктар студенттердин шаарды кабыл алуу өзгөчөлүктөрүнө эске алып, айылдан келген студенттерге адаптация убагында колдоо көрсөтүү максатында тарбиялык иштерди жүргүзүүдө жардам берет. Түйүндүү сөздөр. Чөйрө, шаардык чөйрө, мейкиндикти кабыл алуу, шаардык студенттер, айылдык студенттер, Бишкек шаарын кабыл алуу, өткөн жана учур чакка канагаттанбоо, тил барьери, шаарда окуу, шаарды кабыл алуусунун айырмачылыктары жана окшоштуктары. Annotation. This article addresses the problem of perception of the urban environment by students from the city and countryside. The definitions of the terms “environment”, “spatial environment”, and “urban environment” are indicated. An experimental comparative study of the characteristics of the perception of the city of Bishkek by urban and rural students in the amount of 50 people was conducted. The article contains the results of the analysis of the study. The differences and similarities in the perception of the city of Bishkek among students of the two groups are revealed. In the context of the perception of the city, dissatisfaction with the past and the present has been studied, and the difficulties of the language barrier among students from rural areas. It was also revealed that the need for social contacts, communication, inclusion in society is relevant for students of both groups. The results will have the benefit of conducting educational work with students from rural areas, in providing support to them during the adaptation period, taking into account the peculiarities of the perception of the city by students. Кeywords. Environment, urban environment, space perception, urban students, rural students, perception of the city of Bishkek, dissatisfaction with the past and the present, language barrier, studying in the city, similarities and differences in the perception of the city.

scholarly journals A cross-sectional study to assess knowledge of women about cervical cancer: an urban and rural comparison

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Małgorzata Lesińska-Sawicka
Keyword(s):  
Cervical Cancer ◽  
Life Expectancy ◽  
Correct Answer ◽  
Rural Areas ◽  
Urban Areas ◽  
Statistical Significance ◽  
Average Life Expectancy ◽  
Cross Sectional ◽  
Awareness Campaigns ◽  
The City

Abstract Introduction Cervical cancer and its etiopathogenesis, the age of women in whom it is diagnosed, average life expectancy, and prognosis are information widely covered in scientific reports. However, there is no coherent information regarding which regions—urban or rural—it may occur more often. This is important because the literature on the subject reports that people living in rural areas have a worse prognosis when it comes to detection, treatment, and life expectancy than city dwellers. Material and methods The subjects of the study were women and their knowledge about cervical cancer. The research was carried out using a survey directly distributed among respondents and via the Internet, portals, and discussion groups for women from Poland. Three hundred twenty-nine women took part in the study, including 164 from rural and 165 from urban areas. The collected data enabled the following: (1) an analysis of the studied groups, (2) assessment of the respondents’ knowledge about cervical cancer, and (3) comparison of women’s knowledge depending on where they live. Results The average assessment of all respondents’ knowledge was 3.59, with women living in rural areas scoring 3.18 and respondents from the city—4.01. Statistical significance (p < 0.001) between the level of knowledge and place of residence was determined. The results indicate that an increase in the level of education in the subjects significantly increases the chance of getting the correct answer. In the case of age analysis, the coefficients indicate a decrease in the chance of obtaining the correct answer in older subjects despite the fact that a statistically significant level was reached in individual questions. Conclusions Women living in rural areas have less knowledge of cervical cancer than female respondents from the city. There is a need for more awareness campaigns to provide comprehensive information about cervical cancer to women in rural areas. A holistic approach to the presented issue can solve existing difficulties and barriers to maintaining health regardless of the place of life and residence. Implication for cancer survivors They need intensive care for women’s groups most burdened with risk factors.

scholarly journals Quick and collaborative response to teenage pregnancies in a poor semi-rural area of Belgium

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Déom ◽  
L Ben Abdelhafidh ◽  
N Annez ◽  
C Glorie ◽  
M Roland
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Rural Areas ◽  
Sexual And Reproductive Health ◽  
Health Clinic ◽  
Local Health ◽  
Reproductive Health Services ◽  
Sexually Transmitted ◽  
Victims Of Violence ◽  
The City

Abstract Early pregnancies are often linked to precarious situations. Even if Belgium has seen a decrease in teenage pregnancies, in the former mining region of the Hainaut there are still twice as many births to young women under 20 compared to the national rate. Colfontaine is one of the poorest cities in Belgium. Last year, one of the local high schools counted 10 pregnant teenagers out of 450 students. Médecins du Monde was already present in the city at the time with a mobile health clinic called the Médibus. In response, we carried out a mapping of the local sexual and reproductive health actors. The lack of accessibility to social and health structures capable of welcoming teenagers anonymously and free of charge quickly emerged as a problem, the nearest family planning center being located 30 minutes away by bus. In September 2019, in partnership with 5 local health actors, we decided to reshape the Médibus into the Adobus in order to offer family planning consultations, health promotion and harm reduction activities at the high school once a week. In addition to offering health information services, we also aim to detect teenagers experiencing vulnerable situations such as addiction, violence, gender issues and refer them to appropriate services. Halfway through the project, we met 430 teenagers in 14 afternoons. The most common reasons for consultation (N = 310) were questions related to contraception for 29% and to sexually transmitted infections for 24,5%. 70,9% of teenagers received condoms and 13 girls were tested for pregnancy. One girl received a morning-after pill. 3 teenagers with addiction problems and 17 victims of violence were detected. The teams referred 18 teenagers to other services. The success of this outreach project confirms the need for information regarding sexual and reproductive health for teenagers living in precarious situations as well as the need to develop reachable and affordable sexual and reproductive health services in semi-rural areas. Key messages Outreach is an efficient approach to respond to teenagers’ needs in poor semi-rural areas. Outreach facilitated the detection of early pregnancies, addiction and violence issues among teenagers.

scholarly journals Sex-based differences in and risk factors for metabolic syndrome in adults aged 40 years and above in Northeast China: Results from the cross-sectional China national stroke screening survey

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e038671
Author(s):  
Feng-E Li ◽  
Fu-Liang Zhang ◽  
Peng Zhang ◽  
Dong Liu ◽  
Hao-Yuan Liu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
Junior High School ◽  
Rural Areas ◽  
Northeast China ◽  
Density Lipoprotein ◽  
High Body Mass Index ◽  
Cross Sectional ◽  
Sample Data ◽  
High Incidence

ObjectivesLow levels of income and education are risk factors for metabolic syndrome in the population of Northeast China, which has a high incidence of metabolic syndrome and cardiovascular diseases. This study aimed to determine sex-based differences associated with the prevalence of and risk factors for metabolic syndrome among people older than 40 years in Northeast China; this has not been previously investigated.DesignThis study analysed a portion of the large sample data of the national cross-sectional screening of China from 2016. Metabolic syndrome was defined as the presence of any three of the following five risk factors: abnormal waist circumference; high levels of triglycerides, high-density lipoprotein cholesterol or fasting plasma glucose; and elevated blood pressure. Multiple regression analysis was used to investigate sex-based differences in the prevalence of, and risk factors for metabolic syndrome.SettingThe study was conducted in Dehui City, Jilin Province, China.ParticipantsA total of 4052 participants with complete questionnaire information and laboratory examination results were included.ResultsThe prevalence of metabolic syndrome was 50.1% overall (38.4% in men and 57.9% in women; p<0.001). High body mass index and hip circumference were associated with metabolic syndrome in both sexes. In addition, physical inactivity (OR and 95% CI 1.44 (1.06 to 1.97); p=0.022) in men and advanced age (OR and 95% CI 1.54 (1.15 to 2.04); p=0.003) in women were factors associated with metabolic syndrome. Women with junior high school education or above and living in rural areas were less likely to have metabolic syndrome. For men, education and rural or urban living had no association with metabolic syndrome.ConclusionsThe risk factors for metabolic syndrome have similarities and differences in different sexes; thus, the prevention and treatment of metabolic syndrome should be based on these sex differences.

scholarly journals Enteroparasitosis in patients attended by the health public service: epidemiology and spatial distribution

2020 ◽  
Vol 30 (1) ◽  
pp. 34764
Author(s):  
Andressa Barros Ibiapina ◽  
Janaína Soares Leal ◽  
Pedro Ricardo Alves de Santana ◽  
Marcelo Ribeiro Mesquita ◽  
Tito Lívio da Cunha Lopes ◽  
...  
Keyword(s):  
Spatial Distribution ◽  
Entamoeba Histolytica ◽  
Ascaris Lumbricoides ◽  
Rural Areas ◽  
The Elderly ◽  
Common Species ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Intestinal Parasitosis ◽  
The City

AIMS: This research aims to determine the epidemiology and the spatial distribution of intestinal parasitosis in the city of Teresina.METHODS: A cross-sectional study was carried out based on the data of parasitological fecal exams performed in the Laboratory Raul Bacelar between January, 2014 and July, 2017. In addition to the prevalence of intestinal parasitosis and polyparasitism, we verified the association of these diseases with gender, zone and period of the year by means of the chi-squared test, whereas the relation with age was analyzed by the Mann-Kendall tests and multiple comparisons of age classes. The spatial distribution was performed using the QGIS georeferencing software.RESULTS: The prevalence of enteroparasitosis in Teresina is 17,8% with Ascaris lumbricoides being the most common species, due to the precarious sanitary conditions of the city. The prevalence of individuals with polyparasitism is 3,13%, in which an association between the species Entamoeba coli and Entamoeba histolytica/dispar was found. There was no relation between intestinal parasitosis with gender, but we verified that individuals in rural areas are more susceptible to these diseases. The species Ascaris lumbricoides and Entamoeba histolytica/dispar occur more frequently in the first and second semester, respectively. We observed that there is an apparent tendency to increase cases of E. histolytica/dispar and reduction of cases of Giardia sp. according to aging. Mapping intestinal parasitosis showed us that there is a prevalence between one and 20% in most of Teresina's neighborhoods, and Ascariasis embodies at least 40% of cases of enteroparasitosis in these neighborhoods.CONCLUSIONS: Investments in basic sanitation and new epidemiological investigations must be carried out to control intestinal parasitosis in Teresina, emphasizing that children and the elderly should be considered priority groups in these programs.

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