115 research outputs found

    Child’s play: Exposure to household pesticide use among children in rural, urban and informal areas of South Africa

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    Background. As part of a larger dermatological investigation undertaken in 1999 - 2001 involving the Department of Dermatology, Groote Schuur Hospital (Cape Town, South Africa) and Nottingham University (UK), household pesticide use was investigated among Xhosa-speaking families living in three areas in South Africa (a rural area, an urban township and an informal settlement).Objectives. The aim was to characterise pesticide use patternsand potential exposures through skin absorption, ingestion and inhalation for this group of South African children.Methods. A standardised questionnaire, which included a section investigating household pesticide use, was administered by four trained fieldworkers to the parents/guardians of the 740 children (25%) aged between 3 and 11 years identified as having atopic dermatitis either by clinical examination or according to the UK criteria (rural N=387,urban N=292, informal N=61).Results. Of the children with atopic dermatitis, 539 (73%) had been exposed to household pesticides. Most childhood exposure (89%) occurred in the informal settlements, followed by 78% in the urban area and 63% in the rural area.Conclusions. This research highlighted considerable home environment pesticide exposure of South African children in lower socio-economic groups in rural, urban and informal areas. As children are particularly vulnerable to the short- and long-term health effects of pesticide exposure, further indepth investigation is needed to ascertain and document the health effects associated with such exposure in the home

    Role of age and comorbidities in mortality of patients with infective endocarditis

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    Purpose: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. Methods: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015. Patients were stratified into three age groups:<65 years, 65 to 80 years, and = 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. Results: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 = 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients =80 years who underwent surgery were significantly lower compared with other age groups (14.3%, 65 years; 20.5%, 65-79 years; 31.3%, =80 years). In-hospital mortality was lower in the <65-year group (20.3%, <65 years;30.1%, 65-79 years;34.7%, =80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%, =80 years; p = 0.003).Independent predictors of mortality were age = 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI = 3 (HR:1.62; 95% CI:1.39–1.88), and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared, the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. Conclusion: There were no differences in the clinical presentation of IE between the groups. Age = 80 years, high comorbidity (measured by CCI), and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

    Advanced Biometric Technologies: Emerging Scenarios and Research Trends

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    Biometric systems are the ensemble of devices, procedures, and algorithms for the automatic recognition of individuals by means of their physiological or behavioral characteristics. Although biometric systems are traditionally used in high-security applications, recent advancements are enabling the application of these systems in less-constrained conditions with non-ideal samples and with real-time performance. Consequently, biometric technologies are being increasingly used in a wide variety of emerging application scenarios, including public infrastructures, e-government, humanitarian services, and user-centric applications. This chapter introduces recent biometric technologies, reviews emerging scenarios for biometric recognition, and discusses research trends

    Iphigenia’s sacrifice: generational historicity as a structure of feeling in times of austerity

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    Iphi, an unemployed actor in austerity-ridden Greece, imagines a theatre adaptation of a classic tragedy, Iphigenia at Aulis, in which the heroine is sacrificed on the altar of austerity by politicians. While writing her play-script, Iphi has a dream: she is taken to the sacrificial altar, not by politicians, but by her own parents, the generation who lived through the affluent years before austerity. Iphi’s generational-analogical thinking introduces a politically inspiring historicity, which offers insights into the accountability of austerity. It also allows us to reassess the notion of generations as a local category and an anthropological analytical construct. The article indicates the emergence of an as yet not fully articulated generational awareness—a new structure of feeling—about austerity, which is outlined here as it develops in an incipient form. I argue that the emerging generational historicity communicates a critical message, but also hides from view less visible inequalities
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