neglected tropical diseases

被忽视的热带病
  • 文章类型: Journal Article
    世界卫生组织(WHO)建议使用年度大规模药物管理(MDA)作为控制和消除五种预防性化学疗法被忽视的热带病(PC-NTD)的策略。MDAs的成功取决于社区的接受,积极参与,和合规。本研究旨在探索社区成员的经验和看法,以更透彻地了解他们参与MDA和其他NTD消除活动的开放性和意愿。采用了混合方法,利用定性和定量的方法进行全面的数据收集。进行了18次关键线人访谈(KII)和16次焦点小组讨论(FGD),以探索社区参与,参与,药物利用,和节目感知。进行了访谈和家庭调查结果讨论的三角剖分,以更深入地了解新兴主题。家庭调查涉及采访1220名个人(Abaji:687;Bwari:533)。录制KII和FGD的录音带,使用基于预定义主题的Nvivo12.0软件编码的访谈转录本。使用SPSS版本21的描述性分析应用于定量数据。结果表明,两个地区议会对大规模药物管理(MDA)运动的认识很高(Abaji:84.9%;Bwari:82.9%),一小部分人声称无知(15.1%),归因于健康运动期间缺乏信息或缺席。受访者主要参与服药(82.5%),很少参与其他MDA活动。对药物的认知总体上是积极的,参与水平与绩效等级之间存在显着关联(p<0.05)。该研究建议利用高知名度和社区响应能力来增强对各种MDA活动的参与,确保方案的可持续性和所有权。
    The World Health Organization (WHO) recommends the use of annual mass drug administration (MDA) as the strategy for controlling and eliminating the five preventive chemotherapy neglected tropical diseases (PC-NTDs). The success of MDAs hinges on community acceptance, active participation, and compliance. This study aimed to explore the experiences and perceptions of community members, to obtain a more thorough understanding of their openness and willingness to participate in MDA and other NTD elimination activities. A mixed-methods approach was employed, utilizing qualitative and quantitative methods for comprehensive data collection. Eighteen key informant interviews (KIIs) and sixteen focus group discussions (FGDs) were conducted to explore community engagement, participation, medication utilization, and programme perception. Triangulation of findings from interviews and discussions with household survey results was performed to gain a deeper understanding of emerging themes. The household survey involved interviewing 1220 individuals (Abaji: 687; Bwari: 533). Audio tapes recorded KIIs and FGDs, with interview transcripts coded using Nvivo 12.0 software based on predefined themes. Descriptive analysis using SPSS version 21 was applied to quantitative data. Results indicated high awareness of mass drug administration (MDA) campaigns in both area councils (Abaji: 84.9%; Bwari: 82.9%), with a small percentage claiming ignorance (15.1%), attributed to lack of information or absence during health campaigns. Respondents primarily participated by taking medication (82.5%), with minimal involvement in other MDA campaigns. Perception of medicines was generally positive, with a significant association between participation level and performance rating (p < 0.05). The study recommends leveraging high awareness and community responsiveness to enhance engagement in various MDA activities, ensuring sustainability and ownership of the programme.
    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
    人类真菌病涵盖了从皮肤疾病到全身侵袭性感染的多种真菌疾病领域,并且基于无效的治疗选择,造成了越来越多的全球健康问题。阻碍了新的有效药物的开发,以及耐药真菌菌株的出现。氯硝柳胺目前用于治疗蠕虫感染。其作用机制,其中包括抑制线粒体氧化磷酸化(也称为线粒体解偶联),其中,导致了这种有前途的驱虫药的用途,用于治疗其他人类疾病,如癌症,糖尿病,和微生物感染。鉴于迫切需要开发针对真菌感染的新药,在这篇综述中强调了氯硝柳胺的抗真菌特性。还简要提到了与药物开发相关的化学和药理特性,所描述的线粒体靶向作用机制增加了目前批准的抗真菌药物库。此外,进一步的基于水杨酸苯胺的氯硝柳胺类似物对真菌病原体的活性,包括应用于兽医学多年的药物,描述和讨论了它们作为人类新抗真菌药的可行性。确定并讨论了初步的结构-活性关系。与氯硝柳胺相比,具有抗真菌活性的各种水杨酸酰苯胺衍生物显示出增加的口服生物利用度。基于水杨酰苯胺的药物的简单合成也为贫困患者群体提供了广泛且具有成本效益的可用性。相关文献一直覆盖到2024年。
    Human mycoses cover a diverse field of fungal diseases from skin disorders to systemic invasive infections and pose an increasing global health problem based on ineffective treatment options, the hampered development of new efficient drugs, and the emergence of resistant fungal strains. Niclosamide is currently applied for the treatment of worm infections. Its mechanisms of action, which include the suppression of mitochondrial oxidative phosphorylation (also known as mitochondrial uncoupling), among others, has led to a repurposing of this promising anthelmintic drug for the therapy of further human diseases such as cancer, diabetes, and microbial infections. Given the urgent need to develop new drugs against fungal infections, the considerable antifungal properties of niclosamide are highlighted in this review. Its chemical and pharmacological properties relevant for drug development are also briefly mentioned, and the described mitochondria-targeting mechanisms of action add to the current arsenal of approved antifungal drugs. In addition, the activities of further salicylanilide-based niclosamide analogs against fungal pathogens, including agents applied in veterinary medicine for many years, are described and discussed for their feasibility as new antifungals for humans. Preliminary structure-activity relationships are determined and discussed. Various salicylanilide derivatives with antifungal activities showed increased oral bioavailabilities when compared with niclosamide. The simple synthesis of salicylanilide-based drugs also vouchsafes a broad and cost-effective availability for poorer patient groups. Pertinent literature is covered until 2024.
    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
    血吸虫病是一种被忽视的热带病,是一种对社会经济因素产生负面影响的重要寄生虫。埃塞俄比亚联邦卫生部的目标是到2020年消除学龄儿童的血吸虫病感染。然而,曼氏血吸虫仍然影响着埃塞俄比亚大约1230万学龄儿童。尽管这项研究是在该国的一些地区进行的,以前的研究是针对城市学童进行的,仅限于感染负担.总的来说,埃塞俄比亚东部缺乏有关血吸虫病的信息,特别是在学校儿童中。因此,这项研究旨在评估Kersa地区小学生曼氏血吸虫感染的患病率和相关因素,埃塞俄比亚东部。
    从2019年4月10日至5月9日,使用系统随机抽样对419名学童进行了横断面研究。收集粪便样品并使用Keto-Katz方法检查。使用结构化和预先测试的问卷来收集参与者的数据。使用Epi-Data版本3.1输入数据,并使用SPSS版本24进行分析。使用双变量和多变量逻辑回归分析来确定与曼氏血吸虫感染相关的因素。P值<0.05和调整比值比(AOR)(95%置信区间(CI))用于识别统计学上有意义的关联。
    本研究的曼氏链球菌的总体患病率为19.4%(95%CI[16-23])。家庭没有厕所(AOR=2.35,95%CI[1.25-4.38]),在河里游泳(AOR=2.82,95%CI[1.33-5.88]),无保护水源(AOR=3.5,95%CI[1.72-7.10]),不规则的穿鞋习惯(AOR=2.81,95%CI[1.51-5.23]),和跨河期间的水接触(AOR=2.192;95%CI[1.113-4.318])是与曼氏球菌感染独立相关的因素。
    曼氏血吸虫感染仍然是研究领域的公共卫生问题。在每个家庭使用厕所,使用受保护的水,经常穿鞋,减少水接触是控制曼氏血吸虫感染的必要条件。
    UNASSIGNED: Schistosomiasis is a neglected tropical disease and an important parasite negatively impacting socio-economic factors. Ethiopia\'s Federal Ministry of Health targeted the elimination of schistosomiasis infection in school-aged children by 2020. However, Schistosoma mansoni still affects approximately 12.3 million school-aged children in Ethiopia. Although the study was conducted in some regions of the country, previous studies were conducted on urban school children and were limited to the burden of infection. Overall, there is a lack of information about schistosomiasis in eastern Ethiopia, particularly among school children. Therefore, this study aimed to assess the prevalence and factors associated with Schistosoma mansoni infection among primary school children in Kersa district, Eastern Ethiopia.
    UNASSIGNED: A cross-sectional study was conducted among 419 school children using systematic random sampling from April 10 to May 09, 2019. The stool samples were collected and examined using the Keto-Katz method. A structured and pretested questionnaire was used to collect data from participants. Data were entered using Epi-Data version 3.1 and analysed using SPSS version 24. A bivariable and multivariable logistic regression analyses were used to identify factors associated with Schistosoma mansoni infection. P-value < 0.05 and adjusted odds ratio (AOR) (95% confidence interval (CI)) were used to identify statistically significant associations.
    UNASSIGNED: This study\'s overall prevalence of S. mansoni was 19.4% (95% CI [16-23]). Absence of the latrines in household (AOR = 2.35, 95% CI [1.25-4.38]), swimming in the river (AOR = 2.82, 95% CI [1.33-5.88]), unprotected water sources (AOR = 3.5, 95% CI [1.72-7.10]), irregular shoe wearing habits (AOR = 2.81, 95% CI [1.51-5.23]), and water contact during cross of river (AOR = 2.192; 95% CI [1.113-4.318]) were factors independently associated with S. mansoni infection.
    UNASSIGNED: Schistosoma mansoni infection remains a public health problem in the study area. Using a latrine in each household, using protected water, wearing shoes regularly, and reducing water contact were necessary to control Schistosoma mansoni infection.
    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
    最近被世界卫生组织认定为被忽视的热带病,Noma,影响口腔内牙龈和面部结构的急性和破坏性坏疽疾病,如果不治疗,死亡率很高。
    调查尼日利亚东北部国内流离失所人口中Noma的患病率和影响。
    一项回顾性研究。
    这项回顾性研究调查了尼日利亚东北部国内流离失所人口中Noma的患病率和影响。Noma在尼日利亚北部流行,非洲,它的发生与极端贫困有关,营养不良,卫生条件差,和不足的医疗条件加剧了持续的博科圣地冲突。
    对17例病例的回顾性描述性横断面分析显示,中位年龄为8岁,大多数患者是患有严重社会污名的儿童,如说话困难,吃,和社会融合,包括降低入学率和婚姻前景。
    该研究强调迫切需要对Noma的病因及其社会经济影响进行全面研究。它强调早期和有效干预策略的必要性,特别是在受冲突影响的医疗服务有限的地区。
    UNASSIGNED: Recently recognized by the World Health Organization as a neglected tropical disease, Noma, an acute and destructive gangrenous disease affecting the gums and facial structures within the oral cavity, has a high mortality rate if untreated.
    UNASSIGNED: To investigate the prevalence and impact of Noma among internally displaced populations in Northeastern Nigeria.
    UNASSIGNED: A retrospective study.
    UNASSIGNED: This retrospective study investigates the prevalence and impact of Noma among internally displaced populations in Northeastern Nigeria. Noma is endemic in Northern Nigeria, Africa, and its occurrence has been linked to extreme poverty, malnutrition, poor hygiene, and inadequate healthcare - conditions exacerbated by the ongoing Boko Haram conflict.
    UNASSIGNED: The retrospective descriptive cross-sectional analysis of 17 cases reveals a median age of 8 years, with most of the patients being children who suffer significant social stigmas, such as difficulties in speaking, eating, and social integration, including reduced school attendance and marital prospects.
    UNASSIGNED: The study highlights the urgent need for comprehensive research into the etiology of Noma and its socio-economic impact. It emphasizes the necessity for early and effective intervention strategies, particularly in conflict-stricken areas with limited healthcare access.
    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
    皮肤利什曼病(CL),被忽视的热带病(NTD),是也门的主要公共卫生问题,在农村地区分布广泛。评估人们对该疾病的认识和认识对实施有效的控制措施至关重要。这项研究旨在评估知识,态度,也门西部高地农村人口中关于CL的做法(KAP)和寻求治疗的行为。对Utmah区四个农村地区的289名户主进行了基于社区的横断面研究。使用预测试问卷收集数据。所有参与者都听说过这种疾病;然而,只有9.3%将其归因于沙蝇。近一半(48.1%)的参与者没有提及CL的任何预防措施,近三分之二(65.4%)的沙蝇不能这样做。关于CL的总体“良好”知识为51.2%,沙蝇的比例为33.9%。参与者对CL的态度和预防措施并不令人满意,因为只有38.1%和16.3%的人有积极的态度和良好的CL相关预防措施,分别。此外,45.7%的人认为CL是一种污名化疾病,50%曾使用传统疗法治疗疑似CL病变.多变量分析表明,年龄,性别,在同一家庭中存在CL确诊病例,residence,在参与者中,职业和家庭月收入是与CL相关的KAP相关的重要预测因子.研究结果支持迫切需要综合健康教育和社区动员干预措施,以提高这些弱势群体对这种毁灭性疾病的认识。
    Cutaneous leishmaniasis (CL), a neglected tropical disease (NTD), is a major public health problem in Yemen with widespread distribution in rural areas. Evaluating the knowledge and understanding of people\'s beliefs towards the disease is essential to the implementation of effective control measures. This study aims to assess the knowledge, attitudes, practices (KAP) and treatment-seeking behaviour concerning CL among rural populations in the western highlands of Yemen. A community-based cross-sectional study was conducted among 289 household heads in four rural areas of the Utmah District. Data were collected using a pre-tested questionnaire. All the participants had heard about the disease; however, only 9.3% attributed it to sandflies. Nearly half (48.1%) of the participants could not mention any preventive measures for CL, and nearly two-thirds (65.4%) could not do so for sandflies. The overall \'good\' knowledge about CL was found to be 51.2%, and it was 33.9% for sandflies. The participants\' attitude and prevention practices towards CL were not satisfactory, as only 38.1% and 16.3% had a positive attitude and good CL-related prevention practices, respectively. Moreover, 45.7% believed CL to be a stigmatising disease, and 50% had used traditional remedies to treat suspected CL lesions. Multivariate analyses showed that age, sex, presence of CL-confirmed cases in the same household, residency, occupation and monthly household income were the significant predictors associated with KAP concerning CL among the participants. The findings support an urgent need for integrated health education and community mobilisation interventions to improve awareness of these vulnerable populations about this devastating disease.
    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
    暂无摘要。
    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
    查加斯病,由原生动物克氏锥虫引起的,是美国境内高度被忽视的寄生虫感染。它影响了大约30万人,在30-40%的病例中,在引发严重并发症如心肌病之前,通常无症状多年。虽然许多人在拉丁美洲感染了这种疾病,它通过美国南部的当地媒介传播是一个重大挑战。不幸的是,诊断和治疗的机会有限,以及在医疗保健系统和疾病发病机制方面尚未解决的差距。在这个观点中,我们讨论了重点研究和公共卫生举措的必要性,美国研究机构在开发新的治疗方法和识别生物标志物方面发挥着至关重要的作用。此外,调查北美和南美之间克氏杆菌的遗传变异对于改善诊断和治疗策略至关重要。需要采取紧急行动来实施国家和地方方案,加强医疗保健反应,推进研究工作。Q4As每个期刊样式节标题\'Introduction\'是强制性的,因此我们介绍了标题。请检查,并在必要时进行纠正。ResolvedQ5如果您的文章中有任何药物剂量,请验证它们,并通过初始化此查询来表明您已经这样做了。ResolvedQ6请提供发布年份。ResolvedFootnoteView编辑日志9。
    Chagas disease, caused by the protozoan Trypanosoma cruzi, is a highly overlooked parasitic infection within the United States. It affects an estimated 300,000 individuals, often remaining asymptomatic for years before triggering severe complications such as cardiomyopathy in 30-40% of cases. While many contract the disease in Latin America, its transmission by local vectors in the southern U.S. presents a significant challenge. Unfortunately, limited access to diagnosis and treatment persists, alongside unresolved gaps in healthcare systems and disease pathogenesis. In this viewpoint, we discuss the need for focused research and public health initiatives, with U.S. research institutions playing a crucial role in developing new treatments and identifying biomarkers. Furthermore, investigating the genetic variations of T. cruzi between North and South America is vital for improving diagnostic and treatment strategies. Urgent action is required to implement national and local programs, bolstering healthcare responses and advancing research efforts.Q4As per journal style section heading \'Introduction\' is mandatory, hence we have introduced the heading. Please check, and correct if necessary.ResolvedQ5If there are any drug dosages in your article, please verify them and indicate that you have done so by initialing this query.ResolvedQ6Please supply the year of publication.ResolvedFootnoteView Edit Log9.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Editorial
    暂无摘要。
    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:被忽视的热带病(NTDs),如麻风病,淋巴丝虫病(LF),血吸虫病和盘尾丝虫病在几个非洲国家流行。这些疾病会导致严重的疼痛和永久性残疾,这会对受影响者的经济生产力产生负面影响,从而导致宏观层面的经济表现低下。尽管如此,这些NTD在宏观层面对经济绩效影响的经验证据很少。因此,这项研究调查了上述NTD对非洲宏观经济表现的影响。
    方法:该研究采用了一个小组设计,其数据包括24至45个非洲国家,具体取决于所讨论的NTD,在此期间,2002年至2019年。国内生产总值(GDP)被用作经济绩效的代表(因变量),上述NTD的患病率被用作主要的独立变量。随机效应(RE),固定效应(FE)和工具变量固定效应(IVFE)面板数据回归被用作估计技术。
    结果:我们发现,选定的NTD流行率的增加与选定的非洲国家的经济表现下降有关,与使用的估计技术无关。具体来说,使用IVFE回归估计,我们发现麻风病的患病率增加了一个百分比,LF,血吸虫病和盘尾丝虫病与经济绩效下降0.43%有关,0.24%,分别为0.28%和0.36%,在1%或5%的显著性水平。
    结论:研究结果强调需要增加关注,加强综合努力或措施来应对这些疾病,以遏制其对经济绩效的有害影响。这些措施可以包括有效的大规模药物管理(MDA),除其他外,增加获得基本饮用水和卫生设施的机会。
    BACKGROUND: Neglected tropical diseases (NTDs) such as leprosy, lymphatic filariasis (LF), schistosomiasis and onchocerciasis are endemic in several African countries. These diseases can lead to severe pain and permanent disability, which can negatively affect the economic productivity of the affected person(s), and hence resulting into low economic performance at the macrolevel. Nonetheless, empirical evidence of the effects of these NTDs on economic performance at the macrolevel is sparse. This study therefore investigates the effects of the above-mentioned NTDs on economic performance at the macrolevel in Africa.
    METHODS: The study employs a panel design with data comprising 24 to 45 African countries depending on the NTD in question, over the period, 2002 to 2019. Gross domestic product (GDP) is used as the proxy for economic performance (Dependent variable) and the prevalence of the above-mentioned NTDs are used as the main independent variables. The random effects (RE), fixed effects (FE) and the instrumental variable fixed effects (IVFE) panel data regressions are used as estimation techniques.
    RESULTS: We find that, an increase in the prevalence of the selected NTDs is associated with a fall in economic performance in the selected African countries, irrespective of the estimation technique used. Specifically, using the IVFE regression estimates, we find that a percentage increase in the prevalence of leprosy, LF, schistosomiasis and onchocerciasis is associated with a reduction in economic performance by 0.43%, 0.24%, 0.28% and 0.36% respectively, at either 1% or 5% level of significance.
    CONCLUSIONS: The findings highlight the need to increase attention and bolster integrated efforts or measures towards tackling these diseases in order to curb their deleterious effects on economic performance. Such measures can include effective mass drug administration (MDA), enhancing access to basic drinking water and sanitation among others.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Case Reports
    结节性红斑是一种3型超敏反应,通常表现为红色丘疹的短暂爆发,斑块,和结节。一名52岁的女性出现多发性关节痛,被治疗为类风湿性关节炎(RA),但通过临床检查,她被发现患有汉森的2型反应病。因此,彻底的临床检查是必须及时和正确诊断患有汉森病的患者的重要性。
    Erythema nodosum leprosum is a type 3 hypersensitivity reaction that often presents with transient eruptions of red papules, plaques, and nodules. A 52-year-old female presented with multiple joint pain that was being treated as rheumatoid arthritis (RA), but through clinical examination, she was found to have Hansen\'s disease with a type 2 reaction. Hence, the importance of a thorough clinical examination is a must for the timely and correct diagnosis of patients suffering from Hansen\'s disease.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号