Clean Hands: Prevention of Typhoid Fever in Rural Communities in Egypt

2008 ◽  
Vol 28 (3) ◽  
pp. 215-227 ◽  
Author(s):  
Anna L. Lohiniva ◽  
Mohamed Saeed ◽  
Nasr El-Sayeed ◽  
Maha Talaat
Keyword(s):  
Rural Communities ◽  
Typhoid Fever ◽  
Disease Transmission ◽  
Risk Perceptions ◽  
Public Health Problem ◽  
Effective Prevention ◽  
Household Level ◽  
Hygiene Behavior ◽  
Analysis Technique ◽  
Rural Sites

Typhoid fever is a serious public health problem in Egypt. Effective prevention strategies include the promotion of handwashing. This study explores factors that influence handwashing practices in the Egyptian setting and makes recommendations on how to use this information in a handwashing campaign. In addition to key informant interviews, 16 focus group discussions and 21 in-depth interviews were carried out with female respondents in three different rural sites. The data was analyzed by using content analysis technique. The findings showed that the concept of dirt ( microbaat and talaus) influences hygiene behavior as it relates to the outside (i.e., real and visible things). The respondents have low risk perceptions related to typhoid fever and they do not conceptualize long disease transmission chains. The scarcity of water and problems with disposal of waste water hinder handwashing. These findings were incorporated into a pilot campaign to promote handwashing using strategies that included the visualization of germs in critical areas during critical times, discussions of germ theory, and encouragement to solve environmental and infrastructural constraints that hinder handwashing practices at the household level.

scholarly journals The influence of agricultural diversification on community income in East Taniwel District

2021 ◽  
Vol 883 (1) ◽  
pp. 012089
Author(s):  
La Ega ◽  
Muspida ◽  
E Kembauw ◽  
S J Ferdinandus ◽  
L J Sinay ◽  
...  
Keyword(s):  
Data Analysis ◽  
Rural Communities ◽  
Linear Regression ◽  
Primary Data ◽  
Baseline Survey ◽  
Household Level ◽  
Agricultural Diversification ◽  
Analysis Technique ◽  
Linear Regression Modeling ◽  
The Relationship

Abstract This study entitled “The Effect of Agricultural Diversification on Community Income in the East Taniwel District”. The research objective was to determine the relationship and influence of agricultural diversification on people's income in the East Taniwel District. The data used in this study are primary data from eight villages in East Taniwel District, West Seram District, Maluku Province. This data is the result of a baseline survey at the household level, where the sample is determined using the Slovin formula. The data analysis technique used is the application of the backward method in multiple linear regression modeling based on OLS. The results showed that there was a relationship and influence between agricultural diversification and the income of rural communities in East Taniwel District.

scholarly journals Climate change adaptation in disaster-prone communities in Cambodia and Fiji

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Andreas Neef ◽  
Bryan Boruff ◽  
Eleanor Bruce ◽  
Chanrith Ngin ◽  
Natasha Pauli ◽  
...  
Keyword(s):  
Climate Change ◽  
Rural Communities ◽  
Risk Perceptions ◽  
Vulnerable Groups ◽  
Research Approach ◽  
Flood Events ◽  
Household Level ◽  
Rural Livelihood ◽  
Adaptation Practices ◽  
Remote Sensing Methods

This article examines how rural communities living in flood-prone river basins of Cambodia and Fiji have responded to increasing variability of floods and other natural hazards under the influence of climate change and other risk factors. Particular emphasis is placed on risk perceptions and adaptive strategies of households and communities with regard to regular and catastrophic floods and how the livelihoods of vulnerable groups are affected by floods and other climate-induced disasters. Our research approach integrates the food, water and energy security nexus with the rural livelihood framework. The study aims at identifying the spatial extent and dynamics of flood events and determining the factors that enhance adaptive capacities of flood-affected communities and households. Our study finds that access to resources as well as local socio-cultural contexts are important determinants of coping and adaptation practices at the community and household level in the two countries. Findings also suggest that research participants had a profound understanding of flood flows, extent and impacts that complements knowledge gained from hydrological and remote sensing methods. We conclude that blending local and scientific knowledge is a promising approach to enhancing adaptive capacity and resilience.

Attitudes Toward Intimate Partner Violence Against Women in the European Union: A Systematic Review

2020 ◽  
Vol 25 (2) ◽  
pp. 104-121 ◽  
Author(s):  
Enrique Gracia ◽  
Marisol Lila ◽  
Faraj A. Santirso
Keyword(s):  
Systematic Review ◽  
Intimate Partner Violence ◽  
Violence Against Women ◽  
Partner Violence ◽  
Public Health Problem ◽  
Intimate Partner ◽  
Cochrane Library ◽  
Effective Prevention ◽  
Partner Violence Against Women ◽  
The Eu

Abstract. Attitudes toward intimate partner violence against women (IPVAW) are increasingly recognized as central to understanding of this major social and public health problem, and guide the development of more effective prevention efforts. However, to date this area of research is underdeveloped in western societies, and in particular in the EU. The present study aims to provide a systematic review of quantitative studies addressing attitudes toward IPVAW conducted in the EU. The review was conducted through Web of Science, PsychINFO, Medline, EMBASE, PUBMED, and the Cochrane Library, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) recommendations. This review aimed to identify empirical studies conducted in the EU, published in English in peer-reviewed journals from 2000 to 2018, and analyzing attitudes toward IPVAW. A total of 62 of 176 eligible articles were selected according to inclusion criteria. Four sets of attitudes toward IPVAW were identified as the main focus of the studies: legitimation, acceptability, attitudes toward intervention, and perceived severity. Four main research themes regarding attitudes toward IPVAW emerged: correlates of attitudes, attitudes as predictors, validation of scales, and attitude change interventions. Although interest in this research area has been growing in recent years, the systematic review revealed important gaps in current knowledge on attitudes toward IPVAW in the EU that limits its potential to inform public policy. The review outlines directions for future study and suggests that to better inform policy making, these future research efforts would benefit from an EU-level perspective.

scholarly journals Factors associated with the consumption of table salt with inadequate iodine concentrations: a population analysis at a Peruvian household level

2021 ◽  
pp. 1-8
Author(s):  
Akram Hernández-Vásquez ◽  
Rodrigo Vargas-Fernández ◽  
Diego Azañedo
Keyword(s):  
Iodine Deficiency ◽  
Mother Tongue ◽  
Population Analysis ◽  
Public Health Problem ◽  
Women Of Childbearing Age ◽  
Table Salt ◽  
Childbearing Age ◽  
Household Level ◽  
Factors Associated ◽  
Salt Iodine

Abstract Objective: Iodine deficiency is a public health problem, especially in Peru, where it affects women of childbearing age and school-age children. The objective of the study was to conduct a household-level analysis of the factors associated with the consumption of table salt with inadequate amounts of iodine in Peru. Design: Analytical cross-sectional study using Peruvian household-level data from the Demographic and Family Health Survey. Table salt iodine concentrations were considered as the dependent variable (‘inadequate’ with iodine levels <30 PPM and ‘adequate’ with levels ≥30 PPM). The association between iodine concentrations in salt and independent variables was evaluated using crude and adjusted log-binomial regression models. Setting: Peru. Participants: A total of 25 007 households were included. Results: In Peru, 21·8 % households had inadequate table salt iodine concentrations. Belonging to the poorer and poorest wealth index, living in the Highlands natural region, and living with women of childbearing age with native mother tongue were identified as factors associated with inadequate iodine concentrations in table salt. Conclusions: There is an urgent need to ensure that table salt with adequate iodine concentrations is available for poor populations, residents of the Highlands and households with ethnic presence. Likewise, it is necessary to promote good storage practices, greater regulation/law enforcement and better monitoring of the companies that manufacture or sell this product. Furthermore, the population needs to be informed of the disorders associated with iodine deficiency.

scholarly journals EPID-07. ACCESS TO GLIOBLASTOMA CLINICAL TRIALS FOR RURAL PATIENTS IN THE UNITED STATES FROM 2010–2020

2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii79-ii79
Author(s):  
Kathryn Nevel ◽  
Samuel Capouch ◽  
Lisa Arnold ◽  
Katherine Peters ◽  
Nimish Mohile ◽  
...  
Keyword(s):  
United States ◽  
Clinical Trials ◽  
Rural Communities ◽  
The United States ◽  
Interventional Treatment ◽  
Phase Ii Trials ◽  
Treatment Trials ◽  
Rural Sites ◽  
Rural Patients ◽  
Urban Sites

Abstract BACKGROUND Patients in rural communities have less access to optimal cancer care and clinical trials. For GBM, access to experimental therapies, and consideration of a clinical trial is embedded in national guidelines. Still, the availability of clinical trials to rural communities, representing 20% of the US population, has not been described. METHODS We queried ClinicalTrials.gov for glioblastoma interventional treatment trials opened between 1/2010 and 1/2020 in the United States. We created a Structured Query Language database and leveraged Google application programming interfaces (API) Places to find name and street addresses for the sites, and Google’s Geocode API to determine the county location. Counties were classified by US Department of Agriculture Rural-Urban Continuum Codes (RUCC 1–3 = urban and RUCC 4–9 = rural). We used z-ratios for rural-urban statistical comparisons. RESULTS We identified 406 interventional treatment trials for GBM at 1491 unique sites. 8.7% of unique sites were in rural settings. Rural sites opened an average of 1.7 trials/site and urban sites 2.8 trials/site from 1/2010–1/2020. Rural sites offered more phase II trials (63% vs 57%, p= 0.03) and fewer phase I trials (22% vs 28%, p= 0.01) than urban sites. Rural locations were more likely to offer federally-sponsored trials (p&lt; 0.002). There were no investigator-initiated or single-institution trials offered at rural locations, and only 1% of industry trials were offered rurally. DISCUSSION Clinical trials for GBM were rarely open in rural areas, and were more dependent on federal funding. Clinical trials are likely difficult to access for rural patients, and this has important implications for the generalizability of research as well as how we engage the field of neuro-oncology and patient advocacy groups in improving patient access to trials. Increasing the number of clinical trials in rural locations may enable more rural patients to access and enroll in GBM studies.

Perforazione ileale da febbre tifoide

2021 ◽  
Vol 24 (9) ◽  
pp. 280-282
Author(s):  
Margherita Piqué ◽  
Elisabetta Ladisa ◽  
Luca Brasili ◽  
Giovanni Putoto ◽  
Lorenzo Iughetti
Keyword(s):  
Typhoid Fever ◽  
Public Health Problem ◽  
Wound Dehiscence ◽  
Exploratory Laparotomy ◽  
Watery Diarrhoea ◽  
Pelvic Cavity ◽  
Major Public Health Problem ◽  
General Malaise ◽  
X Ray ◽  
Clinical Conditions

Typhoid fever continues to be a major public health problem in developing countries and mortality is mainly related to its most frequent complication, namely: intestinal perforation. The paper presents the case of a 12-year-old girl with abdominal pain associated with watery diarrhoea, vomiting, fever and general malaise for two weeks. Typhoid fever was suspected, therefore therapy with ceftriaxone was started. Clinical conditions were worsening, so X-ray of the abdomen was performed with evidence of hydro-aerial levels and ultrasound showing abundant non-homogeneous echogenic material in the pelvic cavity, consistent with purulent ascites. Exploratory laparotomy was performed showing an isolated perforation of the ileus, which was sutured. In the postoperative period, antibiotic therapy was boosted with metronidazole and gentamicin. Due to the wound dehiscence, surgical revision with secondary tension sutures was necessary.

SERIES SOLUTION OF TYPHOID FEVER MODEL USING DIFFERENTIAL TRANSFORM METHOD

2018 ◽  
Vol 3 (1) ◽  
pp. 67
Author(s):  
O J Peter ◽  
Oluwaseun B Akinduko ◽  
C Y Ishola ◽  
O A Afolabi ◽  
A B Ganiyu
Keyword(s):  
Typhoid Fever ◽  
Disease Transmission ◽  
Series Solution ◽  
Transformation Method ◽  
Type Model ◽  
Transform Method ◽  
Runge Kutta Method ◽  
Differential Transform ◽  
Model Equations ◽  
Non Linear System

This paper presents an analysis of PSIuIeTR type model, which are used to study the transmission dynamics of typhoid fever diseases in a population. Basic idea of typhoid fever disease transmission using compartmental modeling is discussed. Differential Transformation Method (DTM) is discussed in detail, which is used to compute the series solution of the non-linear system of differential equation governing the model equations. The validity of the (DTM) in solving the proposed model is established by classical fourth-order Runge-Kutta method which is implemented in Maple 18. Graphical results confirm that (DTM) is in good agreement with RK-4 and this produced correctly same behaviour of the model, thus validating the efficiency and accuracy of (DTM) in finding the series solution of an epidemic model.

scholarly journals Cystamine attenuated behavioral deficiency via increasing the expression of BDNF and activating PI3K/Akt signaling in 2,5-hexanedione intoxicated rats

2017 ◽  
Vol 6 (2) ◽  
pp. 199-204 ◽  
Author(s):  
Shuo Wang ◽  
Xianjie Li ◽  
Ming Li ◽  
Lulu Jiang ◽  
Hua Yuan ◽  
...  
Keyword(s):  
Public Health ◽  
Organic Solvent ◽  
Health Problem ◽  
Public Health Problem ◽  
Akt Signaling ◽  
Prevention Measures ◽  
Effective Prevention

Organic solvent-induced neurodegeneration is a severe public health problem which has no effective prevention measures yet.

Towards Prevention and Early Recognition of Stroke: The Australian Context

2011 ◽  
Vol 12 (3) ◽  
pp. 223-230
Author(s):  
Evrim G. March
Keyword(s):  
At Risk ◽  
Stroke Prevention ◽  
Early Recognition ◽  
Public Health Problem ◽  
Risk Groups ◽  
Effective Prevention ◽  
Australian Context ◽  
The Status ◽  
Significant Public Health ◽  
Policies And Programs

AbstractStroke is a preventable disease leading to physical, cognitive and emotional disability. Its high prevalence and poor outcome shifts this disease from the clinical, medical realm to a significant public health problem. This article provides an overview of the problem, and the status of stroke prevention in the Australian context. To achieve this, it first examines the recent Australian surveillance data on stroke, identifying the at-risk groups. It then argues for targeted stroke prevention, assesses relevant policies and programs in the international and Australian contexts, and briefly reviews approaches for increased awareness and recognition of stroke symptoms. The article concludes by emphasising the need to account for the at-risk-groups when developing targeted health promotion campaigns for effective prevention of stroke in Australia.

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