ClinicalTrials.gov hosts information about the clinical trial identified as NCT03770390.
On ClinicalTrials.gov, you can find the details for the clinical trial NCT03770390.
This review explored the scope of undernutrition in children under five in refugee camps, based on a variety of evaluation criteria. Our additional objective encompassed a thorough examination of the quality and extent of accessible epidemiological data.
In pursuit of the stated aims, we undertook a systematic review of prevalence study designs. Our systematic search for eligible observational studies included the review of citation databases such as OVID Medline, CAB Global Health, Scopus, and PubMed, manual follow-up of cited references, and searches for unpublished or grey literature.
Refugee camps, positioned throughout the world, held a significant position in our examination.
Children below the age of five years served as participants in the included studies of the review.
Prevalence of wasting, global acute malnutrition, stunting, and underweight were the outcome measures of interest.
33 cross-sectional studies, spanning 86 sites, were examined in the review, involving 36,750 participants. From a quality standpoint, the research studies demonstrated a moderate to high standard overall, but several reports lacked clarity in their approach to data collection, or in the descriptions of their outcome measurements. The results displayed a substantial discrepancy in prevalence estimates, ranging from indicator to indicator and from camp to camp. Based on weight-for-height z-score, stunting, and underweight, the median prevalence estimates for global acute malnutrition are 71%, 238%, and 167%, respectively. selleck inhibitor A higher incidence of acute malnutrition was observed when using weight-for-height z-score as a measure, compared to mid-upper arm circumference, according to the majority of research.
Despite the focus on acute malnutrition in many refugee camps, chronic malnutrition remains a widespread public health issue with prevalence in more locations. Therefore, a comprehensive approach to research and policy is required, encompassing not only nutrition, but also the wider determinants of both acute and chronic undernutrition. Differential prevalence of global acute malnutrition, as determined by the measurement utilized, necessitates considerations in screening and diagnostic approaches.
Although acute malnutrition continues to be a problem in refugee camps, chronic malnutrition exhibits a more extensive prevalence across a wider area. Accordingly, research efforts and policy initiatives must consider, in addition to nutrition, the wider determinants of both acute and chronic undernutrition. The impact on screening and diagnosis, arising from variations in the prevalence rate of global acute malnutrition, depending on the measurement used, should be considered.
A remarkable 922 percent of German children aged 3 up to the start of compulsory schooling utilize daycare facilities. In that case, daycare centers are a fitting place for encouraging children's physical activity development. German daycare centers currently show a lack of understanding on how to best promote physical activity, considering the range of organizational structures, the influence of culture and policy, and the diversity of directors and pedagogical staff. We aim to explore (a) the status quo, and (b) the supporting and opposing forces shaping physical activity promotion in German childcare centres.
The cross-sectional study's data collection process will commence in November 2022 and conclude in February 2023. An address database held by the German Youth Institute (DJI) will be used to select and invite 5500 daycare centers to complete a survey. The standardized self-administered questionnaire is to be completed by the director and a pedagogical staff member in each daycare center. This survey investigates daycare center attributes and physical activity promotion strategies, including the scope and types of promoted activities, the size and availability of indoor and outdoor spaces, infrastructural factors such as staff resources and financial support, staff attitudes toward physical activity promotion, and demographic details of the teaching staff, as well as the center's characteristics, like the percentage of children from disadvantaged socioeconomic backgrounds. Moreover, the data set will encompass micro-geographical information pertaining to the socioeconomic and infrastructural settings of the daycare centers.
Following review by the Commissioner for Data Protection at the Robert Koch Institute and the Ethics Committee of Alice Salomon Hochschule Berlin, University of Applied Sciences, the study was deemed acceptable. Results will be conveyed to the scientific community and stakeholders via presentations and published works.
The study's receipt and approval have been documented by both the Commissioner for Data Protection of the Robert Koch Institute and the Ethics Committee of Alice Salomon Hochschule Berlin, University of Applied Sciences. To inform the scientific community and stakeholders, results will be shared through presentations and publications.
The project entails examining the incidence of child marriage amongst displaced and host populations within humanitarian contexts.
Cross-sectional studies are a type of observational research.
Data was collected from the countries of Djibouti, Yemen, Lebanon, and Iraq in the Middle East, and also Bangladesh and Nepal in the South Asian region.
In the six settings, adolescent girls aged 10-19 and their age-cohort comparators.
Accumulated marriage rates among individuals before their eighteenth birthday.
The hazard of child marriage did not vary by internal displacement status (IDP versus host) in Bangladesh and Iraq, as evidenced by p-values of 0.025 and 0.0081 respectively. Compared to host populations in Yemen, internally displaced persons (IDPs) had a more substantial likelihood of child marriage, a difference highlighted by a p-value of less than 0.0001. Refugees in Djibouti demonstrated a significantly reduced risk of child marriage, compared to the host population, a statistically highly significant finding (p < 0.0001). Pooled data revealed a substantially elevated risk of child marriage among displaced individuals relative to host populations (adjusted hazard ratio (aHR) 13; 95% confidence interval 104–161). Younger cohorts in Yemen were more prone to transitioning to child marriage, pointing to a rising trend in child marriage after the conflict (p = 0.0034). Data synthesis revealed a downward pattern in child marriage rates, where individuals from younger age brackets faced a lower likelihood of child marriage compared to older demographic groups (adjusted hazard ratio 0.36; 95% confidence interval 0.29 to 0.40).
The data we examined did not support the hypothesis that humanitarian crises universally lead to higher rates of child marriage. The outcome of our research indicates that preventative and responsive actions concerning child marriage must be culturally sensitive and supported by detailed data on the patterns of child marriage amongst the affected community groups experiencing a crisis.
Our research yielded no conclusive evidence of a universal correlation between humanitarian crises and increased child marriage rates. To effectively prevent and respond to child marriage, investment decisions require close attention to specific local contexts and the use of data reflecting the past and current trends within impacted communities.
Mortality, morbidity, and adverse social repercussions are significantly linked to alcohol consumption in Sri Lanka. Effective interventions require a community-based approach, with consideration for cultural relevance and contextual specifics, in order to minimize these harms. intima media thickness A complex alcohol intervention was the subject of a stepped-wedge cluster randomized controlled trial, utilizing a mixed-methods approach for data collection and analysis. This document details the initial trial protocol and the subsequent alterations necessitated by the COVID-19 pandemic.
In rural Sri Lanka, our endeavor was to recruit a total of 20 villages, an approximate count of 4000 inhabitants. Over 12 weeks, the proposed intervention included health screening clinics, alcohol brief intervention, participatory drama, film, and public health promotion materials. The Easter bombings of 2019, the COVID-19 outbreak, and a subsequent national financial crisis necessitated two significant adaptations to the trial. A hybrid delivery model was subsequently applied to the interventions. Secondly, a prospective pre-post study will examine fluctuations in alcohol intake, mental health, social capital, and financial pressures as the main metric, with study implementation and a prior economic analysis considered as secondary metrics.
Ethical review and approval of the original study and its amendments were granted by Rajarata University of Sri Lanka (ERC/2018/21-July 2018 and February 2022) and the University of Sydney (2019/006). Local dissemination of findings is planned, in conjunction with community members and stakeholders. The changes enable a naturalistic trial design, facilitating a closer assessment of individual interventions and the evaluation of this discontinuous event. Radioimmunoassay (RIA) This resource may prove beneficial for researchers encountering comparable community-based study disruptions.
The trial is listed within the Sri Lanka Clinical Trials Registry; the registry number slctr-2018-037 is featured at the link https//slctr.lk/trials/slctr-2018-037.
Registration of the trial is maintained within the Sri Lanka Clinical Trials Registry, with reference code SLCTR-2018-037; the registry's website, https://slctr.lk/trials/slctr-2018-037, provides further details.
To address domestic violence against women in Brazilian society, this research sought to understand women's perspectives on violence, its root causes, different ways it manifests, the resulting consequences, and strategies for countering and preventing it.
We engaged in a qualitative investigation employing semi-structured individual interviews. Guided by thematic analysis, we examined the data, applying the ecological framework as a perspective.
The research team implemented the study at an antenatal and postnatal care service site of the Brazilian National Health System.