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https://www.readbyqxmd.com/read/28735342/cataract-in-the-chronically-exposed-residents-of-the-techa-riverside-villages
#1
L D Mikryukova, A V Akleyev
The present study is based on a retrospective analysis of archive data of the Clinical Department of the Urals Research Center for Radiation Medicine that has been established to examine and treat accidentally exposed residents of the Urals Region. All individuals included in this study were examined by an ophthalmologist. The study of cataract incidence has been conducted retrospectively for the period from 1951 till 2000 among chronically exposed residents of the Techa riverside villages (6343 persons). Individual accumulated absorbed doses to soft tissues (analogue of eye dose) reached 1...
July 22, 2017: Radiation and Environmental Biophysics
https://www.readbyqxmd.com/read/28719271/trachomatous-scar-ranking-a-novel-outcome-for-trachoma-studies
#2
Angela Baldwin, Alexander M Ryner, Zerihun Tadesse, Ayalew Shiferaw, Kelly Callahan, Dionna M Fry, Zhaoxia Zhou, Thomas M Lietman, Jeremy D Keenan
AbstractWe evaluated a new trachoma scarring ranking system with potential use in clinical research. The upper right tarsal conjunctivas of 427 individuals from Ethiopian villages with hyperendemic trachoma were photographed. An expert grader first assigned a scar grade to each photograph using the 1981 World Health Organization (WHO) grading system. Then, all photographs were ranked from least (rank = 1) to most scarring (rank = 427). Photographic grading found 79 (18.5%) conjunctivae without scarring (C0), 191 (44...
June 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28717699/opportunistic-breast-cancer-education-and-screening-in-rural-honduras
#3
Linda S Kennedy, Suyapa A Bejarano, Tracy L Onega, Derek S Stenquist, Mary D Chamberlin
PURPOSE: In Honduras, the breast cancer burden is high, and access to women's health services is low. This project tested the connection of community-based breast cancer detection with clinical diagnosis and treatment in a tightly linked and quickly facilitated format. METHODS: The Norris Cotton Cancer Center at Dartmouth College partnered with the Honduran cancer hospital La Liga Contra el Cancer to expand a cervical cancer screening program, which included self-breast exam (SBE) education and clinical breast exams (CBEs), to assess patient attitudes about and uptake of breast cancer education and screening services...
August 2016: Journal of Global Oncology
https://www.readbyqxmd.com/read/28697803/effects-of-a-physical-activity-and-nutrition-program-in-retirement-villages-a-cluster-randomised-controlled-trial
#4
Jonine Jancey, Anne-Marie Holt, Andy Lee, Deborah Kerr, Suzanne Robinson, Li Tang, A S Anderson, Andrew Hills, Peter Howat
BACKGROUND: This cluster randomised controlled trial aimed to determine if a 6- month home-based intervention could improve the physical activity and dietary behaviours of adults aged 60 to 80 years living in retirement villages located in Perth, Western Australia. METHODS: Participants (n = 363) from 38 retirement villages were recruited into the trial and allocated to the intervention (n = 197: 17 sites) or control (n = 166: 21 sites) group and were blinded...
July 11, 2017: International Journal of Behavioral Nutrition and Physical Activity
https://www.readbyqxmd.com/read/28685035/initiating-a-participatory-action-research-process-in-the-agincourt-health-and-socio-demographic-surveillance-site
#5
Oghenebrume Wariri, Lucia D'Ambruoso, Rhian Twine, Sizzy Ngobeni, Maria van der Merwe, Barry Spies, Kathleen Kahn, Stephen Tollman, Ryan G Wagner, Peter Byass
BACKGROUND: Despite progressive health policy, disease burdens in South Africa remain patterned by deeply entrenched social inequalities. Accounting for the relationships between context, health and risk can provide important information for equitable service delivery. The aims of the research were to initiate a participatory research process with communities in a low income setting and produce evidence of practical relevance. METHODS: We initiated a participatory action research (PAR) process in the Agincourt health and socio-demographic surveillance site (HDSS) in rural north-east South Africa...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28678846/malaria-in-dielmo-a-senegal-village-is-its-elimination-possible-after-seven-years-of-implementation-of-long-lasting-insecticide-treated-nets
#6
Amélé Nyedzie Wotodjo, Souleymane Doucoure, Jean Gaudart, Nafissatou Diagne, Fatoumata Diene Sarr, Ngor Faye, Adama Tall, Didier Raoult, Cheikh Sokhna
BACKGROUND: The malaria burden has decreased significantly in recent years in Africa through the widespread use of artemisinin-based combination therapy (ACT) and long-lasting insecticide-treated nets (LLINs). However, the occurrence of malaria resurgences, the loss of immunity of exposed populations constitute among other factors, serious concerns about the future of malaria elimination efforts. This study investigated the evolution of malaria morbidity in Dielmo (Senegal) before and after the implementation of LLINs...
2017: PloS One
https://www.readbyqxmd.com/read/28676088/parasitological-and-biochemical-studies-on-cutaneous-leishmaniasis-in-shara-b-district-taiz-yemen
#7
Qhtan Asmaa, Salwa Al-Shamerii, Mohammed Al-Tag, Adam Al-Shamerii, Yiping Li, Bashir H Osman
BACKGROUND: The leishmaniasis is a group of diseases caused by intracellular haemoflagellate protozoan parasites of the genus Leishmania. Leishmaniasis has diverse clinical manifestations; cutaneous leishmaniasis (CL) is the most common form of leishmaniasis which is responsible for 60% of disability-adjusted life years. CL is endemic in Yemen. In Shara'b there is no reference study available to identify the prevalence of endemic diseases and no investigation has been conducted for diagnosing the diseases...
July 4, 2017: Annals of Clinical Microbiology and Antimicrobials
https://www.readbyqxmd.com/read/28673323/bracelet-and-self-directed-observational-therapy-for-control-of-tuberculosis-study-protocol-for-a-cluster-randomized-controlled-trial
#8
Ruixue Huang, Guofeng Ren, Jianan Hu
BACKGROUND: Approximately 80% of global tuberculosis (TB) cases occur in low-resource settings, with little opportunity for TB control. We hypothesized that the rapid increase in smartphone users and advances in digital technology would render bracelet-based applications possible; specifically, that bracelet- and self-directed observational therapy (BSDOT) can be used by patients with TB to ensure adherence to TB medication regimens and by basic village physicians to monitor care. This will ultimately allow TB to be controlled in low-resource environments...
July 4, 2017: Trials
https://www.readbyqxmd.com/read/28673251/efficacy-of-an-enhanced-linkage-to-hiv-care-intervention-at-improving-linkage-to-hiv-care-and-achieving-viral-suppression-following-home-based-hiv-testing-in-rural-uganda-study-protocol-for-the-ekkubo-path-cluster-randomized-controlled-trial
#9
Susan M Kiene, Seth C Kalichman, Katelyn M Sileo, Nicolas A Menzies, Rose Naigino, Chii-Dean Lin, Moses H Bateganya, Haruna Lule, Rhoda K Wanyenze
BACKGROUND: Though home-based human immunodeficiency virus (HIV) counseling and testing (HBHCT) is implemented in many sub-Saharan African countries as part of their HIV programs, linkage to HIV care remains a challenge. The purpose of this study is to test an intervention to enhance linkage to HIV care and improve HIV viral suppression among individuals testing HIV positive during HBHCT in rural Uganda. METHODS: The PATH (Providing Access To HIV Care)/Ekkubo Study is a cluster-randomized controlled trial which compares the efficacy of an enhanced linkage to HIV care intervention vs...
July 3, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28662043/treating-village-newcomers-and-travelers-for-trachoma-results-from-asante-cluster-randomized-trial
#10
Sheila K West, Beatriz Munoz, Harran Mkocha, Laura Dize, Charlotte A Gaydos, Bonnie Swenor, Ann-Margret Ervin, Thomas C Quinn
TRIAL DESIGN: Trachoma is targeted for global elimination. Infection rates with Chlamydia trachomatis are higher in new arrivals to a community and in travelers who leave for extended periods, suggesting they are sources of re-infection. This community-randomized, clinical trial was designed to determine if a surveillance program that targeted newcomers and travelers, identified weekly, would result in more communities achieving levels of infection of ≤1%. METHODS: 52 communities were randomly allocated 1:1 to the control (annual MDA alone if warranted) or intervention arm (annual MDA if warranted, plus a surveillance program to identify and treat newcomers and travelers)...
2017: PloS One
https://www.readbyqxmd.com/read/28647978/-severe-cases-with-hand-foot-and-mouth-disease-data-based-on-national-pilot-hand-foot-and-mouth-disease-surveillance-system
#11
Y M Zheng, Z R Chang, L L Jiang, H Ji, G P Chen, P Luo, J J Pan, X L Tian, L L Wei, D Huo, Z P Miao, X N Zou, J H Chen, Q H Liao
Objective: To investigate the clinical severity, etiological classification and risk factors of severe cases with hand, foot and mouth disease (HFMD). Methods: A total of 1 489 records on severe and fatal HFMD cases reported to the national pilot surveillance system of HFMD were used to analyze the demographic, medical treatment, etiological classification of the cases. Treatment outcome related risk factors were also studied with multi-variable stepwise logistic regression method. Results: Seven out of the 1 489 severe HFMD cases died of this disease...
June 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/28645969/protocol-for-the-residents-in-action-pilot-cluster-randomised-controlled-trial-riat-evaluating-a-behaviour-change-intervention-to-promote-walking-reduce-sitting-and-improve-mental-health-in-physically-inactive-older-adults-in-retirement-villages
#12
Cecilie Thøgersen-Ntoumani, Ashlene Wright, Eleanor Quested, Elissa Burton, Keith D Hill, Ester Cerin, Stuart J H Biddle, Nikos Ntoumanis
INTRODUCTION: Ageing is accompanied by increased risks of chronic disease, declined functioning and increased dependency. Physical activity is critical to retaining health and independence, but the majority of older people are insufficiently physically active to achieve these benefits and have high levels of sedentary (sitting) time. Activity programmes are often offered in retirement villages; however, their uptake is limited. Furthermore, although the physical environment in and around these villages can play an important role in decisions to be physically active, its role is often overlooked by research in these settings...
June 23, 2017: BMJ Open
https://www.readbyqxmd.com/read/28640131/paragonimiasis-in-children-in-southwest-china-a-retrospective-case-reports-review-from-2005-to-2016
#13
Zongrong Gong, Ruixue Miao, Min Shu, Yu Zhu, Yang Wen, Qin Guo, Qiong Liao, Chaomin Wan
BACKGROUND: Paragonimiasis infection has no specific symptoms or typical radiologic findings, leading to the possibility of misdiagnosis. Thus, the objective of this study was to analyze clinical and radiological features, and treatment outcome of paragonimiasis in children in Southwest China to improve the awareness of this disease. METHODS: We retrospectively reviewed the records of children diagnosed with paragonimiasis in West China Second University Hospital between 2005 and 2016...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28637467/imported-plasmodium-falciparum-and-locally-transmitted-plasmodium-vivax-cross-border-malaria-transmission-scenario-in-northwestern-thailand
#14
Patchara Sriwichai, Stephan Karl, Yudthana Samung, Kirakorn Kiattibutr, Jeeraphat Sirichaisinthop, Ivo Mueller, Liwang Cui, Jetsumon Sattabongkot
BACKGROUND: Cross-border malaria transmission is an important problem for national malaria control programmes. The epidemiology of cross-border malaria is further complicated in areas where Plasmodium falciparum and Plasmodium vivax are both endemic. By combining passive case detection data with entomological data, a transmission scenario on the northwestern Thai-Myanmar border where P. falciparum is likely driven by importation was described, whereas P. vivax is also locally transmitted...
June 21, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28600298/trematodal-granulomatous-uveitis-in-paediatric-egyptian-patients-a-case-series
#15
Amin Rm, Goweida Mb, El Goweini Hf, Bedda Am, Lotfy Wm, Gaballah Ah, Nadar Aa, Radwan Ae
PURPOSE: To describe the clinical presentations and results of laboratory analysis of waterborne ophthalmic granulomas of the anterior chamber (AC) in Egyptian patients. PARTICIPANTS: 110 patients with granulomatous anterior uveitis and distinctive AC nodules. DESIGN: Prospective, non-comparative, case series. METHODS: Demographic data including age, gender and place of residence were recorded. A full ophthalmic examination with emphasis on the inflammatory characteristics and systemic workup was performed...
June 9, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28599674/cluster-randomized-trial-of-a-mhealth-intervention-imtecho-to-improve-delivery-of-proven-maternal-neonatal-and-child-care-interventions-through-community-based-accredited-social-health-activists-ashas-by-enhancing-their-motivation-and-strengthening-supervision
#16
Dhiren Modi, Shrey Desai, Kapilkumar Dave, Shobha Shah, Gayatri Desai, Nishith Dholakia, Ravi Gopalan, Pankaj Shah
BACKGROUND: To facilitate the delivery of proven maternal, neonatal, and child health (MNCH) services, a new cadre of village-based frontline workers, called the Accredited Social Health Activists (ASHAs), was created in 2005 under the aegis of the National Rural Health Mission in India. Evaluations have noted that coverage of selected MNCH services to be delivered by the ASHAs is low. Reasons for low coverage are inadequate supervision and support to ASHAs apart from insufficient skills, poor quality of training, and complexity of tasks to be performed...
June 9, 2017: Trials
https://www.readbyqxmd.com/read/28596086/use-microbiological-effectiveness-and-health-impact-of-a-household-water-filter-intervention-in-rural-rwanda-a-matched-cohort-study
#17
Miles A Kirby, Corey L Nagel, Ghislaine Rosa, Marie Mediatrice Umupfasoni, Laurien Iyakaremye, Evan A Thomas, Thomas F Clasen
Unsafe drinking water is a substantial health risk contributing to child diarrhoea. We investigated impacts of a program that provided a water filter to households in rural Rwandan villages. We assessed drinking water quality and reported diarrhoea 12-24 months after intervention delivery among 269 households in the poorest tertile with a child under 5 from 9 intervention villages and 9 matched control villages. We also documented filter coverage and use. In Round 1 (12-18 months after delivery), 97.4% of intervention households reported receiving the filter, 84...
June 1, 2017: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/28588763/proof-of-concept-of-faecal-egg-nematode-counting-as-a-practical-means-of-veterinary-engagement-with-planned-livestock-health-management-in-a-lower-income-country
#18
Eithne Leahy, Barend Bronsvoort, Luke Gamble, Andrew Gibson, Henderson Kaponda, Dagmar Mayer, Stella Mazeri, Kate Shervell, Neil Sargison
BACKGROUND: The wellbeing and livelihood of farmers in impoverished regions of the world is intrinsically linked to the health and welfare of their livestock; hence improved animal health is a pragmatic component of poverty alleviation. Prerequisite knowledge and understanding of the animal health challenges facing cattle keepers in Malawi is constrained by the lack of veterinary infrastructure, which inevitably accompanies under-resourced rural development in a poor country. METHODS: We collaborated with public and private paraveterinary services to locate 62 village Zebu calves and 60 dairy co-operative calves dispersed over a wide geographical area...
2017: Irish Veterinary Journal
https://www.readbyqxmd.com/read/28579708/field-based-evidence-of-single-and-few-doses-of-annual-ivermectin-treatment-efficacy-in-eliminating-skin-microfilaria-load-after-a-decade-of-intervention
#19
Hudu O Osue
BACKGROUND: Impact assessment of community-based ivermectin treatment control of onchocerciasis is required to determine its effectiveness. This study was conducted to evaluate geographic coverage and demographic ivermectin treatment compliance. METHODS: The number of village dosage were obtained from the community based distributors. Bioclinical data of participants comprising gender, age, number of treatment received from inception and dosage were obtained. Each participant was subjected to physical examination for palpable nodule and other skin clinical signs and symptoms of onchocerciasis...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28567197/assessing-the-feasibility-of-mobile-phones-for-follow-up-of-acutely-unwell-children-presenting-to-village-clinics-in-rural-northern-malawi
#20
Victoria Hardy, Jenny Hsieh, Baxter Chirambo, Tsung-Shu Joseph Wu, John O'Donoghue, Adamson S Muula, Matthew Thompson
BACKGROUND: Patient follow-up is a routine component of clinical practice and valuable for evaluating the effectiveness of interventions, but because of the broad dispersion of health facilities and lack of standardised medical reporting in Malawi, collecting patient outcome data can be challenging. Increasing accessibility and affordability of mobile technology in resource-poor settings may facilitate patient follow-up in the community. The objective of this study was to evaluate the potential utility of mobile phones for collecting follow-up clinical data from parents or caregivers of acutely unwell under-5 children, for intervention evaluation purposes...
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
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