Articles Related to prevention

Gestational diabetes mellitus (GDM) is associated with an increased maternal and fetal risk of complications. Other than lifestyle modifications and diet, little prevention can be done towards this maternal complication. Through a preclinical approach and a retrospective clinical trial, we investigated the effects of maternal supplementation with a nutraceutical composition based on resveratrol (RSV) and alpha-lipoic acid (ALA) on insulin resistance and GDM status

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Introduction: Tanzania aims for 95% of persons living with HIV (PLHIV) to know their serostatus by 2023. Methods: An uncontrolled before-after study design was conducted between March 2018 (pre-intervention phase) and July 2018 (post-intervention phase). A total of 183 participants (males=89; females=94) were recruited for this study. Data were collected at baseline and at the one-month and three-month follow-ups using a pre-and post-test semi-structured questionnaire. Descriptive data are presented using measures of central tendency and their respective measures of dispersion. No comparative statistical analysis was performed.

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Despite extensive research, the incidence of diabetes continues to increase, and the management of diabetes needs improvement, because in 2016, more than 100,000 patients had lower extremity amputated, suffered ischemic heart disease and stroke. Analysis of investigations indicates that increased oxidative stress and chronic inflammation enhance the risk, progression, diabetic–related complications, and reduce effectiveness of drug therapy. Therefore, simultaneously attenuation of these cellular abnormalities may help in reducing the risk of development, progression, and prolonging the effectiveness of drug therapy.

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History of hand washing as an intervention to reduce morbidity and mortality in hospitals dates back to early 1800’s and the practise has yielded good results. Increasing evidence suggesting that hand washing significantly reduced the risk of respiratory tract infections and diarrhoeal diseases, lead to the promotion of hand washing in homes as a public health intervention of choice with well documented impact.

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The hallmark of hemophilia is hemarthrosis. All efforts must be made to early diagnose joint bleeding as soon as it occurs and treat it not later than within 2 h of onset by infusing the appropriate clotting factor. This will prevent the accumulation of blood in the joint as well as inflammation and a potential hemophilic arthropathy. Recurrent bleeding prevents the joint from regaining its range of motion, muscle strength, and normal appearance. These changes become permanent, leading eventually to osteoarthritis. A bleeds joint requires urgent and comprehensive management, especially in young patients, if permanent damage is to be prevented.

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Accepting one’s HIV sero-status is a critical first step in preventing mother to child transmission of HIV. HIV counseling and testing provides an entry point to PMTCT services for pregnant women.

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The objective of this review is to describe results of epidemiological and economic studies carried out in Brazil that can assist in the decision making process at the region, herd and individual levels for the prevention and control of bovine mastitis. At regional and herd-levels, we present data from a time series analysis comparing somatic cell counts in herds located in Brazil and in the United States (US), an estimation of the prevalence of contagious mastitis pathogens in a specific population of herds located at the state of Minas Gerais, and finally we report the identification of risk factors for new and chronic intramammary infections within herds located at the state of Santa Catarina. The outcomes of epidemiological studies that support the decision making process at herd- and individual-level are related to the decrease in prevalence of contagious mastitis pathogens in the herd as well as the estimate of the economic impact of mastitis occurrence.

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Obesity is a contemporary phenomenon that consumes an enormous and substantial public expense regarding health for needy countries. The amount spent only for the cost with the treatment of obesity for the SUS (The Unified Health System) was estimated around half a billion of reais in 2011 (Oliveira, 2013) [1]. In this scenery, the purpose towards prevention and control initiatives concerning these outlines must really become fundamental. This study has aimed to analyze the efficacy developed by a multidisciplinary team during a period of 12 months (from 2016 to 2017). The intervention has consisted in a number of periodic consultations supervised by this special team within food directions and physical training. All the data were synthesized and analyzed statistically through the Mcneunann Test, regarding the significance degree of p< 0.05. It has been observed in such results that most of the participants belong to feminine sex having from 45 to 81 years of age, a low schooling and a short monthly income. For the present, what must be said is that the intervention was wholly effective providing reduction of corporal measures, improvement in the quality of the diet consumed, besides a strengthening in the social network, empowering for the participants, further the expansion of knowledge about topics relative to food and nutrition. So, it can finally be suggested that initiatives towards obesity control are indeed effective and important and must be promoted everywhere.

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Leisure time physical activity has a broad spectrum of health benefits. The objective of this study was to provide evidence and to support the association between physical activity and body weight. We used data from a probability sample of 8,128 individuals residing in Montreal (Canada). Multinomial multivariate logistic regression was used to determine the association between physical activity and body weight. Results showed no statistical association between physical activity and underweight. However, physical activity was associated with overweight, namely individuals doing less physical activity were significantly more likely to be overweight (OR=1.42; 95%CI=1.18- 1.69) than those performing intense physical activity. Additionally, the association between physical activity and obesity showed a negative incremental relationship, i.e. individuals reporting moderate physical activity were 29% more likely to be obese (OR=1.29; 95%CI=1.07- 1.55), and those reporting low physical activity were 123% more likely to be obese (OR=2.23; 95%CI=1.80-2.76) compared to intense physical activity status. Leisure time physical activity and overweight/obesity were significantly associated after accounting for several socioeconomic, lifestyle and health-related correlates. Due to the broader positive impact of physical activity on the health status of the individual, we advise health authorities to facilitate the propagation of healthy lifestyle in the community by adopting a health-creation policy in addition to the conventional disease-prevention strategy

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Despite the growing HIV burden, the disease continues to receive a relatively high public health priority in the Republic of Congo. To establish the knowledge, attitude, and practice on HIV/AIDS among general practitioners working in Brazzaville and to register their actual behavior in the prevention of HIV/AIDS. The study was a descriptive cross-sectional study. The sample size was 35 General Practitioners. A self- administered questionnaire was used to collect data in a four-week period in August 2017. Selected at random, were asked to participate. The data collected was analyzed using the Statistical Program for EpiInfo.

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With the discovery of osseointegration and advancement in dental materials dental implants provide superior support, stability and retention for prosthetic replacement of missing teeth than any available prosthetic option. But with the use of implants, an associated biological complication of peri-implant disease is seen in 48% of cases. Hence, this review aims to summarize the risk factors associated with peri-implantits and highlights current prevention strategies available and those to be further researched to minimise the incidence and severity of peri-implant disease and enhance longevity of implants.

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Hospitalized patients are at an increased risk for acquiring Clostridium Difficile Infection (CDI). Increased virulence of C. difficile strains and increased use of antimicrobials have led to an increase of CDI cases that are more difficult to treat (CDC, 2013). Proper hand hygiene techniques, room cleaning, and equipment cleaning are not consistently being followed by healthcare workers, leading an increased spread of CDI between hospitalized patients. The purpose of this integrative review was to determine the best evidencebased methods to reduce hospital-acquired CDI rates. The evidence reviewed supports the implementation of a multifaceted approach including: (a) proper hand hygiene practices, (b) adequate and appropriate surface cleaning practices, (c) compliance to contact isolation procedures, and (d) strengthening of an existing antimicrobial stewardship committee to reduce hospital-acquired CDI rates.

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Comprehensive HIV prevention information, access and utilization of Sexual and Reproductive Health(SRH) services, is low among the migrants mobile and displaced populations of our catchment area namely Katete, Chadiza and Chipata in district in the eastern province of Zambia. This is one of the provinces with a highest number of, migrants; sex workers truck drivers and cross border traders due to the economical Nacala corridors that bring the three countries namely Zambia, Malawi and Mozambique, also the traditional ceremonies that bring the three countries together each year has seen high numbers of people migrate between the three countries this has led to high numbers of STIs, HIV and unsafe abortions. Alcohol and substance abuse, peer pressure among this population.

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Background: The study investigated esophageal cancer etiology and pathology, along with problems associated with surgical treatments. Keywords: Esophageal cancer; Mortality; Etiology; Pathology; Treatment; 5-year survivalIntroduction Methods: Data from the National Cancer Prevention and Control Office and the National Cancer Registry Center (2012) were assessed for information regarding malignant tumor incidence. These data were also used to conduct a mortality analysis and investigate death records pertaining to esophageal cancer patients. We extracted crude and age-specific mortality data and proportional mortality ratios as well as standard mortality data for Chinese and world populations. Esophageal cancer mortality was compared with death statistical data and literature related to esophageal cancer was collected from the Chinese Biomedical Literature Database and the Chinese Journal Network.

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Between 2010-2014, Fundacion Huesped and the Youth for Health Network implemented a sexuality education program, dance4life, in public schools in Argentina. A process evaluation was conducted in 2014 to assess the implementation of the program between 2010 and 2013, and make preliminary assessments of the impact on youth sexual and reproductive health.

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