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Disparities in hepatitis B virus healthcare Check for updates service access among marginalised poor populations: a mixed-method systematic review
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作者 Caixia Li Dejina Thapa +2 位作者 Qian Mi Yuanxiu Gao Xia Fu 《Infectious Diseases of Poverty》 SCIE CAS 2024年第4期95-95,共1页
Background Marginalised poor populations,characterised by poverty and social exclusion,suffer disproportionately from hepatitis B virus(HBV)infections and encounter substantial disparities in access to healthcare.This... Background Marginalised poor populations,characterised by poverty and social exclusion,suffer disproportionately from hepatitis B virus(HBV)infections and encounter substantial disparities in access to healthcare.This has further exacerbated the global HBV burden and precluded progress towards HBV elimination.This mixed-method systematic review aimed to synthesise their utilisation and influencing factors in HBV healthcare services,including screening,vaccination,treatment,and linkage-to-care.Methods Eleven databases were searched from their inception to May 4,2023.Quantitative and qualitative stud-ies examining the factors influencing HBV healthcare access among marginalised poor populations were included.A meta-analysis was conducted to synthesise the pooled rates of HBV healthcare utilisation.The factors influencing utilisation were integrated and visualised using a health disparity research framework.Results Twenty-one studies were included involving 13,171 marginalised poor individuals:sex workers,rural migrant workers,irregular immigrants,homeless adults,and underprivileged individuals.Their utilisation of HBV healthcare ranged from 1.5%to 27.5%.Meta-analysis showed that the pooled rate of at least one dose of the HBV vaccine barely reached 37%(95%confidence interval:0.26-0.49).Fifty-one influencing factors were identifed,with sociocultural factors(n=19)being the most frequently reported,followed by behavioural(n=14)and healthcare system fac-tors(n=11).Socio-cultural barriers included immigration status,prison history,illegal work,and HBV discrimination.Behavioural domain factors,including previous testing for sexually transmitted diseases,residential drug treatment,and problem-solving coping,facilitated HBV healthcare access,whereas hostility coping exerted negative influences.Healthcare system facilitators comprised HBV health literacy,beliefs,and physician recommendations,whereas barriers included service inaccessibility and insurance inadequacies.The biological and physical/built environments were the least studied domains,highlighting that geographical mobility,shelter capacity,and access to humanitarian health centres affect HBV healthcare for marginalised poor populations.Conclusions Marginalised poor populations encounter substantial disparities in accessing HBV healthcare,highlight-ing the need for a synergistic management approach,including deploying health education initiatives to debunk HBV misperceptions,developing integrated HBV management systems for continuous tracking,conducting tailored com-munity outreach programmes,and establishing a human rights-based policy framework to guarantee the unfettered access of marginalised poor populations to essential HBV services. 展开更多
关键词 Hepatitis B virus Health disparity marginalised poor Poverty Systematic review
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Aqueous Extracts of Dried Fruits of <i>Zanthoxylum armatum</i>DC., (Rutaceae) Induce Cellular and Nuclear Damage Coupled with Inhibition of Mitotic Activity <i>in Vivo</i> 被引量:3
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作者 Eros Vasil Kharshiing 《American Journal of Plant Sciences》 2012年第11期1646-1653,共8页
Bioactive compounds derived from plant natural compounds have proven to be valuable sources of metabolites which can seldom be obtained from other sources. Plants belonging to the genus Zanthoxylum have been valued ac... Bioactive compounds derived from plant natural compounds have proven to be valuable sources of metabolites which can seldom be obtained from other sources. Plants belonging to the genus Zanthoxylum have been valued across various cultures for their curative properties. Zanthoxylum armatum DC., belonging to the family Rutaceae is extensively used in traditional practices in North-Eastern India and neighbouring regions including South-East Asia. However, the potential cytogenetic effects of Zanthoxylum armatum under in vivo conditions, and their causative mechanisms have not yet been studied in detail. The current study was undertaken to evaluate the cytotoxic and genotoxic potential of aqueous extracts of fruits of Z. armatum under in vivo conditions using the Allium test. Physiological and cellular data indicate that the extracts induce clumped chromosomes at metaphase stage of cell division coupled with mitotic arrest. Electron microscopy data reveal membrane damage of cellular organelles, chromatin condensation and chromatin marginalisation in cell of roots incubated in the extracts. The extracts also induce concentration dependent protein precipitation and genomic DNA degradation. 展开更多
关键词 Clumped Chromosomes CHROMATIN Condensation and MARGINALISATION TEM Toxicity ZANTHOXYLUM armatum
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The Catastrophic Effects of African Americans' Marginalisation in Ralph Ellison's Invisible Man and August Wilson's Fences: A Comparative Study 被引量:1
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作者 Reza Deedari Mahdis Faghih Nasiri 《Sino-US English Teaching》 2012年第11期1702-1710,共9页
This paper explores Du Boisian notion of double consciousness and the notion of black nihilism suggested by Cornel West in Ralph Ellison's Invisible Man (1952) and August Wilson's Fences (1986). In order to cond... This paper explores Du Boisian notion of double consciousness and the notion of black nihilism suggested by Cornel West in Ralph Ellison's Invisible Man (1952) and August Wilson's Fences (1986). In order to conduct this study, the researcher adopts African American approach and shows that double consciousness and black nihilism are the immediate effects of African Americans' marginalisation. According to W. E. B. Du Bois, all African Americans develop the sense of double consciousness which means being both African and American simultaneously. On the other hand, Cornel West believes that black Americans suffer from nihilism which means loss of hope and absence of meaning. The paper is an attempt to compare the novel Invisible Man and the play Fences thematically based on these two theories. It then looks to find the considerable similarities in the conditions of the protagonists of these two literary works. Although both protagonists migrate to the North to escape Southern racism in the era prior to the Civil Rights Movement, they become totally disillusioned, for they are treated as the invisible marginal. Interestingly though, at the end of both stories, there remains a ray of hope for reactivation and the creation of democracy for black Americans. 展开更多
关键词 MARGINALISATION double consciousness black nihilism buffer African heritage RACISM
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拮抗菌Pseudomonas marginalis CJT23活性物质的分离纯化 被引量:1
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作者 王倩楠 皮乔木 +2 位作者 刘有华 李联泰 安贤惠 《江苏海洋大学学报(自然科学版)》 CAS 2021年第3期1-10,共10页
拮抗菌用于防治病害的本质是其中的活性物质对病原菌具有抑制作用,因此对拮抗菌Pseudomonas marginalis CJT23活性物质进行初步探讨。通过对P.marginalis CJT23活性物质种类的研究,初步判断其活性成分为抗菌蛋白,不同发酵时间和离心速... 拮抗菌用于防治病害的本质是其中的活性物质对病原菌具有抑制作用,因此对拮抗菌Pseudomonas marginalis CJT23活性物质进行初步探讨。通过对P.marginalis CJT23活性物质种类的研究,初步判断其活性成分为抗菌蛋白,不同发酵时间和离心速度的离心试验,均表明活性物质属胞内产物;Tris-HCl缓冲为最适缓冲液;缓冲液中不同Na^(+)浓度对活性物质的溶解性无显著性影响(P>0.05);当缓冲液pH为4,6,7时,其细胞破碎液与菌体重悬液有显著性差异(P<0.05);用不同的洗液清洗菌体,结果表明活性物质并不在细胞膜表面;用体积分数为20%的乙醇、丙酮、乙酸乙酯、乙醚等有机溶剂浸泡有活性的菌体,结果显示上述有机溶剂不能提取活性物质,且使活性物质失活;用体积分数为5%的DMSO缓冲液对菌体进行细胞破碎,其上清液有抑菌活性;用超滤管对含有活性物质的上清液进行浓缩,结果表明,其分子质量大于1.0×10^(5) g/mol,且在4℃条件下比在其他温度下储藏抑菌活性强;对含有活性物质的上清液采用硫酸铵分级沉淀法分离,结果显示,当硫酸铵初始饱和度为60%、终饱和度为80%时,其活性物质的抑菌活性最强。该研究可为活性物质分离纯化、拮抗机理研究和开发利用奠定基础。 展开更多
关键词 Pseudomonas marginalis CJT23 活性物质 分离纯化
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Toxicity and Field Efficacy Test of Several Insecticides against Carsidara marginalis Walker
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作者 Yang Zhiqiang Lu Yanchun +4 位作者 Zhou Jing Xu Dongying He Wen Peng Chong Tan Dejin 《Plant Diseases and Pests》 CAS 2020年第1期33-35,40,共4页
[Objective]The paper was to study the prevention and control effect of different chemical insecticides on Carsidara marginalis Walker.[Method]The indoor toxicity and field efficacy of six insecticides against C.margin... [Objective]The paper was to study the prevention and control effect of different chemical insecticides on Carsidara marginalis Walker.[Method]The indoor toxicity and field efficacy of six insecticides against C.marginalis were determined by residual film method and field efficacy test.The toxicity and field efficacy were comparatively analyzed.[Result]The LC50 of 5%abamectin EC,24%spirotetramat EC,10%lambdacyhalothrin EC,10%nitenpyram SL,25%pymetrozine WP and 20%imidacloprid EC against C.marginalis were 3.585,12.083,15.012,18.754,23.373 and 61.161 mg/L,respectively.The field efficacies against C.marginalis at 1 d post administration were 78.04%,80.05%,69.92%,82.27%,71.72%and 76.72%,respectively.The field efficacies against C.marginalis at 10 d post administration were 92.49%,82.41%,83.80%,88.24%,94.10%and 97.01%,respectively.[Conclusion]The agents with strong quick effect and insecticides with strong systematic conductivity should be mixed together,in order to achieve quick and continuous insecticidal effects. 展开更多
关键词 STERCULIA nobilis Carsidara marginalis WALKER TOXICITY test FIELD efficacy
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泥鳅鳃出血病拮抗菌边缘假单胞菌Pseudomonas marginalis CJT23的条件优化
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作者 王倩楠 刘有华 +2 位作者 皮乔木 李联泰 安贤惠 《江苏海洋大学学报(自然科学版)》 CAS 2021年第4期23-29,共7页
用单因素法和正交试验对拮抗菌边缘假单胞菌Pseudomonas marginalis CJT23进行发酵条件优化。单因素条件优化结果表明:环境条件装液量为50%,接种量为1%(体积分数),盐度为1%,pH为7,转速为130 r/min,温度为20℃,其抑菌活性最强;营养条件... 用单因素法和正交试验对拮抗菌边缘假单胞菌Pseudomonas marginalis CJT23进行发酵条件优化。单因素条件优化结果表明:环境条件装液量为50%,接种量为1%(体积分数),盐度为1%,pH为7,转速为130 r/min,温度为20℃,其抑菌活性最强;营养条件碳源为葡萄糖、氮源为胰蛋白胨、无机盐为氯化钙、生长因子为半胱氨酸时,抑菌圈直径最大。正交试验结果表明:影响因素大小顺序为碳源>无机盐>氮源>生长因子,即酵母>氯化钠>胰蛋白胨>酪氨酸;发酵时间>盐度>pH,即发酵12 h,pH为6,盐度为3%,抑菌圈直径最大,抑菌活性最强。该结果为拮抗菌P.marginalis CJT23的进一步开发利用提供了理论依据,也为微生物制剂生产提供了参考资料。 展开更多
关键词 Pseudomonas marginalis CJT23 条件优化 单因素实验 正交试验
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