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Infrastructure, policy and regulatory interventions to increase physical activity to prevent cardiovascular diseases and diabetes: a systematic review

Durão, S.; Burns, J.; Schmidt, B. et al. BMC Public Health (2023) CC

Background Noncommunicable diseases are major contributors to morbidity and mortality worldwide. Modifying the risk factors for these conditions, such as physical inactivity, is thus essential. Addressing the context or circumstances in which physical activity occurs may promote physical activity a...t a population level. We assessed the effects of infrastructure, policy or regulatory interventions for increasing physical activity. Methods We searched PubMed, Embase and clinicaltrials.gov to identify randomised controlled trials (RCTs), controlled before-after (CBAs) studies, and interrupted time series (ITS) studies assessing population-level infrastructure or policy and regulatory interventions to increase physical activity. We were interested in the effects of these interventions on physical activity, body weight and related measures, blood pressure, and CVD and type 2 diabetes morbidity and mortality, and on other secondary outcomes. Screening and data extraction was done in duplicate, with risk of bias was using an adapted Cochrane risk of bias tool. Due to high levels of heterogeneity, we synthesised the evidence based on effect direction. Results We included 33 studies, mostly conducted in high-income countries. Of these, 13 assessed infrastructure changes to green or other spaces to promote physical activity and 18 infrastructure changes to promote active transport. The effects of identified interventions on physical activity, body weight and blood pressure varied across studies (very low certainty evidence); thus, we remain very uncertain about the effects of these interventions. Two studies assessed the effects of policy and regulatory interventions; one provided free access to physical activity facilities and showed that it may have beneficial effects on physical activity (low certainty evidence). The other provided free bus travel for youth, with intervention effects varying across studies (very low certainty evidence). Conclusions Evidence from 33 studies assessing infrastructure, policy and regulatory interventions for increasing physical activity showed varying results. The certainty of the evidence was mostly very low, due to study designs included and inconsistent findings between studies. Despite this drawback, the evidence indicates that providing access to physical activity facilities may be beneficial; however this finding is based on only one study. Implementation of these interventions requires full consideration of contextual factors, especially in low resource settings. more

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Modelling interventions to control COVID-19 outbreaks in a refugee camp

Gilman, R.T.; S. Mahroof-Shaffi, C. Harkensee, A.T Chamberlain (2020) CC

BMJ Global Health, Vol.5 No. 12Spatial subdivision of the camp (‘sectoring’) was able to ‘flatten the curve’, reducing peak infection by up to 70% and delaying peak infection by up to several months. The use of face masks coupled with the efficient isolation of infected individuals reduced t... more

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The Chagas disease study landscape: A systematic review of clinical and observational antiparasitic treatment studies

Maguire, B.; Dahal, P.; Rashan, S.; et al. (2021) CC

PLoS Neglected Tropical diseases August 16, 2021 https://doi.org/10.1371/journal.pntd.0009697 Chagas disease, also known as American trypanosomiasis, is a neglected tropical disease transmitted by triatomine insects, first identified in 1909. Chagas disease affects approximately 6–7 million peop... more

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The Chagas disease study landscape: A systematic review of clinical and observational antiparasitic treatment studies to assess the potential for establishing an individual participant-level data plat

Maguire, B.J.; Dahal, P.; Rashan, S. et al. PLOS Neglected Tropical Diseases (2021) CC

PLoS Negl Trop Dis 15(8): e0009697. Chagas disease (CD), caused by the parasite Trypanosoma cruzi, affects ~6–7 million people worldwide. Significant limitations still exist in our understanding of CD. Harnessing individual participant data (IPD) from studies could support more in-depth analyses t... more

Challenges in the diagnosis of asthma in children, what are the solutions? A scoping review of 3 countries in sub Saharan Africa

Magwenzi, P.; Rusakaniko, S.; Sibanda, E.N. et al. Respiratory Research (2022) CC

The article is a scoping review that explores the challenges in diagnosing asthma in children in three sub-Saharan African countries: Nigeria, South Africa, and Uganda. It identifies key barriers, such as a lack of community awareness, inadequate healthcare access, limited diagnostic tools like spir... more

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Community health workers - a resource for identification and referral of sick newborns in rural Uganda

Kayemba Nalwadda, Guwatudde D, Waiswa P, Kiguli J, Namazzi G, Namutumba S, Tomson G, Peterson S. J. Wiley Publisher (2013) CC

Trop Med Int Health. 2013 Jul;18(7):898-906. doi: 10.1111/tmi.12106. Epub 2013 Apr 2.

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National Response Efforts to Address Sexual Violence and Exploitation Against Children in Lesotho: A Desktop Study

Weber, Stephanie Arlington, VA: USAID’s AIDS Support and Technical Assistance Resources, AIDSTAR-One, Task Order 1 (2013) C2

Scant data exists on the prevalence of violence against children worldwide. However, available information, including the United Nations Secretary-General’s Study on Violence against Children, shows that violence against children is a global problem. This desktop study aims to glean from published... more

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Newborn survival in Nepal: a decade of change and future implications

Pradhan, Y.V., Upreti, S.R., Pratap, K.C.N, et al. Health Policy and Planning (2012) CC

Nepal is on target to meet the Millennium Development Goals for maternal and child health despite high levels of poverty, poor infrastructure, difficult terrain and recent conflict. Each year, nearly 35000 Nepali children die before their fifth birthday, with almost two-thirds of these deaths occurr... more

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Addressing childhood trauma in a developmental context

Gregorowski, C. & Seedat, S. Journal of Child and Adolescent Mental Health (2013) CC

Traditionally, understanding of the psychiatric and psychological effects of trauma have been developed from studies with adults and then applied to trauma-exposed children with some modifications. While this is an important step to understanding the sequelae of trauma in children and adolescents, t... more

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Европейские принципы ведения пациентов с наиболее распространенными формами головной боли в общей практике

Т.Дж. Стайнер, К. Пемелера, Р. Йенсен et al. европейская федерация головной боли, всемирная организация здравоохранения, всемирный альянс головной боли et a. (2010) C_WHO

Задачей данных рекомендаций является помочь врачам общей практики правильно диагностировать эти распространенные типы головных болей, грамотно распознавать при... more

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Drug use disorders: impact of a public health rather than a criminal justice approach

N. D. Volkow; V. Poznyak; S. Saxena; et al. Wiley Online Library (2017) CC

World Psychiatry16:2 - June 2017 First published: 12 May 2017 https://doi.org/10.1002/wps.20428 Volume16, Issue2; Pages 213-214

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Antiretroviral Treatment in the Spotlight: A Public Health Analysis in Latin America and the Caribbean 2013

M. A. Jiménez; S. Cabrera; J. J. Fiol; et al. Pan American Health Organization; World Health Organization (Americas) (2013) C_WHO

Washington, DC, 2013

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Kids, Vaayu & Corona 2: Can we Defeat Pandemic? - A Comic for COVID-19 Prevention

R. Khaiwal; S. Mor Government of India; Panjab University; Postgraduate Institute of Medical Education and Research Chandigarh; Ministry of Health & Family Welfare; et al. (2020) C2

Accessed: 08.04.2020

Kids, Vaayu & Corona: Who wins the fight? - A Comic for COVID-19 Awareness

R. Khaiwal; S. Mor Government of India; Panjab University; Postgraduate Institute of Medical Education and Research Chandigarh; Ministry of Health & Family Welfare; et al. (2020) C2

Accessed: 08.04.2020

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COVID-19 in Yemen: preparedness measures in a fragile state

Dureab, F.; S. Al-Awlaqi and A.Jahn The Lancet (2020) CC

The Lancet DOI: 10.1016/S2468-2667(20)30101-8 WHO declared COVID-19 to be a pandemic on March 11, 2020. The pandemic eventually reached Yemen, with the first laboratory confirmed case announced on April 10. emen has structural vulnerabilities that have developed over a protracted period of conflic... more

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Seroprevalence of hepatitis B virus infection in Cameroon: a systematic review and meta-analysis

Bigna J. J., M.A. Amougou; S. L. Asangbeh, et.al. BMJ (2017) C1

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Mapping HIV prevalence in Africa for a better understanding of epidemics: example from Burkina Faso using 2003 Demographic and Health Survey data

Larmarnage J., Vallo R., Yaro S. et. al. (2010) C2

Since 2001, several Demographic and Health Surveys (DHS) include HIV testing. For many countries, in particular in sub-Saharan Africa, DHS are the only national source of data in general population. Several DHS collect latitude and longitude of surveyed clusters but the sampling method is not ap... more

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Community health worker models in South Africa: a qualitative study on policy implementation of the 2018/19 revised framework

Murphy, J.P.; A. Moolla, S. Kgowedi et al. Health Policy and Planning (2020) C1

South Africa has a long history of community health workers (CHWs). It has been a journey that has required balancing constrained resources and competing priorities. CHWs form a bridge between communities and healthcare service provision within health facilities and act as the cornerstone of South A... more

Prevalence and factors associated with prediabetes and diabetes mellitus in Kenya: results from a national survey

Mohamed, S.F.; Mwangi M., Mutua1 M.K., et al. BMC Public Health (2018) C1

Mohamed et al. BMC Public Health 2018, 18(Suppl 3):1215 https://doi.org/10.1186/s12889-018-6053-xpre-

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Health workforce governance for compassionate and respectful care: a framework for research, policy and practice

Cometto, G.; S. Assegid; G. Abiyu, et al. (2022) C1

BMJ Global Health 2022;7:e008007. doi:10.1136/ bmjgh-2021-00800