Dual Burden of Malnutrition Among Adolescents With Hunger Aged 12–15 Years in 41 Countries: Findings From the Global School-Based Student Health Survey

Background: Hunger is a pandemic among adolescents, resulting in both underweight and obesity, and posing a substantial health challenge.Objective: To estimate the dual burden of malnutrition among adolescents with hunger.Design: Data were from the Global school-based Student Health Survey (GSHS). In total, data from 26,986 adolescents with hunger across 5 regions and 41 countries between 2010 and 2015 were analyzed in this study. Weighted prevalence and mean estimates of underweight, overweight, and obesity were calculated by gender, age, and country. Prevalence and 95% confidence intervals (CI) were calculated for regional and country-level income.Results: The total prevalence of underweight, overweight and obesity among young adolescents with hunger was 6.2% (95% CI: 4.4–8.0%), 25.1% (95% CI: 20.3–29.9%) and 8.9% (95% CI: 6.5–11.3%), respectively. Southeast Asia had the highest prevalence of underweight (17.2%; 95% CI: 7.3–27.0%). America had the highest regional prevalence of obesity (11.1%; 95% CI: 7.2–15.1%) and overweight (28.9%; 95% CI: 21.9–35.9%). Low income countries had relatively high prevalence of underweight (11.5%; 95% CI: 3.2–19.9%). High income countries had the highest prevalence of obesity (17.4%; 95% CI: 14.9–19.9%) and overweight (38.7%; 95% CI: 32.0–45.4%). The co-existence of underweight and overweight among adolescents with hunger was highest in the Eastern Mediterranean region, and in upper-middle and high-income countries.Conclusions: There is a dual burden of underweight and obesity among adolescents with hunger aged 12–15 years, which differs between geographical regions. The integration of targeted interventions and policies is required to simultaneously address both underweight and increasing rates of obesity among adolescents with hunger in different regions.

Embolic Cerebral Infarction in Atrial Fibrillation: A Simple Review Article

Stroke is known worldwide as the leading cause of premature death and disability. Developing countries are most exposed to the dual burden of infectious and non-communicable diseases. Poor people are increasingly affected by stroke due to changing risk factors in the population and, most tragically, not being able to afford the high costs of stroke treatment. Despite significant improvements in primary prevention and acute care over the last few decades, stroke remains a catastrophic illness. Unchangeable risk factors for stroke are some established and changeable risk factors for age, gender, race, ethnicity, heredity, and ischemic stroke.

Dual burden of Zika and COVID-19 in India: challenges, opportunities and recommendations

The COVID-19 pandemic has wreaked havoc in the world from last year, and any further insults like Zika virus will surely bring the apocalypse unto us. In July 2021, Zika began spreading in India, mainly in the state of Kerala. Zika infection resembles closely COVID-19 and other arboviral infections, which might lead to delayed and misdiagnosis, further leading to underreporting of cases. Some of the feared complications of Zika include Guillain–Barré syndrome and congenital Zika syndrome leading to microcephaly. Thus, Zika virus disease (ZVD) has significant public health and social impacts. Since the trifecta of infectious diseases (host, agent and environment) are all conducive to the spread of Zika in India, there is a huge risk that ZVD might become endemic in India, which is especially dangerous in the backdrop of this pandemic. This has to be stopped at all costs: the main aspects of which are public health measures, vector control and early diagnosis, especially in case of pregnant women. The diversion of healthcare resources for this pandemic has albeit made this difficult, but we must do our bit if we have to overcome this situation.

Treasuring Career from Home: The Sustainability of Women Homeworkers and Household Divisions

Women homeworkers in Indonesia also resulted in double role causes women to have double workload, namely the main work that makes money and household chores such as cleaning the house, cooking and so on. This is because women cannot leave their responsibilities in the household, yet they must continue to perform their main work. Accordingly, a discussion addressing the dual burden and mechanism of division of work between men and women in the household is needed. This research was conducted with a descriptive qualitative method aimed to describe a number of issues including how consensus was performed by women homeworkers in carrying out the division of work with men and the efforts of women homeworkers to do the division of work with their husbands in the domestic sphere. The research was conducted in Malang City, East Java, Indonesia with snowball sampling techniques on 37 women. Based on the research results, it was discovered that: 1) the division of work in the public and domestic spheres for women homeworkers was flexible; 2) Men more often did the heavy household chores such as washing and drying clothes, the division of work occurred at certain times such as in the morning; 3) Within the household, the division of work between men and women took place when the woman homeworkers’ main work piled up and could not be abandoned.

Treasuring Career from Home: The Sustainability of Women Homeworkers and Household Divisions

Women homeworkers in Indonesia also resulted in double role causes women to have double workload, namely the main work that makes money and household chores such as cleaning the house, cooking and so on. This is because women cannot leave their responsibilities in the household, yet they must continue to perform their main work. Accordingly, a discussion addressing the dual burden and mechanism of division of work between men and women in the household is needed. This research was conducted with a descriptive qualitative method aimed to describe a number of issues including how consensus was performed by women homeworkers in carrying out the division of work with men and the efforts of women homeworkers to do the division of work with their husbands in the domestic sphere. The research was conducted in Malang City, East Java, Indonesia with snowball sampling techniques on 37 women. Based on the research results, it was discovered that: 1) the division of work in the public and domestic spheres for women homeworkers was flexible; 2) Men more often did the heavy household chores such as washing and drying clothes, the division of work occurred at certain times such as in the morning; 3) Within the household, the division of work between men and women took place when the woman homeworkers’ main work piled up and could not be abandoned.

Co-infection of COVID-19 and dengue: a case report

COVID-19 has now spread to most countries, causing a global pandemic. As the COVID-19 pandemic is still ongoing, some part of the world region with tropical climate is facing a dual burden of infection with the presence of concurrent endemic infectious disease. This endemic dengue infection and the COVID-19 pandemic may turn out into a fatal and hazardous combination. In addition, dengue and COVID-19 possess clinical and laboratory features that are sometimes difficult to differentiate. The possibility of COVID-19 and dengue co-infection has also been a noticeable issue. We present a case of 19-year-old male with COVID-19 and dengue co-infection admitted at Wangaya Regional Hospital Denpasar, Bali. Co-infection of COVID-19 and dengue requires special attention from all health care workers in dengue-endemic countries in order to avoid diagnostic delays and improve clinical outcome. It is also necessary to conduct further research which explores the potential of co-infection between coronavirus and arbovirus.

Strategies to provide care to Non-COVID Patients in the COVID Era: An Experience from a Tertiary Care Institute in Northern India

With the COVID-19 pandemic the health system is facing dual burden of cases, one being the COVID-19 or Severe Acute Respiratory Illness (SARI) cases and the second being the other Non-COVID cases. The Non-COVID cases due to the burden of the SARI cases became almost neglected by the Health System increasing the sufferings of the Non-COVID cases. In the current COVID times All India Institute of Medical Sciences, Gorakhpur continued to provide the health care to the Non-COVID cases. The current manuscript provides the detailed strategy and results of the various strategies used to provide care to such Non-COVID patients with minimum risk to the healthcare staff.

Underweight and overweight/obesity among adults in Afghanistan: prevalence and correlates from a national survey in 2018

Background The study aimed to estimate the prevalence and correlates of underweight and overweight/obesity among adults in Afghanistan. Methods National cross-sectional survey data of 3779 persons aged 18–69 years were analysed. Multinomial logistic regression was used to estimate factors associated with underweight and overweight/obesity relative to normal weight. Results In all, 7.8% of the study sample was underweight (BMI < 18.5 kg/m2), 49.5% had normal weight (BMI 18.5–24.9 kg/m2), 25.5% overweight (25.0–29.9 kg/m2), and 17.2% obesity. In adjusted multinomial logistic regression, factors negatively associated with underweight were male sex (adjusted relative risk ratio (ARRR): 0.30, 95% confidence interval (CI): 0.15–0.58) and hypertension (ARRR: 0.51, 95% CI: 0.27–0.95) and factors positively associated with underweight were sedentary behaviour (ARRR: 1.85, 95% CI: 1.11–3.10) and current tobacco use (ARRR: 2.58, 95% CI: 1.08–6.16). Factors positively associated with overweight/obesity were aged 30–44 years (ARRR: 2.00, CI: 1.51–2.66) and aged 45–69 years (ARRR: 1.58, CI: 1.09–2.31) (compared to 18–29 years) (ARRR: 1.28, CI: 1.14–2.18), hypertension (ARRR: 2.74, CI: 1.89–3.96), and type 2 diabetes (ARRR: 1.82, CI: 1.13–2.94), and high physical activity (ARRR: 0.70, CI: 0.50–0.98) was negatively associated with overweight/obesity. Conclusion Almost one in ten adult respondents were underweight and more than two in five were overweight/obese, confirming a dual burden of malnutrition in Afghanistan.