Public Awareness Initiatives Research Articles

Do clean fuel and trade-openness reduce environmental degradation in China: evidence from asymmetric model

IntroductionThis study investigates the relationship between economic growth, clean fuel utilization, trade, and environmental pollution. By focusing on the potential of clean fuels and trade in reducing pollution, this research aims to understand their role in promoting environmental sustainability in China from 1990 to 2020.MethodsThe study employs the Nonlinear Autoregressive Distributed Lags (NARDL) approach to analyze time series data. This method enables the decomposition of impacts from clean fuels and trade on pollution levels, facilitating an understanding of their distinct contributions to environmental outcomes.ResultsFindings indicate that economic growth is associated with an increase in pollution levels, while clean fuel usage exhibits a modest but significant reduction effect. Nonetheless, the relatively small coefficients highlight the need for a greater share of clean fuels in China’s energy mix. Additionally, trade shows a significant negative relationship with pollution emissions, with data reflecting a gradual decline in pollution over time.DiscussionThese results underscore the benefits of clean fuel adoption and trade promotion as effective measures for mitigating pollution. However, they also highlight the necessity for stronger regulatory policies, public awareness initiatives, and investments in sustainable technologies to ensure China’s long-term environmental sustainability.

Clinical Factors Affecting the Quality of Life of Women With Endometriosis.

The study aimed to analyse selected clinical data affecting the quality of life of women with endometriosis. A cross-sectional study. The study was conducted in 2020-2022 among 425 women with endometriosis receiving health care. A diagnostic survey method with a questionnaire technique was used. The research tools are the Endometriosis Health Profile and a standardised interview questionnaire. Infertility, medical treatment and sexual intercourse were the dimensions of quality of life most poorly rated by respondents with endometriosis. Lower quality of life was linked to the presence of painful periods, the presence of pain during intercourse and having surgery for endometriosis. The main clinical variables influencing the quality of life of women with endometriosis include problems with getting pregnant, the necessity for long-term therapy and sexual problems caused by the condition. The occurrence of painful menstruation, dyspareunia and having undergone surgery for endometriosis is associated with lower ratings of women's general quality of life. The study will help to develop a more holistic approach to caring for endometriosis patients. This will result in a better diagnosis, individualised therapy and psychological support, all of which will enhance the overall quality of life. The study's results may impact the development of health policies, endometriosis support services for women and public awareness initiatives. The study highlighted key determinants affecting health-related quality of life for women with endometriosis. The analysis of clinical data revealed that infertility, treatment and dyspareunia are the dimensions of quality of life most poorly rated by women with endometriosis. These findings are significant for those providing care to women with endometriosis, as well as for policymakers responsible for the organisation of health care systems. The STROBE guidelines. No patient or public contribution.

Understanding seismic hazard resilience in Montenegro: A qualitative analysis of community preparedness and response capabilities

Abstract Enhancing resilience against seismic hazards in earthquake-prone regions is essential for reducing the devastating impacts of disasters. Seismic resilience refers to a community’s ability to withstand and recover from earthquake impacts, while preparedness gaps are the areas where current measures are insufficient to effectively respond to or mitigate earthquake damage. This study focuses on Montenegro – a region with frequent seismic activity – aiming to assess resilience levels, identify critical gaps in preparedness, and evaluate the effectiveness of existing response strategies. Using qualitative methods, including semi-structured interviews, the research gathered insights from residents of Montenegro’s most vulnerable cities: Nikšić, Podgorica, Bar, Kotor, Cetinje, Budva, Herceg Novi, and Berane. Participants, chosen for their first-hand experience with significant earthquake impacts, provided valuable perspectives on various aspects of resilience, from local government response to individual preparedness. This research revealed significant disparities in resilience across communities: for instance, approximately 62.5% of the respondents highlighted inadequate education as a barrier to effective earthquake preparedness, and only 37.5% reported awareness of basic earthquake response procedures. Furthermore, while some communities, such as urban areas with accessible services, reported higher preparedness levels, rural areas showed deficiencies, with 50% of the respondents from these areas identifying a lack of organized drills and limited public awareness initiatives. These findings underscore the urgent need for community-specific preparedness programs and enhancements in both structural resilience and public education to bolster community readiness effectively. Also, findings highlight the need for customized preparedness programs tailored to specific community needs, alongside improvements in structural safety measures and educational outreach. The study underscores the importance of a comprehensive approach involving detailed risk assessments, community-focused preparedness training, and stronger public awareness initiatives. Furthermore, the study calls for enhanced local government capabilities to sustain proactive response measures, including rapid mobilization of emergency resources and regular disaster simulations, to build long-term resilience across communities.

Inequalities in prevalence rate of edentulism in the European Union between 1990 and 2019

Abstract Background Edentulism, characterized by tooth loss, serves as a global indicator of oral health burden, particularly affecting older and economically disadvantaged populations. We aimed to assess health inequalities in age-standardized prevalence rate (ASPR) of edentulism across 28 EU member states and EU as a whole between 1990 and 2019. Methods We retrieved ASPR, annual rate of change (ARC) and 95% uncertainty interval from the Global Burden of Disease (GBD) 2019 study. We calculated the ASPR ratio between 1990 and 2019 and country-paired ASPR for 2019. To estimate the inequalities between countries between 1990 and 2019, we used the Gini Coefficient (GC) and Slope Index of Inequality (SII). Results The EU ASPR for edentulism was 5912 (95% UI: 4751-7473) in 1990 while in 2019 it was 5048 (95% UI: 3970-6485). Sweden had the lowest ASPR in 1990, while Spain held this position in 2019. The highest rates in 1990 were observed in Poland and the Netherlands, with the Netherlands maintaining the highest ASPR in 2019. Spain exhibited the lowest ARC at -0.325 (95% UI: -0.477--0.193), while Sweden was the sole country with a positive value, at 0.034 (95% UI: -0.009-0.075). The ASPR ratio across all EU member states exhibited a range of values for males, from 1.00-2.16, and for females, from 1.00 to 1.87. The ASPR ratios ranged between 1.81 and 2.16 from 1990 to 2000. The GC was 0.097 (95% UI: 0.076-0.117) in 1990 and subsequently decreased-0.084 (95% UI: 0.063-0.105) by 2019. The SII exhibited a range from 0.062 (95% UI: 0.051-0.072) in 1990-0.046 (95% UI: 0.038-0.054) in 2019. Conclusions Inequalities in edentulism in the EU were similarly low when comparing 1990 and 2019. However, there was an alarming increase in inequalities between 2005 and 2010. This underscores the need for targeted interventions and policy measures-address oral health inequalities, considering socio-economic factors, healthcare policies, sex disparities, and public awareness initiatives. Key messages • Edentulism is a significant public health concern within the EU for approximately 30 years. • It has demonstrated comparable disparities in prevalence at both the beginning and end of the period, with a noticeable intensification in the interim.

The higher education’s role in the multisectoral evolution of the diabetes mobile unit programme

Abstract Background The global prevalence of obesity and diabetes is increasing. Overweight and obesity during early childhood increase the risk of developing type 2 diabetes. The diabetes mobile unit (DMU) programme is a collaborative initiative between the Bahrain Diabetes Society, the Royal College of Surgeons in Ireland (RCSI) Medical University of Bahrain, the Ministry of Education, and other stakeholders. Objectives To develop a sustainable educational programme to empower nursing and medical students to educate schoolchildren on healthy lifestyle choices and potentially reduce the risk of obesity and type 2 diabetes. Results The DMU programme is incorporated into the undergraduate nursing and medical curricula. It fosters experiential learning in public health education and promotion, encourages trainee-trainer mentorship, and cultivates essential graduate skills, thus enhancing their career prospects. Since 2012, the programme inducted 300 staff and students and educated 7,000 children. In 2023, the programme was re-launched in alignment with RCSI’s three strategic pillars: learning and teaching, research, and community engagement. The programme expanded its stakeholders’ network and incorporated strategies to promote interprofessional learning among staff, students, and alumni. The outcome of these endeavours included publishing an interactive storybook, creating innovative educational tools, and ongoing research. Conclusions This novel programme highlights the role of higher education in promoting multisectoral collaboration for public health awareness initiatives. The key to the programme’s success is synchronizing education, research and community engagement in higher education curricula and various contexts. Key messages • Multisectoral collaboration is essential in developing evidence-based and culturally congruent programmes. • Linking education, research, and community is vital to achieving sustainable development goals.

Health literacy and its association with antibiotic use and knowledge of antibiotic among Egyptian population: cross sectional study

BackgroundHigh prevalence of inappropriate antibiotic use in different sectors of the community indicates a possible strong influence of social and cultural context, which may be influenced by social determinants of health and thereby affecting individuals’ health-related behavior, including antibiotic use. And such health-related behavior is largely determined by individuals’ health literacy.ObjectiveThe purpose of this research was to examine the relationship between the Egyptian population's health literacy, antibiotic use, and antibiotic knowledge.MethodIn Egypt, researchers used a cross-sectional study design, between the period of January and March 2024 using validated questionnaires and recruited a convenient sample of adults from seven governorates representing different geographic areas, and socioeconomic and educational backgrounds with the help of the validated questionnaires the HLS-EU-Q16, a shortened version of the European Health Literacy Survey Questionnaire (derived from the World Health Organization's Antibiotic Resistance: Multi-Country Public Awareness Survey) and, familiarity with drugs and understanding of antibiotic resistance via online methods and face-to-face interviews.ResultsThe survey included a participation of 500 persons in total. The participants' age distribution indicated that 28.8% (n = 144) were aged 18–24, while 27.4% (n = 137) were within the 25–34 age group. Moreover, a total of 274 participants, accounting for 54.8% of the sample, described themselves as female. Significantly, 60.7% of the patients indicated acquiring antibiotics without a prescription. The evaluation of health literacy (HL) levels among the participants revealed that 36.2% had problematic HL, while 8.4% showed inadequate HL. A strong positive link was found between the scores of antibiotic knowledge and the scores of HL (R = 0.876; P-value = 0.001).ConclusionOverall, it is imperative to implement awareness-raising curricula and public health education initiatives without delay. Furthermore, it is highly advised to implement public health awareness initiatives about the appropriate use of antibiotics, alongside national policies aimed at regulating the availability and prescription of antibiotics.

Assessing the Awareness of Psychotropic Medications Among the Saudi Population: Benefits, Risks, and Prevalence.

Background Mental health treatment, particularly through psychotropic medications, is becoming increasingly prominent worldwide. In Saudi Arabia, the acceptance and understanding of these treatments are shaped by unique cultural and social factors. Despite some awareness, there remains a need for deeper insights into the public's perceptions and knowledge of psychotropic medications. This study aims to examine the awareness levels of psychotropic medications among the Saudi population, their perceived benefits and risks, the prevalence of their use, and any demographic differences in these perceptions. Methods Employing a quantitative, cross-sectional design, this study collected data via an online questionnaire from Saudi residents aged 18 and above. The questionnaire, validated by experts, covered demographic details, awareness and knowledge of psychotropic medications, and personal or vicarious experiences with these medications. Data analysis was performed using SPSS (IBM Corp., Armonk, NY, USA), applying descriptive and inferential statistics to provide a comprehensive view of the current landscape. The study was conducted over four weeks, from May 1, 2024, to May 31, 2024. Results The study indicated a demographic skew towards younger individuals, with a significant predominance of female respondents (70.86%, n=1024). A notable 63.52% (n=922) of participants reported being aware of psychotropic medications. Regarding knowledge, 37.83% (n=549) of respondents were somewhat knowledgeable about the benefits, while 37.57% (n=545) were somewhat knowledgeable about the risks. The prevalence of use was reported by 41.92% (n=608) of respondents, mainly through acquaintances rather than personal use. Younger, predominantly female, and well-educated individuals demonstrated higher levels of awareness and acceptance of psychotropic medications. Significant variations in perceptions were observed based on age, gender, and educational level. Respondents aged 18-24 years (52.52%, n=762) were significantly more likely to be aware of psychotropic medications (p < 0.01), and female respondents showed a higher acceptance rate (p < 0.05). Educational level also played a crucial role, with college-educated individuals (63.38%, n=919) displaying greater acceptance and awareness compared to those with only a high school education (28.24%, n=409) (p < 0.01). The general opinion on the effectiveness and adequacy of public information about psychotropic medications was mixed, with 52.93% (n=768) acknowledging their benefits while 31.92% (n=463) expressed concerns about side effects, indicating a need for improved public education. Conclusion The study emphasizes the importance of enhancing public education and awareness initiatives to improve knowledge and acceptance of psychotropic medications in Saudi Arabia. This could lead to better mental health outcomes and broader acceptance of these treatment options.

Impact of PAHs compounds on air quality in Maragheh city: Probabilistic risk assessment and source apportionment

This study explores the concentrations and spatial distribution of polycyclic aromatic hydrocarbons (PAHs) in the ambient air of Maragheh city, Iran, while evaluating their potential health implications. PAHs levels were examined in PAHs-bound to particulate matter samples collected from diverse locations across the city. The results showed that in all sampling points, there was contamination by PAHs. The mean total PAHs concentration was 11.5 ng.m−3, with Benzo[a]pyrene (BaP) emerging as the predominant compound. Comparative analysis with other cities revealed relatively lower BaP levels in Maragheh, yet surpassing WHO guidelines in 92 % of samples. Spatial assessment heightened pollution in areas characterized by heavy traffic and industrial operations. Based on PCA analysis, it appears that 74 % of PAHs compounds originate from vehicle emissions, 13 % from the combustion of petroleum, and 6 % from a possible petroleum source. Health risk appraisal uncovered escalated carcinogenic and mutagenic hazards, especially among children. While risks remained below USEPA thresholds, ongoing monitoring and targeted interventions are advised to mitigate PAHs pollution in Maragheh and similar urban locales. Future endeavors should prioritize source elucidation, health impact assessments, and public awareness initiatives to safeguard community well-being.

Nineteen Eighty-Four in 1974: the surveillance imaginary of the New Mexico Civil Liberties Union Campaign for privacy awareness

ABSTRACT This article maps the surveillance imaginary of a unique public awareness initiative by the New Mexico Civil Liberties Union and Godfrey Reggio’s Institute for Regional Education in 1974 that consisted of two parts: a situationist-inspired campaign using and surrealistically subverting popular media to raise awareness of surveillance, paired with a newspaper supplement documenting detailed intrusions on the privacy and liberty of citizens on a number of fronts, representing an encroaching society of social control. Taken as a whole, the surveillance imaginary of the campaign combined images of eyes, computers, and rats in mazes with detailed discussions of databases, militarized policing, and direct behavioral control justified by stories of rising violence in society to critique both state surveillance and the growing corporatization of the public sphere.

AN AUTOPSY-BASED STUDY ON THE PATTERNS OF INJURIES OF BURN CASES IN JORHAT DISTRICT, ASSAM

Objective: This autopsy-based study aimed to determine the incidence of burn-related fatalities in Jorhat District, Assam, identify associated factors, investigate injury patterns and severity, explore contributing factors, examine the relationship between injuries and cause of death, differentiate between dermo-epidermal and deep burns, investigate circumstances surrounding burn injuries, and offer recommendations for prevention and forensic investigation improvements. Methods: Data were collected from medico-legal autopsies conducted at the Mortuary of the Department of Forensic Medicine, Jorhat Medical College and Hospital, Jorhat, between May 11, 2020, and May 10, 2021. Demographic information, burn characteristics, autopsy findings, and circumstances of injuries were analyzed. Results: Out of 628 medico-legal autopsies, burn-related deaths comprised 7.32% of cases. Victims with 51–60% total body surface area burns were most common (23.91%). Burns often occurred indoors, notably in kitchens (56.52%) and bedrooms (26.08%), with a majority in closed rooms (54.35%). Synthetic (47.82%) or cotton (41.30%) clothing was prevalent, and kerosene was common in alleged suicidal cases (23.92%). Most victims died within 24 h (43.46%), primarily due to shock (52.17%), and septicemia (45.65%). Dermo-epidermal burns were prevalent (93.47%), and deaths were mainly accidental (65.21%). Histopathological analysis revealed dermis and epidermis separation (82.60%), flattened and elongated epithelial cells (73.91%), congestion (76.09%), leukocyte infiltration (73.91%), capillary dilatation (67.39%), and edema (67.39%). Conclusion: This study provides comprehensive insights into burn injury characteristics, circumstances, and consequences. Recommendations include preventive measures and improvements in forensic investigation practices related to burn injuries, offering valuable implications for health care, forensic medicine, and public awareness initiatives.

The problem of domestic violence: issues of theory and practice

The article is devoted to the problem of understanding domestic violence in the legal system of the modern state. Risk factors for domestic and family violence are examined, including individual characteristics, relationship problems, and community and societal influences. Individual factors include the psychological and physical characteristics of victims and perpetrators, which may include problems with emotion regulation, low self-esteem, and childhood trauma. Also, sexual orientation and gender identity can influence the risk of becoming a victim or a perpetrator. It is reasoned that domestic violence has serious consequences for victims, their families and society as a whole. It can lead to injuries, psychological and emotional problems, destroy relationships, disrupt the development of children and reduce the productivity and efficiency of society. Domestic violence is becoming a global problem that crosses cultural and geographic boundaries, and the level of its prevalence can vary depending on the socio-cultural and economic context. Also important is the role of economic factors, such as unemployment and economic hardship, which can increase family tension and contribute to violence. It was also found that at the community level, lack of access to psychological and legal aid services, as well as lack of education about rights and opportunities to leave violent relationships can complicate the situation for victims. In addition, cultural stereotypes and norms that condone or normalize violence may also support this problematic pattern. At the same time, research must be carried out taking into account the diversity of cultural, social and economic contexts, since approaches to solving the problem may differ depending on specific conditions. Special attention should also be paid to the support of victims of domestic violence, their access to safe places of refuge, legal aid and psychological support. Increasing public awareness and educational initiatives about the issue can also help increase awareness and support in the fight against domestic violence.

Exploring cigarette butts pollution in Saint Martin Island: A marine protected area

Saint Martin Island (SMI), the only coral island in Bangladesh, is located in the Bay of Bengal and has been identified as a marine protected area (MPA). Littering cigarette butts (CBs) waste in an ecologically sensitive environment can have numerous adverse effects. The purpose of this research is to investigate the abundance and density of CBs in SMI and to assess the pollution status using the Cigarette Butt Pollution Index (CBPI). This study is conducted based on the visual survey method in the three types of land use zones of SMI. During the peak season, the investigation was carried out from 9 a.m. to 5 p.m. in December 2023. A total of 4481 CBs item were counted, and the density ranged from 0.37 to 1.76 m−2 with an average value of 0.99 m−2 across 12 sampling campaigns. The highest density was observed at service zones, and the fishing zones had the lowest density. The calculated CBPI values revealed that 75 % of the sampling stations were in the “severe pollution” while 25 % were classified as “high pollution” status, underscoring the prevalence of hazardous CBs across most areas of SMI. To tackle these issues requires regulatory measures, public awareness initiatives, and community involvement. Effective waste management and eco-friendly product promotion can help reduce CBs pollution risks in marine protected islands.

World experience of legislative regulation for Lithium-ion electric vehicle batteries considering their second-life application in power sector

Understanding and incorporating global regulatory experiences and standards related to battery management is of greatest importance, particularly when considering the rapid evolution of the electric vehicle (EV) market and its implications for energy storage and sustainability. This is especially relevant for Ukraine, where the burgeoning secondary market for EVs and a keen interest in renewable energy sources underscore the need for proactive policy-making and standardization to address the challenges of battery second life and recycling. This article delves into the role of Electric Vehicle Lithium-Ion batteries within the ambit of the circular economy, underscoring the significance of legislative frameworks across the globe with a particular focus on European initiatives in light of Ukraine's EU integration ambitions. This encompasses extending battery life through recycling and repurposing, thereby ensuring both economic viability and minimal environmental footprint. The narrative outlines the varied legislative landscapes internationally, noting the differences in strategies from Asia's technological and safety emphasis to Europe's robust regulatory directives aimed at battery lifecycle management. In Europe, the drive towards sustainable battery utilization is marked by comprehensive policies like the EU Battery Directive and the emerging Regulation on Batteries and Waste Batteries, which set forth ambitious recycling targets and introduce innovative concepts like the battery passport. Drawing from this global overview, the article posits a set of recommendations for Ukraine, suggesting the development of extensive battery management legislation, adoption of European standards to smooth the path towards EU membership, investment in recycling infrastructures, fostering of public-private partnerships, and public awareness initiatives. These recommendations are designed to elevate Ukraine's position in the sustainability, promoting environmental stewardship and economic competitiveness. The growing importance of secondary lithium-ion batteries for electric vehicles in supporting and harmonizing renewable energy sources is emphasized, and accordingly, the need for adequate legislation and standardization to support a closed-loop economy. Keywords: Lithium-Ion Batteries, Second-Life Application, EV Battery Life Cycle, Circular Economy, Repurpose, Reuse, Recycling, Standards, Regulation, Legislation.

Literature Review: Opioid Crisis in South West, Nigeria

The opioid crisis in Southwest Nigeria has significantly increased, with socioeconomic factors such as lack of healthcare access, unemployment, and poverty exacerbating the problem. The review explores the interactions between biological variables, cutting-edge technologies, financial constraints, and environmental factors that contribute to drug abuse and substance use disorders. It also analyzes the major classes of opioids and distinguishes between medicinal and non-medical uses. The epidemic has negative impacts on personal well-being, healthcare infrastructure, and societal cohesion. The research suggests a multifaceted strategy, including interventions and policy implications. It suggests reducing poverty as a first step in treating the underlying causes, increasing access to mental health services, early detection and intervention programs, and public awareness initiatives to prevent disease. Medication-assisted treatment (MAT) is also emphasized as a recovery strategy. The evaluation advocates for policy changes, tighter guidelines for opioid prescriptions, and public awareness initiatives to inform people about opiate abuse risks and encourage cautious use.

Assessing Pollution Sources and Impacts in Gbarnga: A Case Study of Barwror and Kortu Quarters

The rapid urbanization and industrialization of Gbarnga have brought forth significant environmental challenges, including pollution. This study, titled "Assessing Pollution Sources and Impacts in Gbarnga: A Case Study of Barwror and Kortu Quarters," aims to investigate public awareness and participation in pollution reduction initiatives within these communities. The background of the study encompasses the pressing need to address pollution in urban areas like Gbarnga, where industrial activities and urbanization have intensified environmental pressures. Previous research has highlighted the detrimental effects of pollution on public health, ecosystem integrity, and overall well-being, emphasizing the urgency of proactive measures to mitigate pollution levels. The objectives of this research include assessing the level of public awareness regarding environmental regulations and policies aimed at pollution reduction, as well as gauging community willingness to participate in pollution reduction initiatives. Additionally, the study seeks to identify factors influencing public engagement in environmental actions and to provide recommendations for enhancing community involvement in pollution mitigation efforts. The findings reveal a significant gap in public awareness of environmental regulations and policies, with just over half of the population informed about such initiatives. However, there exists a strong willingness among community members to actively engage in pollution reduction initiatives, with over 97% expressing readiness to participate. Further statistical analysis indicates a moderate level of public awareness regarding pollution-related issues, underscoring the need for targeted educational campaigns and enhanced communication strategies. In conclusion, the study emphasizes the importance of strengthening communication channels, launching educational campaigns, fostering inclusive community engagement, encouraging community-research partnerships, and integrating public awareness initiatives into environmental policy frameworks. These recommendations aim to empower communities to actively participate in pollution reduction efforts, ultimately contributing to the attainment of sustainable environmental goals in Gbarnga and similar urban settings.

Acceptability of COVID-19 booster vaccine in malaysia: a cross-sectional study

Despite the high efficacy and safety demonstrated in clinical trials, COVID-19 booster vaccination rates in Malaysia remain below 50% among the general public. This study explores the factors influencing public acceptance of the COVID-19 booster vaccine among the Malaysian population. The questionnaire included variables on sociodemographics, knowledge, and the Health Belief Model (HBM) constructs. Based on the Chi-squared test of contingencies, a t-test and multivariate logistic regression analysis on 411 collected responses, the findings revealed that older participants, individuals of Chinese ethnicity, and those with higher education levels and incomes were more willing to accept booster vaccinations. The analysis further identified perceived susceptibility, perceived severity and perceived barriers as significant predictors influencing booster vaccination acceptance rates. Healthcare policymakers may consider targeting interventions to diminish the obstacles associated with booster vaccinations. These intervention strategies include implementing health intervention programmes, such as public health awareness initiatives, to raise awareness of the risks and severity of COVID-19, ultimately encouraging higher uptake of booster vaccines.

Enteric fever (typhoid and paratyphoid fever)

Infectious agents that are responsible for typhoid fever are mostly Salmonella typhi and Salmonella Para-typhi, both of which belong to the family of bacteria known as Enterobacteriaceae. Following a thorough investigation, multiplex quantitative polymerase chain reaction (PCR) is used in order to isolate Salmonella enterica serovar and enteritidis. In most cases, gastroenteritis is the only symptom that is associated with nontyphoidal Salmonella (NTS), which mostly affects neonates. In addition to being spread by contaminated water, raw food, and clusters of sick persons, salmonella is most prevalent in urban regions with a high population density, locations that are experiencing civil upheaval, and areas that have inadequate sanitation. Only between sick persons can the disease be passed on; humans are the only vectors that can spread the disease. Salmonella is most often found in chickens, dairy products, and sometimes in tortoises that are very unusual. From the moment they arrived, the patients were transferred to the Observed Treatment section of the Department of Medicine at the DMMC, SMHRC Nagpur. A important public health problem that affects people all throughout the world, particularly in less developed countries, is enteric fever. Annually, there are around 800 to 900 cases of typhoid fever that are reported in metropolitan areas, according to studies. In spite of the fact that it is inexpensive and easily available, the Widal test need to be conducted with caution. In order to educate citizens on the necessity of preventative measures, immunizations, and seeing a physician, among other things, extensive public awareness initiatives need to be carried out. Healthcare professionals have a responsibility to acknowledge the emergence of innovative antibacterial medications that are not only safe but also effective, in addition to the ongoing development of antibiotic resistance. Additionally, the profession has to be prepared for the development of innovative treatment and preventative strategies .

Navigating the Storm: Coping with Conflict and Political Change for Mental Health Resilience

The severe impact of conflicts-which often occur in chaotic and unstable environments-has on mental health, both for people and communities. South-East Asia incurs a disproportionately significant invisible cost to mental health due to persistent political instability, global conflicts, and terrorism.1 These events may induce anxiety and stress, which may culminate in an array of mental health issues, including depression, post-traumatic stress disorder (PTSD), and generalized anxiety disorders. These circumstances are rendered more catastrophic by the continuous threat of violence, displacement, and loss, which makes it challenging for people to retain their resilience in terms of mental health. For example, the prolonged conflict in Kashmir has had a significant impact on people’s mental health in the region.2 Several psychological wounds are the result of sustained violence and uncertainty. Similarly, millions of people in the region have experienced suffering and grief because of terrorism and political unrest.2 Communities impacted by these crises in these areas have a cumulative strain on their mental health.3 The general well-being of these communities is declining due to various factors, including increased stress levels, restricted access to healthcare, and an atmosphere of uncertainty.4 The visible psychological impact on people and their neighbours underscores the importance of acknowledging the broader implications of these crises on mental health. To develop and maintain mental health resilience amid these challenges, people must learn coping mechanisms.5 Recognizing the seriousness of this issue is crucial, but so is offering those impacted resources and assistance. Numerous therapies and coping mechanisms may be helpful. Teaching individuals about the psychological consequences of political unrest and violence is one of academia’s most essential roles. Academic institutions may reduce stigma, increase awareness, and encourage people to seek assistance by conducting research and implementing educational programmes.6 To assist people and communities in overcoming trauma and developing resilience, mental health practitioners can provide psychosocial interventions like counselling and therapy.7 For those impacted, establishing support systems within communities may be a beneficial resource. These networks may allow people access to mental health experts and a safe atmosphere to discuss their feelings and experiences. Mental health professionals can conduct workshops on resilience building, and these sessions can offer valuable strategies and skills to improve psychological resilience in the face of hardship.8 Access to Services for Mental Health is imperative for governments and non-governmental organizations to guarantee that mental health treatments are easily accessible to individuals who require them.9 This involves encouraging the education and placement of mental health specialists in conflict-affected regions. Understanding and resolving the mental health issues brought on by political unrest and violence are critical tasks for academia. Research in this area is crucial to clarify the intricate relationship between political instability and mental health. Scholars can make the following contributions: Research and Data Analysis: Academic institutions might research to understand better the psychological impacts of political unrest and violence in Pakistan and South-east Asia.10 We can determine patterns and risk factors by gathering information and examining the mental health conditions of impacted groups. Policy Recommendations: Based on their research, academia might advocate policies to facilitate better access to mental health care in places affected by violence.11 When tackling the mental health problem, countries and international organizations can follow these guidelines. Public Awareness Initiatives: To de-stigmatize mental health concerns and motivate people to seek therapy, academia may initiate public awareness initiatives. Advertisements might also inform the public about the distinct symptoms and signs of diseases linked to trauma. Training and Capacity Building: Educational establishments have the potential to provide instruction to mental health professionals who can work in areas of conflict. The training may concentrate on culturally aware methods and the difficulties brought on by trauma associated with conflicts.9 There cannot be denying the relationship between political unrest, global conflicts, and terrorism and the impact they have on mental health. These situations have a profound impact on people and communities, frequently resulting in severe mental health problems. In addition to academia’s active participation, coping methods and treatments can assist in lessening these difficulties and support individuals who require it. Prioritizing mental health as the foundation of resilience is crucial as we address the ongoing conflicts in these areas. To address this critical issue and ensure that people and communities can manage the storm of political transition with their mental health, academic research, community support, and government policy must collaborate.

IJCM_244A: Awareness on breast cancer and its screening methods among the women in urban field practice area, Government Medical College, Siddipet, Telangana.

Background: Breast cancer is the most common female cancer worldwide including India, where advanced stages at diagnosis, and rising incidence and mortality rates, make it essential to understand cancer literacy in women. An understanding of the awareness and predictors of breast examination is an important first step that may guide the design of interventions aimed at raising awareness across the general population. Objective: This study aimed to evaluate the level of awareness related to breast cancer risk factors, signs, symptoms, and methods of screening among women residing in the study area. Methodology: A cross-sectional study was conducted during October 2023 - November 2023 among women residing in the urban field practice study area in Siddipet. A semi-structured questionnaire consisting of socio-demographic characteristics, questions related to awareness of breast cancer, and various screening methods was administered to 225 women in the study area. Results: The study showed an overall knowledge level of 35.00% regarding breast cancer. Participants had average knowledge about risk factors, signs, and symptoms, whereas their awareness on various screening methods was weak. Conclusion: The current study concluded that public awareness of breast cancer remains relatively low, and still needs several public awareness initiatives using mass media, such as television, Internet, and social media. Indian breast cancer patients present with advanced disease stage and have numerous poor prognostic factors, hence knowledge regarding the prevalence of risk factors was necessary. Many women, once aware, state that they would be interested in taking preventative therapy when they feel the timing is more appropriate for them. Dedicated breast health clinics, providing information about preventative therapy, and risk-reducing lifestyle changes could empower women to make personalized choices. These could be cost-effective when comparing costs of a specialist consultation with the costs of potential breast cancer therapy and psychological harm caused by breast cancer.

Unveiling the Air Quality Impacts of Municipal Solid Waste Disposal: An Integrative Study of On-Site Measurements and Community Perceptions

This study examines air quality conditions in and around a classroom located in the Sarıçam/Adana region of Türkiye, near the campus of Adana Alparslan Türkeş Science and Technology University and the Sofulu municipal solid waste (MSW) facility. This academic setting was strategically chosen due to its proximity to the waste facility. The study aims to provide a comprehensive view of the environmental and social impacts of solid waste management through a methodological approach that combines quantitative on-site measurements and qualitative survey studies. Findings from measurements and surveys underline the significant and measurable impacts of MSW facilities on the ambient air quality of university residents. The analysis revealed a marked increase in concentrations of key pollutants, including carbon monoxide (CO), hydrogen sulfide (H2S), dust, and methane (CH4). At sampling point N1, H2S levels rose from 0 ppm in July to 13 ppm in November. Methane increased from 0.2% to 2.5% of the Lower Explosive Limit (LEL) at the same point, although it remained within safety limits. Additionally, CO levels showed a 40% increase, and dust concentration levels rose from 0.21 mg/m3 to 2.36 mg/m3 from summer to winter, indicating a seasonal variation likely influenced by the landfill’s operational dynamics, as well as changes in temperature and relative humidity. In particular, the results indicate high concentrations of CO, H2S and dust, which are directly related to air quality degradation. The study also sheds light on the impacts of these waste disposal facilities on the general well-being and health of the university community, particularly on students and staff. In addition to these findings, the study highlights a general lack of awareness in the university community about the impacts of MSW facilities on air quality. This highlights the need for increased education and information dissemination. The results support the development of comprehensive and effective strategies, including technical solutions and public awareness initiatives, to mitigate the impacts of these facilities on residential areas. In conclusion, the impacts of MSW facilities on air quality should be seen as a multidimensional issue that requires a holistic approach addressing environmental, health, social, and educational dimensions.