scholarly journals Stroke in Young in India

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Manjari Tripathi ◽  
Deepti Vibha
Keyword(s):  
Developing Countries ◽  
Developing Country ◽  
Disease Burden ◽  
Developed Countries ◽  
Age Group ◽  
Special Significance ◽  
Stroke In Young

Stroke in young has special significance in developing countries. This is so because some etiologies like cardioembolic infections are more common than in developed countries, and the affection of economically productive group adds further to the overall disease burden. The paper discusses the burden of stroke in young and its implications in a developing country like India along with an approach to identifying different causes that are known to occur in this age group.

scholarly journals Factors contributing the outcome of Schizophrenia in developing and developed countries: A brief review

1970 ◽  
Vol 1 (4) ◽  
pp. 81-85 ◽  
Author(s):  
Mahmuda Naheed ◽  
Khondoker Ayesha Akter ◽  
Fatema Tabassum ◽  
Rumana Mawla ◽  
Mahmudur Rahman
Keyword(s):  
Developing Countries ◽  
Family Support ◽  
Remission Rate ◽  
Pharmaceutical Journal ◽  
Developed Countries ◽  
Severe Form ◽  
Family Burden ◽  
Age Group ◽  
Duration Of Untreated Psychosis ◽  
Developing And Developed Countries

According to WHO, schizophrenia is a severe form of mental illness affecting about 7 per thousand of the adult popu-lation, mostly in the age group 15-35 years. Though the incidence is low (3-10,000), the prevalence is high due to chronicity. Schizophrenia is occurring in both developing and developed countries. The remission rate is higher in developing countries compared to the developed ones. There are some compelling factors that may influence the out-come of schizophrenia includes gender, employment, marital status, family support, illness myths, family burden, duration of untreated psychosis etc. In this review we have discussed the epidemiology, pathophysiology, diagnosis, treatment and finally the factors that influence the outcome of schizophrenia in developing and developed countries.Key Words: Schizophrenia, outcome, developing countries, antipsychotic agents.DOI: http://dx.doi.org/10.3329/icpj.v1i4.10063International Current Pharmaceutical Journal 2012, 1(4): 81-85 

scholarly journals Research and Publication from Developing Countries

2020 ◽  
Vol 42 (3) ◽  
Author(s):  
Mohan R Sharma
Keyword(s):  
Developing Countries ◽  
Burden Of Disease ◽  
Disease Burden ◽  
Developed Countries ◽  
Publishing Research ◽  
Economic Factors ◽  
Middle Income ◽  
High Burden ◽  
Middle Income Countries ◽  
The Developed Countries

In 2002, Richard Smith wrote an editorial, “publishing research from developing countries” in the Journal “Statistics in Medicine” highlighting the importance of research and publication from the developing countries (DCs).1 In that article, he mentioned the disparity in research and publication between the developed and developing countries. Almost two decades on, the problem still largely remains the same. It is estimated that more than 80% of the world’s population lives in more than 100 developing countries.2 In terms of disease burden, the prevalence and mortality from diseases in the low and middle-income countries are disproportionately high compared to developed countries.3 Although there is a high burden of disease, we base our treatment inferring results from research and publication from the developed countries which may not be fully generalizable due to geographical cultural, racial, and economic factors. This is where the problem lies.

scholarly journals URGENSI PENATAAN HUKUM KERUANGANGKASAAN DALAM KERANGKA KEPENTINGAN NASIONAL NEGARA BERKEMBANG

2019 ◽  
Vol 48 (1) ◽  
pp. 49
Author(s):  
Agus Pramono
Keyword(s):  
Developing Countries ◽  
Developing Country ◽  
Developed Countries ◽  
Legal Framework ◽  
The Other ◽  
Private Companies ◽  
Commercial Space ◽  
Legal Instrument ◽  
Space Industry ◽  
Space Activities

The presence of  the space industry which sends to be dominated by private companies in developed countries has encouraged the need for developing country national legal framework thar are accomodative to regulate commercial space activities. On the other hand there are developing countries that have space activities and have national legal instruments, on the other there are developing countries that have just started space activities but do not have national legal instrument. Therefore, the arrangement of international and national legal instrument that regulate the interest of developing countries is urgent. In addition, this study show that existing legal transformation is not successful considering the transformation is not less attention to the full interest of the parties concerned.

scholarly journals Too Young to Have a Stroke?—a Global Health Crisis

2019 ◽  
Vol 4 (4) ◽  
pp. 173-175 ◽  
Author(s):  
Amey Vrudhula ◽  
Jing Zhao ◽  
Renyu Liu
Keyword(s):  
Young Patients ◽  
Stroke Care ◽  
Developed Countries ◽  
Age Group ◽  
Health Crisis ◽  
The Public ◽  
Stroke Awareness ◽  
First Time ◽  
Common Barriers ◽  
Stroke In Young

This editorial discusses the importance of improving awareness of stroke in young individuals. Stoke can occur in any age group and is not restricted to elderly populations. Today, the average age of the first-time stroke patient continues to decrease. However, the incidence of stroke in seemingly healthy, young adults remains neglected, and stroke awareness among young patients remains poor, even in well-developed countries. Education targeting two common barriers to stroke care, identification and rescue, should be implemented for both medical professionals and the public domain. Only through education can we reduce preventable stroke-related death and damage in young patients moving forward.

scholarly journals Segmentation, Classification, and Determinants of In-Store Shopping Activity and Travel Behaviour in the Digitalisation Era: The Context of a Developing Country

2019 ◽  
Vol 11 (6) ◽  
pp. 1591 ◽  
Author(s):  
Tri Joewono ◽  
Ari Tarigan ◽  
Muhamad Rizki
Keyword(s):  
Developing Countries ◽  
Developing Country ◽  
Carbon Emission ◽  
Household Survey ◽  
Travel Behaviour ◽  
Developed Countries ◽  
Information And Communications Technology ◽  
Grocery Shopping ◽  
Transportation Sector ◽  
Shopping Travel

The influence of digital technologies in the current era has substantially affected the way individuals engage with in-store shopping activities and travels. To prepare a transport policy with sustainable orientations, it is important to investigate factors that determine in-store activity-travel patterns. In particular, knowledge about how in-store activities and travels interact with other forms of activities and travels should be updated, since the use of Information and Communications Technology (ICT) may be substantial to create new patterns of activity and travel. It is believed that shopping travel and activity behaviours may indicate the increase or decrease of physical travels, which is crucial for carbon emission measures in transportation sector. While numerous studies about this issue have been recently carried out based on the context of developed countries, little is known for the context of developing countries. To offer a better understanding of the nature of in-store shopping travels and activities in the digitalisation era, a household survey was conducted in Bandung, Indonesia. This survey tends to acquire data from respondents as a representation of developing countries on their shopping behaviour, travel characteristics, and spatial attributes that represent the conditions of their built environment. The results from the survey show that individuals in a developing country are still having interest in in-store grocery shopping even though their daily life has a close connection with digital life. The results of the analysis show that grocery shoppers in a developing country simultaneously consider shopping activity, other activities, modes of transport, and shopping expenses. This manifests in the form of trip-chaining activities and affects decisions on the modes of transport used. The results indicate a significant portion of trip frequency for in-store shopping travel with motorised modes. Since motorised modes are the main contribution for carbon emission production in transportation sector, the results of this study are critical for developing transport demand measures and setting relevant policy schemes to improve the sustainability of transportation system, especially for the context of developing countries.

Result of adolescent acute lymphoblastic leukemia protocol (MCP 841) from a developing country

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. 10046-10046 ◽  
Author(s):  
A. Mukhopadhyay ◽  
P. Gupta ◽  
S. Mukhopadhyay ◽  
S. Dey ◽  
J. Basak ◽  
...  
Keyword(s):  
Developing Countries ◽  
Lymphoblastic Leukemia ◽  
Disease Free Survival ◽  
Developed Countries ◽  
Cancer Center ◽  
Remission Induction ◽  
Age Group ◽  
Acute Lymphatic Leukemia ◽  
Metabolic Complications ◽  
Lymphatic Leukemia

10046 Background: Acute Lymphatic Leukemia is a curable disease in the range of 80 - 90% in developed countries by aggressive protocol like BFM, St. Judes’ but result is much less in adolescence age group (60–70%). In developing countries like ours, patients can't tolerate that aggressive protocol because of socio-economic and nutritional factors. The less aggressive protocol like MCP841 is suitable in developing countries like ours. The aim of our study was to see outcome of adolescent ALL patient with protocol MCP 841 and tolerability of the protocol in Indian-Asian population. Methods: We treated 75 children with age range 13 - 18 years (median age of 15 yrs) with MCP 841 Protocol at Netaji Subhash Chandra Bose Cancer Research Institute, Kolkata, India, a tertiary cancer center from Eastern India during the period of April 1999 to Dec 2007. There was female preponderance in the study. Fever 48 (64.0%), lymphadenopathy 35 (46.7%), and haepatosplenomegaly 28 (37.3%) were the major clinical presentation. Eight (10.7%) patients were present with hyper leukocytosis. T-ALL phenotype was the largest group though the incidence of the C-ALL was quite high 23 (30.7%). Results: Remission induction was seen in 65 (86.7%) of the patients. In a follow-up period of 24 - 88 months (with an average of 54 months) the disease-free survival ( DFS) was 42 (56%) patients with an overall survival of 46 (61.34%) patients. The isolated bone marrow relapse was seen in majority of the cases 28 (37.34%) and the major relapse was in maintenance and first 6 months of completion of therapy. The major cause of morbidity was infection 53 (70.7%) followed metabolic complications 16 (21.34%), pancreatitis 3 (4.0%), hemorrhage 10 (13.3%), neurologic 2 (2.7%), and hepatitis 1 (1.3%). The major cause of the mortality was infection 18% (24.0% patients) followed progressive disease 9 (12.0%) and hemorrhage 2 (2.7%). As compared to our all pediatric ALL group the outcome is much less and complications are much more. Conclusions: The data of acute lymphatic leukemia in adolescent is not satisfactory as compared to other pediatric patients. They also tolerate chemotheraphy badly. Therefore there is need for modified protocol for this age group. No significant financial relationships to disclose.

scholarly journals Responsible antibiotic therapy simplified

2020 ◽  
Vol 35 ◽  
pp. 29-38
Author(s):  
Abhay K. Shah ◽  
Aashay Abhay Shah
Keyword(s):  
Developing Countries ◽  
Antibiotic Therapy ◽  
Disease Burden ◽  
Critical Role ◽  
Antibiotic Use ◽  
Developed Countries ◽  
Bacterial Disease ◽  
Antibiotic Prescribing ◽  
Inappropriate Use ◽  
Current Article

Antimicrobial resistance is a global problem and is particularly pressing in developing countries where the infectious disease burden is very high. In developing countries, where relatively easy availability and higher consumption of medicines have led to disproportionately higher incidence of inappropriate use of antibiotics and greater levels of resistance compared to developed countries. The bacterial disease burden in India is among the highest in the world; consequently, antibiotics will play a critical role in limiting morbidity and mortality in the country. Improving antibiotic prescribing and use is critical to effectively treat infections, protect patients from harms caused by unnecessary antibiotic use, and combat antibiotic resistance. Responsible antibiotic therapy is one of the most important components of antibiotic stewardship. The current article is an attempt to provide a set of key principles to guide efforts to improve responsible and rational antibiotic use.

scholarly journals A Clinical Study of 100 Cases of Eclampsia In Rajshahi Medical College Hospital

1970 ◽  
Vol 17 (2) ◽  
pp. 80-83 ◽  
Author(s):  
Marina Khanum ◽  
Fatema Ashraf ◽  
Humaira Sahrin
Keyword(s):  
Developing Countries ◽  
Clinical Study ◽  
Perinatal Mortality ◽  
Developed Countries ◽  
Normal Vaginal Delivery ◽  
Age Group ◽  
College Hospital ◽  
Maternal Deaths ◽  
Medical College ◽  
Group 12

Eclampsia is the occurrence of one or more convulsion in association with the syndrome of pre eclampsia. It is relatively uncommon in developed countries where it complicates about one in every 200 deliveries. Eclampsia can be 20 times more common in developing countries and it probably accounts for more than 50,000 maternal deaths worldwide each year. Which anticonvulsant for women with eclampsia Evidence from the collaborative Eclampsia Trial lancet 1995, 345, 1445-63. The main objective of this study was to observe the clinical profile of antepartum eclampsia cases. The study was carried out with 100 cases that were selected randomly during year 2004. 58% of the patients were primigravida; among them 25% patients were in age group 15-14 years. About 95% patients were illiterate, low socio economic group, and in 53% patients' convulsion occurred in 32-37 weeks of pregnancy.Among 100 patients, 71 patients had normal vaginal delivery and 25% patients needed Caesarean section. Maternal mortality rate was 2%, perinatal mortality was 38%. Perinatal mortality was higher in vaginal group (12%) than LSCS group (7%). doi: 10.3329/taj.v17i2.3450 TAJ 2004; 17(2): 80-83

scholarly journals Measuring morbidity and mortality attributable to rheumatic heart disease in Fiji: a prototype study of disease burden in a developing country by data linkage

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Tom Parks ◽  
Joseph Kado ◽  
Isimeli Tukana ◽  
Andrew Steer
Keyword(s):  
Information System ◽  
Developing Countries ◽  
Heart Disease ◽  
Developing Country ◽  
Administrative Data ◽  
Patient Information ◽  
Disease Burden ◽  
Posterior Probability ◽  
Data Linkage ◽  
Morbidity And Mortality

ABSTRACT ObjectivesRheumatic heart disease remains a major public health concern in developing countries. Motivated by the lack of up-to-date epidemiologic data from endemic settings, we sought to quantity morbidity and mortality attributable the condition in Fiji, a middle-income country where a high prevalence has consistently been reported. Having resolved to undertake the analysis using the existing routine clinical and administrative data at our disposal, we first set out to develop a data linkage procedure robust to the inherent limitations of data from low resource settings. ApproachRecords were available from four sources: an electronic patient information system, a database of death certificates, a disease control register, and echocardiography clinic registers. All referred to 2008-2012. Throughout the design and calibration process we used 1,406 known duplications in the patient information system from which we calculated the sensitivity and specificity. After cleaning, standardisation and preliminary blocking, we categorised identifiers including names, dates and demographics into agreement, partial agreement, disagreement or missing, accounting for issues such as out of order or misspelt names. After concentrating true matches by further blocking, we estimated match and nonmatch probabilities using expectation maximisation under the Fellegi-Sunter model of record linkage. We then derived the posterior match probability taking into consideration the size of block and prior information about the probability a match be present given the demographics of the individual concerned. In its final configuration, with record pairs considered a match if they achieved a posterior probability of over 50%, our procedure identified the known duplications with sensitivity of 91.4% and specificity of 99.9%. ResultsHaving identified 2,619 cases from the 1,773,999 records available, we used the linked data to make population-based estimates of prevalence using capture-recapture analyses and cause-specific mortality using relative survival methods, the first such estimates for a developing country. Moreover, in sensitivity analyses, we found that changing posterior probability threshold above which record pairs were considered a match had limited impact on the results. ConclusionAlthough data linkage is widely used for epidemiologic research in high-income settings, its application to developing countries has been limited. We developed and validated a data linkage procedure that can be used to turn largely unstudied routine clinical and administrative data into robust estimates of disease burden. With the growing availability of computerized data, we propose our approach has strong potential to assist the production of disease burden statistics in developing countries where civil registration systems are weak.

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