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village clinic

Sumit Malhotra, Praveen Vashist, Mani Kalaivani, Noopur Gupta, Suraj Singh Senjam, Ramashankar Rath, Sanjeev Kumar Gupta
OBJECTIVES: To determine the prevalence, causes and associated factors for visual impairment (VI) in rural population of Jhajjar district, Haryana, north India. METHODS: A community-based, cross-sectional study was conducted in two blocks of Jhajjar district. A total of 34 villages were selected using probability proportionate to size sampling method. Adults aged 50 years and above were selected using compact segment cluster sampling approach. Presenting visual acuity using LogMAR E chart was measured along with collection of other demographic details as part of the house-to-house survey...
March 17, 2018: BMJ Open
Zhao Xiao-Dong, Han Du-Ju, Yu Qiu-Yan, Xu Shu-Hui
OBJECTIVE: To analyze the epidemiological characteristics of malaria reported in the malaria surveillance system in Jinan City from 2012 to 2016, so as to provide the evidence for improving the ability of diagnosis, treatment, prevention and control of malaria. METHODS: The data of all reported malaria cases in the malaria surveillance system were retrospectively analyzed. RESULTS: From 2012 to 2016, 91 malaria cases were found in Jinan City, of which one patient died...
October 24, 2017: Zhongguo Xue Xi Chong Bing Fang Zhi za Zhi, Chinese Journal of Schistosomiasis Control
Hoyce Amini Mshida, Neema Kassim, Emmanuel Mpolya, Martin Kimanya
Undernutrition among under-five children is a public health concern in developing countries and has been linked with poor water, sanitation and hygiene (WASH) practices. This study aimed at assessing WASH practices and its association with nutritional status of under-five children in semi-pastoral communities of Arusha. The study was cross-sectional in design. Mother-child pairs from 310 households in four villages of Monduli and Longido were involved. Weight and height of children were measured using weighing scale and length/height board, respectively...
March 12, 2018: American Journal of Tropical Medicine and Hygiene
Patcharawan Suwannarat, Pipatana Amatachaya, Thanat Sooknuan, Patiphan Tochaeng, Kanjana Kramkrathok, Thiwabhorn Thaweewannakij, Nuttaset Manimmanakorn, Sugalya Amatachaya
C7WD is a practical, valid, and reliable measure that could clearly indicate a risk of hyperkyphosis and vertebral fracture in the elderly. The findings might be particularly of use in regions difficult to access radiology or for the determination of those who need further invasive radiologic examination and therapy. PURPOSE: To investigate psychometric properties of the 7th cervical vertebra wall distance (C7WD) to determine the risk of thoracic hyperkyphosis and spinal fracture, as compared to a standard radiologic Cobb's method...
March 12, 2018: Archives of Osteoporosis
Karl Krupp, Caitlyn D Placek, Meredith Wilcox, Kavitha Ravi, Vijaya Srinivas, Anjali Arun, Purnima Madhivanan
OBJECTIVE: According to the World Health Organization, about half of all pregnant women in India suffer from some form of anemia. While poor nutrition is the most common cause, social factors, such as gender and religion, also impact anemia status. This study investigates the relationship between anemia and socioeconomic and health-related factors among pregnant women in Mysore, India. DESIGN: Prospective cohort study conducted between January 2009 and 2012 SETTING: 144 rural villages ten or more kilometers outside of Mysore City received integrated antenatal care and HIV testing services provided by mobile medical clinic in their communities...
February 20, 2018: Midwifery
Rupam Tripura, Thomas J Peto, Chea Nguon, Chan Davoeung, Mavuto Mukaka, Pasathorn Sirithiranont, Mehul Dhorda, Cholrawee Promnarate, Mallika Imwong, Lorenz von Seidlein, Jureeporn Duanguppama, Krittaya Patumrat, Huy Rekol, Martin P Grobusch, Nicholas P J Day, Nicholas J White, Arjen M Dondorp
Background: The increase in multidrug resistant Plasmodium falciparum in Southeast Asia suggests a need for acceleration of malaria elimination. We evaluated the effectiveness and safety of mass drug administrations (MDA) to interrupt malaria transmission. Methods: Four malaria-endemic villages in western Cambodia were randomized to three rounds of MDA (a three-day course of dihydroartemisinin with piperaquine-phosphate), administered in either early or at the end of the study-period...
March 7, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Niklaus D Labhardt, Isaac Ringera, Thabo I Lejone, Thomas Klimkait, Josephine Muhairwe, Alain Amstutz, Tracy R Glass
Importance: Home-based HIV testing is a frequently used strategy to increase awareness of HIV status in sub-Saharan Africa. However, with referral to health facilities, less than half of those who test HIV positive link to care and initiate antiretroviral therapy (ART). Objective: To determine whether offering same-day home-based ART to patients with HIV improves linkage to care and viral suppression in a rural, high-prevalence setting in sub-Saharan Africa. Design, Setting, and Participants: Open-label, 2-group, randomized clinical trial (February 22, 2016-September 17, 2017), involving 6 health care facilities in northern Lesotho...
March 6, 2018: JAMA: the Journal of the American Medical Association
Vatinee Sukmak, Sirirat Sipola
Little is known about access to healthcare services among people with mental illness in rural Thailand. This study describes a contextual understanding of access to mental healthcare services for people with mental illness in three selected villages located in a rural district in Northeastern Thailand. An ethnographic approach was adopted wherein in-depth interviews and site observation were conducted. In all, 14 participants were interviewed, 9 persons with mental illness and 5 caregivers, between January and July in 2017...
March 6, 2018: Issues in Mental Health Nursing
Maftuch Maftuch, Ellana Sanoesi, Ichfat Farichin, Bagus Amin Saputra, Luqman Ramdhani, Sarifa Hidayati, Nurul Fitriyah, Asep A Prihanto
This research aims to investigate the clinical symptoms of Myxobolus sp.-infected Koi carp ( Cyprinus carpio ) and to observe fish histopathology including histological alteration in the intestine, kidney, and liver organs. Descriptive method was employed in this research. The fish sample was obtained from Fish Farmer Group at Nglegok Village in Blitar City. The main observed parameters were the alteration of intestine, kidney, and liver of Koi infected with Myxobolus sp. parasite. The observation result of the histopathology of the parasite-infected fish indicated that necrosis and cyst occurred in the intestine...
March 2018: Journal of Parasitic Diseases: Official Organ of the Indian Society for Parasitology
James S Miller, Lacey English, Michael Matte, Rapheal Mbusa, Moses Ntaro, Shem Bwambale, Jessica Kenney, Mark J Siedner, Raquel Reyes, Patrick T Lee, Edgar Mulogo, Geren S Stone
BACKGROUND: Village health workers (VHWs) in five villages in Bugoye subcounty (Kasese District, Uganda) provide integrated community case management (iCCM) services, in which VHWs evaluate and treat malaria, pneumonia, and diarrhoea in children under 5 years of age. VHWs use a "Sick Child Job Aid" that guides them through the evaluation and treatment of these illnesses. A retrospective observational study was conducted to measure the quality of iCCM care provided by 23 VHWs in 5 villages in Bugoye subcounty over a 2-year period...
February 27, 2018: Malaria Journal
Erin Perfect, Atul Jaiswal, Theresa Claire Davies
The purpose of this study is to systematically review published evidence regarding the development, use and effectiveness of assistive devices and technologies that enable internet access for individuals who are deafblind. Eight electronic research databases (CINAHL, Embase, Engineering Village MEDLINE, PsycINFO, PubMed, Cochrane Library, and Web of Science) and three clinical trials registries (ISRCTN Registry, WHO ICTRP, and ClinicalTrials,gov) were searched. Seven articles met the inclusion criteria for this systematic review...
February 26, 2018: Assistive Technology: the Official Journal of RESNA
Konstantinos Mavridis, Emmanouil A Fotakis, Ilias Kioulos, Spiridoula Mpellou, Spiros Konstantas, Evangelia Varela, Sandra Gewehr, Vasilis Diamantopoulos, John Vontas
During July-October 2017 a WNV outbreak took place in the Peloponnese, Southern Greece with five confirmed deaths. During routine monitoring survey in the Peloponnese, supported by the local Prefecture, we have confirmed the presence of all three Culex pipiens biotypes in the region, with a high percentage of Culex pipiens/molestus hybrids (37.0%) which are considered a highly competent vector of WNV. Kdr mutations related to pyrethroid resistance were found at relatively low levels (14.3% homozygosity) while no mosquitoes harboring the recently identified chitin synthase diflubenzuron-resistance mutations were detected in the region...
February 20, 2018: Acta Tropica
Joseph Okebe, Joan Muela Ribera, Julie Balen, Fatou Jaiteh, Yoriko Masunaga, Davis Nwakanma, John Bradley, Shunmay Yeung, Koen Peeters Grietens, Umberto D'Alessandro
BACKGROUND: Systematic treatment of all individuals living in the same compound of a clinical malaria case may clear asymptomatic infections and possibly reduce malaria transmission, where this is focal. High and sustained coverage is extremely important and requires active community engagement. This study explores a community-based approach to treating malaria case contacts. METHODS/DESIGN: This is a cluster-randomized trial to determine whether, in low-transmission areas, treating individuals living in the same compound of a clinical malaria case with dihydroartemisinin-piperaquine can reduce parasite carriage and thus residual malaria transmission...
February 20, 2018: Trials
Quan-Quan Song, Hui Liu, Wei Lian, Yue Wang, Li-Yan Sun, Mei Gao, Yun-Qi Liu, Hong-Xia Deng, Qing Deng, Ning Liu, Jun Yu
When screening for Kashin-Beck disease (KBD) in children, hand X-ray examination is the most important measure. However, there is high rate of misdiagnosis because of confusing X-ray signs. We studied the characteristics of positive and confusing hand X-ray signs. Clinical and radiological examinations were conducted in all 7- to 12-year-olds in selected villages from some KBD and non-KBD areas. We analysed the radiological and epidemiological characteristics of the X-ray signs of KBD and the confusing signs...
February 19, 2018: Scientific Reports
Khushboo Yamima Nand, Anu Mary Oommen, Rabin Kurudamannil Chacko, Vinod Joseph Abraham
Background: Chronic periodontitis is a common cause of poor oral health globally. Those at higher risk of this preventable and easily treatable condition need to be identified so that efforts can be taken to decrease disease burden and subsequent consequences. Aims: The aims of the study were (1) To compare the prevalence of chronic periodontitis among individuals with and without type 2 diabetes, aged 35-65 years from a rural block in Vellore, Tamil Nadu and (2) to assess risk factors for chronic periodontitis among individuals with diabetes...
July 2017: Journal of Indian Society of Periodontology
Emmanuelle Kumaran, Dyna Doum, Vanney Keo, Ly Sokha, BunLeng Sam, Vibol Chan, Neal Alexander, John Bradley, Marco Liverani, Didot Budi Prasetyo, Agus Rachmat, Sergio Lopes, Jeffrey Hii, Leang Rithea, Muhammad Shafique, John Hustedt
BACKGROUND: Globally there are an estimated 390 million dengue infections per year, of which 96 million are clinically apparent. In Cambodia, estimates suggest as many as 185,850 cases annually. The World Health Organization global strategy for dengue prevention aims to reduce mortality rates by 50% and morbidity by 25% by 2020. The adoption of integrated vector management approach using community-based methods tailored to the local context is one of the recommended strategies to achieve these objectives...
February 2018: PLoS Neglected Tropical Diseases
XingRong Shen, Manman Lu, Rui Feng, Jing Cheng, Jing Chai, Maomao Xie, Xuemeng Dong, Tao Jiang, Debin Wang
BACKGROUND: Excessive use of antibiotics is very common worldwide, especially in rural China; various measures that have been used in curbing the problem have shown only marginal effects. OBJECTIVE: The objective of this study was to test an innovative intervention that provided just-in-time information and feedback (JITIF) to village doctors on care of common infectious diseases. METHODS: The information component of JITIF consisted of a set of theory or evidence-based ingredients, including operation guideline, public commitment, and takeaway information, whereas the feedback component tells each participating doctor about his or her performance scores and percentages of antibiotic prescriptions...
February 14, 2018: Journal of Medical Internet Research
Mario Giuliano, Anum Shaikh, Hin Ching Lo, Grazia Arpino, Sabino De Placido, Xiang H Zhang, Massimo Cristofanilli, Rachel Schiff, Meghana V Trivedi
Circulating tumor cell (CTC) clusters may represent one of the key mechanisms initiating the metastasis process. However, the series of pathophysiologic events by which CTC clusters originate, enter the circulation, and reach the distant sites remain to be identified. The cellular and molecular mechanisms that provide survival advantage for CTC clusters during the transit in the blood stream are also still largely unknown. Understanding the biology of CTC clusters is critical to assess this unified scheme employed by cancer and to device strategies to overcome key pathways responsible for their improved metastatic potential...
February 2, 2018: Cancer Research
Mingsheng Chen, Dongfu Qian, Zhanchun Feng, Lei Si
OBJECTIVES: Government healthcare subsidies for healthcare facilities play a significant role in providing more extensive healthcare access to patients, especially poor ones. However, equitable distribution of these subsidies continues to pose a challenge in rural ethnic minority areas of China. This study aimed to evaluate the benefits distribution of outpatient services across different socioeconomic populations in China's rural ethnic minority areas. SETTING: Inner Mongolia Autonomous Region, Xinjiang Autonomous Region and Qinghai Province...
February 3, 2018: BMJ Open
Mengjie Diao, Xingrong Shen, Jing Cheng, Jing Chai, Rui Feng, Panpan Zhang, Rongyao Zhou, Helen Lambert, Debin Wang
OBJECTIVE: To investigate the occurrence of reported respiratory tract infection (RTI) symptoms and their effects on use of self and professional care among patients in the community. DESIGN: A cross-sectional retrospective household survey. SETTING: 12 administrative villages from rural Anhui, China. PARTICIPANTS: 2160 rural adult residents aged ≥18 years registered as rural residents and actually living in the sampled villages when this study was conducted...
February 3, 2018: BMJ Open
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