This paper analyzes neighborhood conflicts arising from the condominium property regime,under which social housing promoted by Mexican government institutions and private developers is acquired.This regime has facilit...This paper analyzes neighborhood conflicts arising from the condominium property regime,under which social housing promoted by Mexican government institutions and private developers is acquired.This regime has facilitated access to housing for the salaried population,but it is far from contributing to the attainment of the right to housing.The research takes as case studies housing complexes located in the city of Tijuana,Baja California,Mexico.The analysis included a mixed methodology.Firstly,similar case studies were analyzed;secondly,a review of the Condominium Property Regime Law was carried out in order to understand its implications.In view of the pandemic situation,a virtual survey was applied to the inhabitants of these areas,as well as interviews with presidents of neighborhood committees of these complexes.From the above,it was found that this form of ownership generates conflicts,reflected in the dissatisfaction of the inhabitants with their housing,disagreements and controversies in their organization and coexistence.The inhabitants have to collectively solve the problems they face,related to the maintenance and use of common areas,insecurity,and cleanliness,among others.In addition,there is a lack of support from local authorities.With this,it is concluded that although the inhabitants have a space that solves their housing problem,it does not manage to be a space that adequately guarantees their right to housing.展开更多
Introduction: As new vaccines become available, countries must assess the relevance to introduce them into their vaccination schedules. Malawi has recently introduced several new vaccines and plans to introduce more. ...Introduction: As new vaccines become available, countries must assess the relevance to introduce them into their vaccination schedules. Malawi has recently introduced several new vaccines and plans to introduce more. This study was conducted to identify key factors that need to be considered when deciding to introduce a new vaccine and current challenges faced by low and middle income countries using Malawi as an example. Methodology: The study employed a desk review approach, examining published literature from various sources such as PubMed, Medline, and Google Scholar. Policy documents from organizations like the World Health Organization, GAVI the Alliance, and the Ministry of Health for Malawi were also included. A total of 99 articles and documents on new vaccine introduction, challenges of immunization, policy documents in immunization and health systems strengthening were included. The review focused on addressing five key areas critical to new vaccine introduction namely: the need for a vaccine, availability of the vaccine, safety and effectiveness of the vaccine, demand for the vaccine, and the prudent use of public or private funds. Results: Malawi considered the burden of cervical cancer and the significance of malaria in the country when introducing the HPV and malaria vaccines. The country opted for vaccines that can be handled by the cold chain capacity and available human resources. Despite that malaria vaccine and Typhoid Conjugate Vaccine trials were done in country, there are limited vaccine safety and efficacy trials conducted in Malawi, leading to a reliance on WHO-prequalified vaccines. Demand for newly introduced vaccines varied, with high demand for Oral Cholera Vaccine during a cholera outbreak, while demand for COVID-19 vaccines decreased over time. Although cost-effectiveness studies were limited in the country, 2 studies indicated that Typhoid Conjugate Vaccine and malaria vaccine would be cost effective. All these have been implemented despite having challenges like lack of accurate surveillance data, inadequate cold chain capacity, limited safety and efficacy vaccine clinical trials, political influence, and limited funding. Conclusion: Despite several challenges Malawi set a good example of the careful considerations required before introducing a new vaccine. The process involves data review, priority setting, precise planning, and consultation with stakeholders. Low-income countries should invest in vaccine safety, efficacy, and cost-effectiveness trials.展开更多
Introduction: Measles remains a worrying health problem in sub-Saharan African countries. There have been measles outbreaks in Cameroon with the most recent occurring between October 2022 and September 2023. The Centr...Introduction: Measles remains a worrying health problem in sub-Saharan African countries. There have been measles outbreaks in Cameroon with the most recent occurring between October 2022 and September 2023. The Centre region of Cameroon was the most affected in the country and being at the frontline of the fight against this illness, we conducted this study in order to determine the epidemiological and clinical characteristics as well as the outcome of children who contracted the measles and were hospitalized at the Yaoundé Gynaeco-Obstetric and Pediatric Hospital. Methodology: We conducted a cross-sectional descriptive and prospective study for one year from October 2022 to November 2023 corresponding to the duration of the outbreak. We included all children admitted in the pediatric unit for measles and its complications during this period. Results: In total, 60 children were enrolled. Their caregivers were mostly their mothers who had a mean age of 34.71 ± 9.55 years living in significant precarious conditions for the majority. The median age of children was 16 months (09 - 30 months). Twenty six percent of children (16) were less than 9 months. Girls were predominant (55%). Most children were not up to date with their routine EPI vaccination (80%) and most did not receive the measles and Rubella vaccine (76.67%). Clinical manifestations, included fever, conjunctivitis, and cough. Skin rash and catarrh (98.33% and 86.67% respectively) are the case definition signs of measles. The outcome was unfavorable for 4 children. One had a neurological disorder: coma and three presented with pneumonia and severe respiratory distress (6.67%). Conclusion: Measles is still being a reality and claiming lives in our context, emphasis should be made on immunization coverage and if possible, advocacies should be formulated to decrease the age of measles vaccine administration.展开更多
Introduction: Infertilityaffects one in six couples, and it is an important public health issue largely due to thepervasive effects on the emotional and psychological wellbeing of affected couples. In many developing ...Introduction: Infertilityaffects one in six couples, and it is an important public health issue largely due to thepervasive effects on the emotional and psychological wellbeing of affected couples. In many developing nations emphasis is placed on childbirth and inability to fulfill this role can be very distressing. There is an unmet need for assisted reproductive technology (ART) in many developing countries and where facilities exist, they are mostly privately owned, expensive and concentrated in urban areas. To bridge this gap, public fertility clinics have been established to provide subsidized care. Evaluating the characteristics and peculiarities of clientele presenting at these public facilities will aid planning and prioritization of care. Methodology: A descriptive retrospective study of 116 infertile patients presenting to the fertility clinic of the University College Hospital, Ibadan, Nigeria from inception on the 14<sup>th</sup> of February 2019 and 31<sup>st</sup> of December 2022.Data was analyzed using the Statical Package for Social Sciences (IBM, SPSS, New York) version 23. Descriptive statistics were used to summarize the results which were presented with the aid of bar charts and frequency tables. Result: The mean age of the patients was 40.70 ± 6.62 years. Post-menopausal patients accounted for about one-fifth of the study population while 80.2% (93 women) were older than 35 years. The mean duration of infertility was 9.39 ± 6.11years and nine patients (7.8%) had a duration greater than 2 decades. Secondary infertility occurred in 67.2% of the women. Twenty-nine women (25%) had undergone myomectomy prior to presentation. Hypertension (11.2%) was the most prevalent comorbidity. Nineteen patients (16.4%) had used contraceptives in the past with the male condom (36.8%)being the most preponderant. Sixty-seven patients had experienced pregnancy losses before 28 weeks of gestation while just 16 patients (13.8%) had undergone ART, and none was successful. Conclusion: Secondary infertility was the prevalent type of infertility and may not be unconnected with the low contraceptive usage and high risk of sexually transmitted infection. Late presentation coupled with a large proportion of post-menopausal clientele suggests delayed health-seeking behavior most probably due to the prohibitive cost of ART. The need to streamline services offered in public fertility clinics is paramount in low-income countries grappling with scarce resources. A pragmatic approach will involve the provision of low-cost ART, while enhancing gamete donation programs through the implementation of gamete sharing policies. This will invariably bridge the unmet need and skewed access to ART in developing countries.展开更多
The city of Van is located to the Eastern Region of Turkey and has experienced two large earthquakes recently. Van earthquakes have caused big damages and demolitions in the city center, districts and in villages. As ...The city of Van is located to the Eastern Region of Turkey and has experienced two large earthquakes recently. Van earthquakes have caused big damages and demolitions in the city center, districts and in villages. As a result of precautions works have been realized to remove its effects shortly. However, it can be seen that the either urban or rural areas of the city carry the earthquake’s traces. Damages that the eartquake left on the buildings formed the most apparent and standing ones of the traces. Mud-brick buildings are the primary of those damaged buildings both in the centre of Van and in villages. Especially roofs’ collapsing and then walls’ demolition for mud-brick houses which were abandoned, and therefore were not maintained properly for a long time, are quite familiar situations after the earthquake. However, inhabited and maintained houses have been survived sturdily by contrast of other houses with modern materials and they helpt life to continue after the earthquake. In this study, mud-brick houses which were survived after earthquakes in Van and in the villages will be discussed. Reasons for demolition of those demolished and the qualities of those surviving ones will be scrutinized. It is going to be discussed how the mud-brick material which is distinguishing and struggling to gain it deserves as an ecological material today to resist against natural disasters sturdily when it is applied in decent way in scope with examples in the city of Van. Purpose of this study is to document right and wrong usage of the mud-brick materials with examples.展开更多
Live houses emerged in China during the 1990s as the country’s rock music scene began to flourish.Today,live houses can be found in almost every major city in China and have become an essential part of the country’s...Live houses emerged in China during the 1990s as the country’s rock music scene began to flourish.Today,live houses can be found in almost every major city in China and have become an essential part of the country’s music culture.The growth of live houses in China has been driven by changing consumer tastes,the expansion of the music industry,and a desire for new and innovative forms of entertainment.These venues offer a unique and intimate setting for music lovers to experience live performances,fostering a sense of community and connection between artists and audiences.The cross-cultural influence of live houses in China has been substantial,with international musicians and audiences increasingly drawn to the country’s vibrant music scene.Chinese live houses have hosted a diverse range of international artists,providing opportunities for cross-cultural exchange and collaboration.As a result,live houses have become a hub for promoting Chinese culture and soft power,enhancing global cultural diversity,and increasing the visibility of Chinese artists on the international stage.展开更多
Introduction:Chronic diseases are becoming more prevalent worldwide.The effects of chronic illnesses are disastrous not only for the diagnosed person but also for their entire family.This study explores chronic disea...Introduction:Chronic diseases are becoming more prevalent worldwide.The effects of chronic illnesses are disastrous not only for the diagnosed person but also for their entire family.This study explores chronic diseases’social and economic impact on low-income families.The study aims to determine the economic and social implications of various chronic diseases and the loss of income due to these conditions among low-income individuals in Southern Punjab,Pakistan.Methodology:A sample of 424 patients was selected from different areas of Southern Punjab.Data were collected using a questionnaire that included questions about economic status,self-reported health status,social status,management strategies,and health insurance,among other factors.Results:The mean monthly income of the respondents was found to be 57,097.6 Pakistani rupee(PKR),and the mean monthly expenses for treatment were 8,256.1 PKR.The loss of income was calculated at 15%.Additionally,62%of patients spent more than 10%of their monthly income on managing their disease.Approximately 85%of the respondents reported that chronic diseases affected their social life.Furthermore,80%of patients lacked health insurance.Conclusion:Chronic diseases impose significant economic and social burdens on patients and their families in Southern Punjab.To reduce the burden of chronic diseases,the government should enhance healthcare services in this region and provide health insurance to low-income families.展开更多
BACKGROUND Colorectal cancer(CRC)remains a relevant public health problem.Current research suggests that racial,economic and geographic disparities impact access.Despite the expansion of Medicaid eligibility as a key ...BACKGROUND Colorectal cancer(CRC)remains a relevant public health problem.Current research suggests that racial,economic and geographic disparities impact access.Despite the expansion of Medicaid eligibility as a key component of the Affordable Care Act(ACA),there is a dearth of information on the utilization of newly gained access to CRC screening by low-income individuals.This study investigates the impact of the ACA’s Medicaid expansion on utilization of the various CRC screening modalities by low-income participants.Our working hypothesis is that Medicaid expansion will increase access and utilization of CRC screening by low-income participants.AIM To investigate the impact of the Affordable Care Act and in particular the effect of Medicaid expansion on access and utilization of CRC screening modalities by Medicaid state expansion status across the United States.METHODS This was a quasi-experimental study design using data from the Behavioral Risk Factor Surveillance System,a large health system survey for participants across the United States and with over 2.8 million responses.The period of the study was from 2011 to 2016 which was dichotomized as pre-ACA Medicaid expansion(2011-2013)and post-ACA Medicaid expansion(2014-2016).The change in utilization of access to CRC screening strategies between the expansion periods were analyzed as the dependent variables.Secondary analyses included stratification of the access by ethnicity/race,income,and education status.RESULTS A greater increase in utilization of access to CRC screening was observed in Medicaid expansion states than in nonexpansion states[+2.9%;95%confidence interval(95%CI):2.12,3.69].Low-income participants showed a+4.02%(95%CI:2.96,5.07)change between the expansion periods compared with higher income groups+3.19%(1.70,4.67).Non-Hispanic Whites and Hispanics[+3.01%(95%CI:2.16,3.85)vs+5.51%(95%CI:2.81,8.20)]showed a statistically significant increase in utilization of access but not in Non-Hispanic Blacks,or Multiracial.There was an increase in utilization across all educational levels.This was significant among those who reported having a high school graduate degree or more+4.26%(95%CI:3.16,5.35)compared to some high school or less+1.59%(95%CI:-1.37,4.55).CONCLUSION Medicaid expansion under the Affordable Care Act led to an overall increase in self-reported use of CRC screening tests by adults aged 50-64 years in the United States.This finding was consistent across all low-income populations,but not all races or levels of education.展开更多
This paper explores how to use container buildings to resolve the housing problem of migrant workers in the context of urbanization, and ascertains the characteristics of the container housing and public space through...This paper explores how to use container buildings to resolve the housing problem of migrant workers in the context of urbanization, and ascertains the characteristics of the container housing and public space through the analysis of excellent examples of the container recycling project at home and abroad. In terms of the material, economic benefits, environmental protection and industrialization, those characteristics are summarized as follows.(1) Being sturdy, corrosion-resisting, waterproof and insulated, building materials are able to resist bad weather.(2) Their economic results lie in the short constructive cycle so that the cost of reinforced concrete per unit area reduces 20% on year-on-year basis.(3) Their environmental protection rests with the recyclability of materials, less construction waste and less noise in the construction process.(4) Their industrialization is embedded in their modular design and standardized specifications as well as the flexibility and replaceability.展开更多
Multi-storey housing for low income society is a concept of redevelopment from many alternatives of housing development for slum in Jakarta. However, redevelopment directly or indirectly leads to displacement of low-i...Multi-storey housing for low income society is a concept of redevelopment from many alternatives of housing development for slum in Jakarta. However, redevelopment directly or indirectly leads to displacement of low-income residents. The new residents would be of a higher socio-economic status than the previous occupants. For controlling this phenomenon, a study about the influence of displacement to the successful of sustainable multi-storey housing development for low-income society has been done with descriptive method, observation and literature study. The result of this study give knowledge that displacement always happened when the quality of building and environment is increase, the location of multi-storey housing is near city center and commercial area. Low income society voluntary displaced their units to middle or high income society, because they are not affordable for paying operational and maintenance costs. The government has to make regulations for controlling displacement on multi-storey housing for low-income society and for the successful of sustainable multi-storey housing development in urban area.展开更多
The House Martin(Delichon urbicum)is a common farmland bird species in the European landscape,yet its population numbers are currently in decline.However,it is not yet sufficiently explained why this long-term decline...The House Martin(Delichon urbicum)is a common farmland bird species in the European landscape,yet its population numbers are currently in decline.However,it is not yet sufficiently explained why this long-term decline occurs.To fill this gap in our knowledge,we investigated how land cover composition affects the abundance of House Martins on the landscape scale by using nationwide citizen science data.Utilizing a generalised linear mixed-effect model(GLMM),we evaluated 12,094 records from the Czech Republic spanning 2009-2017.Our analysis underscores the significance of land cover type in shaping House Martin abundance.More specifically,our results indicate that within agricultural land covers“naturally managed arable lands”exhibited significant positive effect,while forests,orchards,and vineyards were deemed less favourable for House Martin populations.Within urban land covers,we found a clear distinction in the impact on House Martin populations,with a positive effect observed in urban infrastructure,development areas,and post-industrial sites(i.e.,UrbanAreas),while an indifferent impact was noted within urban green spaces and landscaped areas(i.e.,GreenUrban).Notably,our findings suggest that the simple spatial,age,and species structure typical of forests in Europe,and similarly,the uniform structure of parks and gardens,may be responsible for the decline in the abundance of the House Martin.We advocate for the preservation or enhancement of urban greenery,expansion of natural vegetation in rural areas and adoption of ecological management practices in orchards and vineyards to mitigate further declines in House Martin populations.展开更多
Purpose:The metropolitan cities of Johannesburg,Ekurhuleni and Tshwane play an important role in the economy of the Gauteng province in South Africa.The region constitutes to 22.4 percent of the total population of So...Purpose:The metropolitan cities of Johannesburg,Ekurhuleni and Tshwane play an important role in the economy of the Gauteng province in South Africa.The region constitutes to 22.4 percent of the total population of South Africa and has a strong presence and contributes in areas of manufacturing sector,financial and business services,retail and wholesale trade,etc.The rapid urban population,increase in the informal settlements and socio-economic opportunities has resulted in considerable urban sprawl in and around the urban fringe areas of these metropolitan cities.The urban fringe areas of these metros often come under the influence of rapid urbanization process and pressures.Coupled with the economical and potential land dynamics and lack of priority of spatial development guidelines,these areas attract rapid and haphazard development from communities and developers.Research Design/Methodology:This research is based on a qualitative approach through a comprehensive literature review that included content analysis of key documents on housing sector such as IDPs(Integrated Development Plans),Municipal Annual Reports,Growth Development Strategies,and among other sectoral documents on housing sector.Some of the key priority issues considered in the housing sector included:eradication of housing backlogs,spatial restructuring of housing,provision of choice in terms of location,tenure and housing typology.Findings:The current paper discusses the approaches of metropolitan housing development processes in three metropolitan cities of South Africa from Gauteng region,namely:Johannesburg,Ekurhuleni and Tshwane.The paper discusses the existing housing sectoral scenario along with the fringe areas in three cities with focus on:formal and informal settlements,housing segregation and the backlogs,current institutional arrangements,role of public private participation,and scope for alternate mechanisms.The paper concludes in discussion on sustainable development options for housing development in urban fringe areas.展开更多
At the beginning of 2024,Liu Yunzhi,President of China National Opera House,and nearly 50 artists from the Opera troupe,Choir and Symphony of the Opera House held"Happy Chinese New Year"concerts in Latvia,Uz...At the beginning of 2024,Liu Yunzhi,President of China National Opera House,and nearly 50 artists from the Opera troupe,Choir and Symphony of the Opera House held"Happy Chinese New Year"concerts in Latvia,Uzbekistan and Austria,in"the simplest and most friendly way to convey the sound of cultural exchanges",which added impetus to the cultural exchanges between China and the world.展开更多
This research aims to generate processes of industrialization and qualification of social housing in Colombia through prefabrication,low energy consumption and high environmental quality to reduce the current deficit ...This research aims to generate processes of industrialization and qualification of social housing in Colombia through prefabrication,low energy consumption and high environmental quality to reduce the current deficit and improve the quality of life in communities with fewer economic resources.Modular coordination and the use of materials with thermal behaviors,appropriate to the country’s climatic characteristics,reduce production costs,avoid waste and improve the architectural and environmental quality of social housing.Passive cooling strategies,such as controlling solar incursion and generating natural cross ventilation eliminate energy consumption and allow reaching desired standards of comfort.In a context in which traditional construction systems have still not resolved the social housing deficit in Colombia and which generate high costs for energy consumption in the search for thermal comfort,industrialized and efficient construction with high environmental quality provides solutions according to the economic,geographic,social and cultural context in Colombia.展开更多
The cost of acquisition of a passive house is a little higher than that of a conventional house.Proper design of a passive house should include not only thermal protection and stability of the construction,but it must...The cost of acquisition of a passive house is a little higher than that of a conventional house.Proper design of a passive house should include not only thermal protection and stability of the construction,but it must also take into account the price demands on each of the proposed structures and solution of details.The paper deals with the financial comparison of the traditional method of a foundation on the foundation strips of plain concrete and the modern method of founding a passive house as brick construction on the reinforced concrete slab base with a compact subsoil layer of thermal insulation in the form of granules of foamed glass.展开更多
Providing a decent housing is a major challenge for governments and development authorities in Jordan and Arab countries. Nevertheless, the growing number of population falling under poverty put more demand on low cos...Providing a decent housing is a major challenge for governments and development authorities in Jordan and Arab countries. Nevertheless, the growing number of population falling under poverty put more demand on low cost housing options. The goal of the research was to find ways of rationalizing the cost and determine the appropriate standards and models that achieve an acceptable equation between cost and performance, and that during design and construction phases. The study follows the method of investigation and analysis to get factors that reduce the cost of the house construction for poor families by means of the concept of standardization in traditional (popular) buildings system. The research confirms that the traditional system has many advantages that could strengthen towards development a low-cost building system by applying the principles of standardization through architectural, structural and electro-mechanical considerations of design. Research recommends taking on studies for low cost building system through comprehensive analytical study of local building experiences.展开更多
文摘This paper analyzes neighborhood conflicts arising from the condominium property regime,under which social housing promoted by Mexican government institutions and private developers is acquired.This regime has facilitated access to housing for the salaried population,but it is far from contributing to the attainment of the right to housing.The research takes as case studies housing complexes located in the city of Tijuana,Baja California,Mexico.The analysis included a mixed methodology.Firstly,similar case studies were analyzed;secondly,a review of the Condominium Property Regime Law was carried out in order to understand its implications.In view of the pandemic situation,a virtual survey was applied to the inhabitants of these areas,as well as interviews with presidents of neighborhood committees of these complexes.From the above,it was found that this form of ownership generates conflicts,reflected in the dissatisfaction of the inhabitants with their housing,disagreements and controversies in their organization and coexistence.The inhabitants have to collectively solve the problems they face,related to the maintenance and use of common areas,insecurity,and cleanliness,among others.In addition,there is a lack of support from local authorities.With this,it is concluded that although the inhabitants have a space that solves their housing problem,it does not manage to be a space that adequately guarantees their right to housing.
文摘Introduction: As new vaccines become available, countries must assess the relevance to introduce them into their vaccination schedules. Malawi has recently introduced several new vaccines and plans to introduce more. This study was conducted to identify key factors that need to be considered when deciding to introduce a new vaccine and current challenges faced by low and middle income countries using Malawi as an example. Methodology: The study employed a desk review approach, examining published literature from various sources such as PubMed, Medline, and Google Scholar. Policy documents from organizations like the World Health Organization, GAVI the Alliance, and the Ministry of Health for Malawi were also included. A total of 99 articles and documents on new vaccine introduction, challenges of immunization, policy documents in immunization and health systems strengthening were included. The review focused on addressing five key areas critical to new vaccine introduction namely: the need for a vaccine, availability of the vaccine, safety and effectiveness of the vaccine, demand for the vaccine, and the prudent use of public or private funds. Results: Malawi considered the burden of cervical cancer and the significance of malaria in the country when introducing the HPV and malaria vaccines. The country opted for vaccines that can be handled by the cold chain capacity and available human resources. Despite that malaria vaccine and Typhoid Conjugate Vaccine trials were done in country, there are limited vaccine safety and efficacy trials conducted in Malawi, leading to a reliance on WHO-prequalified vaccines. Demand for newly introduced vaccines varied, with high demand for Oral Cholera Vaccine during a cholera outbreak, while demand for COVID-19 vaccines decreased over time. Although cost-effectiveness studies were limited in the country, 2 studies indicated that Typhoid Conjugate Vaccine and malaria vaccine would be cost effective. All these have been implemented despite having challenges like lack of accurate surveillance data, inadequate cold chain capacity, limited safety and efficacy vaccine clinical trials, political influence, and limited funding. Conclusion: Despite several challenges Malawi set a good example of the careful considerations required before introducing a new vaccine. The process involves data review, priority setting, precise planning, and consultation with stakeholders. Low-income countries should invest in vaccine safety, efficacy, and cost-effectiveness trials.
文摘Introduction: Measles remains a worrying health problem in sub-Saharan African countries. There have been measles outbreaks in Cameroon with the most recent occurring between October 2022 and September 2023. The Centre region of Cameroon was the most affected in the country and being at the frontline of the fight against this illness, we conducted this study in order to determine the epidemiological and clinical characteristics as well as the outcome of children who contracted the measles and were hospitalized at the Yaoundé Gynaeco-Obstetric and Pediatric Hospital. Methodology: We conducted a cross-sectional descriptive and prospective study for one year from October 2022 to November 2023 corresponding to the duration of the outbreak. We included all children admitted in the pediatric unit for measles and its complications during this period. Results: In total, 60 children were enrolled. Their caregivers were mostly their mothers who had a mean age of 34.71 ± 9.55 years living in significant precarious conditions for the majority. The median age of children was 16 months (09 - 30 months). Twenty six percent of children (16) were less than 9 months. Girls were predominant (55%). Most children were not up to date with their routine EPI vaccination (80%) and most did not receive the measles and Rubella vaccine (76.67%). Clinical manifestations, included fever, conjunctivitis, and cough. Skin rash and catarrh (98.33% and 86.67% respectively) are the case definition signs of measles. The outcome was unfavorable for 4 children. One had a neurological disorder: coma and three presented with pneumonia and severe respiratory distress (6.67%). Conclusion: Measles is still being a reality and claiming lives in our context, emphasis should be made on immunization coverage and if possible, advocacies should be formulated to decrease the age of measles vaccine administration.
文摘Introduction: Infertilityaffects one in six couples, and it is an important public health issue largely due to thepervasive effects on the emotional and psychological wellbeing of affected couples. In many developing nations emphasis is placed on childbirth and inability to fulfill this role can be very distressing. There is an unmet need for assisted reproductive technology (ART) in many developing countries and where facilities exist, they are mostly privately owned, expensive and concentrated in urban areas. To bridge this gap, public fertility clinics have been established to provide subsidized care. Evaluating the characteristics and peculiarities of clientele presenting at these public facilities will aid planning and prioritization of care. Methodology: A descriptive retrospective study of 116 infertile patients presenting to the fertility clinic of the University College Hospital, Ibadan, Nigeria from inception on the 14<sup>th</sup> of February 2019 and 31<sup>st</sup> of December 2022.Data was analyzed using the Statical Package for Social Sciences (IBM, SPSS, New York) version 23. Descriptive statistics were used to summarize the results which were presented with the aid of bar charts and frequency tables. Result: The mean age of the patients was 40.70 ± 6.62 years. Post-menopausal patients accounted for about one-fifth of the study population while 80.2% (93 women) were older than 35 years. The mean duration of infertility was 9.39 ± 6.11years and nine patients (7.8%) had a duration greater than 2 decades. Secondary infertility occurred in 67.2% of the women. Twenty-nine women (25%) had undergone myomectomy prior to presentation. Hypertension (11.2%) was the most prevalent comorbidity. Nineteen patients (16.4%) had used contraceptives in the past with the male condom (36.8%)being the most preponderant. Sixty-seven patients had experienced pregnancy losses before 28 weeks of gestation while just 16 patients (13.8%) had undergone ART, and none was successful. Conclusion: Secondary infertility was the prevalent type of infertility and may not be unconnected with the low contraceptive usage and high risk of sexually transmitted infection. Late presentation coupled with a large proportion of post-menopausal clientele suggests delayed health-seeking behavior most probably due to the prohibitive cost of ART. The need to streamline services offered in public fertility clinics is paramount in low-income countries grappling with scarce resources. A pragmatic approach will involve the provision of low-cost ART, while enhancing gamete donation programs through the implementation of gamete sharing policies. This will invariably bridge the unmet need and skewed access to ART in developing countries.
文摘The city of Van is located to the Eastern Region of Turkey and has experienced two large earthquakes recently. Van earthquakes have caused big damages and demolitions in the city center, districts and in villages. As a result of precautions works have been realized to remove its effects shortly. However, it can be seen that the either urban or rural areas of the city carry the earthquake’s traces. Damages that the eartquake left on the buildings formed the most apparent and standing ones of the traces. Mud-brick buildings are the primary of those damaged buildings both in the centre of Van and in villages. Especially roofs’ collapsing and then walls’ demolition for mud-brick houses which were abandoned, and therefore were not maintained properly for a long time, are quite familiar situations after the earthquake. However, inhabited and maintained houses have been survived sturdily by contrast of other houses with modern materials and they helpt life to continue after the earthquake. In this study, mud-brick houses which were survived after earthquakes in Van and in the villages will be discussed. Reasons for demolition of those demolished and the qualities of those surviving ones will be scrutinized. It is going to be discussed how the mud-brick material which is distinguishing and struggling to gain it deserves as an ecological material today to resist against natural disasters sturdily when it is applied in decent way in scope with examples in the city of Van. Purpose of this study is to document right and wrong usage of the mud-brick materials with examples.
文摘Live houses emerged in China during the 1990s as the country’s rock music scene began to flourish.Today,live houses can be found in almost every major city in China and have become an essential part of the country’s music culture.The growth of live houses in China has been driven by changing consumer tastes,the expansion of the music industry,and a desire for new and innovative forms of entertainment.These venues offer a unique and intimate setting for music lovers to experience live performances,fostering a sense of community and connection between artists and audiences.The cross-cultural influence of live houses in China has been substantial,with international musicians and audiences increasingly drawn to the country’s vibrant music scene.Chinese live houses have hosted a diverse range of international artists,providing opportunities for cross-cultural exchange and collaboration.As a result,live houses have become a hub for promoting Chinese culture and soft power,enhancing global cultural diversity,and increasing the visibility of Chinese artists on the international stage.
文摘Introduction:Chronic diseases are becoming more prevalent worldwide.The effects of chronic illnesses are disastrous not only for the diagnosed person but also for their entire family.This study explores chronic diseases’social and economic impact on low-income families.The study aims to determine the economic and social implications of various chronic diseases and the loss of income due to these conditions among low-income individuals in Southern Punjab,Pakistan.Methodology:A sample of 424 patients was selected from different areas of Southern Punjab.Data were collected using a questionnaire that included questions about economic status,self-reported health status,social status,management strategies,and health insurance,among other factors.Results:The mean monthly income of the respondents was found to be 57,097.6 Pakistani rupee(PKR),and the mean monthly expenses for treatment were 8,256.1 PKR.The loss of income was calculated at 15%.Additionally,62%of patients spent more than 10%of their monthly income on managing their disease.Approximately 85%of the respondents reported that chronic diseases affected their social life.Furthermore,80%of patients lacked health insurance.Conclusion:Chronic diseases impose significant economic and social burdens on patients and their families in Southern Punjab.To reduce the burden of chronic diseases,the government should enhance healthcare services in this region and provide health insurance to low-income families.
文摘BACKGROUND Colorectal cancer(CRC)remains a relevant public health problem.Current research suggests that racial,economic and geographic disparities impact access.Despite the expansion of Medicaid eligibility as a key component of the Affordable Care Act(ACA),there is a dearth of information on the utilization of newly gained access to CRC screening by low-income individuals.This study investigates the impact of the ACA’s Medicaid expansion on utilization of the various CRC screening modalities by low-income participants.Our working hypothesis is that Medicaid expansion will increase access and utilization of CRC screening by low-income participants.AIM To investigate the impact of the Affordable Care Act and in particular the effect of Medicaid expansion on access and utilization of CRC screening modalities by Medicaid state expansion status across the United States.METHODS This was a quasi-experimental study design using data from the Behavioral Risk Factor Surveillance System,a large health system survey for participants across the United States and with over 2.8 million responses.The period of the study was from 2011 to 2016 which was dichotomized as pre-ACA Medicaid expansion(2011-2013)and post-ACA Medicaid expansion(2014-2016).The change in utilization of access to CRC screening strategies between the expansion periods were analyzed as the dependent variables.Secondary analyses included stratification of the access by ethnicity/race,income,and education status.RESULTS A greater increase in utilization of access to CRC screening was observed in Medicaid expansion states than in nonexpansion states[+2.9%;95%confidence interval(95%CI):2.12,3.69].Low-income participants showed a+4.02%(95%CI:2.96,5.07)change between the expansion periods compared with higher income groups+3.19%(1.70,4.67).Non-Hispanic Whites and Hispanics[+3.01%(95%CI:2.16,3.85)vs+5.51%(95%CI:2.81,8.20)]showed a statistically significant increase in utilization of access but not in Non-Hispanic Blacks,or Multiracial.There was an increase in utilization across all educational levels.This was significant among those who reported having a high school graduate degree or more+4.26%(95%CI:3.16,5.35)compared to some high school or less+1.59%(95%CI:-1.37,4.55).CONCLUSION Medicaid expansion under the Affordable Care Act led to an overall increase in self-reported use of CRC screening tests by adults aged 50-64 years in the United States.This finding was consistent across all low-income populations,but not all races or levels of education.
文摘This paper explores how to use container buildings to resolve the housing problem of migrant workers in the context of urbanization, and ascertains the characteristics of the container housing and public space through the analysis of excellent examples of the container recycling project at home and abroad. In terms of the material, economic benefits, environmental protection and industrialization, those characteristics are summarized as follows.(1) Being sturdy, corrosion-resisting, waterproof and insulated, building materials are able to resist bad weather.(2) Their economic results lie in the short constructive cycle so that the cost of reinforced concrete per unit area reduces 20% on year-on-year basis.(3) Their environmental protection rests with the recyclability of materials, less construction waste and less noise in the construction process.(4) Their industrialization is embedded in their modular design and standardized specifications as well as the flexibility and replaceability.
文摘Multi-storey housing for low income society is a concept of redevelopment from many alternatives of housing development for slum in Jakarta. However, redevelopment directly or indirectly leads to displacement of low-income residents. The new residents would be of a higher socio-economic status than the previous occupants. For controlling this phenomenon, a study about the influence of displacement to the successful of sustainable multi-storey housing development for low-income society has been done with descriptive method, observation and literature study. The result of this study give knowledge that displacement always happened when the quality of building and environment is increase, the location of multi-storey housing is near city center and commercial area. Low income society voluntary displaced their units to middle or high income society, because they are not affordable for paying operational and maintenance costs. The government has to make regulations for controlling displacement on multi-storey housing for low-income society and for the successful of sustainable multi-storey housing development in urban area.
基金supported by an internal grant agency from the Faculty of AgriSciences of Mendel University in Brno(AF-IGA2022-IP-034).
文摘The House Martin(Delichon urbicum)is a common farmland bird species in the European landscape,yet its population numbers are currently in decline.However,it is not yet sufficiently explained why this long-term decline occurs.To fill this gap in our knowledge,we investigated how land cover composition affects the abundance of House Martins on the landscape scale by using nationwide citizen science data.Utilizing a generalised linear mixed-effect model(GLMM),we evaluated 12,094 records from the Czech Republic spanning 2009-2017.Our analysis underscores the significance of land cover type in shaping House Martin abundance.More specifically,our results indicate that within agricultural land covers“naturally managed arable lands”exhibited significant positive effect,while forests,orchards,and vineyards were deemed less favourable for House Martin populations.Within urban land covers,we found a clear distinction in the impact on House Martin populations,with a positive effect observed in urban infrastructure,development areas,and post-industrial sites(i.e.,UrbanAreas),while an indifferent impact was noted within urban green spaces and landscaped areas(i.e.,GreenUrban).Notably,our findings suggest that the simple spatial,age,and species structure typical of forests in Europe,and similarly,the uniform structure of parks and gardens,may be responsible for the decline in the abundance of the House Martin.We advocate for the preservation or enhancement of urban greenery,expansion of natural vegetation in rural areas and adoption of ecological management practices in orchards and vineyards to mitigate further declines in House Martin populations.
文摘Purpose:The metropolitan cities of Johannesburg,Ekurhuleni and Tshwane play an important role in the economy of the Gauteng province in South Africa.The region constitutes to 22.4 percent of the total population of South Africa and has a strong presence and contributes in areas of manufacturing sector,financial and business services,retail and wholesale trade,etc.The rapid urban population,increase in the informal settlements and socio-economic opportunities has resulted in considerable urban sprawl in and around the urban fringe areas of these metropolitan cities.The urban fringe areas of these metros often come under the influence of rapid urbanization process and pressures.Coupled with the economical and potential land dynamics and lack of priority of spatial development guidelines,these areas attract rapid and haphazard development from communities and developers.Research Design/Methodology:This research is based on a qualitative approach through a comprehensive literature review that included content analysis of key documents on housing sector such as IDPs(Integrated Development Plans),Municipal Annual Reports,Growth Development Strategies,and among other sectoral documents on housing sector.Some of the key priority issues considered in the housing sector included:eradication of housing backlogs,spatial restructuring of housing,provision of choice in terms of location,tenure and housing typology.Findings:The current paper discusses the approaches of metropolitan housing development processes in three metropolitan cities of South Africa from Gauteng region,namely:Johannesburg,Ekurhuleni and Tshwane.The paper discusses the existing housing sectoral scenario along with the fringe areas in three cities with focus on:formal and informal settlements,housing segregation and the backlogs,current institutional arrangements,role of public private participation,and scope for alternate mechanisms.The paper concludes in discussion on sustainable development options for housing development in urban fringe areas.
文摘At the beginning of 2024,Liu Yunzhi,President of China National Opera House,and nearly 50 artists from the Opera troupe,Choir and Symphony of the Opera House held"Happy Chinese New Year"concerts in Latvia,Uzbekistan and Austria,in"the simplest and most friendly way to convey the sound of cultural exchanges",which added impetus to the cultural exchanges between China and the world.
文摘This research aims to generate processes of industrialization and qualification of social housing in Colombia through prefabrication,low energy consumption and high environmental quality to reduce the current deficit and improve the quality of life in communities with fewer economic resources.Modular coordination and the use of materials with thermal behaviors,appropriate to the country’s climatic characteristics,reduce production costs,avoid waste and improve the architectural and environmental quality of social housing.Passive cooling strategies,such as controlling solar incursion and generating natural cross ventilation eliminate energy consumption and allow reaching desired standards of comfort.In a context in which traditional construction systems have still not resolved the social housing deficit in Colombia and which generate high costs for energy consumption in the search for thermal comfort,industrialized and efficient construction with high environmental quality provides solutions according to the economic,geographic,social and cultural context in Colombia.
文摘The cost of acquisition of a passive house is a little higher than that of a conventional house.Proper design of a passive house should include not only thermal protection and stability of the construction,but it must also take into account the price demands on each of the proposed structures and solution of details.The paper deals with the financial comparison of the traditional method of a foundation on the foundation strips of plain concrete and the modern method of founding a passive house as brick construction on the reinforced concrete slab base with a compact subsoil layer of thermal insulation in the form of granules of foamed glass.
文摘Providing a decent housing is a major challenge for governments and development authorities in Jordan and Arab countries. Nevertheless, the growing number of population falling under poverty put more demand on low cost housing options. The goal of the research was to find ways of rationalizing the cost and determine the appropriate standards and models that achieve an acceptable equation between cost and performance, and that during design and construction phases. The study follows the method of investigation and analysis to get factors that reduce the cost of the house construction for poor families by means of the concept of standardization in traditional (popular) buildings system. The research confirms that the traditional system has many advantages that could strengthen towards development a low-cost building system by applying the principles of standardization through architectural, structural and electro-mechanical considerations of design. Research recommends taking on studies for low cost building system through comprehensive analytical study of local building experiences.