984 research outputs found

    Follow-up Reproductive Health Needs Assessment for Evaluation of a CBD Program in Maramba Division,Muheza District

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    This is the report of a follow up household survey conducted in 8 villages of Maramba Division, Muheza District 1.5 years after starting a CBD program. The main findings are; The contraceptive prevalence for modern methods was 33% compared to 24% in 1999. Among clients of oral contraceptives compliance to pill use can be estimated to be about 77%. Delivery indicators show that the rate of professionally assisted deliveries decreased from 55% in 1999 to only 33% in 2001. Knowledge on how to prevent STDs has improved. More women mention the use of condoms 16%(against 10% in 99) and having only one sexual partner 43% (against 27% in 99). It is concluded that CBD activities have a measurable impact on the contraceptive prevalence rate. If established at large scale the contraceptive prevalence of a whole region or even the whole country could increase considerably... Delivery indicators showed that the rate of home deliveries is increasing. Especially alarming is the increase in birth only attended by untrained people. There is an urgent need to further explore the reason and to react with appropriate measures. This rapid assessment methodology is very useful to provide at low cost population based data. This is especially important as long as reliable population data are missing. In selected area this type of survey should accompany a CBD program on regular basis

    Comparing the Usefulness of the 1997 and 2009 WHO Dengue Case Classification: A Systematic Literature Review

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    The 1997 and 2009 WHO dengue case classifications were compared in a systematic review with 12 eligible studies (4 prospective). Ten expert opinion articles were used for discussion. For the 2009 WHO classification studies show: when determining severe dengue sensitivity ranges between 59–98% (88%/98%: prospective studies), specificity between 41–99% (99%: prospective study) - comparing the 1997 WHO classification: sensitivity 24.8–89.9% (24.8%/74%: prospective studies), specificity: 25%/100% (100%: prospective study). The application of the 2009 WHO classification is easy, however for (non-severe) dengue there may be a risk of monitoring increased case numbers. Warning signs validation studies are needed. For epidemiological/pathogenesis research use of the 2009 WHO classification, opinion papers show that ease of application, increased sensitivity (severe dengue) and international comparability are advantageous; 3 severe dengue criteria (severe plasma leakage, severe bleeding, severe organ manifestation) are useful research endpoints. The 2009 WHO classification has clear advantages for clinical use, use in epidemiology is promising and research use may at least not be a disadvantage

    Avaliação de subprodutos da industrialização de óleo de soja como fonte de energia em rações para frangos de corte.

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