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The effects of improved sanitation on diarrheal prevalence, incidence, and duration in children under five in the SNNPR State, Ethiopia: study protocol for a randomized controlled trial 2016 Re-shaping Development Institute, 5 Yangpyeong-ro 12ga-gil, Yeongdeungpo-gu, Seoul, Republic of Korea.; Korea International Cooperation Agency, 825 Daewangpangyo-ro, Sujeong-gu, Seongnam-si, Gyeongo-do, 13449, Republic of Korea.; BDS Center for Developmen
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Trials
Periodical, Abbrev.
Trials
Pub Date Free Form
18-Apr
Volume
17
Issue
1
Start Page
204
Other Pages
016-1319-z
Notes
LR: 20160421; ISRCTN/ISRCTN82492848; JID: 101263253; OID: NLM: PMC4835836; OTO: NOTNLM; 2015/11/01 [received]; 2016/03/30 [accepted]; 2016/04/18 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1745-6215; 1745-6215
Accession Number
PMID: 27089872
Language
eng
SubFile
Journal Article; IM
DOI
10.1186/s13063-016-1319-z [doi]
Output Language
Unknown(0)
PMID
27089872
Abstract
BACKGROUND: Diarrhea is one of the leading causes of death, killing 1.3 million in 2013 across the globe, of whom, 0.59 million were children under 5 years of age. Globally, about 1 billion people practice open defecation, and an estimated 2.4 billion people were living without improved sanitation facilities in 2015. Much of the previous research investigating the effect of improved sanitation has been based on observational studies. Recent studies have executed a cluster-randomized controlled trial to investigate the effect of improved sanitation. However, none of these recent studies achieved a sufficient level of latrine coverage. Without universal or at least a sufficient level of latrine coverage, a determination of the effect of improved latrines on the prevention of diarrheal disease is difficult. This cluster-randomized trial aims to explore the net effect of improved latrines on diarrheal prevalence and incidence in children under five and to investigate the effect on the diarrheal duration. METHOD/DESIGN: A phase-in and factorial design will be used for the study. The intervention for improving latrines will be implemented in an intervention arm during the first phase, and the comparable intervention will be performed in the control arm during the second phase. During the second phase, a water pipe will be connected to the gotts (villages) in the intervention arm. After the second phase is completed, the control group will undergo the intervention of receiving a water pipe connection. For diarrheal prevalence, five rounds of surveying will be conducted at the household level. The first four rounds will be carried out in the first phase to explore the effect of improved latrines, and the last one, in the second phase to examine the combined effects of improved water and sanitation. For documentation of diarrheal incidence and duration, the mother or caregiver will record the diarrheal episodes of her youngest child on the "Sanitation Calendar" every day. Of 212 gotts in the project area, 48 gotts were selected for the trial, and 1200 households with a child under 5 will be registered for the intervention or control arm. Informed consent from 1200 households will be obtained from the mother or caregiver in written form. DISCUSSION: To our knowledge, this is the second study to assess the effects of improved latrines on child diarrheal reduction through the application of Community-Led Total Sanitation. TRIAL REGISTRATION: Current Controlled Trials, ISRCTN82492848.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jung,S., Doh,Y.A., Bizuneh,D.B., Beyene,H., Seong,J., Kwon,H., Kim,Y., Habteyes,G.N., Tefera,Y., Cha,S.
Original/Translated Title
URL
Date of Electronic
20160418
PMCID
PMC4835836
Editors
Diagnosis and treatment of gastroesophageal reflux disease 2014 Raul Badillo, Dawn Francis, Division of Gastroenterology and Hepatology, Mayo Clinic Florida, Jacksonville, FL 32224, United States.; Raul Badillo, Dawn Francis, Division of Gastroenterology and Hepatology, Mayo Clinic Florida, Jacksonville, FL 32224, Uni
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
World journal of gastrointestinal pharmacology and therapeutics
Periodical, Abbrev.
World J.Gastrointest.Pharmacol.Ther.
Pub Date Free Form
6-Aug
Volume
5
Issue
3
Start Page
105
Other Pages
112
Notes
LR: 20140820; JID: 101547456; OID: NLM: PMC4133436; OTO: NOTNLM; 2014/01/24 [received]; 2014/06/10 [revised]; 2014/06/20 [accepted]; ppublish
Place of Publication
United States
ISSN/ISBN
2150-5349; 2150-5349
Accession Number
PMID: 25133039
Language
eng
SubFile
Journal Article; Review
DOI
10.4292/wjgpt.v5.i3.105 [doi]
Output Language
Unknown(0)
PMID
25133039
Abstract
Gastroesophageal reflux disease (GERD) is a common disease with a prevalence as high as 10%-20% in the western world. The disease can manifest in various symptoms which can be grouped into typical, atypical and extra-esophageal symptoms. Those with the highest specificity for GERD are acid regurgitation and heartburn. In the absence of alarm symptoms, these symptoms can allow one to make a presumptive diagnosis and initiate empiric therapy. In certain situations, further diagnostic testing is needed to confirm the diagnosis as well as to assess for complications or alternate causes for the symptoms. GERD complications include erosive esophagitis, peptic stricture, Barrett's esophagus, esophageal adenocarcinoma and pulmonary disease. Management of GERD may involve lifestyle modification, medical therapy and surgical therapy. Lifestyle modifications including weight loss and/or head of bed elevation have been shown to improve esophageal pH and/or GERD symptoms. Medical therapy involves acid suppression which can be achieved with antacids, histamine-receptor antagonists or proton-pump inhibitors. Whereas most patients can be effectively managed with medical therapy, others may go on to require anti-reflux surgery after undergoing a proper pre-operative evaluation. The purpose of this review is to discuss the current approach to the diagnosis and treatment of gastroesophageal reflux disease.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Badillo,R., Francis,D.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4133436
Editors
Severe vertigo after a scuba-dive to 29 meters 2004 Ratisches Kantons- und Regionalspital, Departement ORL, Chur.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Praxis
Periodical, Abbrev.
Praxis (Bern 1994)
Pub Date Free Form
28-Apr
Volume
93
Issue
18
Start Page
775
Other Pages
777
Notes
LR: 20080610; JID: 101468093; ppublish
Place of Publication
Switzerland
ISSN/ISBN
1661-8157; 1661-8157
Accession Number
PMID: 15171513
Language
ger
SubFile
Case Reports; English Abstract; Journal Article; IM
DOI
10.1024/0369-8394.93.18.775 [doi]
Output Language
Unknown(0)
PMID
15171513
Abstract
A 27-year-old flight instructor experienced 5 to 10 minutes after a scuba-dive to 29 m, which lasted totally 50 minutes, dizziness, nausea and severe vertigo. The symptoms lasted about an hour. The patient vomited several times and noted sudden onset headache and vertigo lasting the following three days. Hyperbaric oxygen therapy was started 30 hours after the event because decompression sickness was suspected. Transthoracic echocardiographic evaluation showed a patent foramen ovale. Diving accidents may be caused by decompression sickness, the formation of a free intravascular gas phase (bubbles) may result in transatrial shunting in the presence of a patent foramen ovale and may lead to neurological signs and symptoms. In this context the diver was advised to undergo closure of the atrial septal defect. Five months after the incident the patient underwent successful transcatheter occlusion of the PFO.
Descriptors
Adult, Decompression Sickness/diagnosis/etiology, Diagnosis, Differential, Diving/adverse effects, Humans, Male, Meniere Disease/diagnosis/etiology, Vertigo/etiology
Links
Book Title
Database
Publisher
Data Source
Authors
Frigg,C., Stepanek,J., Gmur,A.
Original/Translated Title
Der PRAXIS-Fall. Starker Schwindel nach einem Tauchgang in 29 Meter Tiefe
URL
Date of Electronic
PMCID
Editors
Motivation to Quit and Interest in Cessation Treatment Among Homeless Youth Smokers 2015 RAND Health, Santa Monica, CA; jtucker@rand.org.; RAND Health, Pittsburgh, PA.; RAND Health, Santa Monica, CA;; RAND Health, Santa Monica, CA;; RAND Health, Pittsburgh, PA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Aug
Volume
17
Issue
8
Start Page
990
Other Pages
995
Notes
CI: (c) The Author 2015; JID: 9815751; ppublish
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 26180224
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/ntr/ntu261 [doi]
Output Language
Unknown(0)
PMID
26180224
Abstract
INTRODUCTION: Approximately 70% of unaccompanied homeless youth are current smokers. Although a few studies have described smoking behavior among homeless youth, none have focused on how to help homeless youth quit smoking. As such, there are significant gaps in understanding their interest in quitting and what strategies might best fit their specific needs. METHODS: Unaccompanied homeless youth were randomly sampled from street sites in Los Angeles County (N = 292). All were current smokers who completed a survey on their smoking-related behaviors and cognitions. RESULTS: 65.7% of youth had quit for at least 24hr during the past year, and 43.4% were motivated to quit. Previous quit attempts tended to be unassisted, but 58.6% reported that they would be interested in formal cessation treatment. Multivariate analyses indicated that motivation to quit was higher among youth who were older, Black or Hispanic (vs. White), and who asked about smoking by a service provider, but it was lower among those who were more nicotine dependent. Being interested in cessation treatment was more likely among youth who were asked about smoking by a service provider, anticipated more barriers to quitting, and were motivated to quit; it was less likely among youth who had slept outdoors during the past 30 days. DISCUSSION: Smoking cessation is often considered a low priority for homeless youth. However, many are motivated to quit and are interested in smoking cessation products and services. Implications for developing and engaging homeless youth in cessation treatment are discussed.
Descriptors
Links
Book Title
Database
Publisher
. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco
Data Source
Authors
Tucker,J.S., Shadel,W.G., Golinelli,D., Ewing,B., Mullins,L.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Alternative tobacco product use and smoking cessation among homeless youth in los angeles county 2014 RAND Corporation, Santa Monica, CA; jtucker@rand.org.; RAND Corporation, Pittsburgh, PA.; RAND Corporation, Santa Monica, CA;; RAND Corporation, Santa Monica, CA;
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Nov
Volume
16
Issue
11
Start Page
1522
Other Pages
1526
Notes
CI: Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco 2014; JID: 9815751; 2014/08/21 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 25145375
Language
eng
SubFile
Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/ntr/ntu133 [doi]
Output Language
Unknown(0)
PMID
25145375
Abstract
INTRODUCTION: Approximately 70% of homeless youth smoke cigarettes, but their use of alternative tobacco products (ATPs) is unknown. This paper reports on ATP use among past-month smokers in Los Angeles County, including whether it differs by demographic characteristics, homelessness severity, past-year quit attempts, and readiness to quit smoking. Given the growing popularity of e-cigarettes, we also report on perceptions of harm and reasons for using this product. METHODS: We surveyed 292 unaccompanied homeless youth who were randomly sampled from street sites. Participants had smoked at least 100 cigarettes during their lifetime and 1 cigarette during the past month. RESULTS: Seventy-two percent of youth reported past-month ATP use (e-cigarettes = 51%; little cigars/cigarillos = 46%; hookah = 31%; other smokeless tobacco product = 24%; chewing tobacco/moist snuff = 19%). Current ATP use was unrelated to most demographic characteristics or having a past-year quit attempt. However, youth who planned to quit smoking in the next 30 days were significantly less likely to report current use of hookahs, other smokeless tobacco products, or e-cigarettes. Among lifetime e-cigarette users, the most common reasons for use included not having to go outside to smoke (38%) and being able to deal with situations or places where they cannot smoke (36%); it was less common to report using e-cigarettes to quit smoking (17%-18%). DISCUSSION: Dual use of ATPs among homeless youth smokers is common and is more likely among those who have no immediate plans to quit smoking. Effective and easily disseminable strategies for reducing all forms of tobacco use among homeless youth are urgently needed.
Descriptors
Links
Book Title
Database
Publisher
. This work is written by (a) US Government employee(s) and is in the public domain in the US
Data Source
Authors
Tucker,J.S., Shadel,W.G., Golinelli,D., Ewing,B.
Original/Translated Title
URL
Date of Electronic
20140821
PMCID
Editors
Toward a Regulatory Framework for the Waterpipe 2016 Ramzi G. Salloum is with the Department of Health Outcomes and Policy and the Institute for Child Health Policy, University of Florida College of Medicine, Gainesville. Taghrid Asfar is with the Department of Public Health Sciences, University of Miami Mi
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Public Health
Periodical, Abbrev.
Am.J.Public Health
Pub Date Free Form
23-Aug
Volume
Issue
Start Page
e1
Other Pages
e5
Notes
LR: 20160823; JID: 1254074; aheadofprint; SO: Am J Public Health. 2016 Aug 23:e1-e5.
Place of Publication
ISSN/ISBN
1541-0048; 0090-0036
Accession Number
PMID: 27552262
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
10.2105/AJPH.2016.303322 [doi]
Output Language
Unknown(0)
PMID
27552262
Abstract
Waterpipe smoking has been dramatically increasing among youth worldwide and in the United States. Despite its general association with misperceptions of reduced harm, evidence suggests this is a harmful and dependence-inducing tobacco use method that represents a threat to public health. Waterpipe products continue to be generally unregulated, which likely has contributed to their spread. The Family Smoking Prevention and Tobacco Control Act of 2009 granted the US Food and Drug Administration (FDA) the authority to regulate waterpipe products, and the FDA finalized a rule extending its authority over waterpipe products in May 2016. This critical step in addressing the alarming increase in waterpipe smoking in the United States has created urgency for research to provide the evidence needed for effective regulatory initiatives for waterpipe products. We aim to stimulate such research by providing a framework that addresses the scope of waterpipe products and their unique context and use patterns. The proposed framework identifies regulatory targets for waterpipe product components (i.e., tobacco, charcoal, and device), the waterpipe cafe setting, and its marketing environment dominated by Internet promotion. (Am J Public Health. Published online ahead of print August 23, 2016: e1-e5. doi:10.2105/AJPH.2016.303322).
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Salloum,R.G., Asfar,T., Maziak,W.
Original/Translated Title
URL
Date of Electronic
20160823
PMCID
Editors
Evaluation of coliforms as indicators of water quality in India 1992 Ramteke, P.W., Division of Aquatic Toxicology, Industrial Toxicology Research Ctr., Mahatma Gandhi Marg, Lucknow 226 001, India
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of Applied Bacteriology
Periodical, Abbrev.
J.Appl.Bacteriol.
Pub Date Free Form
1992/
Volume
72
Issue
4
Start Page
352
Other Pages
356
Notes
Place of Publication
ISSN/ISBN
0021-8847
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
The total and thermotolerant coliform counts in rural drinking water derived from ground water, piped supplies and surface water are reported for a number of areas in India. To evaluate these counts as indicators of recent faecal contamination the total coliforms and thermotolerant coliforms isolated have been identified. Thermotolerant Escherichia coli formed 11.7% of the total coliforms and 75.1% of the thermotolerant coliforms. Citrobacter sp. (20.4%) and Klebsiella sp. (50.9%) were the other common total coliforms isolated and, among the thermotolerant coliforms, Klebsiella sp. (16.4%) was the only other organism frequently encountered. The total coliform counts were significantly correlated with water temperature. The applicability in tropical areas of standards developed for temperate climates is discussed.
Descriptors
drinking water, surface water, article, bacterium contamination, evaluation and follow up, heat tolerance, India, nonhuman, water quality
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Ramteke,P. W., Bhattacharjee,J. W., Pathak,S. P., Kalra,N.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Domestic water contamination in rapidly growing megacities of Asia: Case of Karachi, Pakistan 1997 Rahman, A., Department of Geography, National University of Singapore, Kent Ridge, Singapore 0511, Singapore
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Environmental monitoring and assessment
Periodical, Abbrev.
Environ.Monit.Assess.
Pub Date Free Form
1997/
Volume
44
Issue
3-Jan
Start Page
339
Other Pages
360
Notes
Place of Publication
ISSN/ISBN
0167-6369
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
The development of essential services including water and sanitation in many megacities of the economically developing countries of Asia cannot keep pace with their rapidly growing population and accompanying urban and industrial development. The inadequate water supply and poor sanitation services lead to contamination of their water supply. It also leads to the input of sewage water into the groundwater. The problem is seriously acute in Karachi, the largest city in Pakistan with a population of over 12 million and growing at 6 percent. This paper examines the problem of water contamination in Karachi. The paper presents the data on water quality from various sources, mainly municipal water supply, vendors and well water; the three major sources of water for domestic use in Karachi. Except municipal water from some areas and during certain periods, water from most other sources contain coliform bacteria, and in many cases faecal coliform, in amounts several magnitudes higher than any standards permit. Many samples have also been found to contain heavy metals including Chromium, Lead, Nickel and Arsenic in amounts excessive of permitted standards. The probable sources of contaminants for the various types of water (piped, vendors, wells) indicate that groundwater may be the main contributor. The very source of this groundwater is predominantly from sewage. The health hazards from consuming such contaminated water are obvious. The paper also evaluates the solutions that are being practiced, proposed or may be feasible, as well as those that are evolving.
Descriptors
arsenic, chromium, ground water, heavy metal, nickel, well water, city, coliform bacterium, conference paper, nonhuman, Pakistan, population growth, sanitation, sewage, water contamination, water quality, water standard, water supply
Links
Book Title
Database
Embase
Publisher
Data Source
Embase
Authors
Rahman,A., Lee,H. K., Khan,M. A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Groundwater as source of contamination for water supply in rapidly growing megacities of Asia: Case of Karachi, Pakistan 1996 Rahman, A.-U., Department of Geography, National University of Singapore, Kent Ridge 0511, Singapore
Source Type
Print(0)
Ref Type
Generic
Periodical, Full
Water Science and Technology
Periodical, Abbrev.
WATER SCI. TECHNOL.
Pub Date Free Form
1996/
Volume
34
Issue
7-8 -8 pt 4
Start Page
285
Other Pages
292
Notes
Place of Publication
ISSN/ISBN
0273-1223
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
The development of essential services including water and sanitation in many megacities of the economically developing countries of Asia cannot keep pace with their rapidly growing population and accompanying urban and industrial development. The inadequate water supply and poor sanitation services lead to contamination of their water supply through the input of sewage water into groundwater. This paper examines the problem of contamination of water supply in Karachi, the largest city in Pakistan with a population of over 12 million and growing at 6 percent per annum. The paper presents the data on water quality from various sources, mainly municipal water supply, vendors and well water; the three major sources of water for domestic use in Karachi. Except municipal water from some areas and during certain periods, water from most other sources contains coliform bacteria, and in many cases faecal coliform, in amounts several magnitudes higher than any standards permit. Many samples have also been found to contain heavy metals including chromium, lead, nickel and arsenic in amounts excessive of permitted standards. The probable sources of contaminants for the various types of water (piped, vendors, wells) indicate that groundwater may be the main contributor. The very source of this groundwater is predominantly from sewage. The paper also evaluates the solutions that are being practised, proposed or may be feasible, as well as those that are evolving.
Descriptors
arsenic, chromium, drinking water, ground water, heavy metal, lead, nickel, coliform bacterium, conference paper, developing country, Pakistan, sanitation, sewage, water contamination, water quality, water supply
Links
Book Title
Database
Embase
Publisher
Data Source
Embase
Authors
Rahman,A. -U
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Impact of religious rulings (Fatwa) on smoking. 2003 Radwan, G.N., Egyptian Smoking Prevention Research Institute.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of the Egyptian Society of Parasitology
Periodical, Abbrev.
J.Egypt.Soc.Parasitol.
Pub Date Free Form
/
Volume
33
Issue
3 Suppl
Start Page
1087
Other Pages
1101
Notes
Place of Publication
ISSN/ISBN
0253-5890
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
An interview survey was carried out in a rural village and two nearby schools in Qalyubia Governorate to assess the pattern of smoking and knowledge about religious ruling (Fatwa) and its impact on the quit attempts. Also, a similar survey was conducted in 6 Shisha cafés in Cairo. The results showed that the majority of respondents (81% among rural adults, 83.2% among Shisha café patrons, 73.3% among rural youth and 81.4% among rural students) knew about the Fatwa on smoking. Higher proportions of all participants thought that smoking is a sin (97.3% among rural adults, 80.8% among Shisha café patrons, 94.4% among rural youth and 98.4% among rural students). There was a significantly higher knowledge about Fatwa on smoking among men than women. This indicates a successful outreach program targeted mainly to men through mosques. Knowledge about Fatwa on smoking increased significantly with increased exposure to antismoking messages from religious leader. Knowledge about the Fatwa on smoking or belief that smoking is a sin had no significant effect on quit attempts. Our results point to the need for intensive efforts on the part of religious leaders to translate the current belief that smoking is a sin into quitting among smokers. Better results may be achieved through personal interactions in small groups rather than in mosque settings.
Descriptors
adolescent, adult, article, attitude to health, catering service, child, Egypt, female, health, human, male, religion, smoking, smoking cessation
Links
Book Title
Database
MEDLINE
Publisher
Data Source
Embase
Authors
Radwan,G. N., Israel,E., El-Setouhy,M., Abdel-Aziz,F., Mikhail,N., Mohamed,M. K.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors