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Community health worker model for health care delivery and environment programs focused on initiatives in USA and India

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History & Philosophy of Medicine 2021年第1期3卷 1-7页

作者： Muskaan Chhibber Pranav Selvan Gurvinder Singh Amartya Dave Akram Alnounou Sandeep Bajaj melishia bansa University of Illinois ChicagoUSA Non-Profit Nurture NatureNew DelhiIndia

Community health workers are equipped with the tools and resources necessary to bring about a change in the form of a rapid chain *** community health workers model focuses on the practices,strategies,plans,and implementation techniques needed to organize a community health event based on diverse agendas:health,environment,and *** model encompasses past experiences as a guide with tested strategies to assist future health interns with a ground framework and resources to showcase the importance of adopting healthy and environmentally friendly *** basic outline of the model is based on data collected from various community health events in Illinois(United States of America)and New Delhi(India).These events included back to school fairs,cleanliness drives,health camps,and educational *** community health workers can help in implementing better practices in the masses through one-on-one interactions,this model of community health worker programs would outline event organization tips,predicted outcomes,targeted audience,and required material *** next phase of this model highlights utilizing the data and experience from these events to report to the health ministries of different countries for the incorporation of the proposed practices in their health agendas and *** model,if implemented unanimously,could bring about a revolution in the arena of health *** will be assisted at each step,will establish connections with health workers globally,and share their health and environment-based agendas to collaborate and organize important *** model envisions a strong established network of community health workers,display of their agenda,and creation of a ripple effect throughout the society by the means of these programs.

关键词： CHW Community health workers Health care Delivery Programs Model

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Role of salivary matrix metalloproteinase-8 （MMP-8） in chronic periodontitis diagnosis

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Frontiers of Medicine 2015年第1期9卷 72-76页

作者： Namita Gupta N.D. Gupta Akash Gupta Saif Khan Neha bansa Department of Periodontics and Community Dentistry Dr. Z. A. Dental College Aligarh Muslim University Aligarh U.P. India Department of Biochemistry Rama Medical College and Hospital Pilakhua Hapur. U.P. India

Periodontitis is an inflammatory disease of the periodontium. Any imbalance between the matrix metalloproteinases （MMPs） secreted by neutrophils and tissue inhibitors initiates the destruction of collagen in gum tissue, leading to chronic periodontitis. This study aimed to correlate salivary levels of MMP-8 and periodontal parameters of chronic periodontitis to establish MMP-8 as a noninvasive marker for the early diagnosis of chronic periodontitis. The study involved 40 subjects visiting the periodontic OPD of Dr. Ziauddin Ahmad Dental College and Hospital, located in Aligarh, U.P., India, from 2011 to 2012. The subjects were divided into two groups： group I consisted of 20 periodontally healthy subjects （controls） while group II consisted of 20 patients with chronic periodontitis. Chronic periodontitis was assessed on the basis of several periodontal parameters, including pocket probing depth （PPD）, clinical attachment level （CAL）, gingival index （GI）, and plaque index （PI）. Around 3 ml of unstimulated and whole expectorated saliva was collected for MMP-8 estimation by ELISA using Quantikine human total MMP-8 immunoassay kits. Data were analyzed using STATISTICA （Windows version 6） software. Salivary MMP-8 levels of groups I and II were 190.91 ± 143.89 ng/ml and 348.26± 202.1 ng/ml, respectively. The MMP-8 levels and periodontal status （PPD, CAL, GI, and PI） of groups I and II showed positive and significant correlations （for PPD, r = 0.63, P 〈 0.001; for CAL, r = 0.54, P 〈 0.001; for GI, r = 0.49, P 〈 0.001; and for PI, r = 0.63, P 〈 0.001）. The results of this study demonstrate elevated concentrations of MMP-8 in individuals with chronic periodontitis.

关键词： matrix metalloproteinase-8 chronic periodontitis pocket probing depth clinical attachment level gingival index plaque index

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Double Burden of Malnutrition: Toxic Metals in Breast Milk May Limit the Amounts of Micronutrients Available to Infants through Breast Milk

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Food and Nutrition Sciences 2019年第3期10卷 298-314页

作者： Adolf Kofi Awua Rose Boatin Theodosia Adom Edward Christian Brown-Appiah Akusika M. Diaba Dominic Datohe David Kwaku bansa Cellular and Clinical Research Centre Radiological and Medical Sciences Research Institute of the Ghana Atomic Energy Commission Accra Ghana Nutrition Research Centre Radiological and Medical Sciences Research Institute of the Ghana Atomic Energy Commission Accra Ghana

Background: The amounts of micronutrients in the diets of infants, and the factors that influence them needs to be monitored at the population level in order to avert detrimental developmental defects that impose lifetime-limitations on an infant’s regulatory and defense systems. This study therefore, sought to evaluate if increasing levels of the toxic metals, Hg, Pb and Cd in breast milk will result in reducing amounts of the micronutrients Zn, Se and Cu in breast milk. Methods: Breast milk samples of 114 women living in two mining areas (57 women each) in Ghana, whose babies’ amounts of breast milk intake at three months postpartum, and amounts of toxic metals had previously been determined in a prospective study, were analyzed for micronutrients by a combination of acid and microwave digestion, and quantifications were by two different modes (hydrogen and helium) of Octapole Reaction System Inductively Coupled Plasma Mass Spectrometer (7500 ce. Agilent), equipped with an ASX-510 Auto-sampler (Cetac). Results: All the breast milk specimen collected contained detectable amounts of Cu, Zn, both at levels less than have been previously reported, and Se. For specimen that did not contain Pb the amount of Se ranged from about 110 to 245 ng/g of milk, however, as the amount of Pb increased, the corresponding highest detected amount of Se reduced steeply, resulting in a right-angle triangle-shaped scatter plot. Similar relationships were observed between other toxic metals and micronutrients studied. A curve fitting regression analysis showed significant quadratic and cubic relationships between the amounts of Hg and Se, as well as between Pb, As and Cu. Conclusion: The results clearly suggest a double burden of malnutrition in these mining areas, where high loads of maternal toxic metals in breast milk, related significantly with a progressive reduction in the amounts of the micronutrients Cu and Se in breast milk, potentially reducing in infants’ intake of these micro

关键词： Toxic Metals Micronutrients Breastmilk Mining Infant Nutrition

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Potential factors influencing lymphatic filariasis transmission in"hotspot"and"control"areas in Ghana:the importance of vectors

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Infectious Diseases of Poverty 2019年第1期8卷 45-55页

作者： Sellase Pi-bansa Joseph Harold Nyarko Osei Kwadwo Kyeremeh Frempong Elizabeth Elhassan Osei Kweku Akuoko David Agyemang Collins Ahorlu Maxwell Alexander Appawu Benjamin Guibehi Koudou Michael David Wilson Dziedzom Komi de Souza Samuel Kweku Dadzie Jurg Utzinger Daniel Adjei Boakye Swiss Tropical and Public Health Institute BaselSwitzerland University of Basel BaselSwitzerland Noguchi Memorial Institute for Medical Research College of Health SciencesUniversity of GhanaLegonGhana Department of Animal Biology and Conservation Science University of GhanaLegonGhana SightSavers International Ghana OfficeAccraGhana African Regional Postgraduate Programme in Insect Science University of GhanaLegonGhana Vector Biology Department Liverpool School of Tropical MedicineLiverpoolUK Centre Suisse de Recherches Scientifiques en Cote d'Ivoire AbidjanCote d'Ivoire

Background:Mass drug administration(MDA)programmes for the control of lymphatic filariasis in Ghana,have been ongoing in some endemic districts for 16 *** current study aimed to assess factors that govern the success of MDA programmes for breaking transmission of lymphatic filariasis in ***:The study was undertaken in two"hotspot"districts(Ahanta West and Kassena Nankana West)and two control districts(Mpohor and Bongo)in *** were collected and identified using morphological and molecular tools.A proportion of the cibarial armatures of each species was *** were performed onAnopheles gambiae for filarial worm detection.A questionnaire was administered to obtain information on MDA compliance and vector control *** were compared between districts to determine factors that might explain persistent transmission of lymphatic ***:High numbers of mosquitoes were sampled in Ahanta West district compared to Mpohor district(F=16.09,P=0.002).There was no significant difference between the numbers of mosquitoes collected in Kassena Nankana West and Bongo districts(F=2.16,P=0.185).Mansonia species were predominant in Ahanta West *** mosquitoes were prevalent in all *** with infected and infective filarial worms was found only in Ahanta West *** differences were found in cibarial teeth numbers and shape for mosquito species in the surveyed *** MDA coverage was high in all *** average use of bednet and indoor residual spraying was 82.4 and 66.2%,*** was high compliance in the five preceding MDA rounds in Ahanta West and Kassena Nankana West districts,both considered hotspots of lymphatic filariasis ***:The study on persistent transmission of lymphatic filariasis in the two areas in Ghana present information that shows the importance of local understanding of factors affecting control and elimination of lymphatic

关键词： Ghana Hotspots Lymphatic filariasis Mass drug administration Microfilariae Systematic non-compliance Vector control

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Ecology, Distribution and Risk of Transmission of Viral Haemorrhagic Fevers by Aedes Mosquitoes around the Port Areas of Tema in Southern Ghana

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Advances in Entomology 2022年第2期10卷 135-148页

作者： Kenechukwu C. Ojukwu Joseph Chabi Kwadwo Frempong Delphina A. Adabie-Gomez Joseph Harold Nyarko Osei Andy Asafu-Adjaye Sellase Pi-bansa Michelle Adimazoya Kojo Y. Sakyi Kwaku O. Akuoko Ruth Brenyah Maxwell A. Appawu Samuel Kweku Dadzie African Regional Postgraduate Programme in Insect Science University of Ghana Accra Ghana Parasitology Department Noguchi Memorial Institute of Medical Research University of Ghana Accra Ghana School of Veterinary Medicine University of Ghana Accra Ghana Department of Clinical Microbiology School of Medical Science Kwame Nkrumah University of Science and Technology Kumasi Ghana

Aedes-borne diseases remain a public health challenge for many countries globally. The extent of spread of invasive species of Aedes mosquitoes and risk of transmission of the diseases especially around the point of entry of goods such as ports is not well known in Ghana. This study investigated the ecology, distribution and risk of transmission of viral haemorrhagic fevers by Aedes mosquitoes around the port areas of Tema, Southern Ghana. The mosquitoes from this study were collected using human landing catches, ovitraps and larval collections for a period of six months. A total of 1092 containers were inspected in both seasons and of these, 237 (21.7%) were positive for mosquito larvae or pupae in rainy season while 181 (16.6%) were positive in dry season. A total of 6498 mosquitoes were collected and identified morphologically using taxonomic keys. 6038 (92.9%) were Aedes aegypti, 337 (5.2%) were Culex spp. and 123 (1.9%) were Anopheles gambiae. The Ae. aegypti larvae were found breeding in a series of water-holding containers which included disposed plastic containers, earthenware pots, car tyres, plastic barrels, plastic basins, buckets, metal drums, jerrycans and poly tank. A high proportion of Aedes aegypti eggs were found in the ovitraps during the rainy season than in the dry season in the study sites. Ae. aegypti was the most common mosquitoes biting mostly outdoors (65.6%) with more bites occurring in the rainy season (63.6%) in the two residential sites (Tema Community One and Tema New Town). The risk of transmission of viral haemorrhagic fever in the study sites was assessed using House Index, Container Index, Breteau Index and was found to be higher in Tema New town area with seasonal variations within the sites. The man-vector contact rates for the two residential sites were also found to be higher in rainy season than the dry season. These observations indicate that the risk of transmission of viral haemorrhagic fevers in the study areas is high espe

关键词： Viral Haemorrhagic Fevers Tema Port Areas Aedes Risk of Transmission

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