Advances in Public Health http://www.hindawi.com The latest articles from Hindawi Publishing Corporation © 2014 , Hindawi Publishing Corporation . All rights reserved. Awareness and Self-Reported Health Hazards of Electromagnetic Waves from Mobile Phone Towers in Dhaka, Bangladesh: A Pilot Study Wed, 20 Aug 2014 06:45:30 +0000 http://www.hindawi.com/journals/aph/2014/952832/ Background. Over the last few years there have been concerns regarding the health effects of electromagnetic waves (EMW) produced by mobile phone base transmitter stations (BTS). Data on possible health effects of EMW in developing countries are rare. This study was conducted to determine the awareness and self-reported health hazards of EMW from the mobile phone BTS in Dhaka city. Methods. A cross-sectional study was conducted among 220 respondents living around BTS in Dhaka city. Data was collected on sociodemographic characteristics, mobile phone use, BTS and EMW awareness, and self-reported health problems. Results. The majority of respondents (92.7%) reported to have seen a BTS but only 29.5% knows how it works and 74.5% had no knowledge about the EMW. 49% respondents experienced sleeping disturbances while recent episodes of headache or dizziness were reported by 47% and mood change or anxiety or depression by 41%. About 22% complained about other physical or mental symptoms. Conclusion. Awareness about the possible health hazards from EMW of BTS is low among the inhabitants of Dhaka city. A number of respondents mentioned recent health effects but the association with BTS could not be established. Sheikh Mohammed Shariful Islam Copyright © 2014 Sheikh Mohammed Shariful Islam. All rights reserved. Eating Behaviours and Body Weight Concerns among Adolescent Girls Wed, 16 Jul 2014 12:58:53 +0000 http://www.hindawi.com/journals/aph/2014/257396/ This paper presents a global review of research done on adolescent eating behaviours and food choices and the probable factors underlying it. Worldwide adolescent girls tend to develop moderate to high level of disordered eating behaviour as a result of their excessive concern with body weight or obsession with thinness. The objective of the review is to understand the concerns over body weight and the current eating patterns of adolescent girls in the developed and developing countries. Nadira Mallick, Subha Ray, and Susmita Mukhopadhyay Copyright © 2014 Nadira Mallick et al. All rights reserved. The Challenges Confronting Public Hospitals in India, Their Origins, and Possible Solutions Sun, 13 Jul 2014 08:45:58 +0000 http://www.hindawi.com/journals/aph/2014/898502/ Despite the implementation of National Rural Health Mission over a period of nine years since 2005, the public health system in the country continues to face formidable challenges. In the context of plans for rolling out “Universal Health Care” in the country, this paper analyzes the social, economic, and political origins of the major challenges facing public hospitals in India. The view taken therein holds the class nature of the ruling classes in the country and the development paradigm pursued by them as being at the root of the present problems being faced by public hospitals. The suggested solutions are in tune with these realities. Vikas Bajpai Copyright © 2014 Vikas Bajpai. All rights reserved. Reducing Colorectal Cancer Incidence and Disparities: Performance and Outcomes of a Screening Colonoscopy Program in South Carolina Mon, 23 Jun 2014 07:51:14 +0000 http://www.hindawi.com/journals/aph/2014/787282/ This study evaluated the efficiency, effectiveness, and racial disparities reduction potential of Screening Colonoscopies for People Everywhere in South Carolina (SCOPE SC), a state-funded program for indigent persons aged 50–64 years (45–64 years for African American (AA)) with a medical home in community health centers. Patients were referred to existing referral network providers, and the centers were compensated for patient navigation. Data on procedures and patient demographics were analyzed. Of 782 individuals recruited (71.2% AA), 85% (665) completed the procedure (71.1% AA). The adenoma detection rate was 27.8% (males 34.6% and females 25.1%), advanced neoplasm rate 7.7% (including 3 cancers), cecum intubation rate 98.9%, inadequate bowel preparation rate 7.9%, and adverse event rate 0.9%. All indicators met the national quality benchmarks. The adenoma rate of 26.0% among AAs aged 45–49 years was similar to that of older Whites and AAs. We found that patient navigation and a medical home setting resulted in a successful and high-quality screening program. The observed high adenoma rate among younger AAs calls for more research with larger cohorts to evaluate the appropriateness of the current screening guidelines for AAs, given that they suffer 47% higher colorectal cancer mortality than Whites. Sudha Xirasagar, Yi-Jhen Li, James B. Burch, Virginie G. Daguisé, Thomas G. Hurley, and James R. Hébert Copyright © 2014 Sudha Xirasagar et al. All rights reserved. Clinical and Microbiologic Efficacy of a Water Filter Program in a Rural Honduran Community Mon, 07 Apr 2014 06:32:58 +0000 http://www.hindawi.com/journals/aph/2014/734254/ Water purification in the rural Honduras is a focus of the nonprofit organization Honduras Outreach Medical Brigade Relief Effort (HOMBRE). We assessed water filter use and tested filter microbiologic and clinical efficacy. A 22-item questionnaire assessed water sources, obtainment/storage, purification, and incidence of gastrointestinal disease. Samples from home clay-based filters in La Hicaca were obtained and paired with surveys from the same home. We counted bacterial colonies of four bacterial classifications from each sample. Sixty-five surveys were completed. Forty-five (69%) individuals used a filter. Fifteen respondents reported diarrhea in their home in the last 30 days; this incidence was higher in homes not using a filter. Thirty-three paired water samples and surveys were available. Twenty-eight samples (85%) demonstrated bacterial growth. A control sample was obtained from the local river, the principal water source; number and bacterial colony types were innumerable within 24 hours. Access to clean water, the use of filters, and other treatment methods differed within a geographically proximal region. Although the majority of the water samples failed to achieve bacterial eradication, water filters may sufficiently reduce bacterial coliform counts to levels below infectious inoculation. Clay water filters may be sustainable water treatment measures in resource poor settings. Jaclyn Arquiette, Michael P. Stevens, Jean M. Rabb, Kakotan Sanogo, Patrick Mason, and Gonzalo M. L. Bearman Copyright © 2014 Jaclyn Arquiette et al. All rights reserved.