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1.
Community Based Pilot Study of Diagnostic Paths to the Gluten Free Diet
Joan C. Stevenson, Kelle Rankin-Sunter, Crystal Maki, Sean Bruna, MJ Mosher, Christopher E. Barrett
International Journal of Celiac Disease. 2015 3 (1). doi: 10.12691/ijcd-3-1-7
Keywords: presenting symptoms, medically unexplained conditions, chronic fatigue, autoimmune thyroiditis
Context: Wheat consumption is increasing worldwide and also increasing is the frequency of celiac disease (CeD), a pathological response to wheat protein (gluten) in genetically susceptible individuals. Non-celiac gluten sensitivity (NCGS) is another, less studied wheat-induced pathology. The treatment for both is a gluten-free diet (GFD). More individuals choose the diet than predicted by the epidemiological 1-2% prevalence. A preliminary survey by questionnaire asked members and attendees of the local gluten information group (GIG) meetings and functions about their diagnostic experiences and symptom levels in order understand the increased demand for gluten-free foods. Same-aged and -sex friends participated as a comparative “control”. Mixed methods were used including content analyses of prose narratives and independent and paired t tests of symptom levels measured with Likert scales. This convenience sample, surveyed in 2011-2012, is mostly female (54 F, 5 M) with an average age of 54.6 ± 2.0 years. Most participants consulted medical professionals with mean time to diagnosis of 7 years determined mostly from “classic” presenting symptoms. Negative biopsies or blood tests and atypical symptoms that overlap other conditions delayed diagnosis. There were 43 and 16 participants with CeD and NCGS, respectively differing little in symptom levels. Self-diagnosis and use of naturopaths account for some of the “excess” individuals. General practitioners should be encouraged to get additional nutrition training and to discuss with patients dietary choices that support wellness and minimize the risk for pathological immune responses. Patients with CeD particularly need support and follow-up in the transition to a GFD.
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2.
Community Based Risk Assessment of Agriculture Sector in Sreerampur Union of Bangladesh
AKM Abdul Ahad Biswas, Md. Tariqul Islam, Md. Abdus Sattar, Shamima Nasrin Mili, Tawrat Jahan
Journal of Food Security. 2015 3 (5). doi: 10.12691/jfs-3-5-2
Keywords: adaptation, agriculture, community, farmers, risk assessment
Context: Community Based risk assessment (cbRA) is process for assessing local hazards, vulnerabilities, risks; coping capacity and finally identified ...
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3.
Football Cooperative, a Community Based Physical Activity Social Initiative for Men: Protocol Paper for a Pragmatic Feasibility Trial
Carroll P., Daly S., Egan T., Harrison M., Richardson N., Finnegan L., McGrath A., Krustrup P.
Journal of Physical Activity Research. 2023 8 (1). doi: 10.12691/jpar-8-1-4
Keywords: protocol, men’s health, recreational football, Community Based , social return on investment
Context: The case for a focus on men’s health is unequivocal; men, and poorer men in particular, continue to experience an excess burden of ill-health, mortality and premature death and both national and European policy has called for gender competent service provision to address this fundamental inequality in health. While lessons have been learned in recent years with respect to developing gender competency in service provision, there is value in considering how they can be applied to other settings, other sub populations of men and other types of initiatives (beyond the limitations of a structured programme). Such initiatives may appeal beyond the ‘worried well’ to more ‘hard to reach’ (HTR) groups of men who are most in need of such initiatives thereby ensuring that all men are reached in health promotion and preventative efforts. Football Cooperative (FC) is uniquely Irish and is a community-based initiative that provides social ‘pick up football’ games for men aimed at improving their overall health and wellbeing. In a series of papers, we propose to evaluate FC, however, we are not proposing to create something to be trialed but rather to use research to assess the social return on investment (SROI) and health and economic impact of a ‘real world’ organic initiative so that the feasibility for scale up can be determined. If feasible, plans will be put in place to upscale the FC initiative to improve reach (population and geographical access) and equitable access to the games and the games benefits. The purpose of this paper is to detail the protocols used in the evaluation of the FC initiative and by doing so, others engaged in translational research may be supported to ensure that efficacious initiatives translate into practice for the benefit of population health.
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4.
Impacts of Community Based Watershed Management on Land Use/Cover Change at Elemo Micro-Watershed, Southern Ethiopia
Abiyot Legesse, Misikir Bogale, Dereje Likisa
American Journal of Environmental Protection. 2018 6 (3). doi: 10.12691/env-6-3-2
Keywords: Community Based watershed management, land use/land cover, micro watershed, agroforestry, Ethiopia
Context: ...ertility, reduce soil loss and also contribute to climate change mitigation. In view of this, this paper assesses the impact of Community Based watershed management on land use/cover change at Elemo micro watershed. Comparison of land use/ cover before and after the imp...
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5.
Intention to Use Institutional Delivery and Associated Factors among ANC Attendants in Wollaita Soddo Town, Southern Ethiopia: A Cross-Sectional Community Based Study, Application of Theory of Planned Behavioral Model
Temesgen Lera, Bitiya Admasu, Anteneh Dirar
American Journal of Public Health Research. 2017 5 (4). doi: 10.12691/ajphr-5-4-1
Keywords: intention, attitude, subjective norms, perceived behavioral control, institutional delivery
Context: ... intention of pregnant women to use institutional delivery and associated factors from March to April 2016. Methods: - A Community Based cross-sectional study was conducted in Wollaita Soddo town. Theory of Planned Behavior was employed to evaluate intention of p...
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6.
Latrine Utilization and Associated Factors in Rural Community of Chencha District, Southern Ethiopia: A Community Based Cross-Sectional Study
Hailu Chare Koyra, Mende Mensa Sorato, Yohannes Shiferaw Unasho, Zewde Zema Kanche
American Journal of Public Health Research. 2017 5 (4). doi: 10.12691/ajphr-5-4-2
Keywords: latrine utilization, Chencha, Ethiopia
Context: ...ilities, not simply their physical presence. This is best achieved through regular use of clean and well maintained latrines. A Community Based cross-sectional study was conducted to assess latrine utilization and associated factors in the rural community of Chencha dis...
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7.
Participatory Evaluation and Selection of Bread Wheat (Triticum aestivum L.) Varieties: Implication for Sustainable Community Based Seed Production and Farmer Level Varietal Portfolio Managements at Southern Ethiopia
Assefa Workineh, Berhanu Abate, Demelash Kefalle
World Journal of Agricultural Research. 2014 2 (6). doi: 10.12691/wjar-2-6-12
Keywords: participatory varietal selection, varieties, farmers’ preference
Context: Six recently released bread wheat varieties, namely Inseno-1, Kekeba, Millenium, Dandandaa’, Sulla and Tay together with check variety Kubssa were tested under participatory varietal evaluation and selection trial at Wente-Sestro kebele, Lanfuro Woreda, of southern nation, nationalities and people region Ethiopia using mother-baby trials methodology in four Mothers and fifteen babies on farmers fields in 2010/2011 cropping season with objectives of evaluating the performance, selecting well performed & farmers accepted varieties, and identifying farmers varietal selection criteria. Data were collected on crop Phonology, growth and yield & yield related traits from the mother trials and farmers perception on the varieties both from mother and baby trials. The analysis of variance revealed that the varieties differed significantly (P<0.001) in days to heading, grain filling period, days to maturity, biomass yield, number of tillers per plant, spike length, number of grains per spike, thousand seed weigh, harvest index and plant height and) in fertile spikes per plant (P<0.01. The variety Inseno-1 was significantly earlier in flowering (50 days) and maturity (86 days) than the variety Kubssa (58 and 91 days) and other varieties. The 1000-seed weight of the varieties Inseno-1 (40.88 g), Kekeba (38.05 g) and Millenium (32.45 g) was significantly larger than the 1000-seed weight of the check (27.87 g) and other varieties. The varieties Inseno-1 (3020.7 kgha-1), Kekeba (2678.6 kgha-1) and Millenium (2374.1 kg ha-1) gave significantly higher grain yield than Kubssa (1622 kgha-1) and other varieties. Grain yield correlated positively and significantly with biomass yield (r = 0.89**), 1000- seed weight (r = 0.87**), harvest index (r = 0.65**), grain filling rate (r = 0.97**) and negatively and significantly associated with days to maturity (r = -0.40*) and number of tillers per plant (r = -0.65**). The correlation coefficient values indicated that the early maturing wheat varieties having less number of tillers per plant, producing high biomass and heavier 1000-seed weight gave higher grain yields at Wente-Sestro. Farmers based on higher grain yield, disease resistant, earliness in maturity, larger and uniform seed size, seed color and marketability of the varieties have selected the varieties Inseno-1, Kekeba and Millenium as first, second and third from other tested varieties, respectively and decided to replace Kubssa by these varieties.
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8.
Prevalence of Hypertension and Its Associated Factors among Adults in Selected Areas of Bangladesh: A Community Based Cross-sectional Study
Md. Nahian Rahman, Syeda Saima Alam, Shaidaton Nisha, Fathima Nusrath Zaman, Maherun Nesa, Sharif Muhammad Faizul Alam, Faroque Md Mohsin, Mahmudul Mannan, Md. Mahedi Hasan, Md. Mahbubur Rahman, Smita Roy Tory, Sabrina Rahman, Abu Zobayed, Sumaiya Jahan Dina, Khaleda Islam
American Journal of Hypertension Research. 2021 8 (1). doi: 10.12691/ajhr-8-1-1
Keywords: hypertension, adults, Bangladesh, cross-sectional study, prevalence, associated factors
Context: Background: Hypertension is a silent killer and an overwhelming global public health challenge. This study aimed to determine the prevalence and associated factors of hypertension among adults in Bangladesh. Methods: A community-based cross-sectional study design was conducted among 400 adults who lived in Dhaka, Mymensingh, Sylhet and Khulna District. Data were collected using a structured questionnaire that is adapted from the WHO Stepwise approach. Data was analyzed by SPSS version 25. Descriptive statistics and bivariate logistic regression analysis were conducted and statistical significance was declared at a p-value ≤0.05. Results: This study identified a high prevalence of hypertension in the study area and it was 39.75%. Among the male the prevalence was 23.5% and the prevalence was 16.5% among female. In this study hypertension was significantly associated with the age group 51-65 years (OR=1.02; CI 0.557-1.862) , ever smoking (OR= 2.59; CI 1.718-3.917) consume less fruits (OR=3.125; CI 0.839-11.632) and vegetable (OR=2.25; CI 1.364-3.725), physically inactive (OR=1.48; CI 0.973-2.252) overweight (OR=7.98; CI 4.612-13.793) and had diabetes mellitus (0R=2.38; CI 1.213-4.659). Conclusion: The prevalence of hypertension was considerably higher in this study area. Hence, the health care system needs to establish strategies to improve the diagnostic and screening services. Community-level intervention and regular assessment, screening, and diagnosis of behavioral, socio-demographic, and physiological risk factors, screening, should be institutionalized to address the occult burden of hypertension.
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9.
Trends in Reproductive Tract Infections and Barriers to Seeking Treatment among Young Women: A Community Based Cross Sectional Study in South India
Rejoice Puthuchira Ravi, Ravishankar Athimulam Kulasekaran
American Journal of Epidemiology and Infectious Disease. 2013 1 (4). doi: 10.12691/ajeid-1-4-5
Keywords: literacy, barriers to seek treatment, reproductive tract infections, rural area, young women
Context: ...th care services among young married women in rural areas of Thiruvarur district of Tamilnadu state in India. Methods: A Community Based cross-sectional study was conducted in 28 villages selected using multistage sampling technique for selecting 605 women in the...
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