Acacia Fernandes Lacerda de Carvalho, Esmeralda Santos Alves, Paula Monique Leite Pitanga, Erlane Marques Ribeiro, Maria Juliana Rodovalho Doriqui, Maria Betânia Pereira Toralles, Bianca Arcaro Topázio, Jéssica Fernandes Dos Santos, Renata Lúcia Leite Ferreira de Lima, Leslie Domenici Kulikowski, Angelina Xavier Acosta
{"title":"Identifying Genetic Etiology in Patients with Intellectual Disability: An Experience in Public Health Services in Northeastern Brazil.","authors":"Acacia Fernandes Lacerda de Carvalho, Esmeralda Santos Alves, Paula Monique Leite Pitanga, Erlane Marques Ribeiro, Maria Juliana Rodovalho Doriqui, Maria Betânia Pereira Toralles, Bianca Arcaro Topázio, Jéssica Fernandes Dos Santos, Renata Lúcia Leite Ferreira de Lima, Leslie Domenici Kulikowski, Angelina Xavier Acosta","doi":"10.1055/s-0042-1757888","DOIUrl":"10.1055/s-0042-1757888","url":null,"abstract":"<p><p>Intellectual disability (ID) is considered a common neuropsychiatric disorder that affects up to 3% of the population. The etiologic origin of ID may be genetic, environmental, and multifactorial. Chromosomopathies are relatively common among the genetic causes of ID, especially in the most severe cases and those associated with dysmorphic features. Currently, the application of new molecular cytogenetics technologies has increasingly allowed the identification of microdeletions, microduplications, and unbalanced translocations as causes of ID. The objective of this study was to investigate the etiology of ID in patients admitted to a public hospital in Northeastern Brazil. In total, 119 patients with ID who had normal karyotypes and fragile X exams participated in this study. The patients were initially physically examined for microdeletion syndromes and then tested using fluorescence in situ hybridization (FISH), multiplex ligation-dependent probe amplification (MLPA), methylation-sensitive polymerase chain reaction (MS-PCR), and chromosome microarray analysis (CMA), according to clinical suspicion. Patients with no diagnoses after FISH, MLPA, and/or MS-PCR evaluations were subsequently tested by CMA. The rate of etiologic diagnoses of ID in the current study was 28%. FISH diagnosed 25 out of 79 tested (31%), MLPA diagnosed 26 out of 79 tested (32%), MS-PCR diagnosed 7 out of 20 tested (35%), and the single nucleotide polymorphism array diagnosed 6 out of 27 tested (22%). Although the CMA is the most complete and recommended tool for the diagnosis of microdeletions, microduplications, and unbalance translocations in patients with ID, FISH, MLPA, and MS-PCR testing can be used as the first tests for specific syndromes, as long as the patients are first physically screened clinically, especially in the public health networks system in Brazil, where resources are scarce.</p>","PeriodicalId":80485,"journal":{"name":"Annals of the Association of American Geographers. Association of American Geographers","volume":"70 1","pages":"90-98"},"PeriodicalIF":0.0,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11076089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85201426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Antibiotic Use among Patients Visiting Primary Hospitals in Northwest Ethiopia: A Multicenter Cross-Sectional Survey.","authors":"Adeladlew Kassie Netere, Ashenafi Kibret Sendekie","doi":"10.1155/2022/2306637","DOIUrl":"10.1155/2022/2306637","url":null,"abstract":"<p><strong>Background: </strong>Antimicrobial medications are becoming ineffective because of the surge in antimicrobial resistance. Poor knowledge and inappropriate beliefs combined with the misuse of antibiotics may be common in the community and public health institutions. This study assessed the knowledge, belief, and antibiotic use practice among patients visiting rural hospitals in Northwest Ethiopia.</p><p><strong>Methods: </strong>A facility-based multicenter cross-sectional survey was conducted in Northwest Ethiopian primary hospitals from August to September 2020. The data are presented as frequencies and means (±SD) of our findings. The independent samples <i>T</i> test and One-Way Analysis of Variance (ANOVA) were used to explore the mean knowledge differences of antibiotic use among respondents. A <i>p</i>value of <0.05 with 95% CI was considered significant.</p><p><strong>Results: </strong>More than half of the participants (57.2%) were males, and the mean age was 34.8 ± 13.4 years. The mean (±SD) knowledge score of the respondents was 3.69 (±1.7) (range: 0 to 10), and the majority (69.7%) had poor knowledge. The mean (±SD) belief score (acceptance towards antibiotic use) of the respondents was 20.08 ± 4 (range: 7 to 35) and most (70.1%) of the respondents had moderate levels of perception regarding antibiotic use. The majority (69.5%) of respondents took antibiotics over the past year. Participants practiced inappropriate uses of antibiotics such as medication discontinuation (49.5%), keeping unused antibiotics for future use (35.5%), and sharing medications with/from others (30.1%). Diploma holder participants had significantly higher mean knowledge scores on antibiotic use than those who were unable to read and write (<i>p</i>=0.047). Similarly, students had higher mean knowledge scores compared with farmers (<i>p</i>=0.024), merchants (<i>p</i>=0.031), and housewives (<i>p</i>=0.047).</p><p><strong>Conclusion: </strong>Our study showed a widespread misuse of antibiotics in Northwest Ethiopia. Malpractice such as dose interrupting, sharing of antibiotics for/from the others, and keeping leftover drugs for future use were common among the respondents. These findings suggest that a greater effort is required in public education related to proper and safe uses of antibiotics and that greater efforts are needed to enforce the control of antibiotic use to overcome the emergence of antibiotic resistance.</p>","PeriodicalId":80485,"journal":{"name":"Annals of the Association of American Geographers. Association of American Geographers","volume":"94 1","pages":"2306637"},"PeriodicalIF":2.1,"publicationDate":"2022-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11401706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85254792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Richelle L Winkler, Jaclyn L Butler, Katherine J Curtis, David Egan-Robertson
{"title":"Differential Privacy and the Accuracy of County-Level Net Migration Estimates.","authors":"Richelle L Winkler, Jaclyn L Butler, Katherine J Curtis, David Egan-Robertson","doi":"10.1007/s11113-021-09664-5","DOIUrl":"10.1007/s11113-021-09664-5","url":null,"abstract":"<p><p>Each decade since the 1950s, demographers have generated high quality net migration estimates by age, sex, and race for US counties using decennial census data as starting and ending populations. The estimates have been downloaded tens of thousands of times and widely used for planning, diverse applications, and research. Census 2020 should allow the series to extend through the 2010-2020 decade. The accuracy of new estimates, however, could be challenged by differentially private (DP) disclosure avoidance techniques in Census 2020 data products. This research brief estimates the impact of DP implementation on the accuracy of county-level net migration estimates. Using differentially private Census 2010 demonstration data, we construct a hypothetical set of DP migration estimates for 2000-2010 and compare them to published estimates, using common accuracy metrics and spatial analysis. Findings show that based on demonstration data released in 2020, net migration estimates by five-year age groups would only be accurate enough for use in about half of counties. Inaccuracies are larger in counties with populations less than 50,000, among age groups 65 and over, and among Hispanics. These problems are not fully resolved by grouping into broader age groups. Moreover, errors tend to cluster spatially in some regions of the country. Ultimately, the ability to generate accurate net migration estimates at the same level of detail as in the past will depend on the Census Bureau's allocation of the privacy loss budget.</p>","PeriodicalId":80485,"journal":{"name":"Annals of the Association of American Geographers. Association of American Geographers","volume":"72 1","pages":"417-435"},"PeriodicalIF":2.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11485725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85214987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Not just rounding up the usual suspects: Hugh Clout and geography’s stories","authors":"Elizabeth Baigent, A. Novaes","doi":"10.5040/9781350230101.ch-001","DOIUrl":"https://doi.org/10.5040/9781350230101.ch-001","url":null,"abstract":"","PeriodicalId":80485,"journal":{"name":"Annals of the Association of American Geographers. Association of American Geographers","volume":"149 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79396069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Eric Herbert Brown (1922–2018)","authors":"H. Clout","doi":"10.5040/9781350230101.ch-003","DOIUrl":"https://doi.org/10.5040/9781350230101.ch-003","url":null,"abstract":"","PeriodicalId":80485,"journal":{"name":"Annals of the Association of American Geographers. Association of American Geographers","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80646226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maurice Le Lannou (1906–92)","authors":"H. Clout","doi":"10.5040/9781350230101.ch-004","DOIUrl":"https://doi.org/10.5040/9781350230101.ch-004","url":null,"abstract":"","PeriodicalId":80485,"journal":{"name":"Annals of the Association of American Geographers. Association of American Geographers","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76668644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Two French geographers, father and son: Gaston Gravier (1886–1915) and Jean-François Gravier (1915–2005)","authors":"H. Clout","doi":"10.5040/9781350230101.ch-006","DOIUrl":"https://doi.org/10.5040/9781350230101.ch-006","url":null,"abstract":"","PeriodicalId":80485,"journal":{"name":"Annals of the Association of American Geographers. Association of American Geographers","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76517347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Renée Rochefort (1924–2012)","authors":"Hugh Clout","doi":"10.5040/9781350230101.ch-005","DOIUrl":"https://doi.org/10.5040/9781350230101.ch-005","url":null,"abstract":"","PeriodicalId":80485,"journal":{"name":"Annals of the Association of American Geographers. Association of American Geographers","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80867248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Two geographers, father and daughter: Pierre Foncin (1841–1916) and Myriem Foncin (1893–1976)","authors":"H. Clout","doi":"10.5040/9781350230101.ch-007","DOIUrl":"https://doi.org/10.5040/9781350230101.ch-007","url":null,"abstract":"","PeriodicalId":80485,"journal":{"name":"Annals of the Association of American Geographers. Association of American Geographers","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82718254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"David Lowenthal (1923–2018)","authors":"H. Clout","doi":"10.5040/9781350230101.ch-002","DOIUrl":"https://doi.org/10.5040/9781350230101.ch-002","url":null,"abstract":"","PeriodicalId":80485,"journal":{"name":"Annals of the Association of American Geographers. Association of American Geographers","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89215299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}