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Asymptomatic Plasmodium falciparum Malaria in Pregnant Women in the Chittagong Hill Districts of Bangladesh.

www.archive.org/details/pubmed-PMC4032281...
This article is from PLoS ONE , volume 9 . Abstract Background: Pregnancy is a known risk factor for malaria which is associated with increased maternal and infant mortality and morbidity in areas of moderate-high malaria transmission intensity where Plasmodium falciparum predominates. The nature and impact of malaria, however, is not well understood in pregnant women residing in areas of low, unstable malaria transmission where P. falciparum and P. vivax co-exist. Methods: A large longitudinal active surveillance study of malaria was conducted in the Chittagong Hill Districts of Bangladesh. Over 32 months in 2010–2013, the period prevalence of asymptomatic P. falciparum infections was assessed by rapid diagnostic test and blood smear and compared among men, non-pregnant women and pregnant women. A subset of samples was tested for infection by PCR. Hemoglobin was assessed. Independent risk factors for malaria infection were determined using a multivariate logistic regression model. Results: Total of 34 asymptomatic P. falciparum infections were detected by RDT/smear from 3,110 tests. The period prevalence of asymptomatic P. falciparum infection in pregnant women was 2.3%, compared to 0.5% in non-pregnant women and 0.9% in men. All RDT/smear positive samples that were tested by PCR were PCR-positive, and PCR detected additional 35 infections that were RDT/smear negative. In a multivariate logistic regression analysis, pregnant women had 5.4-fold higher odds of infection as compared to non-pregnant women. Malaria-positive pregnant women, though asymptomatic, had statistically lower hemoglobin than those without malaria or pregnancy. Asymptomatic malaria was found to be evenly distributed across space and time, in contrast to symptomatic infections which tend to cluster. Conclusion: Pregnancy is a risk factor for asymptomatic P. falciparum infection in the Chittagong Hill Districts of Bangladesh, and pregnancy and malaria interact to heighten the effect of each on hemoglobin. The even distribution of asymptomatic malaria, without temporal and spatial clustering, may have critical implications for malaria elimination strategies.
Published on 10/21/2014
Document details: 42 downloads.

A sheaf of papers

www.archive.org/details/sheafofpapers00appliala...
Some souvenirs of Round-Hill School.--The two monks.--A leaf from a journal.--The fly on the wheel.--A day with the French.--Touch and go.--The iconoclast of sensibility.--The flowering of a nation.--A cruise of the "Alice."--Nearly a bandit.--Lost Pleiads.--Art-chat.--The New England conscience.--On temperament in painting.--The future of America.--Jasmin.--Yankee-isms.--At the medium's.--Hours with the poets.--Three young men.--Old Boston.--Provincialism
Published on 10/06/2006
Document details: 376 pages. 637 downloads.

A sheaf of papers

www.archive.org/details/sheafofpapers00appl...
Some souvenirs of Round-Hill School.--The two monks.--A leaf from a journal.--The fly on the wheel.--A day with the French.--Touch and go.--The iconoclast of sensibility.--The flowering of a nation.--A cruise of the "Alice."--Nearly a bandit.--Lost Pleiads.--Art-chat.--The New England conscience.--On temperament in painting.--The future of America.--Jasmin.--Yankee-isms.--At the medium's.--Hours with the poets.--Three young men.--Old Boston.--Provincialism
Published on 05/17/2011
Document details: 374 pages. 263 downloads.

Our exemplars, poor and rich; or, Biographical sketches of men and women who have, by an extraordinary use of the opportunities, benefited their fellow-creatures

www.archive.org/details/ourexemplarspoor00hill...
Preface.--Appendix to the preface.--The Earl of Shaftesbury.--Jacques Jasmin.--John Bunyan.--The King of Portugal.--Bridget Burke.--Sister Nathalie.--Rosa Governo.--Françoise Caysac.--Louisa Schepler.--Christopher Thomson.--William and Robert Chambers.--Joseph Tuckerman, D.D.--Father Mathew.--The Very Rev. Dr. Spratt.--Dr. John Thompson, F.R.S., L. & E.--Harriet Ryan.--Captain Maconochie, R.N., K.H.--Catherine Wilkinson.--John Smeaton.--Frédéric Auguste Demetz.--The Vicomte Bretignières de Courteilles.--Paul Louise Verdier.--Sarah P. Redmond.--John Plummer.--Sarah Martin.--Sir Rowland Hill, K.C.B., F.R.S.--Sir Jamsetjee Jejeebhoy, bart.--Lady Noel Byron
Published on 08/06/2012
Document details: 370 pages. 404 downloads.

ERIC ED510746: Connecting to the World's Collections: Making the Case for the Conservation and Preservation of Our Cultural Heritage

www.archive.org/details/ERIC_ED510746...
Sixty cultural heritage leaders from thirty-two countries, including representatives from Africa, Asia, the Middle East, South America, Australia, Europe, and North America gathered in October 2009 in Salzburg, Austria, to develop a series of practical recommendations to ensure optimal collections conservation worldwide. Convened at Schloss Leopoldskron, the gathering was conducted in partnership by the Salzburg Global Seminar (SGS) and the Institute of Museum and Library Services (IMLS). The participants were conservation specialists from libraries and museums, as well as leaders of major conservation centers and cultural heritage programs from around the world. At the end of the seminar, the Fellows unanimously endorsed a Salzburg Declaration on the Conservation and Preservation of Cultural Heritage that affirmed the importance and value of cultural heritage to cultures and societies globally. Lonnie Bunch, the founding director of the new Smithsonian National Museum of African American History and Culture, delivered the keynote address, "A Call to Remember: The Power of Preservation," which addressed the question "Why Preserve?" and noted the ability of objects to communicate complexity, pain, and memory to a wide array of audiences. The plenary sessions successfully combined presentations of general principles and case studies illustrating these principles and were followed by lengthy question-and-answer periods and further discussion. These plenary sessions are: (1) Advocacy and Public Awareness, moderated by Debra Hess Norris and presented by Simon Cane, Ch'ng Kim See, and Samuel Jones; (2) Education and Training, moderated by Vinod Daniel and presented by Kathy Dardes, Marcelle Scott, and Michele Cloonan; and Fireside Chat: Conservation in the Developing World, moderated by Vinod Daniel and presented by Alain Godonou, Faeza Hussain, Carolina Castellanos, Jasmin Simmons, and Loh Heng Noi; (3) Indigenous Communities, Access, and Cultural Rejuvenation, moderated by Vinod Daniel and presented by Miriam Clavir and Raseroka; (4) Emergency Preparedness, moderated by Debra Hess Norris and presented by Hanna Pennock, Franz Grupp, and Lawrence Reger; (5) Collaboration, moderated by Debra Hess Norris and presented by Tim Whalen, Catherine Antomarchi, and Wivian Diniz; and (6) Sustainability, moderated by Vinod Daniel and presented Jerry Podany, Cristina Sabbioni, and Anupam Sah. Working Group Recommendations List of Participants, Salzburg Declaration is appended.
Published on 01/31/2016
Document details: 17 pages. 75 downloads.
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