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1

Shutova, N. V., and Yuliya M. Baranova. "RISK ASSESSMENT OF INTERNET ADDICTION FOR THE MENTAL HEALTH OF ADOLESCENTS." Hygiene and sanitation 96, no. 6 (March 27, 2019): 568–72. http://dx.doi.org/10.18821/0016-9900-2017-96-6-568-572.

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We studied the effect of Internet addiction on the emotional symptoms (anxiety, aggressiveness and emotional stability) adolescents, and parental attitude to the problem of Internet addiction and Internet safety. The study involved 116 adolescents (13-14 years) and 120 parents. It was found that the level of self-evaluation, interpersonal, school and General anxiety in adolescents with Internet addiction are significantly higher than adolescents that do not have addiction. The level of aggression in adolescents with Internet addiction above the norm by 2,5 times. Adolescents with Internet addiction, three times more likely to have a low level of stress. Parents of teenagers did not know the basics of prevention of Internet addiction in their children and do not pay particular attention to the formation of information-psychological security on the Internet.
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Chirebvu, Elijah, Moses John Chimbari, and Barbara Ntombi Ngwenya. "Assessment of Risk Factors Associated with Malaria Transmission in Tubu Village, Northern Botswana." Malaria Research and Treatment 2014 (March 16, 2014): 1–10. http://dx.doi.org/10.1155/2014/403069.

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This study investigated potential risk factors associated with malaria transmission in Tubu village, Okavango subdistrict, a malaria endemic area in northern Botswana. Data was derived from a census questionnaire survey, participatory rural appraisal workshop, field observations, and mosquito surveys. History of malaria episodes was associated with several factors: household income (P<0.05), late outdoor activities (OR = 7.016; CI = 1.786–27.559), time spent outdoors (P=0.051), travel outside study area (OR = 2.70; CI = 1.004–7.260), nonpossession of insecticide treated nets (OR = 0.892; CI = 0.797–0.998), hut/house structure (OR = 11.781; CI = 3.868–35.885), and homestead location from water bodies (P<0.05). No associations were established between history of malaria episodes and the following factors: being a farmer (P>0.05) and number of nets possessed (P>0.05). Eave size was not associated with mosquito bites (P>0.05), frequency of mosquito bites (P>0.05), and time of mosquito bites (P>0.05). Possession of nets was very high (94.7%). Close proximity of a health facility and low vegetation cover were added advantages. Some of the identified risk factors are important for developing effective control and elimination strategies involving the community, with limited resources.
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Marinov, Dimitar B., and Darina N. Hristova. "BEHAVIORAL AND NUTRITIONAL ASSESSMENT OF TEENAGERS FROM VARNA." Journal of IMAB - Annual Proceeding (Scientific Papers) 27, no. 1 (January 25, 2021): 3549–53. http://dx.doi.org/10.5272/jimab.2021271.3549.

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Adolescence is a key stage of life through which the patterns for physical activity, nutrition, and other health habits form. Aim: Evaluating the eating behavior of 401 high-school students from varna studying in 12th grade (11.2% of the whole group, used as a representative sample). Methods: FFQ (food frequency questionnaire) on 37 food groups, questionnaire for eating attitude, IPAQ (validated questionnaire for the physical activity in the last 7 days), anthropometrical measurements (height, weight, BMI). Results: Roughly 70% of students in 12th grade who are underweight, overweight (OW), or obese ate regular breakfast, compared to 84% of those with normal weight. This was the most commonly skipped meal of the day. We found a statistically significant correlation between BMI in boys and eating breakfast regularly. (r=-0.473**, p<0.001). Skipping breakfast is quite common (49,7%) among OW girls. Its correlation with BMI is also significant (r=-0.492**, p<.001). White bread and other bakery products are consumed very often by both genders. Consumption of fruits and vegetables, milk (51,3%), and fish (68%) is low amongst adolescent girls. In contrast, male students have at least 2 portions of milk or milk products daily (94,5%). This finding correlates positively with their BMI (r=0.401**, p<0.001). There is a normal BMI in 60.7% of female and 67.2% of male students (18,5-24,9кg/m2). 23,5% of female students in 12th grade are underweight, especially those with physical activity that is higher than average (38,9%). Conclusion: Large percentage of the female students in 12th grade wish to lose bodyweight, including those in the underweight group. Low self-esteem and restrictive dieting can increase the risk of eating disorders in young girls.
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Kuchma, V. R., L. M. Sukhareva, Irina K. Rapoport, E. I. Shubochkina, N. A. Skoblina, and O. Yu Milushkina. "POPULATION HEALTH OF CHILDREN, RISKS TO HEALTH AND SANITARY AND EPIDEMIOLOGICAL WELLBEING OF STUDENTS: PROBLEMS, WAYS OF SOLUTION AND TECHNOLOGY OF THE ACTIVITY." Hygiene and sanitation 96, no. 10 (March 27, 2019): 990–95. http://dx.doi.org/10.18821/0016-9900-2017-96-10-990-995.

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Results of the analytical development of data of the official statistical reporting on morbidity on negotiability of children and teenagers of the city of Moscow during 2005-2013 have shown the preservation of steady negative trends in the rise of the general morbidity, incidences of respiratory and school-related diseases, including diseases of musculoskeletal system, myopia etc. According to the longitudinal study of the state of health and physical development of the Moscow school pupils from 1 to 11 classes (2005-2015) the gain of the prevalence rate of functional disorders and chronic diseases in the course of school ontogenesis has been shown. The leading violations of students’ health with a tendency to increase in the prevalence rate are: functional violations of the musculoskeletal system, blood circulatory system, organ of vision, neuro-psychiatric disorders, as well as chronic diseases of musculoskeletal system, digestive and vision organs. In all age and sex groups of schoolchildren there is a reliable increase in body length and weight, chest circumference, acceleration of biological maturation in comparison with peers of the last decades. Indices of the muscular force of the right hand in modern schoolchildren have decreased in comparison with the supervision of 1960s and 1980s. The necessary condition of health preservation of children and teenagers is the providing safe and optimum conditions of education, training and life activity. The assessment of the efficiency of sanitary and epidemiological surveillance of training conditions of children and teenagers has shown an insufficient informational content of the assessment of a sanitary state of educational organizations on groups of sanitary and epidemiologic wellbeing (SEW). Institutions with the reduced SEW level (2 groups) were proved to have a significantly higher risk of formation of diseases, including school caused diseases. It has been developed a modern classification of the assessment of conditions and modes of training of children at the school characterizing the risk degree to health of students of training conditions (optimum, admissible, potentially dangerous and dangerous). In addition new standard and methodical documents on carrying out sanitary-epidemiological expertise for the provision of sanitary and epidemiological welfare of students in secondary schools have been developed and proved.
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5

Smith, Jennifer Lawson, S. Rachel Skinner, and Jennifer Fenwick. "Preconception reflections, postconception intentions: the before and after of birth control in Australian adolescent females." Sexual Health 10, no. 4 (2013): 332. http://dx.doi.org/10.1071/sh13020.

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Background The relationship between pregnancy intentions and contraceptive behaviour is difficult to establish. This study explored the contraceptive histories of teenagers with a recent experience of pregnancy to generate qualitative profiles of pregnancy intentions. Subsequent intentions in relation to birth control were also examined. Methods: A purposive sample of female teenagers aged 14–19 years was recruited from various clinical and community-based antenatal and postnatal services and termination services across the Perth metropolitan area. The current analysis was based on a total of 56 semistructured interviews. A two-staged process of thematic analysis was conducted to identify commonalities emerging from the narrative data. Results: Three pregnancy intention profiles were identified: 1) unplanned, unwanted, unlikely; 2) planned, wanted, likely; and 3) unplanned, ambivalent, likely. Each profile represents variation in pathways to pregnancy based on teenagers’ accounts of pregnancy desires, personal responsibility over contraceptive use, and perceptions of pregnancy risk. Regardless of the way that pregnancy was resolved (i.e. termination or childbirth), similar postconception intentions surrounding birth control emerged through a shared discourse of pregnancy avoidance across the sample. Conclusions: Exploring adolescents’ understandings of the decisions and behaviours that lead to pregnancy will assist in the development of more accurate assessment tools to identify those at risk of unplanned and unwanted pregnancies. Our research also suggests that the provision of contraceptive counselling immediately after conception, followed by ongoing support, may help to maintain strong intentions to delay further pregnancies as identified in our study.
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Connor, Martin, Laurie Springford, and Stefano Giuliani. "Transition Risk Assessment Score to Stratify Health Care Needs and Interventions in Adolescents with Anorectal Malformations: A Pilot Study." European Journal of Pediatric Surgery 27, no. 04 (November 30, 2016): 361–67. http://dx.doi.org/10.1055/s-0036-1593980.

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Introduction Anorectal malformations (ARMs) are a complex collection of congenital disorders of the anus, rectum, and genitourinary system with possible active morbidities beyond adolescence. Aims To create the first evidence-based inclusive transition risk assessment score (TRAS) to stratify health care needs and interventions in teenagers with ARM transitioning to adult health care. Method MEDLINE, EMBASE, and the Cochrane Library were searched electronically for original articles containing published scoring systems evaluating children with ARM from January 1, 1990 to December 31, 2013. Current published scoring systems identified were weighted to create a novel score (TRAS) to objectively assess the most common active problems present in teenagers with ARM: fecal, urinary, and sexual functions; quality of life; and psychosocial well-being. The TRAS was applied to patients visiting our tertiary anorectal clinic in the period from January 2014 to March 2016. Patients were rescored on each visit to the clinic. Results Total 21 separate scoring systems were identified in the literature, with 3 scoring systems incorporated into the TRAS. The score divided patients into “low” (0–4), “medium” (5–10), and “high” (11–35) risk categories. The TRAS was used to assess 14 adolescents with ARMs during the study period; 14 patients had a single TRAS, 7 had two TRAS, and 3 had three TRAS assessments. At first visit 14 patients with a median age of 13 were assessed with TRAS ranging from 2 to 13 (M = 5, SD 3.33, 95% CI 3.08–7.68). At second visit seven patients with a median age of 15 were assessed with TRAS ranging from 2 to 12 (M = 6.43, SD 3.51, 95% CI 3.19–9.67). At third visit three patients with a median age of 16 were assessed with TRAS ranging from 6 to 12 (M = 8.33, SD 3.21, 95% CI 0.35–16.32). There was no significant difference (p > 0.05) between a patient's TRAS at different visits. Conclusion Preliminary data suggest that the TRAS is a holistic and effective clinical tool to help to objectively stratify ARM patients, identify active problems, and select those who may require intensive multidisciplinary input and interventions during the transition to adult health care services.
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Jaudenes, Juan R., Ángel J. Gutiérrez, Soraya Paz, Carmen Rubio, and Arturo Hardisson. "Fluoride Risk Assessment from Consumption of Different Foods Commercialized in a European Region." Applied Sciences 10, no. 18 (September 21, 2020): 6582. http://dx.doi.org/10.3390/app10186582.

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Fluoride is a halogen found in soil and water from natural and anthropogenic sources. Foods, such as cereals, fruits, and vegetables, among others, absorb and accumulate fluoride. High intakes of this element produce toxic effects such as dental or skeletal fluorosis. Fluoride content was determined in a total of 144 samples from different food groups (cereals and derivatives, fruits, tree nuts, dry fruits, mushrooms, vegetables, and legumes) using selective fluoride ion potentiometry. The fluoride concentration stood out in almonds (3.70 ± 0.96 mg/kg), walnuts (3.53 ± 0.62 mg/kg), bread (2.54 ± 0.85 mg/kg), and rice (2.28 ± 0.93 mg/kg). Consumption of 236 g/day of bread or 263 g/day of rice represents 100% of the recommended daily intake (DRI) set at 0.6 mg/day for children aged 1–3 years. In the case of rice consumption by children of these ages, it is recommended to use bottled water for rice preparation. The consumption of the analyzed foods by teenagers and adults does not pose a health risk.
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Amedonu, Edem Kojo, Joshua Kwabena Aniaku, and Adam Fusheini. "Assessment of High School Students’ Knowledge, Attitudes and Vaccination Status of Hepatitis B Virus in Hohoe, Ghana: A Cross-sectional Study." Open Public Health Journal 13, no. 1 (June 21, 2020): 298–305. http://dx.doi.org/10.2174/1874944502013010298.

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Background: Hepatitis B Virus (HBV) is a highly infectious disease and a major global public health threat. About one-third of the world’s population is estimated to be infected with Sub-Saharan Africa and East Asia, regarded as high prevalence regions of between 5-10% of the adult population chronically infected. Comprehensive knowledge of HBV in highly endemic areas like Ghana among population groups is crucial to mitigating the effects of the disease. Thus, the objective of this study was to assess the knowledge of students of two high schools on the Hepatitis B Virus (HBV) in the Hohoe Municipality of the Volta Region of Ghana to identify and describe their risk of infection, attitude, test, and vaccination status. Methods: A descriptive cross-sectional survey was conducted in the two Senior High Schools. The survey involved 244 students of both boys and girls from years one to three. Recruitment was through a stratified simple random sampling technique. Data was collected via respondents’ self-administered questionnaire. Data was analysed using STATA version 12.0. Results: The results of the study showed moderate knowledge, especially of the modes of transmission and prevention among the majority of the respondents (89.2%). Protection against the virus was a concern as about 19.5% reported receiving the HBV vaccine, with 7.2% completing all three doses. Respondents also showed a generally positive disposition towards the disease. The school and mass media were the main sources of information about HBV. Conclusion: The findings of the study showed that high school students (teenagers) have various misconceptions about HBV as the majority of students in the Hohoe municipality had moderate knowledge of HBV. The study also established that teenagers are at risk of contracting the virus, given the low vaccination status, as seen in the study.
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9

Van de Vijver, Els, Andrea Bertilde Schreuder, Wybrich Riemke Cnossen, Anna Caecilia Muller Kobold, and Patrick Ferry van Rheenen. "Safely ruling out inflammatory bowel disease in children and teenagers without referral for endoscopy." Archives of Disease in Childhood 97, no. 12 (September 27, 2012): 1014–18. http://dx.doi.org/10.1136/archdischild-2011-301206.

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BackgroundUp to 70% of children and teenagers referred to a paediatric gastroenterology centre with suspected inflammatory bowel disease (IBD) do not have the disease.ObjectiveTo evaluate whether faecal calprotectin as an ‘add-on test’ improves the specificity of the clinical case definition for suspected IBD in a general paediatric practice.DesignA prospective diagnostic accuracy study.SettingSix outpatient clinics for general paediatrics and one tertiary care hospital in the Netherlands.Patients117 children and teenagers with a clinical suspicion of IBD.Diagnostic testsFaecal calprotectin was measured (index test) in all patients. Patients with a high index of suspicion on the basis of the paediatrician's global assessment, physical examination and blood results were referred for endoscopy (reference standard). Children and teenagers who were not selected for endoscopy initially were followed for half a year for the appearance of possible additional symptoms (delayed type reference standard).Primary outcomeThe proportion of referred patients with confirmed IBD.ResultsThe mean age of patients was 14 years (range 6–18). A total of 42 (36%) had confirmed IBD. The paediatricians, who were blinded to the faecal calprotectin result, referred 68 children and teenagers for endoscopy. If they had referred only those patients with a positive faecal calprotectin result (>50 μg/g), 54 patients would have undergone endoscopy.LimitationThe study relied on clinical follow-up to detect missed IBD.ConclusionsA diagnostic strategy in general paediatric practice of using a simple clinical case definition for suspected IBD in combination with a positive faecal calprotectin result increases the specificity to detect IBD and reduces the need for referral to a paediatric gastroenterology centre with a very low risk of missing cases.
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Budin, Corina Eugenia, Corina Marginean, Ioana Roxana Bordea, Liviu Sorin Enache, Elena Luminita Enache, Bianca Liana Grigorescu, Levente Biro, Elena Rusu, Roxana Maria Nemes, and Doina Adina Todea. "The Influence of Smoking on Nicotine Exposure Biomarkers and Inflammatory Profile Among Foster Care Teenagers, Romania." Revista de Chimie 69, no. 12 (January 15, 2019): 3659–63. http://dx.doi.org/10.37358/rc.18.12.6814.

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Foster care young people have an increased overall risk for the development of chronic health conditions.Smoking is a major risk factor for many conditions with inflammatory component. We performed a cross-sectional pilot study to assess the correlation between tobacco consumption status and inflammatory profile among adolescents living with foster parents in the central region of Romania. A number of 35 teenagers aged 10-18 were enrolled. Blood samples were collected by venipuncture for complete blood count (CBC), fibrinogen, Interleukin-6 (IL 6), C reactive protein (CRP). Exhaled CO was measured and urine samples were collected in the same session for cotinine assessment. Of the 123 teenagers initially enrolled, 35 completed the entire study protocol. Urinary cotinine accurately reflected smoker status. Smoking did not affect hemoglobin levels or other hematological parameters in foster care teenagers. The value of C-reactive protein was higher in smokers. Plasma fibrinogen correlated with the daily number of cigarettes. Interleukin-6 did not correlate with the smoker status or the daily number of cigarettes consumed. Our study highlights the existence of an inflammatory response to smoking in foster care adolescents, a social category otherwise predisposed to various addictive behaviors.
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Elliott, Tamara, Racquel E. Kohler, Barati Monare, Neo Moshashane, Kehumile Ramontshonyana, Charles Muthoga, Adriane Wynn, et al. "Performance of vaginal self-sampling for human papillomavirus testing among women living with HIV in Botswana." International Journal of STD & AIDS 30, no. 12 (September 27, 2019): 1169–76. http://dx.doi.org/10.1177/0956462419868618.

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In Botswana, where human immunodeficiency virus (HIV) prevalence remains high, cervical cancer is the leading cause of cancer deaths in women. Multiple organizations recommend high-risk human papillomavirus (hr-HPV) testing as a screening tool; however, high coverage may not be feasible with provider-collected samples. We conducted the first assessment of self- versus provider-collected samples for hr-HPV testing in HIV-positive women in Botswana and report prevalence of hr-HPV and histological outcomes. We recruited HIV-positive women ≥25 years attending an HIV clinic in Gaborone. Self- and provider-collected samples from participants were tested for hr-HPV using Cepheid GeneXpert. Women testing positive for any hr-HPV returned for colposcopy. We used unweighted κ statistics to determine hr-HPV agreement. We report that 31 (30%) of 103 women tested positive for any hr-HPV. The most common genotypes were HPV 31/33/35/52/58. Overall agreement between self- and provider-collected samples for any hr-HPV was 92% with a κ of 0.80. Ten of the 30 hr-HPV-positive women attending colposcopy had CIN2+ (33%). In conclusion, in this HIV-positive population, there was excellent agreement between self and provider samples, and self-sampling may play an important role in screening programs in high HIV burden settings with limited resources like Botswana.
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Shahhosseini, Zohreh, and Kobra Abedian. "Health care providers and adolescents’ perspectives towards adolescents’ health education needs: a need assessment based on comparative approach." International Journal of Adolescent Medicine and Health 27, no. 1 (February 1, 2015): 73–77. http://dx.doi.org/10.1515/ijamh-2014-0007.

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Abstract Aim: Health care providers have considerable influence on adolescents’ health promotion. Thus, it is important to focus on the views of this group as one of the most reliable sources in the evaluation of teenagers’ health needs. The aim of this study was to compare the attitudes of Iranian health care providers and adolescents towards the latter’s health education needs. Materials and methods: A quantitative cross-sectional survey, including 72 health care providers and 402 female students from 14 high schools in northern Iran, was carried out in 2011. Topics in a self-administrated questionnaire covered the participants’ perspectives towards the educational health needs of adolescents in a five-point Likert scale. Results: Findings revealed from health care providers’ views indicate that the highest mean score was assigned to “Education about prevention of sexual high risk behavior”, which was significantly different from adolescents’ perspective (t=8.42, p<0.05). Results showed that health care providers and adolescents both emphasized on the mothers’ role as the most reliable source of adolescents’ education (t=1.85, p>0.05). Conclusion: Provision of health education programs for adolescents, which are based on integration of health care providers’ perspectives and the adolescents’ views, are essential in meeting adolescents’ educational health needs.
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Tolosa, Josefa, Yelko Rodríguez-Carrasco, Giulia Graziani, Anna Gaspari, Emilia Ferrer, Jordi Mañes, and Alberto Ritieni. "Mycotoxin Occurrence and Risk Assessment in Gluten-Free Pasta through UHPLC-Q-Exactive Orbitrap MS." Toxins 13, no. 5 (April 25, 2021): 305. http://dx.doi.org/10.3390/toxins13050305.

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Celiac disease (CD) is a genetic-based autoimmune disorder which is characterized by inflammation in the small intestinal mucosa due to the intolerance to gluten. Celiac people should consume products without gluten, which are elaborated mainly with maize or other cereals. Contamination of cereals with mycotoxins, such as fumonisins (FBs) and aflatoxins (AFs) is frequently reported worldwide. Therefore, food ingestion is the main source of mycotoxin exposure. A new analytical method was developed and validated for simultaneous analysis of 21 mycotoxins in gluten-free pasta, commonly consumed by celiac population as an alternative to conventional pasta. Ultrahigh-performance liquid chromatography coupled to quadrupole Orbitrap high-resolution mass spectrometry (UHPLC-Q-Exactive Orbitrap MS) was used for analyte separation and detection. The mycotoxins included in this work were those widely reported to occur in cereal samples, namely, ochratoxin-A (OTA), aflatoxins (AFB1, AFB2, AFG1 and AFG2), zearalenone (ZON), deoxynivalenol (DON), 3-acetyl-deoxynivalenol and 15-acetyl-deoxynivalenol (3-AcDON and 15-AcDON, respectively), nivalenol (NIV), neosolaniol (NEO), fusarenone-X, (FUS-X), T-2 toxin (T-2) and HT-2 toxin (HT-2), fumonisin B1 and B2 (FB1 and FB2, respectively), enniatins (ENN A, ENN A1, ENN B and ENN B1) and beauvericin (BEA). The validated method was successfully applied to 84 gluten-free pasta samples collected from several local markets of Campania region (Italy) during September to November 2020 to monitor the occurrence of mycotoxins and to assess the exposure to these food contaminants. A significant number of samples (95%) showed mycotoxin contamination, being Fusarium mycotoxins (FB1, ZON and DON) the most commonly detected ones. Regarding the risk assessment, the higher exposures were obtained for NIV, DON and FB1 for children and teenagers age group which can be explained due to their lower body weight.
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Keetile, Mpho. "An assessment of sexual risk behaviours among circumcised and uncircumcised men before and after the implementation of the safe male circumcision programme in Botswana." AIDS Care 32, no. 12 (May 23, 2020): 1594–601. http://dx.doi.org/10.1080/09540121.2020.1769830.

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Mitrokhin, O. V., N. A. Ermakova, and E. V. Belova. "Theoretical grounds for assessing health risks factors caused by self-isolation." Health Risk Analysis, no. 1 (March 2021): 143–50. http://dx.doi.org/10.21668/health.risk/2021.1.15.

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Billions of people had to face self-isolation for several months due to COVID-19 pandemic; given that, it seems quite vital to provide theoretical grounds for sanitary-hygienic health risk assessment. Our research objects were people who had to self-isolate during CIVID-19 pandemic. In our research we provided theoretical substantiation for priority health risk factors determined by hypodynamia, hypoxia, improper nutrition, distorted work and leisure regime, and psychoemotional strain. These factors can result in growing morbidity with non-communicable diseases among population. Our research goal was to give theoretical grounds for sanitary-hygienic assessment of health risk factors caused by self-isolation, to reveal priority health risk factors causing morbidity with non-communicable diseases, and to give recommendations on how to prevent it. We applied analytical, information, and statistical procedures in our research. Data were obtained from regulatory and legal documents on sanitary-hygienic standardization in the Russian Federation, specifically, data on nutrition hygiene, occupational hygiene, children and teenagers hygiene, etc.; we also revised scientific works published by Russian and foreign authors and analyzed documents issued by the World Health Organization as well as by public healthcare authorities in different countries during COVID-19 pandemic. When developing theoretical grounds for sanitary-hygienic assessment of health risk factors causing morbidity with non-communicable diseases due to self-isolation, we determined priority risk factors and suggested certain hygienic criteria for assessing self-isolation. We provided theoretical substantiation for a suggested hygienic self-isolation index and its score estimate. The existing system for sanitary-hygienic standardization in the RF fixes requirements for nutrition, work, and leisure regime as well as people’s physical activity; it was applied for performing hygienic assessment of self-isolation and self-isolation index score estimates. We suggested certain activities aimed at minimizing health risks under self-isolation; these activities were based on sanitary-hygienic standards. Since hypodynamia and hypoxia are primary sanitary-hygienic health risk factors, we suggest sticking to adequate nutrition with optimal energy capacity, proper physical activity, as well as proper work and leisure regimes.
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Mitrokhin, O. V., N. A. Ermakova, and E. V. Belova. "Theoretical grounds for assessing health risks factors caused by self-isolation." Health Risk Analysis, no. 1 (March 2021): 143–50. http://dx.doi.org/10.21668/health.risk/2021.1.15.eng.

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Billions of people had to face self-isolation for several months due to COVID-19 pandemic; given that, it seems quite vital to provide theoretical grounds for sanitary-hygienic health risk assessment. Our research objects were people who had to self-isolate during CIVID-19 pandemic. In our research we provided theoretical substantiation for priority health risk factors determined by hypodynamia, hypoxia, improper nutrition, distorted work and leisure regime, and psychoemotional strain. These factors can result in growing morbidity with non-communicable diseases among population. Our research goal was to give theoretical grounds for sanitary-hygienic assessment of health risk factors caused by self-isolation, to reveal priority health risk factors causing morbidity with non-communicable diseases, and to give recommendations on how to prevent it. We applied analytical, information, and statistical procedures in our research. Data were obtained from regulatory and legal documents on sanitary-hygienic standardization in the Russian Federation, specifically, data on nutrition hygiene, occupational hygiene, children and teenagers hygiene, etc.; we also revised scientific works published by Russian and foreign authors and analyzed documents issued by the World Health Organization as well as by public healthcare authorities in different countries during COVID-19 pandemic. When developing theoretical grounds for sanitary-hygienic assessment of health risk factors causing morbidity with non-communicable diseases due to self-isolation, we determined priority risk factors and suggested certain hygienic criteria for assessing self-isolation. We provided theoretical substantiation for a suggested hygienic self-isolation index and its score estimate. The existing system for sanitary-hygienic standardization in the RF fixes requirements for nutrition, work, and leisure regime as well as people’s physical activity; it was applied for performing hygienic assessment of self-isolation and self-isolation index score estimates. We suggested certain activities aimed at minimizing health risks under self-isolation; these activities were based on sanitary-hygienic standards. Since hypodynamia and hypoxia are primary sanitary-hygienic health risk factors, we suggest sticking to adequate nutrition with optimal energy capacity, proper physical activity, as well as proper work and leisure regimes.
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Iwegbue, Chukwujindu M. A., Nnamdi Nwose, Francis E. Egobueze, Eze W. Odali, Godswill O. Tesi, Godwin E. Nwajei, and Bice S. Martincigh. "Risk assessment of human exposure to potentially toxic metals in indoor dust from some small and medium scale enterprise workplace environments in southern Nigeria." Indoor and Built Environment 29, no. 8 (September 25, 2019): 1137–54. http://dx.doi.org/10.1177/1420326x19876007.

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This study concerns an assessment of indoor dust from printing press, car spray painting and metal design workshops, with the aim of evaluating the occupational risk arising from exposure to metals present in the dust. The levels of Cd, Pb, Cr, Ni, Cu, Co, Mn, Zn and Fe in the dust samples were quantified by means of atomic absorption spectrometry. The concentrations of metals (mg kg−1) in the indoor dust from these workplace environments varied from <0.003–208 for Cd, 26.5–1530 for Pb, 7.80–346 for Cr, 10.5–490 for Ni, 32.0–1915 for Cu, 3.50–232 for Co, 169–20,300 for Zn, 87.5–7260 for Mn and 8900–661,000 for Fe. The hazard index values were above one for different age groups except for the exposure of teenagers and adults to metals in dusts in the printing press studios and car spray painting workshops. The carcinogenic risk for all age groups relating to human contact with metals (Cd, Pb, Cr and Ni) in dust from these workplace environments via three exposure pathways: oral ingestion, inhalation and dermal contact, were above the safe level of 1.0 × 10−6 but not up to the level (1.0 × 10−4) that requires remedial action.
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Xie, Lin-Na, Xiao-Chen Wang, Xiao-Jie Dong, Li-Qin Su, Hui-Juan Zhu, Cong Wang, Dian-Ping Zhang, et al. "Concentration, spatial distribution, and health risk assessment of PFASs in serum of teenagers, tap water and soil near a Chinese fluorochemical industrial plant." Environment International 146 (January 2021): 106166. http://dx.doi.org/10.1016/j.envint.2020.106166.

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Dinake, Pogisego, Rosemary Kelebemang, Nicholas Sehube, Tsotlhe Trinity Kereeditse, and Obakeng Motswetla. "Dynamic Risk Assessment of Lead Pollution of Shooting Range Soil by Applying the Delayed Geochemical Hazard Model – A Case Study in Botswana." Soil and Sediment Contamination: An International Journal 29, no. 5 (April 7, 2020): 503–15. http://dx.doi.org/10.1080/15320383.2020.1747812.

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Hamulka, Jadwiga, Lidia Wadolowska, Monika Hoffmann, Joanna Kowalkowska, and Krystyna Gutkowska. "Effect of an Education Program on Nutrition Knowledge, Attitudes toward Nutrition, Diet Quality, Lifestyle, and Body Composition in Polish Teenagers. The ABC of Healthy Eating Project: Design, Protocol, and Methodology." Nutrients 10, no. 10 (October 5, 2018): 1439. http://dx.doi.org/10.3390/nu10101439.

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To increase teenagers’ nutrition knowledge is an important target and has the potential to improve their dietary habits and lifestyle while reducing incidences of obesity-related non-communicable diseases throughout the whole lifespan. This study protocol presents the general approach and details of an assessment of nutritional knowledge, attitudes toward nutrition, diet quality, lifestyle and body composition that have been used to comprehensively evaluate the cross-behavioral patterns covering dietary and lifestyle behaviors in Polish teenagers. The study was designed in two paths as: a cross-sectional study (covering 1569 students) and an education-based intervention study (464 students) with a 9-month follow-up. We describe a short form of the food frequency questionnaire (SF-FFQ4PolishChildren) used to collect data and details of diet-related and lifestyle-related education program, which was developed and implemented by academic researchers involved in the study. We also describe details of the data development and statistical analysis, including multidimensional methods of clustering variables to identify cross-behavioral patterns covering diet and lifestyle. The results of the study will provide evidence-based support for preventive health care to promote normal growth and development of young population and reduce the risk of diet-related diseases in adulthood, by early shaping of adequate dietary and lifestyle behaviors. In the future, well-tailored education programs addressed to teenagers can be created as an important public health action, based on our results.
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Kuchma, Vladislav R. "The risks health for children and adolescents in the process of life activity : problems, methods of assessment, technologies of the managemen." Russian Pediatric Journal 19, no. 4 (April 30, 2019): 238–43. http://dx.doi.org/10.18821/1560-9561-2016-19-4-238-243.

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The assessment of the risk for the health is widely used in international and domestic organizations. The aim of the work is the analysis of methods and techniques of risk assessment for children’s health and determination of the approaches to the analysis of risks for children’s health in the course of their life. The material of the study is based on legal and analytical documents in the field of the analysis of risks for public health. The main method of the research is expert-analytical. Federal Service for Consumer Rights Protection and Human Welfare has proved the risk-based approach to sanitary and epidemiological supervision, classified the subjects of supervision according to the criteria of the potential risk of damage to health. The risks for children’s health, calculated only on the frequency of violations of sanitary legislation, do not take into account the impact of all risk factors for the health of students. Methodology of management of occupational risks (risk management) is now implemented by bioinformatics technologies. The methodology of risk management to children’s health can be applied for pupils in various educational institutions. Risk for pupils ’ health is the probability of the injury as a result of exposure to potentially hazardous and dangerous factors of conditions and modes of learning in the educational activity. The management of risks for health of students is an array of interrelated activities, which includes the measures to identify, assess and reduce the risk for health ofpupils. The criteria of safe conditions and the mode of training of children in educational institutions are the preservation of life, health, functional abilities of the body ofpupils, the upcoming life. The most difficult problem in the hygiene of children and adolescents is the establishment of a causal relationship of diseases with conditions and mode of teaching children and teenagers - causation (causality). The starting point of causation is to establish the diagnosis with a code and factor code from the number of external causes of ICD-10. Risk management is carried out by the system of targeted prevention of school-related diseases.
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Morgan, Leslie. "Prevention Starts With Awareness: Adoptive Adolescents at High Risk for Suicidal Behavior." NASN School Nurse 32, no. 5 (October 13, 2016): 302–9. http://dx.doi.org/10.1177/1942602x16672063.

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Adolescents are at higher risk for suicide attempts than other age groups. Suicide is now the second leading cause of death in the United States for ages 12 to 18; moreover, the risk of suicide is significantly higher for adoptive teens. In fact, adoptive teenagers have a four times higher rate of suicide attempts than biological children, perhaps due to the underlying nature of adoption, which can involve a pervasive sense of grief and loss for the adoptee. Unresolved anger and sadness from feelings of abandonment—especially when transitioning to adolescence—can cause a seemingly functional child to dissociate through self-harm and eventually demonstrate suicidal behavior. Little evidence-based research exists on the risk factors for adoptive teens who resort to suicidal behavior. Thus, it is vitally important for school nurses to understand the emotional stressors that adolescent adoptees face throughout life to help identify teens at risk for suicide. School districts and registered nurses are well positioned to address this critical health issue through education, assessment, and intervention.
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Yousefi, Mahmood, Farzaneh Asghari, Pietro Zuccarello, Gea Oliveri Conti, Aida Ejlali, Ali Mohammadi, and Margherita Ferrante. "Spatial Distribution Variation and Probabilistic Risk Assessment of Exposure to Fluoride in Ground Water Supplies: A Case Study in an Endemic Fluorosis Region of Northwest Iran." International Journal of Environmental Research and Public Health 16, no. 4 (February 15, 2019): 564. http://dx.doi.org/10.3390/ijerph16040564.

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Prevalence of fluorosis is a worldwide public health issue, especially in the West Azerbaijan province of Iran. The aim of this study was to investigate fluoride concentration in drinking water resources within Maku city, in both the warm and cold seasons, to perform a health risk assessment. Fluoride were measured using UV-visible spectrophotometry. The spatial distribution was calculated by the software ArcGIS and Hazard Quotients (HQs) were calculated according to the US EPA method. The fluoride concentrations ranged between 0.29 to 6.68 and 0.1 to 11.4 mg/L in the cold and warm seasons, respectively. Based on this report, 30.64 and 48.15% of the samples revealed a fluoride level higher than the permissible level in the cold and warm seasons, respectively. Moreover, results showed that the HQ value in the warm season for different age groups was higher than the HQ value in the cold season. In both seasons, the non-carcinogenic risks of fluoride for the four exposed populations varied according to the order: children > teenagers > adults > infants. The HQ values for three age groups (children, teenager and adults) for both seasons were higher than 1 with a high risk of fluorosis. The results of this study, support the requests that government authorities better manage water supplies to improve health quality.
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Whitaker, Rhiannon, Maggie Hendry, Rabeea’h Aslam, Andrew Booth, Ben Carter, Joanna M. Charles, Noel Craine, et al. "Intervention Now to Eliminate Repeat Unintended Pregnancy in Teenagers (INTERUPT): a systematic review of intervention effectiveness and cost-effectiveness, and qualitative and realist synthesis of implementation factors and user engagement." Health Technology Assessment 20, no. 16 (February 2016): 1–214. http://dx.doi.org/10.3310/hta20160.

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BackgroundThe UK has one of the highest rates of teenage pregnancies in Western Europe. One-fifth of these are repeat pregnancies. Unintended conceptions can cause substantial emotional, psychological and educational harm to teenagers, often with enduring implications for life chances. Babies of teenage mothers have increased mortality and are at a significantly increased risk of poverty, educational underachievement and unemployment later in life, with associated costs to society. It is important to identify effective, cost-effective and acceptable interventions.ObjectivesTo identify who is at the greatest risk of repeat unintended pregnancies; which interventions are effective and cost-effective; and what the barriers to and facilitators of the uptake of these interventions are.Data sourcesWe conducted a multistreamed, mixed-methods systematic review informed by service user and provider consultation to examine worldwide peer-reviewed evidence and UK-generated grey literature to find and evaluate interventions to reduce repeat unintended teenage pregnancies. We searched the following electronic databases: MEDLINE and MEDLINE In-Process & Other Non-Indexed Citations, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, The Cochrane Library (Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects and the Health Technology Assessment Database), EMBASE (Excerpta Medicadatabase), British Nursing Index, Educational Resources Information Center, Sociological Abstracts, Applied Social Sciences Index and Abstracts, BiblioMap (the Evidence for Policy and Practice Information and Co-ordinating Centre register of health promotion and public health research), Social Sciences Citation Index (supported by Web of Knowledge), Research Papers in Economics, EconLit (American Economic Association’s electronic bibliography), OpenGrey, Scopus, Scirus, Social Care Online, National Research Register, National Institute for Health Research Clinical Research Network Portfolio and Index to THESES. Searches were conducted in May 2013 and updated in June 2014. In addition, we conducted a systematic search of Google (Google Inc., Mountain View, CA, USA) in January 2014. Database searches were guided by an advisory group of stakeholders.Review methodsTo address the topic’s complexities, we used a structured, innovative and iterative approach combining methods tailored to each evidence stream. Quantitative data (effectiveness, cost-effectiveness, risk factors and effect modifiers) were synthesised with reference to Cochrane guidelines for evaluating evidence on public health interventions. Qualitative evidence addressing facilitators of and barriers to the uptake of interventions, experience and acceptability of interventions was synthesised thematically. We applied the principles of realist synthesis to uncover theories and mechanisms underpinning interventions (what works, for whom and in what context). Finally, we conducted an overarching narrative of synthesis of evidence and gathered service user feedback.ResultsWe identified 8664 documents initially, and 816 in repeat searches. We filtered these to 12 randomised controlled trials (RCTs), four quasi-RCTs, 10 qualitative studies and 53 other quantitative studies published between 1996 and 2012. None of the RCTs was based in the UK. The RCTs evaluated an emergency contraception programme and psychosocial interventions. We found no evidence for effectiveness with regard to condom use, contraceptive use or rates of unprotected sex or use of birth control. Our primary outcome was repeat conception rate: the event rate was 132 of 308 (43%) in the intervention group versus 140 of 289 (48%) for the control goup, with a non-significant risk ratio (RR) of 0.92 [95% confidence interval (CI) 0.78 to 1.08]. Four studies reported subsequent birth rates: 29 of 237 (12%) events for the intervention arm versus 46 out of 224 (21%) for the control arm, with a RR of 0.60 (95% CI 0.39 to 0.93). Many repeat conceptions occurred in the context of poverty, low expectations and aspirations, and negligible opportunities. Service user feedback suggested that there were specific motivations for many repeat conceptions, for example to replace loss or to please a partner. Realist synthesis highlighted that context, motivation, planning for the future and letting young women take control with connectedness and tailoring provide a conceptual framework for future research.LimitationsIncluded studies rarely characterised adolescent pregnancy as intended or unintended, that is interventions to reduce repeat conceptions rarely addressed whether or not pregnancies were intended. Furthermore, interventions were often not clearly defined, had multiple aims and did not indicate which elements were intended to address which aims. Nearly all of the studies were conducted in the USA and focused largely on African American or Hispanic and Latina American populations.ConclusionsWe found no evidence to indicate that existing interventions to reduce repeat teenage pregnancy were effective; however, subsequent births were reduced by home-based interventions. Qualitative and realist evidence helped to explain gaps in intervention design that should be addressed. More theory-based, rigorously evaluated programmes need to be developed to reduce repeat teenage pregnancy in the UK.Study registrationThis study is registered as PROSPERO CRD42012003168. Cochrane registration number: i=fertility/0068.FundingThe National Institute for Health Research Health Technology Assessment programme.
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Mitrokhin, Oleg V., Vladimir A. Reshetnikov, Elena V. Belova, and Mihajlo (Michael) Jakovljevic. "Sanitary and Hygienic Aspects of the COVID-19 Self-isolation." Open Public Health Journal 13, no. 1 (December 31, 2020): 734–38. http://dx.doi.org/10.2174/1874944502013010734.

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Introduction: Self-isolation during the COVID-19 pandemic is a temporary measure to limit the spread of infection. All citizens arriving from abroad to Russia must comply with the rules of self-isolation. Since April 2, 2020, almost all citizens of the Russian Federation have followed the rules of self-isolation. Also, this month in the Russian capital, Moscow, about 6 million citizens have isolated themselves. In general, in the territory of Russia, the number of citizens on self-isolation reached 100 million. Billions of citizens around the world are staying at home due to the self-isolation regime, so a sanitary assessment must be considered. Self-isolation, characterized by physical inactivity, hypoxia, diet disturbances, lifestyle changes during work / rest, mental stress; this provides an opportunity to identify the presence of public health risk factors and contributes to an increase in the incidence of No Communicable Diseases (NCDs). Purpose of the Study: Carrying out a sanitary-hygienic assessment of COVID-19 self-isolation, determining priority risk factors causing non-infectious diseases, and proposing preventive measures. Objectives: To Identify public health risk factors during self-isolation. To conduct a comprehensive hygienic assessment of self-isolation according to the priority criteria. To develop a pointing system (hygiene index for self-isolation). To propose measures to minimize health risks during self-isolation. Materials and Methods: We used analytical, and systematization approaches. Information from the legal documents of the hygienic-sanitary laws of the Government of the Russian Federation (nutrition hygiene, hygiene of workforce, children, and teenagers). World Health Organization COVID-19 documents. Research Results: We assessed the sanitary-hygienic aspects of self-isolation to identify the leading risk factors on public health, and as a result, we proposed hygienic criteria for self-isolation. We developed a hygienic self-isolation index point score (HSIPS) that considers the Russian law-based requirements for diet, work, rest, and physical activities. Thus, the usage of those hygienic standards is beneficial to prevent public health risks in ordinary and extremely challenging conditions of self-isolation. We proposed measures to minimize risks during self-isolation, and we based them on adequate sanitary-hygienic standards. The main sanitary-hygienic risk factors of self-isolation are: sedentary lifestyle, hypoxia, nutritional deficiencies (malnutrition), and work/rest imbalance. Conclusion: We proposed a sanitary-hygienic definition of self-isolation. We identified leading risk factors for public health of the self-isolated population. We proposed sanitary-hygienic criteria for assessing self-isolation based on the regulations and standards of the Government of the Russian Federation. We developed a hygienic self-isolation index point score (HSIPS), which determines that the optimal mode is directly proportional to the coefficients of a person’s physical activity (D), indoor area (air cubic capacity) per isolated (S), time spent in fresh air (T) and inversely proportional to the calorie intake. We proposed measures to prevent noncommunicable diseases (NCD) for citizens on self-isolation.
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Angrist, Noam, Peter Bergman, David K. Evans, Susannah Hares, Matthew C. H. Jukes, and Thato Letsomo. "Practical lessons for phone-based assessments of learning." BMJ Global Health 5, no. 7 (July 2020): e003030. http://dx.doi.org/10.1136/bmjgh-2020-003030.

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School closures affecting more than 1.5 billion children are designed to prevent the spread of current public health risks from the COVID-19 pandemic, but they simultaneously introduce new short-term and long-term health risks through lost education. Measuring these effects in real time is critical to inform effective public health responses, and remote phone-based approaches are one of the only viable options with extreme social distancing in place. However, both the health and education literature are sparse on guidance for phone-based assessments. In this article, we draw on our pilot testing of phone-based assessments in Botswana, along with the existing literature on oral testing of reading and mathematics, to propose a series of preliminary practical lessons to guide researchers and service providers as they try phone-based learning assessments. We provide preliminary evidence that phone-based assessments can accurately capture basic numeracy skills. We provide guidance to help teams (1) ensure that children are not put at risk, (2) test the reliability and validity of phone-based measures, (3) use simple instructions and practice items to ensure the assessment is focused on the target skill, not general language and test-taking skills, (4) adapt the items from oral assessments that will be most effective in phone-based assessments, (5) keep assessments brief while still gathering meaningful learning data, (6) use effective strategies to encourage respondents to pick up the phone, (7) build rapport with adult caregivers and youth respondents, (8) choose the most cost-effective medium and (9) account for potential bias in samples.
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Woźniak, Łukasz, Maciej Idzior, and Marek Jóźwiak. "Open reduction, Dega osteotomy and proximal femoral osteotomy in delayed diagnosis of developmental hip dislocation: outcome at 40-year follow-up." Journal of Children's Orthopaedics 15, no. 2 (April 19, 2021): 171–77. http://dx.doi.org/10.1302/1863-2548.15.210006.

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Purpose Late-diagnosed dislocated hips underwent open reduction, Dega osteotomy, and proximal femoral osteotomy between 1968 and 1988. The objectives of this study are to assess the survival of hips into adulthood, clinical and radiological outcome, patients’ life perspectives and the risk factors of failure. Methods An assessment of 67 hips treated when younger than five years (<age 5yr. group) and 71 hips in the group aged older than five years (+age 5yr.) was performed. All cases were evaluated clinically and radiographically, and survival was assessed, considering hip replacement as endpoints for failure (abbreviation HR+ refers to hips that underwent hip replacement surgery; HR- refers to hips that have not been replaced at the follow-up). The fertility rate and the social security disability benefits (SSDB) recipiency percentage were calculated. Results The 40-year survival rates were 73% (95% confidence (CI) 71% to 76%) in the <age 5yr. group, 54% (95% CI 51% to 57%) in the +age 5yr. group, 70% (95% CI 67% to 73%) in one-sided dislocations and 57% (95% CI 54% to 60%) in bilateral dislocations. At follow-up, the median Harris hip and Western Ontario and McMaster Universities Osteoarthritis scores were 90.0 and 13.0 (<age 5yr. group, HR-), 74.0 and 28.0 (+age 5yr. group, HR-), 90.0 and 16.0 (<age 5yr. group, HR+) and 84.5 and 11.5 (+age 5yr. group, HR+), respectively. The operation normalized the radiological parameters. The correlation between the grade of femoral head avascular necrosis (AVN) at a median 2.6 years after the operation and the grade of osteoarthritis at follow-up was 0.38 (p < 0.001). The fertility rate was 1.54. In total, 16.0% (aged under five years) and 38.5% (aged over five years) of patients were receiving SSDB (p = 0.003). Conclusion Early failure risk factors are older age at the surgical procedure, high AVN grade and bilateral hip involvement. Still, the results facilitate hip reposition whenever technically manageable, even in teenagers. Level of evidence III
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Habib, Ashkan, Mohadeseh Molayemat, and Asadollah Habib. "Association of lipid profile and BMI Z-score in southern Iranian children and adolescents." Journal of Pediatric Endocrinology and Metabolism 32, no. 8 (August 27, 2019): 827–35. http://dx.doi.org/10.1515/jpem-2019-0002.

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Abstract Background Heart disease has been the leading cause of death for decades in the US population. Dyslipidemia is the most important risk factor for cardiovascular disease (CVD), and it often starts during childhood. Methods This cross-sectional study was performed in a growth assessment clinic in the city of Shiraz to determine the relation between body mass index (BMI) and dyslipidemia among children and teenagers aged 2–18 years. Nine hundred and eighty-nine children including 422 boys and 567 girls were selected. Results Adjusted for age and gender, total cholesterol (TC) (r = 0.172, p = 0.000), low-density lipoprotein cholesterol (LDL-c) (r = 0.176, p = 0.000), non-high-density lipoprotein cholesterol (non-HDL-c) (r = 0.227, p = 0.000) and triglycerides (TG) (r = 0.253, p = 0.000) showed a significant positive correlation with BMI Z-score, and HDL-c showed a significant negative correlation with BMI Z-score (r = −0.131, p = 0.000). Adjusted for age and gender, overweight and obese children were 1.882 times more likely to have high TC levels (p = 0.009), 2.236 times more likely to have high non-HDL-c levels (p = 0.000) and 3.176 times more likely to have high TG levels (p = 0.000) in comparison with children who had a healthy weight. Obese children had the highest percentage of isolated TG dyslipidemia (23.1%) and underweight children had the highest percentage of isolated HDL dyslipidemia (15.6%). Conclusions There is a strong link between atherosclerotic cardiovascular disease (ASCVD) and the level of blood lipids and between blood lipids and BMI Z-score. The first step in preventing ASCVD is the reduction of blood lipids, preventing weight gain and loss of extra weight.
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Styne, Dennis M., Silva A. Arslanian, Ellen L. Connor, Ismaa Sadaf Farooqi, M. Hassan Murad, Janet H. Silverstein, and Jack A. Yanovski. "Pediatric Obesity—Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline." Journal of Clinical Endocrinology & Metabolism 102, no. 3 (January 31, 2017): 709–57. http://dx.doi.org/10.1210/jc.2016-2573.

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Abstract Cosponsoring Associations: The European Society of Endocrinology and the Pediatric Endocrine Society. This guideline was funded by the Endocrine Society. Objective: To formulate clinical practice guidelines for the assessment, treatment, and prevention of pediatric obesity. Participants: The participants include an Endocrine Society–appointed Task Force of 6 experts, a methodologist, and a medical writer. Evidence: This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation approach to describe the strength of recommendations and the quality of evidence. The Task Force commissioned 2 systematic reviews and used the best available evidence from other published systematic reviews and individual studies. Consensus Process: One group meeting, several conference calls, and e-mail communications enabled consensus. Endocrine Society committees and members and co-sponsoring organizations reviewed and commented on preliminary drafts of this guideline. Conclusion: Pediatric obesity remains an ongoing serious international health concern affecting ∼17% of US children and adolescents, threatening their adult health and longevity. Pediatric obesity has its basis in genetic susceptibilities influenced by a permissive environment starting in utero and extending through childhood and adolescence. Endocrine etiologies for obesity are rare and usually are accompanied by attenuated growth patterns. Pediatric comorbidities are common and long-term health complications often result; screening for comorbidities of obesity should be applied in a hierarchal, logical manner for early identification before more serious complications result. Genetic screening for rare syndromes is indicated only in the presence of specific historical or physical features. The psychological toll of pediatric obesity on the individual and family necessitates screening for mental health issues and counseling as indicated. The prevention of pediatric obesity by promoting healthful diet, activity, and environment should be a primary goal, as achieving effective, long-lasting results with lifestyle modification once obesity occurs is difficult. Although some behavioral and pharmacotherapy studies report modest success, additional research into accessible and effective methods for preventing and treating pediatric obesity is needed. The use of weight loss medications during childhood and adolescence should be restricted to clinical trials. Increasing evidence demonstrates the effectiveness of bariatric surgery in the most seriously affected mature teenagers who have failed lifestyle modification, but the use of surgery requires experienced teams with resources for long-term follow-up. Adolescents undergoing lifestyle therapy, medication regimens, or bariatric surgery for obesity will need cohesive planning to help them effectively transition to adult care, with continued necessary monitoring, support, and intervention. Transition programs for obesity are an uncharted area requiring further research for efficacy. Despite a significant increase in research on pediatric obesity since the initial publication of these guidelines 8 years ago, further study is needed of the genetic and biological factors that increase the risk of weight gain and influence the response to therapeutic interventions. Also needed are more studies to better understand the genetic and biological factors that cause an obese individual to manifest one comorbidity vs another or to be free of comorbidities. Furthermore, continued investigation into the most effective methods of preventing and treating obesity and into methods for changing environmental and economic factors that will lead to worldwide cultural changes in diet and activity should be priorities. Particular attention to determining ways to effect systemic changes in food environments and total daily mobility, as well as methods for sustaining healthy body mass index changes, is of importance.
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Magalhães-Barbosa, Maria Clara, Jaqueline Rodrigues Robaina, Arnaldo Prata-Barbosa, and Claudia de Souza Lopes. "Reliability of triage systems for paediatric emergency care: a systematic review." Emergency Medicine Journal 36, no. 4 (January 10, 2019): 231–38. http://dx.doi.org/10.1136/emermed-2018-207781.

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ObjectiveTo present a systematic review on the reliability of triage systems for paediatric emergency care.MethodsA search of MEDLINE, Cochrane Library, Latin American and Caribbean Health Sciences Literature, Scientific Electronic Library Online, Nursing Database Index and Spanish Health Sciences Bibliographic Index for articles in English, French, Portuguese or Spanish was conducted to identify reliability studies of five-level triage systems for patients aged 0–18 years published up to April 2018. Two reviewers performed study selection, data extraction and quality assessment as recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.ResultsTwenty studies on nine triage systems were selected: the National Triage System (n=1); the Australasian Triage Scale (n=3); the paediatric Canadian Triage and Acuity Scale (PedCTAS) (n=5); the Manchester Triage System (MTS) (n=1); the Emergency Severity Index (ESI) (n=5); an adaptation of the South African Triage Scale for the Princess Marina Hospital in Botswana (n=1); the Soterion Rapid Triage System (n=1); the Rapid Emergency Triage and Treatment System-paediatric version (n=2); the Paediatric Risk Classification Protocol (n=1). Ten studies were performed with actual patients, while the others used hypothetical scenarios. The studies were rated low (n=14) or moderate (n=6) quality. Kappa was the most used statistic, although many studies did not specify the weighting. PedCTAS, MTS and ESI V.4 exhibited substantial to almost perfect agreement in moderate quality studies.ConclusionsThere is some evidence on the reliability of the PedCTAS, MTS and ESI V.4, but most studies are limited to the countries where they were developed. Efforts are needed to improve the quality of the studies, and cross-cultural adaptation of those tools is recommended in countries with different professional qualification and sociocultural contexts.
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Jaramillo, Joshua D., Nicholas A. Hakes, Lakshika Tennakoon, David Spain, and Joseph D. Forrester. "The “T’s” of snakebite injury in the USA: fact or fiction?" Trauma Surgery & Acute Care Open 4, no. 1 (October 2019): e000374. http://dx.doi.org/10.1136/tsaco-2019-000374.

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BackgroundVenomous snakebites can result in serious morbidity and mortality. In the USA, the “T’s of snakebites” (testosterone, teasing, touching, trucks, tattoos & toothless (poverTy), Texas, tequila, teenagers, and tanks) originate from anecdotes used to colloquially highlight venomous snakebite risk factors. We performed an epidemiologic assessment of venomous snakebites in the USA with the objective of evaluating the validity of the “T’s of snakebites” at a national level.MethodsWe performed a retrospective analysis of the National Emergency Department Sample. Data from January 1, 2016 to December 31, 2016 were obtained. All emergency department (ED) encounters corresponding to a venomous snakebite injury were identified using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes. Primary outcomes were mortality and inpatient admission. Demographic, injury, and hospital characteristics were assessed. Data were analyzed according to survey methodology. Weighted values are reported.ResultsIn 2016, 11 138 patients presented to an ED with a venomous snakebite. There were 4173 (37%) persons aged 18 to 44, and 7213 (65%) were male. Most snakebites were reported from the South (n=9079; 82%), although snakebites were reported from every region in the USA. Only 3792 (34%) snakebites occurred in rural counties. Persons in the lowest income quartile by zip code were the most heavily represented (n=4337; 39%). The most common site of injury was the distal upper extremity (n=4884; 44%). Multivariate analysis revealed that species of snake (OR=0.81; 95% CI 0.73 to 0.88) and older age (OR=1.42; 95% CI 1.08 to 1.87) were associated with hospital admission. There were <10 inpatient deaths identified, and no variables were predictive of death.DiscussionSome of the “T’s of snakebites” may be valid colloquial predictors of the risk for venomous snakebites. Based on national data, common demographics of venomous snakebite victims include lower income, Caucasian, and adult men in the South who are bit on the upper extremity. Understanding common demographics of venomous snakebite victims can effectuate targeted public health prevention messaging.Level of evidenceIV.
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De Moura, Maria Ivone Leal, Juçara Barroso Leal, Juliane Barroso Leal, Victorugo Guedes Alencar Correia, Joaline Barroso Portela Leal, Maralina Gomes da Silva, Luís Eduardo Soares dos Santos, and Ana Karla Sousa De Oliveira. "Cartilha sobre prevenção do uso de drogas para adolescentes." Revista de Enfermagem UFPE on line 13, no. 4 (April 19, 2019): 1106. http://dx.doi.org/10.5205/1981-8963-v13i4a237875p1106-1114-2019.

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RESUMOObjetivo: descrever o processo de produção e validação de uma cartilha educativa direcionada a adolescentes sobre as principais drogas de abuso. Método: trata-se de um estudo quantitativo do tipo metodológico com desenvolvimento, avaliação e aperfeiçoamento de uma cartilha dividida em três fases: a primeira foi a construção, com revisão integrativa da literatura, onde se analisaram as publicações disponíveis sobre prevenção do uso de drogas por adolescentes; a segunda fase foi a validação do material por intermédio de juízes, onde se avaliaram o conteúdo, a linguagem e a aparência da tecnologia educativa; a terceira fase consistiu-se da validação por 40 adolescentes, avaliando o estilo de escrita, a aparência e a apresentação. Utilizaram-se dois instrumentos diferentes para a avaliação e o Índice de Validade de Conteúdo (IVC) para a concordância da cartilha. Resultados: produziu-se o material educativo e validou-se com análise estatística ratificada pelo IVC igual a 0,83, com concordância aceita e o nível de concordância de 97,5% pelos adolescentes. Conclusão: pode-se afirmar que a cartilha intitulada “Drogas: como prevenir?” se mostrou um instrumento válido e confiável para ser utilizado na promoção da saúde e prevenção de drogas em adolescentes. Descritores: Adolescência e Substâncias; Usuários de Drogas; Tecnologia Educacional; Drogas Ilícitas; Comportamento de Risco; Estudos de Validação.ABSTRACT Objective: to describe the process of production and validation of an educative booklet targeted at teenagers on the main drugs of abuse. Method: this is a quantitative study of methodological type. The development, evaluation and improvement of the primer was divided into three stages: the construction with an integrative review of literature, where it analyzed the publications available on prevention of drug use by adolescents; the validation of the material through judges, where they evaluated the content, the language and the appearance of educational technology; and the validation by 40 adolescents evaluating the style of writing, the appearance and presentation. We used two different instruments for the assessment and the Content Validity Index (CVI) for the concordance of the booklet. Results: it produced the educational material and validated with statistical analysis ratified by the CVI equal to 0.83, with concordance accepts and the level of concordance of 97.5% by teenagers. Conclusion: it can be argued that the booklet entitled “Drugs: how to prevent?” proved to be a valid and reliable tool to be used on health promotion and prevention of drug use in adolescents. Descriptors: Adolescence and Substances; Drug Users; Educational Technology; Illicit Drugs; Risk Behavior; Validation Studies.RESUMEN Objetivo: describir el proceso de producción y la validación de un folleto educativo dirigido a los adolescentes enfocando las principales drogas de abuso. Método: se trata de un estudio cuantitativo del tipo metodológico con desarrollo, evaluación y mejora de una imprimación dividida en tres etapas: la primera fue la construcción, con la revisión de la literatura integradora, donde analizó las publicaciones disponibles acerca de la prevención contra el uso indebido de drogas por los adolescentes; la segunda fue la validación del material a través de los jueces, donde se evaluó el contenido, el lenguaje y la aparición de la tecnología educativa; la tercera etapa consistió en la validación por 40 adolescentes, evaluando el estilo de redacción, la apariencia y la presentación. Se aplican dos tipos de herramientas para la evaluación y el índice de validez de contenido (CVI) para la concordancia del folleto. Resultados: los materiales educativos producidos y validados con análisis estadísticos ratificados por el CVI igual a 0,83, con concordancia acepta y el nivel de concordancia de 97,5% de los adolescentes. Conclusión: se puede argumentar que el folleto titulado “?Drogas: cómo prevenir?” resultó ser un instrumento válido y fiable para ser usado en la promoción de la salud y prevención del consumo de drogas en los adolescentes. Descriptores: Adolescencia y Sustancias; Usuarios de Drogas; Tecnología Educativa; Drogas Ilícitas; Comportamiento de Riesgo; Estudios de Validación.
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Borst, Alexandra, Ibrahim Saber, Elizabeth Thames, Nimia Reyes, Michele Beckman, and Thomas L. Ortel. "Incidence of Pediatric VTE in Durham County, North Carolina." Blood 126, no. 23 (December 3, 2015): 5562. http://dx.doi.org/10.1182/blood.v126.23.5562.5562.

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Abstract Introduction There is no national surveillance system for venous thromboembolism (VTE) despite the associated morbidity, mortality and economic burden on the health care system. Estimates of the incidence of VTE in the U.S. range from 1-2 cases per 1,000 people, or approximately 300,000-600,000 cases per year. The estimated incidence in children is lower, ranging from 1-10 per 100,000, with the period of greatest risk for VTE < 1 year and in the teenage years. It has been observed that most children with VTE have a serious underlying medical condition. The contribution of inherited thrombophilia to VTE in children remains not well established. Methods All patients with VTE in Durham County, North Carolina (NC), were identified as part of a VTE Surveillance Project supported by the Centers for Disease Control and Prevention from April 2012 through March 2014. Surveillance included an information technology-based electronic medical record review of diagnosis and specific treatment codes combined with manual review of radiographic imaging and autopsy reports. De-identified data were collected from the three hospitals in the county (Duke, Duke Regional, and the Durham VAMC) and entered into a REDCap database for analysis. Results The estimated population of Durham County during the study period was ~268,000, and ~69,000 of these individuals were < 20 years of age (25.7%). There were a total of 726 new cases of VTE in the county during the study period, for an estimated overall annual incidence of 0.135% (1.35 cases per 1000 per year). Of the total cohort, 19 individuals were less than 25 years of age (Figure 1), but only 8 patients were younger than 20 years, for an estimated annual incidence of VTE in the pediatric subset of 0.006% (6 cases per 100,000 per year). All pediatric VTE cases were identified at Duke University Medical Center. Table 1 lists characteristics of the pediatric population identified. The majority of patients were in their teenage years (75%) and there were no infants. One patient had a prior history of VTE and was taking warfarin at the time of diagnosis. None of the patients received primary pharmacologic thromboprophylaxis. One patient with intracranial hemorrhage did not receive any anticoagulant therapy after diagnosis of a deep vein thrombosis (DVT). One patient was treated with argatroban because of a history of heparin-induced thrombocytopenia, and the remainder were treated with enoxaparin or heparin. None were treated with fibrinolytic therapy or implantation of an IVC filter. Three patients underwent a thrombophilia evaluation, and one was heterozygous for the prothrombin gene mutation. Table 1. Pediatric Patient Characteristics Age (yrs) Sex Race/Ethnicity VTE Event Diagnostic Imaging Prothrombotic Risk Factors Hemorrhagic Risk Factors 4 M White DVT MRI Hemoglobinopathy, CVC 5 M Hispanic DVT US CVC ICH, DIC 17 F White DVT; PE MRI;VQ Scan OCP, Prothrombin gene mutation 18 F White DVT US Immobility ICH 18 M African American DVT US CVC; relative immobility, trauma 19 M African American PE CT CrohnÕs disease, smoking 19 M African American DVT US Prior VTE; ?Protein S deficiency, obesity 19 F African American PE CT Contraceptive patch PE = pulmonary embolus, US = ultrasound, CT = computed tomography scan, VQ = ventilation/perfusion scan, MRI = magnetic resonance imaging, CVC = central venous catheter, OCP = oral contraceptive pill, ICH = intracranial hemorrhage, DIC = disseminated intravascular coagulation Discussion Although 25.7% of individuals living within Durham County, NC are < 20 years of age, this age group represents only ~1.1% of the total number of individuals identified with VTE. The incidence of pediatric VTE was approximately 6 per 100,000 per year, consistent with prior reports. VTE was more common in African Americans in the pediatric patients, which we have observed in all age groups in this surveillance study. Most patients were teenagers, and one or more acquired prothrombotic risk factors were present in all. We did not identify any infants (age < 1 year) in this study, likely reflecting the small sample size and geographic restriction of the study. The type of VTE events observed and initial treatment strategies were similar to adult patients studied. A more accurate assessment of pediatric VTE within a tertiary care academic medical center will need to capture patients from a broader geographic distribution to represent the referral patterns for these complex patients. Disclosures Ortel: Instrumentation Laboratory: Consultancy; Instrumentation Laboratory: Research Funding; Eisai: Research Funding; Daiichi Sankyo: Consultancy.
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Solfiah, Yeni Solfiah, Devi Risma, Hukmi, and Rita Kurnia. "Early Childhood Disaster Management Media Through Picture Story Books." JPUD - Jurnal Pendidikan Usia Dini 14, no. 1 (April 30, 2020): 141–55. http://dx.doi.org/10.21009/141.10.

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Indonesia is a country that has a high potential for natural disasters. Picture story book is a form of disaster management learning that can help children from an early age to prepare for a natural disaster. The aims of this study to develop story books as a disaster management learning media, to improve knowledge and skills of children and teacher about the understanding, principles, and actions of rescue when facing the natural disasters, to increase the teacher’s learning quality in disaster management. Developmental research approach is used to execute the study. A total of 48 children aged 5-6 years have to carry out pre-test and post-test. Pre-test data shows that children's knowledge about disaster management with an average of 47.92% and its improved at post-test with 76,88%. Five theme of story books involves floods, landslides, earthquakes, tsunamis, lands and forest fires is the product. Dissemination of five story books are proper for children and improve their understanding of disaster management. Keywords: Early Childhood Education, Management Disaster, Storybooks Reference: Abulnour, A. H. (2013). Towards efficient disaster management in Egypt. Housing and Building National Research Center. https://doi.org/10.1016/j.hbrcj.2013.07.004 Adiyoyoso, W. (2018). Manajemen Bencana. Jakarta: Bumi Aksara. Anderson, T., & Shattuck, J. (2012). Design-based research: A decade of progress in education research? Educational Researcher, 41(1), 16–25. https://doi.org/10.3102/0013189X11428813 Batič, J. (2019). Reading Picture Books in Preschool and Lower Grades of Primary School. Center for Educational Policy Studies Journal, (November), 1–18. https://doi.org/10.26529/cepsj.554 Bosschaart, A., van der Schee, J., Kuiper, W., & Schoonenboom, J. (2016). Evaluating a flood- risk education program in the Netherlands. Studies in Educational Evaluation, 50, 53–61. https://doi.org/10.1016/j.stueduc.2016.07.002 Codreanu, T. A., Celenza, A., & Jacobs, I. (2014). Does disaster education of teenagers translate into better survival knowledge, knowledge of skills, and adaptive behavioral change? A systematic literature review. Prehospital and Disaster Medicine, 29(6), 629–642. https://doi.org/10.1017/S1049023X14001083 Delicado, A., Rowland, J., Fonseca, S., & Nunes, A. (2017). Children in Disaster Risk Reduction in Portugal : Policies , Education , and ( Non ) Participation. 246–257. https://doi.org/10.1007/s13753-017-0138-5 Demiroz, F., & Haase, T. W. (2019). The concept of resilience: a bibliometric analysis of the emergency and disaster management literature. Local Government Studies, 45(3), 308–327. https://doi.org/10.1080/03003930.2018.1541796 Efthymis, L., Michael, S., Alexia, G., Panagiotis, P., Vassiliki, A., Kate, V., & Spyros, P. (2014). Disaster Data Centre — An Innovative Educational Tool for Disaster Reduction through Education in Schools. (September), 35–40. Faber, M. H., Giuliani, L., Revez, A., Jayasena, S., Sparf, J., & Mendez, J. M. (2014). Interdisciplinary Approach to Disaster Resilience Education and Research. Procedia Economics and Finance, 18(September), 601–609. https://doi.org/10.1016/s2212- 5671(14)00981-2 Frankenberg, E., Gillespie, T., Preston, S., Sikoki, B., & Thomas, D. (2011). Mortality, the family and the Indian Ocean Tsunami. Economic Journal, 121(554), 162–182. https://doi.org/10.1111/j.1468-0297.2011.02446.x Fujioka, T., & Sakakibara, Y. (2018). School education for disaster risk reduction in Japan after the 2011 Great East Japan Earthquake and Tsunami (GEJET). Terrae Didatica, 14(3), 313– 319. https://doi.org/10.20396/td.v14i3.8653531 Guha-Sapir, D., Van Panhuis, W. G., & Lagoutte, J. (2007). Short communication: Patterns of chronic and acute diseases after natural disasters - A study from the International Committee of the Red Cross field hospital in Banda Aceh after the 2004 Indian Ocean tsunami. Tropical Medicine and International Health, 12(11), 1338–1341. https://doi.org/10.1111/j.1365- 3156.2007.01932.x Haggstrom, M. (2020). The art of read-aloud, body language and identity construction: A multimodal interactional analysis of interaction between parent, child and picture book. International Journal of Language Studies, 14(1), 117–140. Halim, L., Abd Rahman, N., Zamri, R., & Mohtar, L. (2018). The roles of parents in cultivating children’s interest towards science learning and careers. Kasetsart Journal of Social Sciences, 39(2), 190–196. https://doi.org/10.1016/j.kjss.2017.05.001 Hamele, M., Gist, R. E., & Kissoon, N. (2019). P ro v i s i o n o f C a re f o r C r i t i c a l l y I l l C h i l d ren i n Disasters. 35, 659–675. https://doi.org/10.1016/j.ccc.2019.06.003 Justice, L. M., & Piasta, S. (2011). Developing children’s print knowledge through adult-child storybook reading interactions: Print referencing as an instructional practice. In Handbook of early literacy research (In S. B. N). Kitagawa, K. (2016). Situating preparedness education within public pedagogy. Pedagogy, Culture & Society, 1366(November), 1–13. https://doi.org/10.1080/14681366.2016.1200660 Kousky, C. (2016). Impacts of natural disasters on children. Future of Children, 26(1), 73–92. https://doi.org/10.1353/foc.2016.0004 Latif, M., Zukhairina, Zubaidah, R., & Afandi, M. (2013). Orientasi Baru Pendidikan Anak Usia Dini (Teori dan Aplikasi). Jakarta: Kencana Prenada Media Group. Lin, R. (2012). A Study of Curriculum Innovation Teaching and Creative Thinking for Picture Book Creation. IERI Procedia, Vol. 2, pp. 30–35. https://doi.org/10.1016/j.ieri.2012.06.047 Lopez, Y., Hayden, J., Cologon, K., & Hadley, F. (2012). Child participation and disaster risk reduction. International Journal of Early Years Education, 20(3), 300–308. https://doi.org/10.1080/09669760.2012.716712 Manjale, N. B., & Abel, C. (2017). Significance and adequacy of instructional media as perceived by primary school pupils and teachers in. 4(6), 151–157. Masuda, K., & Yamauchi, C. (2017). The effects of female education on adolescent pregnancy and child health: evidence from Uganda’s Universal Primary Education for fully treated cohorts. GRIPS Discussion Paper - National Graduate Institute for Policy Studies, (17/01), 49-pp. Retrieved from https://pdfs.semanticscholar.org/07f5/ebe91e3ac20179daae7d885ea50f8154f94e.pdf Mateo, R. M. (2015). Contrastive Multimodal Analysis of two Spanish translations of a picture book. 212, 230–236. https://doi.org/10.1016/j.sbspro.2015.11.338 McKenney, S., & Reeves, T. (2012). Conducting educational design research. London: Routledge. Meng, L., & Muñoz, M. (2016). Teachers’ perceptions of effective teaching: a comparative study of elementary school teachers from China and the USA. Educational Assessment, Evaluation and Accountability. Mudavanhu, Chipo Muzenda Manyena, B., & Collins, A. E. (2016). Disaster risk reduction knowledge among children in Muzarabani District, Zimbabwe. Natural Hazards, 84(2), 911–931. https://doi.org/10.1007/s11069-016-2465-z Mutch, C. (2014). International Journal of Educational Development The role of schools in disaster settings : Learning from the 2010 – 2011 New Zealand earthquakes. International Journal of Educational Development. https://doi.org/10.1016/j.ijedudev.2014.06.008 Ozturk, M. B., Sendogdu, M. C., Seker, E., & Tekinsen, H. K. (2011). Parents with children in preschool children ’ s picture book review elections. 15, 1906–1910. https://doi.org/10.1016/j.sbspro.2011.04.025 Peek, L. (2008). Children and Disasters: Understanding Vulnerability, Developing Capacities, and Promoting Resilience - An Introduction. Children, Youth and Environments, 18(1), 1– 29. Plomp, T., & Nieveen, N. (2007). An introduction to educational design research. Enschede: The Netherlands: SLO. Pramitasari, M., Yetti, E., & Hapidin. (2018). Pengembangan Media Sliding Book Untuk Media Pengenalan Sains Kehidupan (Life Science) Kelautan untuk Anak Usia Dini. Jurnal Pendidikan Usia Dini, 12(November), 281–290. Proulx, K., & Aboud, F. (2019). Disaster risk reduction in early childhood education: Effects on preschool quality and child outcomes. International Journal of Educational Development, 66(October 2017), 1–7. https://doi.org/10.1016/j.ijedudev.2019.01.007 Pyle, A., & Danniels, E. (2016). Using a picture book to gain assent in research with young children. 4430(March). https://doi.org/10.1080/03004430.2015.1100175 Raj, A., & Kasi, S. (2015). International Journal of Disaster Risk Reduction Psychosocial disaster preparedness for school children by teachers. International Journal of Disaster Risk Reduction, 12, 119–124. https://doi.org/10.1016/j.ijdrr.2014.12.007 Raynaudo, G., & Peralta, O. (2019). Children learning a concept with a book and an e-book: a comparison with matched instruction. European Journal of Psychology of Education, 34(1), 87–99. https://doi.org/10.1007/s10212-018-0370-4 Sawyer, B., Atkins-burnett, S., Sandilos, L., Hammer, C. S., Lopez, L., Blair, C., ... Hammer, C. S. (2018). Variations in Classroom Language Environments of Preschool Children Who Are Low Income and Linguistically Diverse. Early Education and Development, 29(3), 398– 416. https://doi.org/10.1080/10409289.2017.1408373 Simcock, G., & Heron-delaney, M. (2016). Infant Behavior and Development Brief report Reality check : Prior exposure facilitates picture book imitation by 15-month-old infants. Infant Behavior and Development, 45, 140–143. https://doi.org/10.1016/j.infbeh.2016.09.003 Solfiah, Y., Risma, D., & Kurnia, R. (2019). The Knowledge Of Early Childhood Education Teachers About Natural Disaster Management. 2(1), 159–166. Sugiyono. (2017). Metode Penelitian dan pengembangan, untuk bidang pendidikan,manegement sosial. Bandung: alfabeta. Sumantri, M. S. (2015). Strategi Pembelajaran. Jakarta: Raja Grafindo Persada.Suryaningsih, E., & Fatmawati, L. (2017). Pengembangan BUku Cerita Bergambar Tentang Mitigasi Bencana Erupsi Gunung Api Untuk Siswa SD. Profesi Pendidikan Dasar. Tatebe, J., & Mutch, C. (2015). International Journal of Disaster Risk Reduction Perspectives on education , children and young people in disaster risk reduction. International Journal of Disaster Risk Reduction, 1–7. https://doi.org/10.1016/j.ijdrr.2015.06.011 Tomé-Fernández, M., Senís-Fernández, J., & Ruiz-Martín, D. (2019). Values and Intercultural Experiences Through Picture Books. Reading Teacher, 73(2), 205–213. https://doi.org/10.1002/trtr.1813 Torani, S., Majd, P. M., Maroufi, S. S., Dowlati, M., & Sheikhi, R. A. (2019). The importance of education on disasters and emergencies: A review article. Journal of Education and Health Promotion, Vol. 8, p. 85. https://doi.org/10.4103/jehp.jehp_262_18 Tuladhar, G., Yatabe, R., Bhandary, N., & Dahal, R. (2015). Assessment of disaster risk reduction knowledge of school teachers in Nepal. International Journal of Health System and Disaster Management, 3(1), 20. https://doi.org/10.4103/2347-9019.147142 Undang-undang No. 24 Tahun 2007 Tentang Penanggulangan Bencana , (2007).
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Pang, Liangyue, Ketian Wang, Ye Tao, Qinghui Zhi, Jianming Zhang, and Huancai Lin. "A New Model for Caries Risk Prediction in Teenagers Using a Machine Learning Algorithm Based on Environmental and Genetic Factors." Frontiers in Genetics 12 (March 11, 2021). http://dx.doi.org/10.3389/fgene.2021.636867.

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Dental caries is a multifactorial disease that can be caused by interactions between genetic and environmental risk factors. Despite the availability of caries risk assessment tools, caries risk prediction models incorporating new factors, such as human genetic markers, have not yet been reported. The aim of this study was to construct a new model for caries risk prediction in teenagers, based on environmental and genetic factors, using a machine learning algorithm. We performed a prospective longitudinal study of 1,055 teenagers (710 teenagers for cohort 1 and 345 teenagers for cohort 2) aged 13 years, of whom 953 (633 teenagers for cohort 1 and 320 teenagers for cohort 2) were followed for 21 months. All participants completed an oral health questionnaire, an oral examination, biological (salivary and cariostate) tests, and single nucleotide polymorphism sequencing analysis. We constructed a caries risk prediction model based on these data using a random forest with an AUC of 0.78 in cohort 1 (training cohort). We further verified the discrimination and calibration abilities of this caries risk prediction model using cohort 2. The AUC of the caries risk prediction model in cohort 2 (testing cohort) was 0.73, indicating high discrimination ability. Risk stratification revealed that our caries risk prediction model could accurately identify individuals at high and very high caries risk but underestimated risks for individuals at low and very low caries risk. Thus, our caries risk prediction model has the potential for use as a powerful community-level tool to identify individuals at high caries risk.
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Sheng, Feng, and Peng Yang. "Fuzzy evaluation of adolescents’ health literacy based on early warning theory of psychological risk." Journal of Intelligent & Fuzzy Systems, April 13, 2021, 1–7. http://dx.doi.org/10.3233/jifs-189903.

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The mental health of adolescents not only affects their own healthy growth and success, but is also related to the future of the country and the development of the whole society. Based on the assessment and early warning of adolescents’ psychological problems, different ways to improve adolescents’ health literacy according to the psychological characteristics of adolescents at different ages were explored in this study. The methods of relative superior degree matrix evaluation, entropy value method, coefficient of variation method, subjective and objective weighting method and other methods were employed to establish the fuzzy comprehensive evaluation classification model. MATLAB, SPSS and other software were used for programming to analyze the impact of risk preference, cognitive needs, and decision-making style on the risk of psychological problems of teenagers. The obtained evaluation criterion was used to evaluate the psychological status of respondents. Finally, this study analyzed and established the early-warning mechanism based on the structure model in the system engineering theory, and proposed reasonable solutions to alleviate the risk of psychological problems from the perspective of reality and combines with conclusions.
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Ononugbo, C. P., and T. I. Amadi. "Radiological Risk Assessment of Drinking Water from Ignatius University Quarters, Rumuolumeni, Nigeria." Asian Journal of Physical and Chemical Sciences, September 20, 2019, 1–11. http://dx.doi.org/10.9734/ajopacs/2019/v7i330095.

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Aims: The aim of this study was to assess the level of natural radioactivity in drinking water (tap water) from Ignatius university staff quarters in order to determine the radiological health risks associated with consumption of such water. Study Design: This study was purely an experimental work which involves collection of samples and laboratory analysis. Place and Duration of the Study: the study was carried out at Ignatius university staff quarters and some lecture halls within the institution between May 2018 and March 2019. Methodology: Twenty three (23) samples of drinkable water was collected from staff quarters and some lecture halls with 1.5 liters plastic containers which was rinsed thrice before collection. The samples were chemically treated by adding nitric acid and then pre-concentrated further by evaporating to certain levels. The residue were transferred to small cylindrical containers which were sealed and kept for 28 days in order to ensure secular equilibrium between 238u, 232th and their progenies and counted with sodium iodide activated with thallium detector. The results obtained were analyzed using some radiation models for radiological health risks. Results: The measured activity concentration of natural radionuclides such as 40K, 226Ra and 232Th in drinking water were in the range of 4.14±3.61 to 48.30±3.88 Bql-1, bdl to 188.51±2.69 Bql-1 and bdl to 29.17±3.42 Bql-1 respectively. The mean values of 40K, 226Ra and 232Th are 18.79±4.24, 27.55±5.99 and 17.79 ±2.89 Bql-1 respectively which is higher than their respective recommended safe value. The estimated effective dose for different age groups ranged from 0.073 to 317.58 mSvy-1 for infants, 0.050 to 78.05 mSvy-1 for children, 0.027 to 237.41 mSvy-1 for teenagers and 0.029 to 51.46 mSvy-1 for adults with mean values of 110.07, 25.92, 68.44 and 12.85 mSvy-1 respectively. The lifetime fatality cancer risk to adult estimated show that, approximately 19 out of 100 may suffer from some form of cancer fatality and 18 out of 1000 may suffer some hereditary effect. Conclusion: The result showed an elevated radioactivity level with its associated health risk. The populace might be at long term health risk if continuous exposure is maintained.
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Gheysvandi, Elham, Iman Dianat, Rashid Heidarimoghadam, Leili Tapak, Akram Karimi-Shahanjarini, and Forouzan Rezapur-Shahkolai. "Neck and shoulder pain among elementary school students: prevalence and its risk factors." BMC Public Health 19, no. 1 (October 16, 2019). http://dx.doi.org/10.1186/s12889-019-7706-0.

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Abstract Background Neck and shoulder pain is relatively common among children and teenagers and has a negative impact on their physical and psychological health. This study was carried out to assess the prevalence of neck and shoulder pain among elementary school students, and to investigate the relationship between this pain and its risk factors. Methods In this cross-sectional study, 693 elementary school students aged 7 to 12 years from Hamadan city, located in western Iran, were selected through the multistage cluster random sampling method. Data were collected through interviews and questionnaires. For the social and psychological variables, the parent version of the Strengths and Difficulties Questionnaire (SDQ) was used. For assessing each student’s posture, an observational checklist, the Rapid Upper Limbs Assessment (RULA), was used. The data was analyzed using the unadjusted (univariate) and adjusted (multivariate) logistic regression. Results The prevalence of the neck pain was slightly higher than that of shoulder pain. The prevalence reported over a month was 35.8 and 30.9% for neck and shoulder pain, respectively. The logistic regression analyses showed that, very high desk height (odds ratio (OR) =1.96, 95% confidence interval CI: 1.02–3.74), backward seat pan inclination (OR = 2.10, 95% CI: 1.37–3.24), forward seat pan inclination (OR = 3.12, 95% CI:1.46–6.68), difficulty in viewing the board (OR = 2.54, 95% CI: 1.10–5.84), too much homework (OR = 2.59, 95% CI: 1.49–4.51), RULA score at level III (OR = 2.88, 95% CI:1.64–5.05), and RULA score at level IV (OR = 3.12, 95% CI: 1.72–5.63) increased the risk of neck pain independently. On the other hand, sitting on desk and seat (OR = 0.59, 95% CI: 0.39–0.91) and laying position for doing homework (OR = 0.53, 95% CI: 0.34–0.81) reduced the related risk. Very short desk height (OR = 2.41, 95% CI: 1.26–4.61) and too much homework (OR = 1.94, 95% CI: 1.10–3.42) increased the risk of shoulder pain. Conclusion The elementary school students reported a high prevalence of shoulder and neck pain. This study found that improper sitting positions, as well as physical factors such as the school furniture, too much homework, and difficulty in viewing the classroom board, were associated with pain. Proper interventions considering the risk factors assessed in this study, are suggested.
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Bunu, Samuel Jacob, Diepreye Ere, and Celebrate E. Alabo. "Qualitative Determination of Urinary Iodine Concentration and Related Intelligence Quotient among High School Young Teenagers." European Journal of Advanced Chemistry Research 1, no. 3 (June 7, 2020). http://dx.doi.org/10.24018/ejchem.2020.1.3.7.

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Nutritional Essential Balance is a common trend in life. Iodine is not produced in the body and it is vital in maintaining good health, therefore it is needed to be consumed regularly. Essential iodine supplies are found in the ocean's bounty such as, sea salt, and fish. On land, iodine levels in the soil are great and are sufficiently maintained by plants such as cereals, vegetables. Several of the body functions rely upon iodine, including energy production, mental development, thyroid hormones production, reproductive glands support, and maintenance of the strong lymphatic system as well as cell growth regulation. Small amounts of iodine are found in the blood, nerves, and other organs of the body, but most of the body's iodine is present in the thyroid, breasts, ovaries, uterus, and prostate glands. The study was aimed to determine and evaluate the level of iodine concentration in the urine of school-age children, and its correlation to their intelligence quotient (IQ). The Titrimetric method was used in iodine urine concentration analysis. Urine (5 ml) was measured from a universal bottle and transferred to a beaker and 20 ml of water was added. After preparing the test mixture, it was titrated with 0.001M sodium thiosulphate using a burette, and at the endpoint colorless solution was obtained, this done for all the samples. From the results, the median urinary iodine levels were 117.7µg/L which is within the adequate iodine intake range (100-199 µg/L). This suggests that iodine was not deficient in any form amongst the school children. There may also be no risk of mental impairment and goiter development among these children if iodine concentration in urine is a risk factor. Therefore, checking the iodine nutrition of a population is vital and a good marker in the assessment of iodine deficiency-related disorders.
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De, Ayan, Deepanjan Mridha, Iravati Ray, Madhurima Joardar, Antara Das, Nilanjana Roy Chowdhury, and Tarit Roychowdhury. "Fluoride Exposure and Probabilistic Health Risk Assessment Through Different Agricultural Food Crops From Fluoride Endemic Bankura and Purulia Districts of West Bengal, India." Frontiers in Environmental Science 9 (August 18, 2021). http://dx.doi.org/10.3389/fenvs.2021.713148.

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The present study investigates the magnitude of fluoride (F−) contamination in agricultural land soil and food crops from F− endemic regions of Bankura and Purulia districts in West Bengal. Mean fluoride level in agricultural soil was 114 ± 59 mg/kg (n = 41) and 126 ± 65 mg/kg (n = 47) in Bankura and Purulia districts, respectively. Considering the food crops cultivated in Bankura (n = 79) and Purulia (n = 108), the mean fluoride concentration in nonleafy vegetables (18.1 ± 6.51 mg/kg and 15.6 ± 5.93 mg/kg) and leafy vegetables (12.8 ± 2.8 mg/kg and 18.4 ± 6.33 mg/kg) from the two studied districts was comparatively higher than that in the cereal (2 ± 1.05 mg/kg and 2.01 ± 1.01 mg/kg) and pulses (3.35 ± 1.42 mg/kg and 4.82 ± 1.19 mg/kg). The BCF values of fluoride in food crops (n = 27) from Bankura (range: 0.007–0.377) and Purulia (range: 0.005–0.319) were much lower than the optimum value of 1. Estimated daily intake (EDI) of fluoride was the highest for children in both Bankura (EDIcumulative = 0.0291 mg/kg bw/day) and Purulia (EDIcumulative = 0.0326 mg/kg bw/day) among all the studied age groups. The nonleafy vegetables contributed the highest exposure of fluoride (approximately 55.5%) to EDIcumulative among all the food crops. The uncertainty analysis for assessment of probabilistic health risk was carried out for all the studied age groups through hazard index (HI), total hazard index (THI), and lifetime noncarcinogenic risk (HILTNR). However, HI value was found to be &lt;1 for all the age groups resulting in no such kind of potential health risk of fluorosis through consumption of individual food crops, and the trend of THI from all the food crops was found in the order of children &gt; adults &gt; adolescents &gt; teenagers from both districts. The lifetime noncarcinogenic risk (HILTNR) of fluoride with percentile doses from P5 to P95 (exploring the model of Monte Carlo simulation) in all the studied age groups (4–70 years) was found to be &gt;1 indicating that the inhabitants were more vulnerable for their total lifetime period of fluoride exposure through consumption of food crops.
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Harding Bradley, Luke Edward, and Luke Reaper. "An assessment of the impact of COVID-19 related social distancing measures on the stress levels of students." Journal of Student Research 9, no. 2 (November 20, 2020). http://dx.doi.org/10.47611/jsrhs.v9i2.1226.

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Since the novel coronavirus was first reported in China in early 2020, governments have aimed to cull its spread and raise awareness of the symptoms of the infection. These measures are collectively known as social distancing and self-isolation. Prior to COVID-19, 85% of students in university reported feeling overwhelmed by everything they had to do at some point within the prior year (AADA, 2015). Organizations treating teen anxiety and depression are highlighting the impact of isolation on teenagers and young adults and claim an association with a decline in self-care and a greater risk of suicide (Newport Academy, 2020). Given the pre-existing high levels of stress and mental strain experienced by students, the consequences of social isolation may more significantly impact students in comparison with non-students. This study uses the State-Trait Anxiety Inventory (STAI) index to understand the impact that social distancing and self-isolation has on the mental health of students and non-students globally. 502 responses were gathered globally with most respondents residing in the United States of America, Italy and Ireland. The results of this study suggest that the COVID-19 related Social Distancing and Self-isolation lead to a greater increase in stress among students than among adults as measured by STAI. The reported stress was highest among high school age students and among female students generally. The reported causes of this stress are primary related to the impact on education of the measures rather than directly related to the health consequences pandemic.
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Molefi, Mooketsi. "Princess Marina Hospital HIV rates:Interrupted time series analysis for policy review." Online Journal of Public Health Informatics 10, no. 1 (May 22, 2018). http://dx.doi.org/10.5210/ojphi.v10i1.8602.

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ObjectiveWe aimed to assess the effect of the amended Public Health act of 2013 on facility-based HIV testing in Princess Marina Hospital.IntroductionHIV testing remains the mainstay of optimal HIV care and is pivotal to control and prevention of the disease, however efforts to attain optimal testing levels have been undermined by low HIV testing especially in developing countries. Botswana in response, amended its Public Health Act in September 2013 but the effect of this action on facility based HIV testing rates has not been evaluated.MethodsWe carried out an effect assessment using interrupted time-series analysis method, where we accessed electronic medical records of patients seen in Princess Marina Hospital from June 2011 to May 2015. Rates were developed from the proportion of patients that tested each month out of the number that registered, and that figure used that as our data point in the series. September 2013 served as our intervention period in the series. We ran the (i) crude and (ii) sex-stratified model regression models in stata® yielding Newey-West coefficients with their 95% confidence intervals. Graphical display of the models were also produced to visual appreciation and inspection.ResultsTwo hundred and twenty-nine thousand six hundred and ninety two patients were registered between June 2011 and May 2015. Of those tested the significant majority being females (65%). From the Newey-regression output there was no significant change in the level of HIV testing immediately after the intervention however there was a change in trend(p=0.002) post the intervention. Stratification by gender, revealed no statistically significant difference between males and females, either in the levels nor the trend post intervention compared to pre-intervention.ConclusionsThe amendment of the Public Health act of 2013, has brought about trend change in HIV testing however there has not been any apparent difference in the levels nor trends on HIV testing between males and females. Nationwide health facility-based studies could assist assess the overall effect of the amended act on HIV testing rates.References1. Provider Initiated HIV Testing and Counseling: One Day Training Programme, Field Test Version. WHO Guidelines Approved by the Guidelines Review Committee. Geneva2011.2. Donnell D, Baeten JM, Kiarie J, Thomas KK, Stevens W, Cohen CR, et al. Heterosexual HIV-1 transmission after initiation of antiretroviral therapy: a prospective cohort analysis. The Lancet. 2010;375(9731):2092-8.3. Lawn SD, Harries AD, Anglaret X, Myer L, Wood R. Early mortality among adults accessing antiretroviral treatment programmes in sub-Saharan Africa. Aids. 2008;22(15):1897-908.4. McMahon JM, Pouget ER, Tortu S, Volpe EM, Torres L, Rodriguez W. Couple-based HIV counseling and testing: a risk reduction intervention for US drug-involved women and their primary male partners. Prevention science : the official journal of the Society for Prevention Research. 2015;16(2):341-51.5. Shan D, Duan S, Gao J, Yang Y, Ye R, Hu Y, et al. [Analysis of early detection of HIV infections by provider initiated HIV testing and counselling in regions with high HIV/AIDS epidemic in China]. Zhonghua yu fang yi xue za zhi [Chinese journal of preventive medicine]. 2015;49(11):962-6.6. Hensen B, Baggaley R, Wong VJ, Grabbe KL, Shaffer N, Lo YRJ, et al. Universal voluntary HIV testing in antenatal care settings: a review of the contribution of provider initiated testing & counselling. Tropical Medicine & International Health. 2012;17(1):59-70.7. Ijadunola K, Abiona T, Balogun J, Aderounmu A. Provider-initiated (Opt-out) HIV testing and counselling in a group of university students in Ile-Ife, Nigeria. The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception. 2011;16(5):387-96.8. Baisley K, Doyle AM, Changalucha J, Maganja K, Watson-Jones D, Hayes R, et al. Uptake of voluntary counselling and testing among young people participating in an HIV prevention trial: comparison of opt-out and opt-in strategies. PloS one. 2012;7(7):e42108.9. Topp SM, Chipukuma JM, Chiko MM, Wamulume CS, Bolton-Moore C, Reid SE. Opt-out provider-initiated HIV testing and counselling in primary care outpatient clinics in Zambia. Bulletin of the World Health Organization. 2011;89(5):328-35A.10. Tlhakanelo JT, Mulumba-Tshikuka JG, Molefi M, Magafu MG, Matchaba-Hove RB, Masupe T. The burden of opportunistic-infections and associated exposure factors among HIV-patients admitted at a Botswana hospital. 2015.11. Bernard EJ. BOTSWANA’S DRACONIAN PUBLIC HEALTH BILL APPROVED BY PARLIAMENT, BONELA WILL CHALLENGE IT AS UNCONSTITUTIONAL ONCE PRESIDENT SIGNS INTO LAW (UPDATE 3). HIV justice Network. 2013.12. Biglan A, Ary D, Wagenaar AC. The value of interrupted time-series experiments for community intervention research. Prevention science : the official journal of the Society for Prevention Research. 2000;1(1):31-49.
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Thi Hong Hanh, Nguyen, Tran Thi Thu Hang, Pham Hong Lam, Duong Nam Khanh, and Do Hoang Ngoc Ha. "Eating Habits Associated with Overweight and Obesity: Case - Control Study in 11-14 year old Adolescents in Hanoi in 2020." VNU Journal of Science: Medical and Pharmaceutical Sciences 37, no. 1 (March 10, 2021). http://dx.doi.org/10.25073/2588-1132/vnumps.4280.

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Eating habits appears to be an important determinant of dietary intake and may consequently influence overweight and obesity. Understanding the relationship between the nutritional status and eating habits is necessary for effective prophylaxis and intervention of overweight/obesity in adolescents. The purpose of this study is to analyze the association of some eating habits with overweight and obesity among adolescents at the age of 11-14 from 9 junior high schools in Hanoi city to help design a model for predicting overweight and obesity from eating habits. A case-control study was conducted on 222 overweight/obese adolescents and 616 normal-weight adolescents (according to International Obesity Taskforce standards, IOTF). Research results indicated that protective factors of overweight and obesity include snacking; snacking at least 2 hours before or after a main meal; consumption of milk and dairy products in snacks; sensory liking for fruit. Risk factors include sensory liking for fat, sensory liking for sweet, sensory liking for fast food, sensory liking for carbonated soft drinks, skipping breakfast, and snacking before bed. The best predictive model of overweight and obesity s built from logistic regression analysis including 8 of the above eating habits with AUC (Area Under the Curve) value of 0.931. Thus, eating habits are closely related to overweight and obesity among 11-14 year-old adolescents in Hanoi. Keywords Eating habits, overweight, obesity, adolescence, risk factor. References [1] A.S. French, M. Story and C.L. Perry, Self-esteem and obesity in children and adolescents: a literature review, Obesity Research 3 (1995) 479-490. https://doi.org/10.1002/j.1550-8528.1995.tb00179.x[2] E.A. Finkelstein, C.J. Ruhm, and K.M. Kosa, Economic causes and consequences of obesity, Annual Review of Public Health 26 (2005) 239-257. https://doi.org/10.1146/annurev.publhealth.26.021304.144628 [3] N.T.H. Hanh, L.T. Tuyet, D.T.A. Dao, Y. Tao, and D.T. Chu, Childhood obesity is a high-risk factor for hypertriglyceridemia: a case-control study in Vietnam, Osong public health and research perspectives 8 (2017) 138-146. https://doi.org/10.24171/j.phrp.2017.8.2.06[4] J.K. Dibaise, and A.E. Foxx-Orenstein, Role of the gastroenterologist in managing obesity, Expert Review of Gastroenterology & Hepatology (Review) 7 (2013) 439-451 https://doi.org/10.1586/17474124.2013.811061[5] P.V.N. Nguyen, T.K. Hong, T. Hoang, and A.R. Robert, High prevalence of overweight among adolescents in Ho Chi Minh City, Vietnam, BMC Public Health 13 (2013) 141-147. https://doi.org/10.1186/1471-2458-13-141[6] T.T.P. Pham, Y. Matsushita, L.T.K. Dinh, T.V. Do, T.T.T. Nguyen, A.T. Bui, A.Q. Nguyen, and H. Kajio, Prevalence and associated factors of overweight and obesity among schoolchildren in Hanoi, Vietnam, BMC public health 19 (2019) 1478-1488. https://doi.org/10.1186/s12889-019-7823-9[7] H.D. Phan, T.N.P. Nguyen, P.L. Bui, T.T. Pham, T.V. Doan, D.T. Nguyen, and H.V. Minh, Overweight and obesity among Vietnamese school-aged children: National prevalence estimates based on the World Health Organization and International Obesity Task Force definition, PloS one 15 (2020) e0240459-e0240478. https://doi.org/10.1371/journal.pone.0240459[8] M. Zalewska, and E. Maciorkowska, Selected nutritional habits of teenagers associated with overweight and obesity, PeerJ 5 (2017) e3681-e3693. https://doi.org/10.7717/peerj.3681[9] K. Sygit, W. Kollataj, M. Gozdziewska, M. Sygit, B. Kollataj, and I.D. Karwat, Lifestyle as an important factor in control of overweight and obesity among schoolchildren from the rural environment, Annals of Agricultural and Environmental Medicine 19 (2012) 557-561. PMID: 23020056. https://journals.indexcopernicus.com/search/article?articleId=2116928[10] N.V. Tuan, Evidence-Based Medicine, Medical publisher, Hanoi, 2008 (in Vietnamese).[11] T.J. Cole, M.C. Bellizzi, K.M. Flegal, and W.H. Dietz, Establishing a standard definition for child overweight and obesity worldwide: international survey, Bmj 320 (2000) 1240-1245. https://doi.org/10.1136/bmj.320.7244.1240[12] L.T. Hop và Huynh Phuong Nam, Assessment of nutritional status using anthropometric variables, Journal of Food and Nutrition Sciences 7 (2011) 1-7 (in Vietnamese).[13] X. Guo, L. Zheng, Y. Li Y, S. Yu, G. Sun, H. Yang, X. Zhou, X. Zhang, Z. Sun, and Y. Sun, Differences in lifestyle behaviors, dietary habits, and familial factors among normal-weight, overweight, and obese Chinese children and adolescents, International Journal of Behavioral Nutrition and Physical Activity 9 (2012) 120-128. https://doi.org/10.1186/1479-5868-9-120[14] J. Yoshida, E. Eguchi, K. Nagaoka, T. Ito, and K. Ogino, Association of night eating habits with metabolic syndrome and its components: a longitudinal study, BMC Public Health 18 (2018) 1366-1379. https://doi.org/10.1186/s12889-018-6262-3[15] L.A. Spence, C.J Cifelli, and G.D. Miller, The role of dairy products in healthy weight and body composition in children and adolescents, Current Nutrition & Food Science 7 (2011) 40-49. https://doi.org/10.2174/157340111794941111[16] R.E. Black, S.M. Williams, I.E. Jones, and A. Goulding, Children who avoid drinking cow milk have low dietary calcium intakes and poor bone health, The American journal of clinical nutrition 76 (2002) 675-680. https://doi.org/10.1093/ajcn/76.3.675[17] I.F.F. Júnior, D.G. Christofaro, J.S. Codogno, P.A. Monteiro, L.S. Silveira, and R.A. Fernandes, The association between skipping breakfast and biochemical variables in sedentary obese children and adolescents, The Journal of pediatrics 161 (2012) 871-874. https://doi.org/10.1016/j.jpeds.2012.04.055[18] R. Rosenheck, Fast food consumption and increased caloric intake: a systematic review of a trajectory towards weight gain and obesity risk, Obesity reviews 9 (2008) 535-547. https://doi.org/10.1111/j.1467-789X.2008.00477.x[19] A. Lampuré, K. Castetbon, A. Deglaire, P. Schlich, S. Péneau, S. Hercberg, and C. Méjean, Associations between liking for fat, sweet or salt and obesity risk in French adults: a prospective cohort study. International Journal of Behavioral Nutrition and Physical Activity 13 (2016) 74-88. https://doi.org/10.1186/s12966-016-0406-6[20] H.C. Hung, K.J. Joshipura, E. Jiang, F.B. Hu, D. Hunter, S.A. Smith-Warner, G.A. Colditz, B. Rosner, D. Spiegelman, and W.C. Willett, Fruit and vegetable intake and risk of major chronic disease, Journal of the National Cancer Institute 96 (2004) 1577-1584. https://doi.org/10.1093/jnci/djh296[21] D.S. Eweis, F. Abed, and J. Stiban, Carbon dioxide in carbonated beverages induces ghrelin release and increased food consumption in male rats: implications on the onset of obesity, Obesity research & clinical practice 11 (2017) 534. https://doi.org/10.1016/j.orcp.2017.02.001[22] M.K. Siddiqui, R. Morales-Menendez, and S. Ahmad, Application of receiver operating characteristics (ROC) on the prediction of obesity, Brazilian Archives of Biology and Technology 63 (2020) e20190736-e20190749. http://dx.doi.org/10.1590/1678-4324-2020190736
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