1) The Sheffield Infection Group conducted outreach testing for hepatitis B in high-risk ethnic communities in Sheffield using dried blood spot testing and community education.
2) They tested 231 people from 2012-2011, finding several cases of chronic hepatitis B infection.
3) Feedback showed full acceptance of the outreach strategy and testing method, facilitating diagnosis and access to treatment for at-risk groups.
A SuperMinds 2014 Talk by Tim Verbelen (iMinds - IBCN – UGent).
Currently Cloud Computing is a hot topic in computer science. Recently, with the rising popularity of wearable and smart devices, resources are not only clustered in datacenters, but are also present everywhere around you: Instead of a distant Cloud you are surrounded by a Fog. However, since the beginning of computer networks, people already had the vision of intelligent interconnected devices everywhere. Are we there yet, and what are the challenges still to be tackled?
Dunkin Donuts India - Event & Activation Strategy IdeaSoumitra Roy
The following is an Event and Activation Strategy idea presentation for Dunkin Donuts India made by Advertising and Public Relations students of Indian Institute of Mass Communication, New Delhi
Other SEP Activities - 17th Texas HIV/STD ConferenceDan Bigg
Implications of Lifting the Federal Funding Ban on Syringe Exchange at Texas HIV/STD Conference. Powerpoint by Dan Bigg, Chicago Recovery Alliance. Please use with credit to Chicago Recovery Alliance. Dan @ cra@attglobal.net or anypositivechange.org
New faces of tuberculosis: new chellenges requiring new solutionsJean Jacques Bernatas
TB reflects poverty, and while it accompanies Humankind for 70,000 years, this disease presents new faces for which new solutions must be implemented to move towards TB elimination by 2030. Finally a better coordination between all stakeholders is instrumental for winning this fight.
A SuperMinds 2014 Talk by Tim Verbelen (iMinds - IBCN – UGent).
Currently Cloud Computing is a hot topic in computer science. Recently, with the rising popularity of wearable and smart devices, resources are not only clustered in datacenters, but are also present everywhere around you: Instead of a distant Cloud you are surrounded by a Fog. However, since the beginning of computer networks, people already had the vision of intelligent interconnected devices everywhere. Are we there yet, and what are the challenges still to be tackled?
Dunkin Donuts India - Event & Activation Strategy IdeaSoumitra Roy
The following is an Event and Activation Strategy idea presentation for Dunkin Donuts India made by Advertising and Public Relations students of Indian Institute of Mass Communication, New Delhi
Other SEP Activities - 17th Texas HIV/STD ConferenceDan Bigg
Implications of Lifting the Federal Funding Ban on Syringe Exchange at Texas HIV/STD Conference. Powerpoint by Dan Bigg, Chicago Recovery Alliance. Please use with credit to Chicago Recovery Alliance. Dan @ cra@attglobal.net or anypositivechange.org
New faces of tuberculosis: new chellenges requiring new solutionsJean Jacques Bernatas
TB reflects poverty, and while it accompanies Humankind for 70,000 years, this disease presents new faces for which new solutions must be implemented to move towards TB elimination by 2030. Finally a better coordination between all stakeholders is instrumental for winning this fight.
Acceptance of Covid-19 Vaccine Among the People of Al-Jabal Al-Akhdar Distric...IIJSRJournal
Background: In the midst of the worldwide effort to control the spread of the COVID-19 thru immunization of herd immunity, there is still the doubt about the effectiveness of the vaccine. Thus, the vaccine hesitancy. This is a threat to public health. Knowing and understanding the factors that influence the COVID-19 vaccine acceptance of the community may contribute in creating new and improved strategies for a better comprehensive vaccination program. The objective of this study was to evaluate the frequency of the acceptance of COVID-19 vaccine and their determinants as of April 2021 in the Al-Jabal Al-Akhdar, Libya.
Methods: This is cross-sectional quantitative research was conducted using stratified random sampling while observing strict precautionary measures. In April 2021, guided questionnaires were answered by 2,000 respondents. Sample distribution were as follows: 500 from Al-Bayda, 200 from Shahat,100 from Sussa, 100 from Massah, 100 from Omar Al-Muhktar, 100 from Labraq, Mansoura, Gernada, and Gubbah 170 from Jardes and Marawa, 170 from Faydiya and Gasser Libya, 170 from Haniya and Zawiat Al-Argub, 220 from Werdama, Sidi Abdul Wahad and Hamama, 170 from Gandula and Slanta. Results were validated and analyzed using Minitab version 17.1. Data were presented using texts and tables.
Results: Out of the 2,000 invitees, 956 expressed their willingness to take the vaccine if it is available. Interest in accepting the vaccine is relatively high among 18-25 age group (711), male (781), being married (779), with bachelor’s degree (475), employed by government (878), and with Libyan nationality (951). Upon cross-tabulation using chi-square, results showed that the proportion of the age group 18-25 (X2=870.206,p-value=0.00001), of male (X2=664.153; p-value=0.00001), of being married (X2=967.552; p-value=0.00001), of being a Libyan (X2=65.443; p-value=0.00001), of being a bachelor’s degree (X2=728.872; p-value=0.00001); and of being a government employee (X2=1007.334; p-value=0.00001) were significant factors associated vaccine acceptance. Moreover, respondent’s perception whether the COVID-19 vaccine will help prevent the spread of disease ((X2=1429.099; p-value=0.00001), their trust in the health system of Libya (X2=1327.565; p-value=0.00001), their idea whether the COVID-19 vaccine has a side-effect (X2=992.959; p-value=0.00001), and their fear of the side-effects of the COVID-19 vaccine are also key determinants that predict COVID-19 vaccine acceptance.
Conclusion: Identifying key factors relating to COVID-19 vaccine acceptance may aid in intensifying the global immunization drive. Health education must be reinforced to expedite achieving herd immunity using the social media and proper health education elsewhere.
Article Type: Editorial
Title: Challenges Met by Healthcare Professionals (Nurses) at the time of Covid-19 Pandemic
Year: 2021; Volume: 1; Issue: 2; Page No: 3 – 4
Author: Sumathi Senthilvel
DOI: 10.55349/ijmsnr.20211234
Affiliation: Associate Editor, IJMSNR, Formerly Assistant Professor in Nursing, Department of Fundamental Nursing, Amrita College of Nursing. Ponekkara, Kochi, Kerala. Email ID: AssociateEditor@ijmsnr.com
Article Summary: Submitted : 26-October-2021
Revised : 10-November-2021
Accepted : 02-December-2021
Published : 31-December-2021
Background: Diabetic Retinopathy is a non-communicable disease and metabolic disorder. It is a public health problem in Worldwide. In this paper, finding influencing factors and how much probability to development of DR among known T2DM patients.
Materials and Methods: This was a hospital-based cross-sectional and observational study among T2DM patients, with and without DR in the diabetes clinic with sample of 150 patients. Statistical analysis used chi-square and binary logistic regression analysis was used to identify correlates of DR after controlling of confounders.
Results: In this present study, among 150 patients, 39 (26%) patients had DR. Smoking habit was strongly associated with development of DR (AOR=15.39, p=0.002), patients had history of hypertension was associated with DR (AOR=1.10, p=0.016), medication, in that insulin users were strongly associated with DR (AOR=5.72, p=0.002), duration of diabetes mellitus with >10 years was associated with DR (AOR=1.18, p=0.001), total cholesterol with abnormal was 5-fold more increase in risk with the development of DR (AOR=5.86, p=0.065) but not significant, high hba1c with >6.5% was associated with the progression of DR (AOR=1.34, p=0.035), and fasting blood sugar with abnormal was associated with the progression of DR (AOR=1.01, p=0.027) except age but, showed positive association with DR. Probability of developing DR in a T2DM patient was 98%.
Conclusion: From this study, we revealed that influencing variables were hba1c, smoking habit, intake of tablet/insulin, duration of DM, history of hypertension and fasting blood sugar. The chance/probability of developing retinopathy was very high among known diabetes patients those who had longer duration of DM. Hence, we have recommended a periodic eye screening is mandatory in T2DM patients.
Keywords: diabetes mellitus, diabetic retinopathy, influencing factors, probability, multivariate analysis
SICKELE CELL DISEASE MANAGEMENT INITIATIVE FOR LESOTHOSEJOJO PHAAROE
Sickle cell disease (SCD) is highly prevalent in sub-Saharan Africa, including Lesotho where it accounts for substantial morbidity and mortality. SCD is a life-threatening genetic disorder that is best managed when diagnosed early by newborn screening. The incidence and cases are not reported in Lesotho. Newborn screening which is paramount for early diagnosis and enrolment of affected children into a comprehensive care programme is not available in Lesotho. Up to now, this strategy has been greatly impaired in resource-poor countries, because screening methods are technologically and financially intensive; affordable, reliable, and accurate methods are needed. We aimed to test the feasibility of implementing a sickle cell disease screening programme using innovative point-of-care test devices into existing immunization programmes in primary health-care settings.
Goal; increase sickle cell disease awareness, diagnosis and management in Lesotho from 0- 20% by 25%
Mission: To improve care of all Sickle Cell Disease patients for their better future and to lower the prevalence of the disease through multi=sectoral, multi-faced coordinated approach towards screening and awareness strategies
Vision: Eliminate sickle cell disease as a public health problem in Lesotho. There is need for increasing the awareness about the disease in the community, implementation of mass screening activities for early identification, building a strong network of diagnosis and linkages, implementing robust monitoring system, strengthening the existing primary health care mechanism to incorporate SCD related strategies, capacity building of primary, secondary and tertiary health care teams and building cost-effective intensive interventions at higher care facilities.
SICKELE CELL DISEASE MANAGEMENT INITIATIVE FOR LESOTHO
FIS 2011
1. Sheffield Infection Group
Hepatitis B: reaching out to high risk communities
Alicia Vedio1, Fran Rayner1, Ray Poll1, Helena Ellam2, Goura Kudesia2, Mike McKendrick1
1Department of Infection and Tropical Medicine & 2Department of Virology
Sheffield is a city of half a million inhabitants of which 14% belong to black and minority ethnic groups (BME).
National statistics estimate 17,000 Pakistani, 9000 Somali, 6000 Chinese, 3000 Bangladeshi1.
The prevalence of hepatitis B and Barriers to integration studies in
C in countries of origin is high, and these groups have concluded
studies have shown that it is also that factors such as language,
high in immigrants to western cultural differences, failure to
countries and their descendants2. understand the system and lack of
differential provision, contribute to
However, knowledge of these diminished access to health care
conditions, transmission routes, and late presentation of chronic
prevention and complications are conditions4.
low3.
The community program involves: Areas of gathering: Hepatitis B leaflet
Community centre, Saturday school, church, trade centre
1.!Empowering community workers
to develop a strategy of hepatitis
outreach
2.!Providing hepatitis education
3.!Testing using dried blood spot (DBS) Community Health Coordinators
Health Educators
Hepatitis Services Translators
Monitoring + Treatment
Validation of DBS in the laboratory
resulted in a 98% sensitivity and 100%
specificity for combined HBsAg and
HBcAb and 100% sensitivity and
specificity for HCAb compared to Awareness “The initial part of this project was funded by Gilead
serum. Education
UK and Ireland Fellowship Program
Hepatitis Testing (DBS)
Diabetes
Smoking cessation
Results: Cardiovascular Health
231 people from ethnic groups were tested in 12 sessions between September 2009 and September 2011.
Chinese F 113 48 9 8 14 12 0 - 9 1 2 already diag – all F HB eAb+
200
M 87 47 9 10 12 14 0 - 8 1 1 already diag – 1 untreaceable
3 HB eAg+
SEAsian F 16 47 0 - 2 13 0 - - -
231 NAfrican
M.East M 13 51 0 - 3 23 1 1 1 1 Mother Hep C +
29 Patient treated = SVR
F 1 - 0 - 0 - 0 - - -
Other
2 M 1 - 0 - 0 - 0 - - -
Feedback from workers and Conclusion: A strategy of outreach testing using DBS and education with
users showed a 100%
full involvement of community workers is well accepted and enhances
acceptance and request for
liaison with ethnic groups at risk, facilitating diagnosis and treatment.
more sessions. Comments were
very positive and 92% thought References:
1- Office for National Statistics 2008
the test did not cause any 2- Lin SY, Chang ET, So SK. Why we should routinely screen Asian American adults for hepatitis B: a cross-sectional study of Asians in California.
Hepatology 2007
discomfort. 3- Nguyen TT, McPhee SJ, et al. Hepatitis B awareness, knowledge, and screening among Asian Americans. J Cancer Educ. 2007
4- Sczepura A. Access to health care for ethnic minority populations. Postgrad Med J, 2005