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https://www.readbyqxmd.com/read/28214093/educating-religious-leaders-to-promote-uptake-of-male-circumcision-in-tanzania-a-cluster-randomised-trial
#1
Jennifer A Downs, Agrey H Mwakisole, Alphonce B Chandika, Shibide Lugoba, Rehema Kassim, Evarist Laizer, Kinanga A Magambo, Myung Hee Lee, Samuel E Kalluvya, David J Downs, Daniel W Fitzgerald
BACKGROUND: Male circumcision is being widely deployed as an HIV prevention strategy in countries with high HIV incidence, but its uptake in sub-Saharan Africa has been below targets. We did a study to establish whether educating religious leaders about male circumcision would increase uptake in their village. METHODS: In this cluster randomised trial in northwest Tanzania, eligible villages were paired by proximity (<60 km) and the time that a free male circumcision outreach campaign from the Tanzanian Ministry of Health became available in their village...
February 14, 2017: Lancet
https://www.readbyqxmd.com/read/28209185/health-literacy-in-a-community-with-low-levels-of-education-findings-from-chakaria-a-rural-area-of-bangladesh
#2
Susmita Das, Mohammad Nahid Mia, Syed Manzoor Ahmed Hanifi, Shahidul Hoque, Abbas Bhuiya
BACKGROUND: Health literacy (HL) helps individuals to make effective use of available health services. In low-income countries such as Bangladesh, the less than optimum use of services could be due to low levels of HL. Bangladesh's health service delivery is pluralistic with a mix of public, private and informally trained healthcare providers. Emphasis on HL has been inadequate. Thus, it is important to assess the levels of HL and service utilization patterns. The findings from this study aim to bridge the knowledge gap...
February 16, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28209076/an-ethnopharmacological-study-of-aromatic-uyghur-medicinal-plants-in-xinjiang-china
#3
Lu Zhao, Shuge Tian, E Wen, Halmuart Upur
CONTEXT: An ethnobotanical survey was completed in a remote village and surrounding country of Xinjiang, where most Uyghur medicinal plants could be collected. This work clarifies and increases ethnobotanical data. OBJECTIVES: We surveyed and organized aromatic medicinal plants that are commonly used in clinical settings to provide a significant reference for studying new medical activities. MATERIALS AND METHODS: In the survey, informants who have traditional knowledge on aromatic Uyghur medicinal plants were interviewed between March 2014 and September 2014...
December 2017: Pharmaceutical Biology
https://www.readbyqxmd.com/read/28208885/study-on-distribution-of-scorpions-to-provide-prevention-and-interventions-in-combating-scorpionism-in-poldokhtar-county-lorestan-province-iran
#4
Mansour Nazari, Rastgar Hassan
INTRODUCTION: Scorpions are arthropods of medical importance classified in the class Arachnida, inhabiting hot and dry environments. All scorpions have a venomous sting and several thousand people die each year from scorpion stings, but this mortality is due to the venom of about 25 species located in northern Africa, the Middle East, India, Mexico and parts of South America. Poldokhtar County belongs to one of the southern cities of Lorestan Province, providing suitable habitats for many different species of scorpions due to its specific climatic conditions...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28196115/nutritional-assessment-of-community-dwelling-older-adults-in-rural-nepal
#5
Saruna Ghimire, Binaya Kumar Baral, Karen Callahan
BACKGROUND: Demographic transition in Nepal, like in many developing countries, has resulted in a burgeoning elderly population whose health status is not currently monitored. One pillar of health is adequate nutrition. Yet, little is known about the nutritional health status of the elderly in Nepal. The financial, material, and personnel limitations in Nepal's health delivery services necessitate health screening instruments that require minimal clinical staff and resources. To our knowledge, no such nutritional assessment tool has been validated in Nepal...
2017: PloS One
https://www.readbyqxmd.com/read/28187202/asymptomatic-leishmaniasis-in-kala-azar-endemic-areas-of-malda-district-west-bengal-india
#6
Pabitra Saha, Swagata Ganguly, Moytrey Chatterjee, Soumendu Bikash Das, Pratip K Kundu, Subhasish K Guha, Tamal K Ghosh, Dilip K Bera, Nandita Basu, Ardhendu K Maji
Asymptomatic leishmaniasis may drive the epidemic and an important challenge to reach the goal of joint Visceral Leishmaniasis (VL) elimination initiative taken by three Asian countries. The role of these asymptomatic carriers in disease transmission, prognosis at individual level and rate of transformation to symptomatic VL/Post Kala-azar Dermal Leishmaniasis (PKDL) needs to be evaluated. Asymptomatic cases were diagnosed by active mass survey in eight tribal villages by detecting antileishmanial antibody using rK39 based rapid diagnostic kits and followed up for three years to observe the pattern of sero-conversion and disease transformation...
February 10, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28143518/submicroscopic-plasmodium-prevalence-in-relation-to-malaria-incidence-in-20-villages-in-western-cambodia
#7
Rupam Tripura, Thomas J Peto, Christianne C Veugen, Chea Nguon, Chan Davoeung, Nicola James, Mehul Dhorda, Richard J Maude, Jureeporn Duanguppama, Krittaya Patumrat, Mallika Imwong, Lorenz von Seidlein, Martin P Grobusch, Nicholas J White, Arjen M Dondorp
BACKGROUND: Cambodia has seen a marked reduction in the incidence of Plasmodium falciparum over the past decade without a corresponding decline in Plasmodium vivax incidence. It is unknown to what extent local transmission is sustained by a chain of clinical and sub-clinical infections or by continued re-introduction via migration. Using an ultrasensitive molecular technique, 20 villages in western Cambodia were surveyed to detect the low season prevalence of P. falciparum and P. vivax and local treatment records were reviewed...
January 31, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28121243/local-terms-and-understandings-of-mental-health-problems-in-burundi
#8
Pacifique Irankunda, Laurie Heatherington, Jessica Fitts
A pilot study and two intensive studies were conducted to document the local vocabularies used by Burundians to describe mental health problems and their understandings about the causes. The pilot study-in which 14 different large groups of community members awaiting appointments at a village health clinic were engaged in open-ended discussions of the local terminology and causal beliefs about mental health problems-suggested three key syndromes: akabonge (a set of depression-like symptoms), guhahamuka (a set of trauma-related symptoms), and ibisigo (a set of psychosis-like symptoms)...
February 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28118354/integrated-mapping-of-yaws-and-trachoma-in-the-five-northern-most-provinces-of-vanuatu
#9
Fasihah Taleo, Colin K Macleod, Michael Marks, Oliver Sokana, Anna Last, Rebecca Willis, Mackline Garae, Annie Bong, Brian K Chu, Paul Courtright, Jacob Kool, George Taleo, Jean Jacque Rory, Anthony W Solomon
Yaws and trachoma are targeted for eradication and elimination as public health problems. In trachoma-endemic populations mass administration of azithromycin can simultaneously treat yaws. We conducted a population-based prevalence survey in the five northernmost provinces of Vanuatu, where trachoma and yaws are suspected to be co-endemic. Clinical signs of trachoma were evaluated using the WHO simplified grading system, and skin examination with a serological rapid diagnostic test used to identify yaws. We enrolled 1004 households in 59 villages over 16 islands, and examined 3650 individuals of all ages for trachoma...
January 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28107877/demography-and-health-of-village-dogs-in-rural-western-uganda
#10
David Hyeroba, Sagan Friant, Johnson Acon, James Okwee-Acai, Tony L Goldberg
"Village dogs" in developing economies are assumed to be heavily burdened by infectious disease. We followed a cohort of 61 village dogs in rural western Uganda prospectively for fifteen months to measure changes in health and demographic outcomes, and to examine risk factors for morbidity and mortality. The mean (±standard deviation) number of dogs per household was 2.4 (±2.0), of which 56.0% were male and 44.0% female. For females, average age at first estrus was 1.7 (±0.6)years with a mean litter size of 3...
February 1, 2017: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/28103310/epidemiological-and-molecular-characterization-of-a-mexican-population-isolate-with-high-prevalence-of-limb-girdle-muscular-dystrophy-type-2a-due-to-a-novel-calpain-3-mutation
#11
Carlos A Pantoja-Melendez, Antonio Miranda-Duarte, Bladimir Roque-Ramirez, Juan C Zenteno
Limb-Girdle Muscular Dystrophy type 2 (LGMD2) is a group of autosomally recessive inherited disorders defined by weakness and wasting of the shoulder and pelvic girdle muscles. In the past, several population isolates with high incidence of LGMD2 arising from founder mutation effects have been identified. The aim of this work is to describe the results of clinical, epidemiologic, and molecular studies performed in a Mexican village segregating numerous cases of LGMD2. A population census was conducted in the village to identify all LGMD affected patients...
2017: PloS One
https://www.readbyqxmd.com/read/28095904/evaluation-of-the-tsima-community-mobilization-intervention-to-improve-engagement-in-hiv-testing-and-care-in-south-africa-study-protocol-for-a-cluster-randomized-trial
#12
Sheri A Lippman, Audrey Pettifor, Dumisani Rebombo, Aimée Julien, Ryan G Wagner, Mi-Suk Kang Dufour, Chodziwadziwa Whiteson Kabudula, Torsten B Neilands, Rhian Twine, Ann Gottert, F Xavier Gómez-Olivé, Stephen M Tollman, Ian Sanne, Dean Peacock, Kathleen Kahn
BACKGROUND: HIV transmission can be decreased substantially by reducing the burden of undiagnosed HIV infection and expanding early and consistent use of antiretroviral therapy (ART). Treatment as prevention (TasP) has been proposed as key to ending the HIV epidemic. To activate TasP in high prevalence countries, like South Africa, communities must be motivated to know their status, engage in care, and remain in care. Community mobilization (CM) has the potential to significantly increase uptake testing, linkage to and retention in care by addressing the primary social barriers to engagement with HIV care-including poor understanding of HIV care; fear and stigma associated with infection, clinic attendance and disclosure; lack of social support; and gender norms that deter men from accessing care...
January 17, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28078947/monitoring-of-plasmodium-infection-in-humans-and-potential-vectors-of-malaria-in-a-newly-emerged-focus-in-southern-iran
#13
Mohsen Kalantari, Zahra Soltani, Mostafa Ebrahimi, Masoud Yousefi, Masoumeh Amin, Ayda Shafiei, Kourosh Azizi
Despite control programs, which aim to eliminate malaria from Iran by 2025, transmission of malaria has not been removed from the country. This study aimed to monitor malaria from asymptomatic parasitaemia and clinical cases from about one year of active case surveillance and potential vectors of malaria in the newly emerged focus of Mamasani and Rostam, southern Iran during 2014-2015. Samples were collected and their DNAs were extracted for Polymerase Chain Reaction (PCR) assay using specific primers for detection of Plasmodium species...
February 2017: Pathogens and Global Health
https://www.readbyqxmd.com/read/28077750/the-association-between-neurocysticercosis-and-hippocampal-atrophy-is-related-to-age
#14
Oscar H Del Brutto, Naoum P Issa, Perla Salgado, Victor J Del Brutto, Mauricio Zambrano, Julio Lama, Héctor H García
Neurocysticercosis (NCC) has been associated with hippocampal atrophy, but the prevalence and pathogenic mechanisms implicated in this relationship are unknown. Using a population-based, case-control study design, residents in a rural village (Atahualpa) aged ≥ 40 years with calcified NCC were identified as cases and paired to NCC-free individuals (control subjects) matched by age, sex, and level of education. Cases and control subjects underwent magnetic resonance imaging for hippocampal rating according to the Scheltens' scale for medial temporal atrophy and were interviewed to identify those with a clinical seizure disorder...
January 11, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28056038/comparison-of-primary-care-experiences-in-village-clinics-with-different-ownership-models-in-guangdong-province-china
#15
Shanshan Feng, Leiyu Shi, Jiazhi Zeng, Wen Chen, Li Ling
OBJECTIVES: In order to improve the quality of services at village clinics (VCs), which are important primary care service providers in rural China, the Chinese government has encouraged the township hospitals to own and manage VCs. There are currently three models of ownership and management of VCs: township hospital-owned and -managed (HVC), village committee-owned and -managed (VVC), and private-owned and -managed (PVC). This study aims to examine the association between these ownership models of VCs and patients' primary care experiences...
2017: PloS One
https://www.readbyqxmd.com/read/28034768/characteristics-and-epidemiological-profile-of-buruli-ulcer-in-the-district-of-tiassal%C3%A3-south-c%C3%A3-te-d-ivoire
#16
Raymond R T A S N'krumah, Brama Koné, Guéladio Cissé, Marcel Tanner, Jürg Utzinger, Gerd Pluschke, Issaka Tiembré
Buruli ulcer (BU) is a cutaneous infectious disease caused by Mycobacterium ulcerans. It is the third most common mycobacterial disease in the world in the immunocompetent patient and second in Côte d'Ivoire after tuberculosis. This study aimed to assess the characteristics and epidemiological profile of BU in the district of Tiassalé, an important focus of the disease in south Côte d'Ivoire, in order to better direct actions for prevention and control. Retrospective clinical data of BU cases in the period 2005-2010 from all 19 district health centres were collected and linked with geographical and environmental survey data...
December 26, 2016: Acta Tropica
https://www.readbyqxmd.com/read/28024856/newcastle-disease-vaccines-a-solved-problem-or-a-continuous-challenge
#17
Kiril M Dimitrov, Claudio L Afonso, Qingzhong Yu, Patti J Miller
Newcastle disease (ND) has been defined by the World Organisation for Animal Health as infection of poultry with virulent strains of Newcastle disease virus (NDV). Lesions affecting the neurological, gastrointestinal, respiratory, and reproductive systems are most often observed. The control of ND must include strict biosecurity that prevents virulent NDV from contacting poultry, and also proper administration of efficacious vaccines. When administered correctly to healthy birds, ND vaccines formulated with NDV of low virulence or viral-vectored vaccines that express the NDV fusion protein are able to prevent clinical disease and mortality in chickens upon infection with virulent NDV...
December 16, 2016: Veterinary Microbiology
https://www.readbyqxmd.com/read/27989266/the-mountainous-cretan-dietary-patterns-and-their-relationship-with-cardiovascular-risk-factors-the-hellenic-isolated-cohorts-manolis-study
#18
Aliki-Eleni Farmaki, Nigel William Rayner, Angela Matchan, Panagiota Spiliopoulou, Arthur Gilly, Vasiliki Kariakli, Chrysoula Kiagiadaki, Emmanouil Tsafantakis, Eleftheria Zeggini, George Dedoussis
OBJECTIVE: We carried out de novo recruitment of a population-based cohort (MANOLIS study) and describe the specific population, which displays interesting characteristics in terms of diet and health in old age, through deep phenotyping. DESIGN: Cross-sectional study where anthropometric, biochemical and clinical measurements were taken in addition to interview-based completion of an extensive questionnaire on health and lifestyle parameters. Dietary patterns were derived through principal component analysis based on a validated FFQ...
December 19, 2016: Public Health Nutrition
https://www.readbyqxmd.com/read/27987380/coxiella-burnetii-q-fever-prevalence-in-associated-populations-of-humans-and-small-ruminants-in-the-gambia
#19
Jeroen Bok, Lenny Hogerwerf, Eveline A Germeraad, Hendrik I J Roest, Tisbeh Faye-Joof, Momodou Jeng, Davis Nwakanma, Arss Secka, Arjan Stegeman, Bart Goossens, Rita Wegmüller, Marianne A B van der Sande, Wim van der Hoek, Ousman Secka
OBJECTIVES: To simultaneously estimate the prevalence of antibodies against Coxiella burnetii (Q fever) among adults and small ruminants, and C. burnetii shedding prevalence among small ruminants in households in the Kiang West district of The Gambia; and to assess associated risk factors. METHODS: Sera of 599 adults and 615 small ruminants from 125 compounds within 12 villages were tested for antibodies against C. burnetii using ELISA. Vaginal swabs and milk samples of 155 small ruminants were tested using PCR to investigate shedding of C...
December 17, 2016: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/27976565/different-clinical-spectrum-of-leptospirosis
#20
Fatma Deniz Aygün, Pınar Özge Avar-Aydın, Haluk Çokuğraş, Yıldız Camcıoğlu
Leptospirosis is a prevalent zoonotic disease. Human infection usually occurs through exposure to environmental sources. Clinical course of leptospirosis is variable. We presented five patients, aged between 4-14 years, having a history of contact with rodents and symptoms 7-10 days after contact. The first three cases were relatives and had contact with dead rats after applying insecticides to bakery across from their house. The first case diagnosed as isolated meningitis, others as flu-like illness. The fourth case had a contact history with a rat inundate in the canalization and diagnosed as acute hepatitis...
2016: Turkish Journal of Pediatrics
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