Control

控制
  • 文章类型: Journal Article
    背景:具有传染性和经济破坏性,小反刍动物(PPR)是一种影响山羊和绵羊的病毒性疾病,造成牲畜生产力的重大损失,并对全球粮食安全和农村生计构成威胁。
    目的:本研究旨在评估山羊农场主的知识状况,孟加拉国Sylhet区对PPR病的态度和实践(KAP)。
    方法:全面的横断面调查,进行了11周,针对130只山羊的主人.在对20名农民进行试点研究后,我们验证了关于PPRKAP的一组17个经过验证的问题.数据收集是由训练有素的团队使用KOBO工具箱通过面对面访谈进行的,根据既定的知识阈值(>65%)解释回答,态度(>75%)和实践(>70%)。
    结果:总体而言,67.7%的参与者表现出良好的PPR疾病知识水平。与女性相比,男性表现出1.42倍的知识几率(优势比=1.42)。中年组(31-45岁)的知识水平明显较高(83.3%,p<0.001)。在这个年龄段,积极实践水平也明显更高(54.8%)。具有高等教育背景的人表现出最积极的实践水平(>80%)。来自非政府组织就业的额外收入的参与者表现出更高的积极实践水平(71.4%),比其他收入来源高1.46倍。
    结论:战略干预应优先考虑女性农民,教育赋权和与非政府组织合作,以加强孟加拉国的牲畜健康和农村生计,作为国家PPR控制战略的一部分,以实现国际动物卫生组织/世界动物卫生组织(OIE/WOAH)和粮食及农业组织(FAO)到2030年根除PPR的目标。
    BACKGROUND: Contagious and economically devastating, peste des petits ruminants (PPR) is a viral disease affecting goats and sheep, causing significant losses in livestock productivity and posing a threat to food security and rural livelihoods worldwide.
    OBJECTIVE: This study was conducted to assess the status of goat farmer\'s knowledge, attitude and practice (KAP) about PPR disease at Sylhet district of Bangladesh.
    METHODS: A comprehensive cross-sectional survey, conducted over 11 weeks, targeted 130 goat owners. Following a pilot study with 20 farmers, a set of 17 validated questions on PPR KAP was validated. Data collection was performed through face-to-face interviews by a trained team using KOBO Toolbox, with interpretation of responses based on established thresholds for knowledge (>65%), attitude (>75%) and practice (>70%).
    RESULTS: Overall, 67.7% of participants demonstrated a good level of knowledge about PPR disease. Males exhibited 1.42 times higher odds of knowledge compared to females (odds ratio = 1.42). The middle age group (31-45 years) showed significantly higher knowledge levels (83.3%, p < 0.001). Within this age group, positive practice levels were also notably higher (54.8%). Those with a higher secondary education background exhibited the most positive practice levels (>80%). Participants whose additional income came from non-governmental organization employment showed a higher positive practice level (71.4%), 1.46 times higher than other income sources.
    CONCLUSIONS: Strategic interventions should prioritize female farmers, educational empowerment and collaboration with non-governmental organizations to bolster livestock health and rural livelihoods in Bangladesh as part of national PPR control strategy to fulfil the goals of Office International des Epizooties/World Organization for Animal Health (OIE/WOAH) and Food and Agriculture Organization (FAO) PPR eradication by 2030.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    面部是自我认同的关键线索,而代理意识在通过环境行动确定我们的影响力方面起着重要作用。当前的研究调查了通过面部识别的自我识别如何通过运动影响控制的感知。我们认为,自我认同可能会产生一种信念,控制自己的脸,导致更敏锐的检测,并更加强调他们的行为与控制判断中的感觉反馈之间的差异。我们将受控制信念支配的条件称为剥削模式。相反,当操纵另一个人的脸时,个人控制的信念是不存在的。在这种情况下,个体可能依赖于动作和感官输入之间的规律性来进行控制判断,表现出自然界中探索性的行为来收集这些信息。这种情况被称为探索模式。这项研究利用了面部运动混合范式,采用深度生成模型,使参与者能够通过面部和头部运动与自己或他人的面部进行交互。在实验过程中,参与者观察自己的脸或别人的脸(自我面对与其他脸)在屏幕上。面部的运动纯粹由他们自己的面部和头部运动驱动,或者由参与者和实验者的平均运动驱动(完全控制与部分控制)。结果显示,参与者报告的代理感比其他面孔比自我面孔更高,而他们的自我认同评分明显高于自我面对。更重要的是,控制别人的脸导致更多的运动多样性比控制自己的脸。这些发现支持了我们的探索开发理论:当参与者对自我面对引发的控制有强烈的信念时,他们对任何感觉运动预测错误变得高度敏感,导致较低的代理意识。相比之下,当缺乏控制的信念时,探索模式引发了更多的探索行为,允许参与者有效地收集信息以建立代理意识。
    The face serves as a crucial cue for self-identification, while the sense of agency plays a significant role in determining our influence through actions in the environment. The current study investigates how self-identification through facial recognition may influence the perception of control via motion. We propose that self-identification might engender a belief in having control over one\'s own face, leading to a more acute detection and greater emphasis on discrepancies between their actions and the sensory feedback in control judgments. We refer to the condition governed by the belief in having control as the exploitation mode. Conversely, when manipulating another individual\'s face, the belief in personal control is absent. In such cases, individuals are likely to rely on the regularity between actions and sensory input for control judgments, exhibiting behaviors that are exploratory in nature to glean such information. This condition is termed the explorative mode. The study utilized a face-motion mixing paradigm, employing a deep generative model to enable participants to interact with either their own or another person\'s face through facial and head movements. During the experiment, participants observed either their own face or someone else\'s face (self-face vs. other-face) on the screen. The motion of the face was driven either purely by their own facial and head motion or by an average of the participant\'s and the experimenter\'s motion (full control vs. partial control). The results showed that participants reported a higher sense of agency over the other-face than the self-face, while their self-identification rating was significantly higher for the self-face. More importantly, controlling someone else\'s face resulted in more movement diversity than controlling one\'s own face. These findings support our exploration-exploitation theory: When participants had a strong belief in control triggered by the self-face, they became highly sensitive to any sensorimotor prediction errors, leading to a lower sense of agency. In contrast, when the belief of control was absent, the exploration mode triggered more explorative behaviors, allowing participants to efficiently gather information to establish a sense of agency.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    烟道气的处理已成为关注的关键领域,因为在其操作中涉及化石燃料燃烧的工业向大气中排放的空气不断增加。实质上,比以往任何时候都更需要有效的治疗方法。处理和分离现在是整体工业操作的需求,以控制烟气排放的速率。造成这种情况的罪魁祸首是发电行业。与之相关的主要空气污染物是二氧化碳,硫氧化物,微量金属,挥发性有机化合物,颗粒物,和氮氧化物。然而,选择要使用的技术需要的不仅仅是分离过程的知识,而且对污染物的性质也有很好的了解。这篇综述探索并评估了用于处理工业烟气以控制相关空气污染物的各种分离工艺和技术。它还参考成本和效率分析了性能,优点和缺点,选择原则,研究方向,和/或现有分离过程和技术中的潜在机会。
    The treatment of flue gases has become a crucial area of interest with the increasing air emissions into the atmosphere from industries involved in combustion of fossil fuels in their operations. In essence, there is a critical need for effective methods of treatment more than ever. Treatment and separation are now a demand for the overall industrial operations to control the rate of flue gas emissions. The major culprit in this wise is power generating industry. The major associated air pollutants are carbon dioxide, sulfur oxides, trace metals, volatile organic compounds, particulate matters, and nitrogen oxides. However, the choice of technologies to be utilized requires more than just knowledge of the separation process, but also a good understanding of the properties of the pollutants. This review explored and evaluated the various separation processes and technologies for the treatment of industrial flue gases for the control of the associated air pollutants. It also analyzed the performance with references to cost and efficiency, the advantages and disadvantages, principles for selection, research direction, and/or potential opportunities in existing separation processes and technologies.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    多孔结构和粒度的控制对于改善聚倍半硅氧烷(PSQ)微球的性能至关重要。在这里,采用反相悬浮聚合相结合的策略,两步溶胶-凝胶和聚合诱导的相分离过程,形貌可控的微米级含巯基大孔PSQ(TMPSQ)微球,可调粒径(4.9-17.3μm),和孔径(40-3774nm)被制备。通过SEM表征了TMPSQ微球的形貌和尺寸。采用压汞法分析微球的多孔结构。溶胶-凝胶分散相组成的影响,溶胶-凝胶分散相与油连续相的质量比(WRW/O),和跨度80质量含量在油连续相中的形貌上,研究了TMPSQ微球的粒径和孔径。结果表明,溶胶-凝胶分散相的组成决定了微球的形貌和多孔结构,WRW/O和Span80含量对微球的形貌和粒径有显著影响。本研究有利于设计和制备具有良好性能和应用前景的功能性PSQ微球。
    Control of the porous structure and particle size is essential for improving the properties of polysilsesquioxane (PSQ) microspheres. Herein, using the strategy combining inverse suspension polymerization, two-step sol-gel- and polymerization-induced phase separation processes, micron-sized thiol-containing macroporous PSQ (TMPSQ) microspheres with controllable morphologies, adjustable particle diameters (4.9-17.3 μm), and pore sizes (40-3774 nm) were prepared. The morphology and size of the TMPSQ microspheres were characterized by SEM. The mercury intrusion method was employed to analyze the porous structure of the microspheres. The effects of the composition of the sol-gel disperse phase, the mass ratio of the sol-gel disperse phase to the oil continuous phase (WRW/O), and the Span 80 mass content in the oil continuous phase on the morphology, particle diameter and pore size of the TMPSQ microspheres were investigated. Results indicated that the composition of the sol-gel disperse phase determines the morphology and porous structure of the microspheres, and WRW/O and Span 80 content have remarkable impacts on the morphology and particle size of the microspheres. This study is beneficial to the design and fabrication of functional PSQ microspheres with desired properties and promising application prospects.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    口蹄疫(FMD)仍然是最相关的动物疾病之一,仍然是全球关注的问题。世界动物卫生组织(WOAH)规定了两种确保免于口蹄疫的卫生条件:一个国家或地区可以在有或没有疫苗接种的情况下免于口蹄疫。要获得两种状态中的任何一种,必须显示没有病毒循环。WOAH制定的标准用于贸易谈判。近几十年来,开发了不同的工具和方法来控制口蹄疫,包括疫苗,诊断,以及口蹄疫的渐进控制途径。这些工具随着时间的推移而改进,现在高质量,可靠的疫苗和特定的诊断可用于有效控制和检测感染,即使在接种疫苗的人群中。由于这些改进,不再有理由区别对待这两种无口蹄疫状态。状态之间的区别提供了错误的动机,并诱使各国通过停止疫苗接种以改善其贸易条件来承担更大的风险,这可能会带来潜在的毁灭性后果。停止接种疫苗的决定只能在对当地和区域流行病学情况进行仔细和全面分析的基础上做出。本文提出了成员国和WOAH应将两种无口蹄疫状态视为等效状态的观点。
    Foot-and-Mouth Disease (FMD) is still one of the most relevant animal diseases and remains of global concern. The World Organization for Animal Health (WOAH) has specified two sanitary statuses that assure freedom from FMD: a country or zone can be free from FMD either with or without vaccination. To obtain either of the two statuses, absence of virus circulation must be shown. The standards set by WOAH are used for trade negotiations. During recent decades, different tools and approaches were developed to control FMD, including vaccines, diagnostics, and the Progressive Control Pathway for FMD. These tools improved over time, and nowadays high-quality, reliable vaccines and specific diagnostics are available to efficiently control and detect the infection, even in vaccinated populations. Due to these improvements, it is no longer justifiable to treat the two FMD-free statuses differently. The distinction between the statuses provides wrong incentives and tempts countries to take increased risks by stopping vaccination to improve their trade conditions, which can have potentially devastating consequences. The decision to stop vaccination should only be made on the basis of a careful and comprehensive analysis of the local and regional epidemiological situation. This paper presents the perspective that member countries and WOAH should recognize the two FMD-free statuses as equivalent.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    在心脏研究领域,螺旋波和湍流状态的控制一直是学者们关注的焦点。在各种调查途径中,离子电流的调制代表了一个关键的方向。已经证明,涉及电流组合控制的方法优于单一方法。虽然以前的研究提出了一些组合策略,需要进一步加强和补充,特别是在通过两种钾离子电流的联合调节来控制心律失常的情况下。本研究采用Luo-RudyI期心脏模型,调节时间依赖性钾电流和时间依赖性钾电流的最大电导,研究这种组合调制对螺旋波和湍流状态的影响。数值模拟结果表明,与调节单个电流相比,结合两个钾离子电流的电导降低,可以在短时间内快速控制螺旋波和湍流状态。这意味着同时对两种钾离子电流采用阻断剂代表更有效的控制策略。本研究的对照结果代表了抗心律失常干预的一种新颖有效的组合,提供新的抗心律失常药物靶点的潜在途径。
    In the realm of cardiac research, the control of spiral waves and turbulent states has been a persistent focus for scholars. Among various avenues of investigation, the modulation of ion currents represents a crucial direction. It has been proved that the methods involving combined control of currents are superior to singular approaches. While previous studies have proposed some combination strategies, further reinforcement and supplementation are required, particularly in the context of controlling arrhythmias through the combined regulation of two potassium ion currents. This study employs the Luo-Rudy phase I cardiac model, modulating the maximum conductance of the time-dependent potassium current and the time-independent potassium current, to investigate the effects of this combined modulation on spiral waves and turbulent states. Numerical simulation results indicate that, compared to modulating a single current, combining reductions in the conductance of two potassium ion currents can rapidly control spiral waves and turbulent states in a short duration. This implies that employing blockers for both potassium ion currents concurrently represents a more efficient control strategy. The control outcomes of this study represent a novel and effective combination for antiarrhythmic interventions, offering potential avenues for new antiarrhythmic drug targets.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    在生理数据空白中寻求模拟神经元功能,一个有希望的策略是开发一种规范的理论,将神经元生理学解释为优化计算目标。本研究扩展了当前的规范模型,主要优化预测,通过将神经元概念化为最佳反馈控制器。我们假设神经元,尤其是那些超越早期感官区域的,通过他们的输出引导他们的环境走向特定的期望状态。这种环境包括突触连接的神经元和外部运动感觉反馈回路,使神经元能够通过突触反馈评估其控制的有效性。为了将神经元建模为生物学上可行的控制器,隐式地识别环路动力学,推断潜在状态,并优化控制,我们利用当代的直接数据驱动控制(DD-DC)框架。我们的DD-DC神经元模型解释了各种神经生理学现象:从增强到抑制的尖峰时间依赖性可塑性及其不对称性,前馈和反馈神经元滤波器的持续时间和适应性,恒定刺激下尖峰产生的不精确,以及大脑中特征性的操作变异性和噪声。我们的模型与传统的模型有很大的不同,前馈,即时反应McCulloch-Pitts-Rosenblatt神经元,提供一个现代的,构建神经网络的生物学信息基本单元。
    In the quest to model neuronal function amid gaps in physiological data, a promising strategy is to develop a normative theory that interprets neuronal physiology as optimizing a computational objective. This study extends current normative models, which primarily optimize prediction, by conceptualizing neurons as optimal feedback controllers. We posit that neurons, especially those beyond early sensory areas, steer their environment toward a specific desired state through their output. This environment comprises both synaptically interlinked neurons and external motor sensory feedback loops, enabling neurons to evaluate the effectiveness of their control via synaptic feedback. To model neurons as biologically feasible controllers which implicitly identify loop dynamics, infer latent states, and optimize control we utilize the contemporary direct data-driven control (DD-DC) framework. Our DD-DC neuron model explains various neurophysiological phenomena: the shift from potentiation to depression in spike-timing-dependent plasticity with its asymmetry, the duration and adaptive nature of feedforward and feedback neuronal filters, the imprecision in spike generation under constant stimulation, and the characteristic operational variability and noise in the brain. Our model presents a significant departure from the traditional, feedforward, instant-response McCulloch-Pitts-Rosenblatt neuron, offering a modern, biologically informed fundamental unit for constructing neural networks.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    Sosnowski猪草是欧洲中东部的一种入侵杂草,对人类健康和环境有害。使用化学和机械方法对其控制的功效是有限的。电磁辐射(微波)可能是控制该物种的环保替代品。本研究旨在:(1)确定不同的微波处理(MWT)持续时间对使用2.45GHz发射微波的设备控制猪草的影响,32.8kW/m2;(2)通过生态毒理学生物测定法评估MWT对土壤的影响;(3)分析过程中根部发生的生化变化。使用MWT在2.5至15分钟的时间内进行了现场研究以评估猪瘟控制的功效。处理后立即收集MWT处理的土壤(AT),并使用生物测定法(植物毒性试剂盒,Ostracodtoxkit,和Microtox)。14天AT,MWT的猪草根被挖出来,风干,并分析了精油的含量和组成,糖,糖和脂肪酸。根据生态毒理学生物测试,MWT土壤分为无毒或低毒。仅在未处理的植物(对照)中观察到猪草的再生。HogweedMWT持续2.5-15分钟直到14天AT都没有再生。猪笼草MWT15.0min的平均根重约为。比对照植物小两倍。这些根中含有的糖和饱和脂肪酸的量明显高于对照。我们没有发现S.hogweed根精油含量与组成和MWT时间之间的相关性。精油的主要化合物是对异丙基苯和肉豆蔻素。在测试的根油中没有鉴定出高度光敏的化合物。我们得出结论,猪草的MWT可能是一种环境安全和前瞻性的控制方法,但是需要更多的研究。
    Sosnowski hogweed is an invasive weed in eastern-middle Europe that is dangerous to human health and the environment. The efficacy of its control using chemical and mechanical methods is limited. Electromagnetic radiation (microwaves) could be an environmentally friendly alternative for controlling this species. This study aims to: (1) Determine the effect of varying microwave treatment (MWT) durations on the control of S. hogweed using a device emitting microwaves at 2.45 GHz, 32.8 kW/m2; (2) Evaluate the impact of MWT on soil by an ecotoxicological bioassays; (3) Analyze biochemical changes occurring in the roots during the process. A field study was performed to assess the efficacy of S. hogweed control using MWT in times from 2.5 to 15 min. The MWT-treated soil was collected immediately after treatment (AT) and tested using bioassays (Phytotoxkit, Ostracodtoxkit, and Microtox). Fourteen days AT, the MWT hogweed roots were dug out, air-dried, and analyzed for the content and composition of essential oil, sugars, and fatty acids. According to the ecotoxicological biotests, the MWT soils were classified as non-toxic or low-toxic. The regeneration of hogweed was observed only in non-treated plants (control). Hogweed MWT for 2.5-15 min did not regenerate up to 14 days AT. The average weight of roots in hogweed MWT for 15.0 min was ca. two times smaller than the control plants. Those roots contained significantly higher amounts of sugars and saturated fatty acids than the control. We did not find a correlation between S. hogweed root essential oil content and composition and MWT time. The main compounds of essential oil were p‑cymene and myristicin. No highly photosensitizing compounds were identified in the tested root oil. We conclude that MWT of S. hogweed could be an environmentally safe and prospective control method, but more studies are needed.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    磁共振(MR)条件执行器和编码器是MR引导机器人系统的关键组件。在这篇文章中,我们介绍了MR安全气动径向流入电机和编码器的建模和控制。开发了一个综合模型,该模型考虑了系统的主要动态元素,包括:1)电机动力学,2)气动传输线动力学,和3)阀门动力学。在模型验证之后,我们提出了一个简化的三阶模型,便于一阶滑模控制器(TO-SMC)的设计。最后,电机硬件在7TMRI中进行测试。没有观察到图像失真或伪影。我们认为MR安全电机和动态模型将降低对MR引导机器人感兴趣的研究人员的进入壁垒,并促进MR引导机器人系统的更广泛采用。
    Magnetic resonance (MR) conditional actuators and encoders are the key components for MR-guided robotic systems. In this article, we present the modeling and control of our MR-safe pneumatic radial inflow motor and encoder. A comprehensive model is developed that considers the primary dynamic elements of the system, including: 1) motor dynamics, 2) pneumatic transmission line dynamics, and 3) valve dynamics. After model validation, we present a simplified third order model that facilitates design of a first order sliding mode controller (TO-SMC). Finally, the motor hardware is tested in a 7T MRI. No image distortion or artifacts were observed. We posit the MR-safe motor and dynamic model will lower the entry barriers for researchers interested in MR-guided robots and promote wider adoption of MR-guided robotic systems.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:血吸虫病是撒哈拉以南非洲特有的一种使人衰弱的被忽视的热带病。卫生设施在预防中的作用,诊断,control,消除血吸虫病的文献很少。在旨在消除桑给巴尔血吸虫病的环境中,我们评估了在医疗机构寻求治疗的患者中的血吸虫病患病率,并调查了工作人员的血吸虫病相关知识,以及医疗设施对血吸虫病诊断和管理的能力和需求。
    方法:我们于2023年6月至8月在奔巴岛进行了基于医疗机构的混合方法研究。使用尿液过滤和试剂条筛查了在四个医疗机构寻求护理的≥4岁的患者是否感染了血杆菌。那些年龄≥10岁的患者还接受了关于体征和症状的访谈。来自23个医疗机构的工作人员回答了评估知识和实践的问卷。十名工作人员参加了关于血吸虫病诊断和管理的能力和需求的焦点小组讨论(FGD)。
    结果:在医疗机构就诊的患者中,根据尿液中的卵子的存在,为1.1%(8/712)。使用试剂条在13.3%(95/712)的患者中检测到微血尿。在回答问卷的患者中,盆腔疼痛,性爱时的疼痛,尿痛报告为38.0%(237/623),6.3%(39/623),和3.2%(20/623),分别。在医疗机构的工作人员中,90.0%(44/49)和87.8%(43/49)确定尿液中的血液和骨盆疼痛,分别,作为泌尿生殖道血吸虫病的症状,81.6%(40/49)和93.9%(46/49)报告收集尿液样本并进行试剂条测试,分别,为了诊断,87.8%(43/49)给予吡喹酮治疗。FGD中最反复出现的主题是需要更多有关血吸虫病的员工培训,诊断设备的请求,以及需要改善卫生机构对血吸虫病服务的社区反应。
    结论:在奔巴的医疗机构寻求治疗的患者中,嗜血杆菌感染率非常低,与最近基于社区的横断面调查所报告的情况相似。医疗机构工作人员具有良好的血吸虫病相关知识和实践。然而,将血吸虫病患者管理更持久地纳入常规医疗机构活动,需要确定可扩展的筛查途径,需要通过定期员工培训来提高能力,以及不间断地提供准确的即时诊断和吡喹酮,用于治疗病例。
    BACKGROUND: Schistosomiasis is a debilitating neglected tropical disease endemic in sub-Saharan Africa. The role of health facilities in the prevention, diagnosis, control, and elimination of schistosomiasis is poorly documented. In a setting targeted for schistosomiasis elimination in Zanzibar, we assessed the prevalence of Schistosoma haematobium among patients seeking care in a health facility and investigated schistosomiasis-related knowledge of staff, and health facilities\' capacities and needs for schistosomiasis diagnosis and management.
    METHODS: We conducted a health facility-based mixed-method study on Pemba Island from June to August 2023. Patients aged ≥ 4 years seeking care in four health facilities were screened for S. haematobium infection using urine filtration and reagent strips. Those patients aged ≥ 10 years were additionally interviewed about signs and symptoms. Staff from 23 health facilities responded to a questionnaire assessing knowledge and practices. Ten staff participated in a focus group discussion (FGD) about capacities and needs for schistosomiasis diagnosis and management.
    RESULTS: The prevalence of S. haematobium infection in patients attending the health facilities, as determined by the presence of eggs in urine, was 1.1% (8/712). Microhaematuria was detected in 13.3% (95/712) of the patients using reagent strips. Among patients responding to the questionnaire, pelvic pain, pain during sex, and painful urination were reported by 38.0% (237/623), 6.3% (39/623), and 3.2% (20/623), respectively. Among the health facility staff, 90.0% (44/49) and 87.8% (43/49) identified blood in urine and pelvic pain, respectively, as symptoms of urogenital schistosomiasis, 81.6% (40/49) and 93.9% (46/49) reported collecting a urine sample and pursuing a reagent strip test, respectively, for diagnosis, and 87.8% (43/49) administered praziquantel for treatment. The most reoccurring themes in the FGD were the need for more staff training about schistosomiasis, requests for diagnostic equipment, and the need to improve community response to schistosomiasis services in health facilities.
    CONCLUSIONS: The prevalence of S. haematobium infection in patients seeking care in health facilities in Pemba is very low and similar to what has been reported from recent community-based cross-sectional surveys. The health facility staff had good schistosomiasis-related knowledge and practices. However, to integrate schistosomiasis patient management more durably into routine health facility activities, scalable screening pathways need to be identified and capacities need to be improved by regular staff training, and an unbroken supply of accurate point-of-care diagnostics and praziquantel for the treatment of cases.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号