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https://www.readbyqxmd.com/read/29336707/kyasanur-forest-disease-prevalence-in-western-ghats-proven-and-confirmed-by-recent-outbreak-in-maharashtra-india-2016
#1
Yogesh K Gurav, Pragya D Yadav, Mangesh D Gokhale, Tushar R Chiplunkar, Rajlakshmi Vishwanathan, Deepak Y Patil, Rajlaxmi Jain, Anita M Shete, Savita L Patil, G D Sarang, Gajanan N Sapkal, M D Andhare, Y R Sale, Pradeep S Awate, Devendra T Mourya
INTRODUCTION: Kyasanur forest disease (KFD) outbreak was confirmed in Dodamarg Taluka, Sindhudurga district (Maharashtra) in India during the year 2016. The rise in suspected KFD cases was reported in January 2016, peaked during March, and then declined gradually from April 2016. The outbreak was thoroughly investigated considering different socio-clinical parameters. METHODS: Total, 488 suspected KFD cases were investigated using KFD specific real-time RT-PCR and anti-KFDV IgM enzyme-linked immunosorbent assay (ELISA)...
January 16, 2018: Vector Borne and Zoonotic Diseases
https://www.readbyqxmd.com/read/29335033/should-capacity-assessments-be-performed-routinely-prior-to-discussing-advance-care-planning-with-older-people
#2
Oleg Kiriaev, Emme Chacko, J D Jurgens, Meagan Ramages, Phillipa Malpas, Gary Cheung
BACKGROUND: People with dementia receive worse end of life care compared to those with cancer. Barriers to undertaking advanced care planning (ACP) in people with dementia include the uncertainty about their capacity to engage in such discussions. The primary aim of this study was to compare the Advance Care Planning-Capacity Assessment Vignette tool (ACP-CAV) with a semi-structured interview adapted from the MacArthur Competence Assessment Tool-Treatment (MacCAT-T). The secondary aim was to identify demographic and cognitive functioning variables that may predict whether a person has capacity to discuss ACP...
January 16, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29334998/examining-human-paragonimiasis-as-a-differential-diagnosis-to-tuberculosis-in-the-gambia
#3
Richard Morter, Ifedayo Adetifa, Martin Antonio, Fatima Touray, Bouke C de Jong, Charlotte M Gower, Florian Gehre
OBJECTIVE: Paragonimiasis is a foodborne trematode infection of the lungs caused by Paragonimus spp., presenting clinically with similar symptoms to active tuberculosis (TB). Worldwide, an estimated 20.7 million people are infected with paragonimiasis, but relatively little epidemiological data exists for Africa. Given a recently reported case, we sought to establish whether paragonimiasis should be considered as an important differential diagnosis for human TB in The Gambia, West Africa...
January 15, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29325572/modeling-the-relationship-between-women-s-perceptions-and-future-intention-to-use-institutional-maternity-care-in-the-western-highlands-of-guatemala
#4
Emily Peca, John Sandberg
BACKGROUND: Despite global gains, women in hard-to-reach areas are at a relatively higher risk of death and disability related to childbirth. Traditional methods of measuring satisfaction may mask negative experiences (such as disrespect and abuse) that can drive down demand for institutional care. Better measurement of women's perceptions of care quality, especially among marginalized populations with historically low utilization of institutional care, are needed to inform how to improve services and foster greater utilization of (potentially life-saving) clinical care...
January 11, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29324858/mapping-the-geographical-distribution-of-podoconiosis-in-cameroon-using-parasitological-serological-and-clinical-evidence-to-exclude-other-causes-of-lymphedema
#5
Kebede Deribe, Amuam Andrew Beng, Jorge Cano, Abdel Jelil Njouendo, Jerome Fru-Cho, Abong Raphael Awah, Mathias Esum Eyong, Patrick W Chounna Ndongmo, Emanuele Giorgi, David M Pigott, Nick Golding, Rachel L Pullan, Abdisalan M Noor, Fikre Enquselassie, Christopher J L Murray, Simon J Brooker, Simon I Hay, Peter Enyong, Melanie J Newport, Samuel Wanji, Gail Davey
BACKGROUND: Podoconiosis is a non-filarial elephantiasis, which causes massive swelling of the lower legs. It was identified as a neglected tropical disease by WHO in 2011. Understanding of the geographical distribution of the disease is incomplete. As part of a global mapping of podoconiosis, this study was conducted in Cameroon to map the distribution of the disease. This mapping work will help to generate data on the geographical distribution of podoconiosis in Cameroon and contribute to the global atlas of podoconiosis...
January 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29310700/a-cross-sectional-study-of-the-filarial-and-leishmania-co-endemicity-in-two-ecologically-distinct-settings-in-mali
#6
Moussa Brema Sangare, Yaya Ibrahim Coulibaly, Siaka Yamoussa Coulibaly, Michel Emmanuel Coulibaly, Bourama Traore, Ilo Dicko, Ibrahim Moussa Sissoko, Sibiry Samake, Sekou Fantamady Traore, Thomas Bruce Nutman, Jesus Gilberto Valenzuela, Ousmane Faye, Shaden Kamhawi, Fabiano Oliveira, Roshanak Tolouei Semnani, Seydou Doumbia
BACKGROUND: Filariasis and leishmaniasis are two neglected tropical diseases in Mali. Due to distribution and associated clinical features, both diseases are of concern to public health. The goal of this study was to determine the prevalence of co-infection with filarial (Wuchereria bancrofti and Mansonella perstans) and Leishmania major parasites in two ecologically distinct areas of Mali, the Kolokani district (villages of Tieneguebougou and Bougoudiana) in North Sudan Savanna area, and the district of Kolondieba (village of Boundioba) in the South Sudan Savanna area...
January 8, 2018: Parasites & Vectors
https://www.readbyqxmd.com/read/29304780/the-influence-of-maternal-psychosocial-circumstances-and-physical-environment-on-the-risk-of-severe-wasting-in-rural-gambian-infants-a-mixed-methods-approach
#7
Helen M Nabwera, Sophie E Moore, Martha K Mwangome, Sassy C Molyneux, Momodou K Darboe, Nyima Camara-Trawally, Bakary Sonko, Alhagie Darboe, Seedy Singhateh, Anthony J Fulford, Andrew M Prentice
BACKGROUND: Severe wasting affects 16 million under 5's and carries an immediate risk of death. Prevalence remains unacceptably high in sub-Saharan Africa and early infancy is a high-risk period. We aimed to explore risk factors for severe wasting in rural Gambian infants. METHODS: We undertook a case-control study from November 2014 to June 2015, in rural Gambia. Cases had WHO standard weight-for-length z-scores (WLZ) < -3 on at least 1 occasion in infancy...
January 6, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29302544/morbidity-pattern-and-its-sociodemographic-determinants-among-elderly-population-of-raichur-district-karnataka-india
#8
Leyanna Susan George, Sanjay Deshpande, M K Krishna Kumar, Ramesh S Patil
Context: India is an "aging nation" with 7.7% of its population being above 60 years of age. It has resulted in a rise of both physical and mental health morbidities. Aims: This study aimed to gather information regarding the morbidity pattern and its sociodemographic determinants among the elderly residing in the rural villages of Raichur, to understand the need for geriatric health-care facilities. Settings and Design: This community-based cross-sectional study was carried out in six rural villages of Raichur District, of which 230 elderly were selected randomly...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29297380/recognition-of-and-care-seeking-for-maternal-and-newborn-complications-in-jayawijaya-district-papua-province-indonesia-a-qualitative-study
#9
Alfonso Rosales, Sigit Sulistyo, Oktarinda Miko, Lila K Hairani, Meita Ilyana, Joanne Thomas, Emily Hirata, Rhonda Holloway, Michael Bantung, Kristina Pabate, Candra Wijaya, Dennis Cherian
BACKGROUND: Indonesia's progress on reducing maternal and newborn mortality rates has slowed in recent years, predominantly in rural areas. To reduce maternal and newborn mortality, access to quality and skilled care, particularly at the facility level, is crucial. Yet, accessing such care is often delayed when maternal and newborn complications arise. Using the "Three Delays" model originated by Thaddeus and Maine (1994), investigation into reasons for delaying the decision to seek care, delaying arrival at a health facility, and delaying the receiving of adequate care, may help in establishing more focused interventions to improve maternal and newborn health in this region...
December 21, 2017: Journal of Health, Population, and Nutrition
https://www.readbyqxmd.com/read/29284439/facility-imposed-barriers-to-early-utilization-of-focused-antenatal-care-services-in-mangochi-district-malawi-a-mixed-methods-assessment
#10
Kondwani Chidzammbuyo Mamba, Adamson S Muula, William Stones
BACKGROUND: Focused Antenatal Care (FANC) is advocated by the World Health Organization (WHO) as a key service approach to improving the health of pregnant women. Four targeted visits to antenatal clinics are recommended starting in the first trimester. First trimester attendance for FANC in Mangochi District, Malawi was low at 8%. FANC has mainly been promoted through health facility based communication activities with less emphasis on activities at community level. We developed and tested a community focused health communication approach "Community Driven Total FANC Attendance (CDTFA)" with the aim of increasing FANC clinic attendance...
December 29, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29279284/re-emergence-of-pneumococcal-colonization-by-vaccine-serotype-19f-in-persons-aged-%C3%A2-5-years-after-13-valent-pneumococcal-conjugate-vaccine-introduction-alaska-2008-2013
#11
Prabhu P Gounder, Dana Bruden, Karen Rudolph, Tammy Zulz, Debby Hurlburt, Gail Thompson, Michael G Bruce, Thomas W Hennessy
BACKGROUND: The pneumococcal conjugate vaccine (PCV) was introduced in 2001. Widespread PCV use nearly eradicated pneumococcal colonization by vaccine serotypes. Since 2008, however, colonization by PCV-serotype 19F has increased in Alaska residents. We describe the epidemiology of re-emerging serotype 19F colonization. METHODS: We conducted annual cross-sectional colonization surveys from 2008 to 2013. We recruited children aged <5 years at 2 urban clinics and participants of all ages from Region-A (2 villages), Region-B (4 villages), and Region-C (2 villages)...
December 23, 2017: Vaccine
https://www.readbyqxmd.com/read/29247089/study-protocol-for-smartphone-monitoring-for-atrial-fibrillation-in-real-time-in-india-smart-india-a-community-based-screening-and-referral-programme
#12
Apurv Soni, Sunil Karna, Harshil Patel, Nisha Fahey, Shyamsundar Raithatha, Anna Handorf, John Bostrom, Syed Bashar, Kandarp Talati, Ravi Shah, Robert J Goldberg, Sunil Thanvi, Ajay Gajanan Phatak, Jeroan J Allison, Ki Chon, Somashekhar Marutirao Nimbalkar, David D McManus
INTRODUCTION: Atrial fibrillation (AF), the world's most common arrhythmia, often goes undetected and untreated in low-resource communities, including India, where AF epidemiology is undefined. AF is an important risk factor for stroke, which plagues an estimated 1.6 million Indians annually. As such, early detection of AF and management of high-risk patients is critically important to decrease stroke burden in individuals with AF. This study aims to describe the epidemiology of AF in Anand District, Gujarat, India, characterise the clinical profile of individuals who are diagnosed with AF and determine the performance of two mobile technologies for community-based AF screening...
December 14, 2017: BMJ Open
https://www.readbyqxmd.com/read/29243139/prevalence-and-risk-factors-of-japanese-encephalitis-virus-jev-in-livestock-and-companion-animal-in-high-risk-areas-in-malaysia
#13
Kiven Kumar, Siti Suri Arshad, Gayathri Thevi Selvarajah, Jalila Abu, Ooi Peck Toung, Yusuf Abba, Faruku Bande, A R Yasmin, Reuben Sharma, Bee Lee Ong, Anisah Abdul Rasid, Norsuzana Hashim, Amira Peli, E P Heshini, Ahmad Khusaini Mohd Kharip Shah
Japanese encephalitis (JE) is vector-borne zoonotic disease which causes encephalitis in humans and horses. Clinical signs for Japanese encephalitis virus (JEV) infection are not clearly evident in the majority of affected animals. In Malaysia, information on the prevalence of JEV infection has not been established. Thus, a cross-sectional study was conducted during two periods, December 2015 to January 2016 and March to August in 2016, to determine the prevalence and risk factors in JEV infections among animals and birds in Peninsular Malaysia...
December 14, 2017: Tropical Animal Health and Production
https://www.readbyqxmd.com/read/29237665/intermittent-catatonia-and-complex-automatisms-caused-by-frontal-lobe-epilepsy-in-dementia
#14
Robynne George, Alex Langford
An 82-year-old man was admitted to the emergency department following bizarre behaviour. Police had noticed him driving erratically through his village. He did not stop when instructed, drove slowly home and appeared 'vacant' on questioning. While in hospital, he had approximately 15 episodes of catatonia, involving rigidity, negativism, mutism except echolalia and perseveration, automatic obedience and utilisation phenomena, lasting 2-20 min each. Between episodes, he was amnestic but otherwise well. Electroencephalography demonstrated bifrontal slowing with left-sided emphasis, and captured two focal onset partial seizures with the clinical correlate of the syndrome described above...
December 13, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29232708/elimination-of-trachoma-as-a-public-health-problem-in-ghana-providing-evidence-through-a-pre-validation-survey
#15
Oscar Debrah, Ernest O Mensah, Laura Senyonjo, Dziedzom K de Souza, Tei E Hervie, David Agyemang, Didier Bakajika, Benjamin Marfo, Felix Ahorsu, Seth Wanye, Robin Bailey, Joseph B Koroma, Agatha Aboe, Nana-Kwadwo Biritwum
BACKGROUND: In order to achieve elimination of trachoma, a country needs to demonstrate that the elimination prevalence thresholds have been achieved and then sustained for at least a two-year period. Ghana achieved the thresholds in 2008, and since 2011 has been implementing its trachoma surveillance strategy, which includes community and school screening for signs of follicular trachoma and trichiasis, in trachoma-endemic districts. In 2015-2016, the country conducted a district level population-based survey to validate elimination of trachoma as a public health problem...
December 12, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29231837/the-primary-health-care-system-in-china
#16
REVIEW
Xi Li, Jiapeng Lu, Shuang Hu, K K Cheng, Jan De Maeseneer, Qingyue Meng, Elias Mossialos, Dong Roman Xu, Winnie Yip, Hongzhao Zhang, Harlan M Krumholz, Lixin Jiang, Shengshou Hu
China has made remarkable progress in strengthening its primary health-care system. Nevertheless, the system still faces challenges in structural characteristics, incentives and policies, and quality of care, all of which diminish its preparedness to care for a fifth of the world's population, which is ageing and which has a growing prevalence of chronic non-communicable disease. These challenges include inadequate education and qualifications of its workforce, ageing and turnover of village doctors, fragmented health information technology systems, a paucity of digital data on everyday clinical practice, financial subsidies and incentives that do not encourage cost savings and good performance, insurance policies that hamper the efficiency of care delivery, an insufficient quality measurement and improvement system, and poor performance in the control of risk factors (such as hypertension and diabetes)...
December 9, 2017: Lancet
https://www.readbyqxmd.com/read/29227323/small-scale-sustainable-water-project-decreases-infections-complements-short-term-medical-missions
#17
Linda Johanson, Carol Claypool
Many communities in developing countries do not have access to clean water, which is essential to health. This project involved the installation of clean water filters in two rural Guatemalan villages, a small-scale sustainable community project proposed by a short-term medical mission team and accomplished in partnership with local missionaries. The percentage of infections in adult visitors to medical clinics was assessed pre- and postinstallation of filters, and although not statistically significant, decreased...
December 7, 2017: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
https://www.readbyqxmd.com/read/29202773/process-evaluation-of-the-systematic-medical-appraisal-referral-and-treatment-smart-mental-health-project-in-rural-india
#18
Abha Tewari, Sudha Kallakuri, Siddhardha Devarapalli, Vivekanand Jha, Anushka Patel, Pallab K Maulik
BACKGROUND: Availability of basic mental health services is limited in rural areas of India. Health system and individual level factors such as lack of mental health professionals and infrastructure, poor awareness about mental health, stigma related to help seeking, are responsible for poor awareness and use of mental health services. We implemented a mental health services delivery model that leveraged technology and task sharing to facilitate identification and treatment of common mental disorders (CMDs) such as stress, depression, anxiety and suicide risk in rural areas of the state of Andhra Pradesh, India...
December 4, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/29202107/a-multi-level-spatial-analysis-of-clinical-malaria-and-subclinical-plasmodium-infections-in-pailin-province-cambodia
#19
Daniel M Parker, Rupam Tripura, Thomas J Peto, Richard J Maude, Chea Nguon, Jeremy Chalk, Pasathorn Sirithiranont, Mallika Imwong, Lorenz von Seidlein, Nicholas J White, Arjen M Dondorp
Background: The malaria burden is decreasing throughout the Greater Mekong Subregion, however transmission persists in some areas. Human movement, subclinical infections and complicated transmission patterns contribute to the persistence of malaria. This research describes the micro-geographical epidemiology of both clinical malaria and subclinical Plasmodium infections in three villages in Western Cambodia. Methods: Three villages in Western Cambodia were selected for the study based on high reported Plasmodium falciparum incidence...
November 2017: Heliyon
https://www.readbyqxmd.com/read/29189672/invasive-haemophilus-influenzae-serotype-a-infection-in-children-clinical-description-of-an-emerging-pathogen-alaska-2002-2014
#20
Ian D Plumb, Danielle Lecy, Rosalyn Singleton, Michael C Engel, Matthew Hirschfeld, James W Keck, Joseph Klejka, Karen M Rudolph, Thomas W Hennessy, Michael G Bruce
BACKGROUND: Invasive infections from Haemophilus influenzae serotype a (Hia) have been reported with increasing frequency, especially among indigenous populations. However there are limited population-based-studies of clinical severity. We studied invasive Hia infections in Alaska to determine clinical characteristics, mortality, and sequelae. METHODS: We defined an invasive Hia infection as the first detection of Hia from a usually sterile site in a child <10 years of age from Alaska...
November 17, 2017: Pediatric Infectious Disease Journal
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