Introduction: No study has analyzed the reasons for the difference in HIV prevalence between Ivorian regions ranging from 1.3% in the central-western region to 4.1% in Abidjan among men. Objective: To analyze explanat...Introduction: No study has analyzed the reasons for the difference in HIV prevalence between Ivorian regions ranging from 1.3% in the central-western region to 4.1% in Abidjan among men. Objective: To analyze explanatory factors for the difference in HIV prevalence observed in men in Côte d’Ivoire’s regions. Methodology: Assessment of the relationship between HIV prevalence per region and risk factors explored in the 2012 Côte d’Ivoire Demographic and Health Surveys (DHS). A multivariate analysis was conducted to assess the relationship between HIV prevalence and each variable. Results: The explanatory power of the variation of HIV prevalence between regions was 98%. There was a significant association between HIV prevalence and union (r = −0.38;p = 0.008;95% CI (−0.53 to −0.23)), condom use (r = −0.01;p = 0.19;95% CI (−0.03 to −0.01)), practice of Christian religion (r = −0.1;p = 0.017;95% CI (−0.16 to −0.05)), and schooling (r = −0.01;p = 0.25;95% CI (−0.04 to 0.02)). There was a paradoxical association between HIV prevalence and mean age at first sexual intercourse (r = −0.1;p = 0.017;95% CI (−0.16 to −0.05)) and sexual infections (r = −0.48;p = 0.016;95% CI (−0.75 to −0.22)). Conclusion: The explanatory factors for the difference in HIV prevalence observed in men in the regions of the country were union, condom use, mean age at first sexual intercourse, sexual infection, sexual activity, and multiple sexual partnerships. However, only union and condom use were effective in reducing HIV prevalence by preventing new infections.展开更多
This paper discusses ecological and monitoring studies covering vegetation, stream fauna, birds, mammals and other vertebrates at the West New Territories (WENT)Landfill, Hong Kong. Recommendations for the protection ...This paper discusses ecological and monitoring studies covering vegetation, stream fauna, birds, mammals and other vertebrates at the West New Territories (WENT)Landfill, Hong Kong. Recommendations for the protection of vegetation on and around the site, including control of the erosion and run off from the construction site were proposed and implemented, resulting in effective protection of the local vegetation cover. Stream macrobenthos were low in species diversity and abundance and did not show a changing trend during the construction and the operation of the land fill. Birds attracted to the active dumping site were dominated by Crested Mynah Acridotheres cristatellus and the Tree Sparrow Passer montanus. After an increase in the population during the warmer months, the number of birds seen on the land fill site decreased to 10 in December 1994. Mammal monitoring by live trapping revealed that the rat population did not increase after the land fill operation started. This project was the first comprehensive’ ecological study and monitoring of an urban land fill in Hong Kong and it demonstrated that careful environmental planning and implementation of mitigation measures can successfully limit environmental impacts of landfills to acceptable levels.展开更多
Background: Currently, surgical resection represents the only curative treatment for pancreatic cancer(PC), however, the majority of tumors are no longer resectable by the time of diagnosis. The aim of this study was ...Background: Currently, surgical resection represents the only curative treatment for pancreatic cancer(PC), however, the majority of tumors are no longer resectable by the time of diagnosis. The aim of this study was to describe time trends and distribution of pancreaticoduodenectomies(PDs) performed for treating PC in Brazil in recent years. Methods: Data were retrospectively obtained from Brazilian Health Public System(namely DATASUS) regarding hospitalizations for PC and PD in Brazil from January 2008 to December 2015. PC and PD rates and their mortalities were estimated from DATASUS hospitalizations and analyzed for age, gender and demographic characteristics. Results: A total of 2364 PDs were retrieved. Albeit PC incidence more than doubled, the number of PDs increased only 37%. Most PDs were performed in men(52.2%) and patients between 50 and 69 years old(59.5%). Patients not surgically treated and those 70 years or older had the highest in-hospital mortality rates. The most developed regions(Southeast and South) as well as large metropolitan integrated municipalities registered 76.2% and 54.8% of the procedures, respectively. LMIM PD mortality fluctuated, ranging from 13.6% in 2008 to 11.8% in 2015. Conclusions: This study suggests a trend towards regionalization and volume-outcome relationships for PD due to PC, as large metropolitan integrated municipalities registered most of the PDs and more stable mortality rates. The substantial differences between PD and PC increasing rates reveals a limiting step on the health system resoluteness. Reduction in the number of hospital beds and late access to hospitalization, despite improvement in diagnostic methods, could at least in part explain these findings.展开更多
Recent rapid industrialization and urbanization in the Pearl River Delta (PRD) is character-ized by broad geographical dispersion, diversities of scales and technological levels, and the proliferation of small-scale t...Recent rapid industrialization and urbanization in the Pearl River Delta (PRD) is character-ized by broad geographical dispersion, diversities of scales and technological levels, and the proliferation of small-scale township and individual enterprises. Such a pattern of fast development has brought widespread environmental perturbation that is becoming difficult to contain or control. This study surveys the present environmental status in urban areas of PRD, assesses the trends of environmental quality, and evaluates the ecological impacts of development in the region.展开更多
文摘Introduction: No study has analyzed the reasons for the difference in HIV prevalence between Ivorian regions ranging from 1.3% in the central-western region to 4.1% in Abidjan among men. Objective: To analyze explanatory factors for the difference in HIV prevalence observed in men in Côte d’Ivoire’s regions. Methodology: Assessment of the relationship between HIV prevalence per region and risk factors explored in the 2012 Côte d’Ivoire Demographic and Health Surveys (DHS). A multivariate analysis was conducted to assess the relationship between HIV prevalence and each variable. Results: The explanatory power of the variation of HIV prevalence between regions was 98%. There was a significant association between HIV prevalence and union (r = −0.38;p = 0.008;95% CI (−0.53 to −0.23)), condom use (r = −0.01;p = 0.19;95% CI (−0.03 to −0.01)), practice of Christian religion (r = −0.1;p = 0.017;95% CI (−0.16 to −0.05)), and schooling (r = −0.01;p = 0.25;95% CI (−0.04 to 0.02)). There was a paradoxical association between HIV prevalence and mean age at first sexual intercourse (r = −0.1;p = 0.017;95% CI (−0.16 to −0.05)) and sexual infections (r = −0.48;p = 0.016;95% CI (−0.75 to −0.22)). Conclusion: The explanatory factors for the difference in HIV prevalence observed in men in the regions of the country were union, condom use, mean age at first sexual intercourse, sexual infection, sexual activity, and multiple sexual partnerships. However, only union and condom use were effective in reducing HIV prevalence by preventing new infections.
文摘This paper discusses ecological and monitoring studies covering vegetation, stream fauna, birds, mammals and other vertebrates at the West New Territories (WENT)Landfill, Hong Kong. Recommendations for the protection of vegetation on and around the site, including control of the erosion and run off from the construction site were proposed and implemented, resulting in effective protection of the local vegetation cover. Stream macrobenthos were low in species diversity and abundance and did not show a changing trend during the construction and the operation of the land fill. Birds attracted to the active dumping site were dominated by Crested Mynah Acridotheres cristatellus and the Tree Sparrow Passer montanus. After an increase in the population during the warmer months, the number of birds seen on the land fill site decreased to 10 in December 1994. Mammal monitoring by live trapping revealed that the rat population did not increase after the land fill operation started. This project was the first comprehensive’ ecological study and monitoring of an urban land fill in Hong Kong and it demonstrated that careful environmental planning and implementation of mitigation measures can successfully limit environmental impacts of landfills to acceptable levels.
基金supported by grants from Fundacao de Amparo à Pesquisa do Estado do Rio de Janeiro-FAPERJ [E-26/2014-202.008]Conselho Nacional de Desenvolvimento Científico e Tecnológico–CNPq [302401/2016-4]
文摘Background: Currently, surgical resection represents the only curative treatment for pancreatic cancer(PC), however, the majority of tumors are no longer resectable by the time of diagnosis. The aim of this study was to describe time trends and distribution of pancreaticoduodenectomies(PDs) performed for treating PC in Brazil in recent years. Methods: Data were retrospectively obtained from Brazilian Health Public System(namely DATASUS) regarding hospitalizations for PC and PD in Brazil from January 2008 to December 2015. PC and PD rates and their mortalities were estimated from DATASUS hospitalizations and analyzed for age, gender and demographic characteristics. Results: A total of 2364 PDs were retrieved. Albeit PC incidence more than doubled, the number of PDs increased only 37%. Most PDs were performed in men(52.2%) and patients between 50 and 69 years old(59.5%). Patients not surgically treated and those 70 years or older had the highest in-hospital mortality rates. The most developed regions(Southeast and South) as well as large metropolitan integrated municipalities registered 76.2% and 54.8% of the procedures, respectively. LMIM PD mortality fluctuated, ranging from 13.6% in 2008 to 11.8% in 2015. Conclusions: This study suggests a trend towards regionalization and volume-outcome relationships for PD due to PC, as large metropolitan integrated municipalities registered most of the PDs and more stable mortality rates. The substantial differences between PD and PC increasing rates reveals a limiting step on the health system resoluteness. Reduction in the number of hospital beds and late access to hospitalization, despite improvement in diagnostic methods, could at least in part explain these findings.
文摘Recent rapid industrialization and urbanization in the Pearl River Delta (PRD) is character-ized by broad geographical dispersion, diversities of scales and technological levels, and the proliferation of small-scale township and individual enterprises. Such a pattern of fast development has brought widespread environmental perturbation that is becoming difficult to contain or control. This study surveys the present environmental status in urban areas of PRD, assesses the trends of environmental quality, and evaluates the ecological impacts of development in the region.
