48 research outputs found

    Improving knowledge of street food vendors through an educational intervention in Kandy district, Sri Lanka

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    Background: Street food sector plays an important role in urban areas of many developing countries in catering to the needs of the urban population. Contamination of ready to eat food and beverages sold by street food vendors rendering them unacceptable for human consumption has become a global problem. The aim of this study was to evaluate the effectiveness of providing a health educational programme in improving knowledge related to food safety on street food vendors.Methods: Study used a quasi-experimental pre-test, post-test design. Evaluation instruments consisted of a questionnaire and a checklist. A total number of 427 street food vendors were included. A visual educational intervention was developed to provide training to all vendors in the intervention area. The study areas covered were method of food contamination, personal hygiene, safe food handling of potentially hazardous street vended food and time temperature control.Results: The results of the pre intervention survey showed that the baseline knowledge was poor. Vendors had unfavorable views particularly towards available facilities and support services. It was revealed that over 50% of the study population had received information on safe food handling though public health inspectors. Post intervention showed knowledge had improved significantly in the intervention group in all subject areas, when compared to control group (p<0.001).Conclusions: Health education intervention was effective in improving knowledge of the street food vendors in safe food handling practices and food borne disease prevention

    AVIFAUNAL DIVERSITY IN A TEA PLANTATION ECOSYSTEM IN THE UP-COUNTRY OF SRI LANKA

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    A survey on birds was conducted at Mattakelle Tea Estate with the objective of assessing the significance of a given tea plantation ecosystem in maintaining avifaunal diversity. Seven different habitats were identified in the ecosystem namely home garden, seasonal stream, small scale reservoir, Eucalyptus forest, wetland, tea field and secondary forest. The monitoring was conducted from January to June 2010 using line transect method. 28 counts were made for each habitat. Besides, activities of birds, feeding habits and food recourses were observed.61 species of birds including  9 species of endemics and 10 species of migrants were recorded. One globally threatened species Kashmir Flycatcher (Ficedula subrubra) and 12 nationally threatened species were observed. Among the habitats, the highest species count of 62% was recorded in  home garden habitat where Shannon index (H’) = 3.03 and Evenness (J) =0.46. Species diversity and the evenness of the secondary forest were comparable to tea field indicating H’= 2.86 and J=0.43; H’ =2.77 and J= 0.46 respectively.  The avifaunal diversity was relatively low in the rest.The study revealed that each of the habitats provided unique niches and supported maintenance of natural diversity. Vegetation structure and the complexity of the ecosystem in tea plantations play a vital role in sustaining  avifaunal diversity. Several conservation measures such as increasing plant diversity, introduction of shade trees, conduct of good agricultural practices and prevention from setting fire are recommended to protect and conserve avifaunal diversity

    Effects of biofertilizer containing N-fixer, P and K solubilizers and AM fungi on maize growth: A greenhouse trial.

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    An in vitro study was undertaken to evaluate the compatibility of indigenous plant growth promoting rhizobacteria (PGPR) with commonly used inorganic and organic sources of fertilizers in tea plantations. The nitrogenous, phosphatic and potash fertilizers used for this study were urea, rock phosphate and muriate of potash, respectively. The organic sources of fertilizers neem cake, composted coir pith and vermicompost were also used. PGPRs such as nitrogen fixer; Azospirillum lipoferum, Phosphate Solubilizing Bacteria (PSB); Pseudomonas putida, Potassium Solubilizing Bacteria (KSB); Burkholderia cepacia and Pseudomonas putida were used for compatibility study. Results were indicated that PGPRs preferred the coir pith and they proved their higher colony establishment in the formulation except Azospirillum spp. that preferred vermicompost for their establishment. The optimum dose of neem cake powder

    Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

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    Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

    COVIDiSTRESS diverse dataset on psychological and behavioural outcomes one year into the COVID-19 pandemic

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    During the onset of the COVID-19 pandemic, the COVIDiSTRESS Consortium launched an open-access global survey to understand and improve individuals’ experiences related to the crisis. A year later, we extended this line of research by launching a new survey to address the dynamic landscape of the pandemic. This survey was released with the goal of addressing diversity, equity, and inclusion by working with over 150 researchers across the globe who collected data in 48 languages and dialects across 137 countries. The resulting cleaned dataset described here includes 15,740 of over 20,000 responses. The dataset allows cross-cultural study of psychological wellbeing and behaviours a year into the pandemic. It includes measures of stress, resilience, vaccine attitudes, trust in government and scientists, compliance, and information acquisition and misperceptions regarding COVID-19. Open-access raw and cleaned datasets with computed scores are available. Just as our initial COVIDiSTRESS dataset has facilitated government policy decisions regarding health crises, this dataset can be used by researchers and policy makers to inform research, decisions, and policy. © 2022, The Author(s).U.S. Department of Education, ED: P031S190304; Texas A and M International University, TAMIU; National Research University Higher School of Economics, ВШЭThe COVIDiSTRESS Consortium would like to acknowledge the contributions of friends and collaborators in translating and sharing the COVIDiSTRESS survey, as well as the study participants. Data analysis was supported by Texas A&M International University (TAMIU) Research Grant, TAMIU Act on Ideas, and the TAMIU Advancing Research and Curriculum Initiative (TAMIU ARC) awarded by the US Department of Education Developing Hispanic-Serving Institutions Program (Award # P031S190304). Data collection by Dmitrii Dubrov was supported within the framework of the Basic Research Program at HSE University, RF

    Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

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    Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone
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