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  • 1
    Online Resource
    Online Resource
    The Lancet Global Health Commission on Global Eye Health: vision beyond 2020
    Elsevier BV ; 2021
    In:  The Lancet Global Health Vol. 9, No. 4 ( 2021-04), p. e489-e551
    Details
    In: The Lancet Global Health, Elsevier BV, Vol. 9, No. 4 ( 2021-04), p. e489-e551
    Type of Medium: Online Resource
    ISSN: 2214-109X
    URL: Article
    DOI: 10.1016/S2214-109X(20)30488-5
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
    detail.hit.zdb_id: 2723488-5
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  • 2
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    Online Resource
    Prevalence and severity of depressive symptoms in relation to rural-to-urban migration in India: a cross-sectional study
    Springer Science and Business Media LLC ; 2016
    In:  BMC Psychology Vol. 4, No. 1 ( 2016-12)
    Details
    In: BMC Psychology, Springer Science and Business Media LLC, Vol. 4, No. 1 ( 2016-12)
    Type of Medium: Online Resource
    ISSN: 2050-7283
    URL: Article
    DOI: 10.1186/s40359-016-0152-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2016
    detail.hit.zdb_id: 2705921-2
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  • 3
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    Are Nepal’s water, sanitation and hygiene and menstrual hygiene policies and supporting documents inclusive of disability? A policy analysis
    Springer Science and Business Media LLC ; 2021
    In:  International Journal for Equity in Health Vol. 20, No. 1 ( 2021-12)
    Details
    In: International Journal for Equity in Health, Springer Science and Business Media LLC, Vol. 20, No. 1 ( 2021-12)
    Abstract: This study assesses the inclusion of disability in Nepal’s policy and guidance relevant to water, sanitation and hygiene (WASH), and menstrual hygiene management (MHM) in comparison to gender. We investigated both policy formulation and implementation, using the Kavrepalanchok district as a case study. Materials and methods We used the EquiFrame framework, adapted for disability and gender, and focusing on WASH and MHM. Ten Nepali policies and guidance documents were reviewed and scored for quality against the framework, which included 21 core concepts of human rights. We also interviewed key informants to consider the inclusion of disability in the implementation of MHM interventions. We applied stratified purpose sampling to 12 government officials and service providers working in Kathmandu and the Kavrepalanchock district; conducted in-depth interviews and analysed data thematically using Nvivo 11. Results Disability was inadequately covered within the policy documents, and MHM policy commitments for disability were almost non-existent. Participation of people with disabilities in policy development was limited; within Kavrepalanchok, policy commitments were not implemented as intended and disability service providers were unable to allocate government resources. Inadequate data on disability and MHM resulted in limited professional understanding of the issues, as service providers had no training. A narrow WASH infrastructure approach to improving MHM for people with disabilities was prioritised. MHM interventions were delivered in schools; these failed to reach children with disabilities who are often out of school. Finally, there were indications that some caregivers seek sterilisation for people with disabilities who are unable to manage menstruation independently. Conclusion Though the Constitution of Nepal enshrines gender equality and disability inclusion, there are consistent gaps in attention to disability and MHM in policies and practice. These omit and exclude people with disabilities from MHM interventions. Investment is required to generate evidence on the MHM barriers faced by people with disabilities, which would then be drawn on to develop training on these issues for professionals to improve understanding. Subsequently, policy makers could include more concepts of human rights against disability in relevant policies and service providers could implement policy commitments as intended.
    Type of Medium: Online Resource
    ISSN: 1475-9276
    URL: Article
    DOI: 10.1186/s12939-021-01463-w
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2092056-8
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  • 4
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    Online Resource
    Results of clubfoot treatment after manipulation and casting using the Ponseti method: experience in Harare, Zimbabwe
    Wiley ; 2016
    In:  Tropical Medicine & International Health Vol. 21, No. 10 ( 2016-10), p. 1311-1318
    Details
    In: Tropical Medicine & International Health, Wiley, Vol. 21, No. 10 ( 2016-10), p. 1311-1318
    Abstract: Evaluar los resultados de la manipulación y enyesado del método Ponseti para el pie equinovaro o zambo en un hospital terciario en Zimbabue y explorar vaticinadores de estos resultados. Métodos Estudio de una cohorte establecida de niños con pie equinovaro idiopático tratados entre el 2011 y 2013 en el Hospital de Parirenyatwa. Se extrajeron datos demográficos, características clínicas y resultados del tratamiento de las historias clínicas. El resultado primario era el puntaje final de Pirani (medida de severidad del pie equinovaro) tras la manipulación y el enyesado. Los resultados secundarios incluían cambios en la puntuación de Pirani (desde el pre‐ tratamiento hasta el final del enyesado), número de enyesados hasta la corrección, proporción que recibió una tenotomía y proporción perdida durante el seguimiento. Resultados 218 niños (337 pies) eran elegibles para inclusión. La media de edad durante el tratamiento era de ocho meses. 173 niños (268 pies) completaron el tratamiento con enyesado durante el periodo de estudio. El tiempo medio del tratamiento correctivo era de 10.2 semanas (9.5 – 10.9 semanas). De los 45 niños que no completaron el tratamiento, 28 continuaban bajo tratamiento y 17 habían sido perdidos durante el seguimiento. Se alcanzó una puntuación de Pirani de 1 o menos en un 85% de los pies. La media en la puntuación de Pirani al momento de la presentación era de 3.80 ( SD 1.15) y post tratamiento de 0.80 ( SD 0.56, p 〈 0.0001). La severidad de la deformación y el ser hombre estaban asociados con un mayor (peor) puntaje final de Pirani. La severidad y una edad de más de dos años estaban asociadas con un aumento en el número de enyesados requeridos para corregir la deformidad. Conclusión Esta serie de casos demuestra que en la mayoría (80%+) de casos de niños con pie equinovaro se pueden conseguir buenos resultados con el método de manipulación y enyesado de Ponseti.
    Type of Medium: Online Resource
    ISSN: 1360-2276 , 1365-3156
    URL: Issue
    URL: Article
    DOI: 10.1111/tmi.2016.21.issue-10
    DOI: 10.1111/tmi.12750
    Language: English
    Publisher: Wiley
    Publication Date: 2016
    detail.hit.zdb_id: 2018112-7
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  • 5
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    Online Resource
    Estrogens, Testosterone and Sex Hormone Binding Globulin in Relation to Liver Cancer in Men
    S. Karger AG ; 2001
    In:  Oncology Vol. 60, No. 4 ( 2001), p. 355-360
    Details
    In: Oncology, S. Karger AG, Vol. 60, No. 4 ( 2001), p. 355-360
    Abstract: 〈 i 〉 Objective: 〈 /i 〉 Liver disease in men has been associated with an imbalance of serum estradiol and testosterone. We have evaluated whether serum estradiol and testosterone levels are altered in male liver cancer patients as a result of a specific effect of the disease or because of the associated liver damage. 〈 i 〉 Methods: 〈 /i 〉 We have performed a hospital-based case-control study in Greece. The study subjects were all men; 73 patients with hepatocellular carcinoma (HCC), 25 with metastatic liver cancer (MLC) patients and 111 control subjects. Serum estradiol, testosterone and sex hormone binding globulin (SHBG) levels were measured for each subject. Data were analyzed by multiple linear regression. 〈 i 〉 Results: 〈 /i 〉 Mean serum estradiol levels were significantly higher among HCC patients as well as among patients with MLC compared to controls. Mean serum testosterone levels were significantly lower among HCC patients as well as among patients with MLC compared to controls. The mean SHBG levels did not differ significantly between the groups. After controlling for the degree of liver damage, the elevated serum estradiol and reduced serum testosterone levels among HCC and MLC patients were no longer significant. 〈 i 〉 Conclusions: 〈 /i 〉 Changes in sex steroid levels among patients with liver damage are due to the liver damage per se and not to specific disease processes.
    Type of Medium: Online Resource
    ISSN: 0030-2414 , 1423-0232
    URL: Article
    DOI: 10.1159/000058532
    RVK:
    XH 3305
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2001
    detail.hit.zdb_id: 1483096-6
    detail.hit.zdb_id: 250101-6
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  • 6
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    Rapid Assessment of Avoidable Blindness: looking back, looking forward
    BMJ ; 2019
    In:  British Journal of Ophthalmology Vol. 103, No. 11 ( 2019-11), p. 1549-1552
    Details
    In: British Journal of Ophthalmology, BMJ, Vol. 103, No. 11 ( 2019-11), p. 1549-1552
    Abstract: The Rapid Assessment of Avoidable Blindness, or RAAB, is a relatively simple and low-cost survey methodology to provide data on the prevalence and causes of visual loss. The aim of this article is to reflect on the achievements and challenges of RAAB, and to describe the future developments that are needed to ensure that it remains a relevant and widely used tool. To date, at least 331 RAABs have been undertaken in 79 countries, and these surveys provide an important source of information on visual loss at both the local and global level. A RAAB repository has been developed which includes the site and date of RAABs undertaken, and, where authors have agreed, the core indicators, reports or even raw data from the survey. This dataset has already been used for meta-analyses, and there are further opportunities for its use. Despite these achievements, there are core areas in which RAAB needs to be strengthened so that the full benefits of undertaking the survey can be reaped. Key developments of RAAB are underway, and will include greater use of mobile technologies using a cloud-based platform to enable both digital data collection, real-time survey reviews, reporting and analysis, and a greater emphasis on using the data for planning.
    Type of Medium: Online Resource
    ISSN: 0007-1161 , 1468-2079
    URL: Article
    DOI: 10.1136/bjophthalmol-2019-314015
    RVK:
    XA 10000
    Language: English
    Publisher: BMJ
    Publication Date: 2019
    detail.hit.zdb_id: 1482974-5
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  • 7
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    Access to social protection among people with disabilities: Evidence from Viet Nam
    Wiley ; 2019
    In:  International Social Security Review Vol. 72, No. 1 ( 2019-01), p. 59-82
    Details
    In: International Social Security Review, Wiley, Vol. 72, No. 1 ( 2019-01), p. 59-82
    Abstract: Apesar de serem frequentemente citados como principais beneficiários da proteção social, sabe‐se muito pouco sobre o acesso de portadores de deficiência aos programas existentes. Este estudo usa métodos mistos para explorar a participação em programas de proteção sociais voltados e não voltados a portadores de deficiência no Vietnã, particularmente no distrito de Cam Le. Nesse distrito, a cobertura de assistência social e seguro de saúde entre portadores de deficiência era de 53% e 96%, respectivamente. Porém, poucas pessoas tinham acesso a seguros sociais vinculados ao emprego e outros benefícios para portadores de deficiência (como treinamentos vocacionais, descontos em transportes públicos). Entre os fatores que afetam o acesso estão a acessibilidade ao processo de cadastramento, os procedimentos de avaliação de portadores de deficiência, a conscientização e o reconhecimento da utilidade desses programas, além das atitudes perante os portadores de deficiência e a proteção social.
    Type of Medium: Online Resource
    ISSN: 0020-871X , 1468-246X
    URL: Issue
    URL: Article
    DOI: 10.1111/issr.2019.72.issue-1
    DOI: 10.1111/issr.12195
    Language: English
    Publisher: Wiley
    Publication Date: 2019
    detail.hit.zdb_id: 1479782-3
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  • 8
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    Online Resource
    Posterior segment eye disease in sub‐ S aharan A frica: review of recent population‐based studies
    Wiley ; 2014
    In:  Tropical Medicine & International Health Vol. 19, No. 5 ( 2014-05), p. 600-609
    Details
    In: Tropical Medicine & International Health, Wiley, Vol. 19, No. 5 ( 2014-05), p. 600-609
    Abstract: Evaluar la carga de la enfermedad del segmento posterior del ojo ( ESPO ) en África Subsahariana ( ASS ). Métodos Hemos revisado datos publicados de estudios poblacionales de ASS y otras poblaciones relevantes en las principales ESPO , específicamente glaucoma, retinopatía diabética y degeneración macular relacionada con la edad, como causa de ceguera y discapacidad visual en adultos. Se extrajeron datos de estudios poblacionales realizado en ASS , y en otros lugares cuando era relevante. Resultados Las ESPO , bien agrupadas o como enfermedad individual, contribuyen de forma importante a la ceguera y a la discapacidad visual entre adultos en ASS . Las ESPO , agrupadas, eran generalmente la segunda causa de ceguera después de las cataratas, con un rango de proporción de ceguera del 13 al 37%. Conclusiones Las ESPO podrían aumentar en importancia como causa de discapacidad visual y ceguera en ASS en los próximos años, a medida que las poblaciones crecen, aumentan en edad y se adopta un estilo de vida más urbano. Se requieren estudios de cohortes en África para calcular las necesidades presentes y futuras y planear servicios que eviten la ceguera prevenible.
    Type of Medium: Online Resource
    ISSN: 1360-2276 , 1365-3156
    URL: Issue
    URL: Article
    DOI: 10.1111/tmi.2014.19.issue-5
    DOI: 10.1111/tmi.12276
    Language: English
    Publisher: Wiley
    Publication Date: 2014
    detail.hit.zdb_id: 2018112-7
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  • 9
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    Disability, social functioning and school inclusion among older children and adolescents living with HIV in Zimbabwe
    Wiley ; 2018
    In:  Tropical Medicine & International Health Vol. 23, No. 2 ( 2018-02), p. 149-155
    Details
    In: Tropical Medicine & International Health, Wiley, Vol. 23, No. 2 ( 2018-02), p. 149-155
    Abstract: Un nombre croissant d'enfants infectés par le VIH survivent jusqu’à l'adolescence et sont confrontés aux multiples conséquences cliniques et sociales d'une infection à VIH de longue durée. Nous avons cherché à étudier l'association entre le VIH et l'invalidité, le fonctionnement social et l'inclusion scolaire chez les personnes de 6 à 16 ans au Zimbabwe. Méthodes Des enfants infectés par le VIH recevant un traitement antirétroviral dans une clinique VIH du secteur public et des enfants non infectés par le VIH fréquentant des cliniques de soins primaires dans la même zone de recrutement ont été recrutés. Des questionnaires standardisés ont été utilisés pour recueillir des données sociodémographiques, de fonctionnement social et d'invalidité. La régression logistique multivariée a été utilisée pour évaluer la relation entre le statut VIH et l'invalidité et le fonctionnement. Résultats Nous avons recruté 202 enfants infectés et 285 enfants non infectés par le VIH . Il n'y avait pas de différence d’âge ni de sexe entre les deux groupes, mais une proportion plus élevée des enfants infectés par le VIH étaient orphelins. La prévalence de toute invalidité était plus élevée chez les enfants infectés par le VIH que chez ceux non infectés (37,6% contre 18,5%; p 〈 0,001). Les enfants infectés par le VIH étaient plus susceptibles de rapporter de l'anxiété (rapport de cotes ajusté [ OR a]: 4,4; IC 95%: 2,4 ‐ 8,1), un état dépressif ( OR a: 4,2; IC 95%: 2,1 ‐ 8,4) et des difficultés à nouer des amitiés ( OR a: 14,8; IC 95%: 1,9 ‐ 116,6) que les enfants non infectés. Les enfants infectés par le VIH ont également rapporté plus de journées d’école manquées, la répétition d'une année scolaire et l'exclusion sociale en classe. Ces associations sont restées apparentes lorsque l'on compare des enfants ayant le VIH et une invalidité à ceux ayant le VIH mais pas d'invalidité. Conclusions Les enfants infectés par le VIH souffrent souvent d'invalidités, ce qui est associé à l'exclusion sociale et éducative. Des services de réadaptation et de soutien sont nécessaires pour faciliter l'accès à l’éducation et la participation sociale chez ce groupe.
    Type of Medium: Online Resource
    ISSN: 1360-2276 , 1365-3156
    URL: Issue
    URL: Article
    DOI: 10.1111/tmi.2018.23.issue-2
    DOI: 10.1111/tmi.13012
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 2018112-7
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  • 10
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    Online Resource
    Birth prevalence of congenital talipes equinovarus in low‐ and middle‐income countries: a systematic review and meta‐analysis
    Wiley ; 2017
    In:  Tropical Medicine & International Health Vol. 22, No. 3 ( 2017-03), p. 269-285
    Details
    In: Tropical Medicine & International Health, Wiley, Vol. 22, No. 3 ( 2017-03), p. 269-285
    Abstract: El pie equinovaro congénito ( PEC ) o pie zambo es una malformación estructural que se desarrolla durante etapas tempranas de la gestación. Se ha reportado que la prevalencia al nacer del pie zambo varía entre y dentro de países con ingresos bajos y medios ( PIBM s) y esta información es necesaria con el fin de planificar los servicios de tratamiento. Esta revisión sistemática busca entender la prevalencia al nacer del pie zambo en PIBM s. Métodos Se realizó la búsqueda en seis bases de datos para estudios que reportaran la prevalencia del pie equinovaro congénito en PIBM s. Los resultados fueron revisados y evaluados para determinar su elegibilidad utilizando criterios predefinidos. Los datos sobre prevalencia al nacer se extrajeron y se calcularon estimaciones ponderadas agrupadas para las diferentes regiones. Se utilizó la prueba de Wilcoxon para examinar los cambios en la prevalencia al nacer a lo largo del tiempo. De los estudios incluídos se evaluó la calidad metodológica, y se realizó la síntesis narrativa de los hallazgos. Resultados 48 estudios proveyeron datos de 13,962,989 niños en 20 países y a lo largo de 55 años (1960 – 2015). El cálculo estimado agrupado de la prevalencia del pie equinovaro al nacer en PIBM s dentro de la región Africana es de 1.11 (0.96, 1.26); en las Américas 1.74 (1.69,1.80); en el Sudeste Asiático (excluyendo India) 1.21 (0.73, 1.68); en India 1.19 (0.96, 1.42); en Turquía (Región Europea) 2.03 (1.54, 2.53); en el Mediterráneo Oriental 1.19 (0.98, 1.40); en el Pacífico Occidental (excluyendo China) 0.94 (0.64, 1.24) y en China 0.51 (0.50, 0.53). Conclusión La prevalencia al nacer del pie equinovaro varía entre 0.51 y 2.03/1,000 nacidos vivos en PIBM s. Se requiere una metodología estandarizada para el estudio de la epidemiología del pie equinovaro con el fin de entender mejor las variaciones en la prevalencia al nacer del pie zambo, e identificar los posibles factores de riesgo.
    Type of Medium: Online Resource
    ISSN: 1360-2276 , 1365-3156
    URL: Issue
    URL: Article
    DOI: 10.1111/tmi.2017.22.issue-3
    DOI: 10.1111/tmi.12833
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2018112-7
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