Arsenic Speciation in Food and Estimation of the Dietary Intake of Inorganic Arsenic in a Rural Village of West Bengal, India

Arsenic (As) species were quantified by HPLC-HG-AFS in water and vegetables from a rural area of West Bengal (India). Inorganic species predominated in vegetables (including rice) and drinking water; in fact, inorganic arsenic (i-As) represented more than 80% of the total arsenic (t-As) content. To evaluate i-As intake in an arsenic affected rural village, a food survey was carried out on 129 people (69 men and 60 women). The data from the survey showed that the basic diet, of this rural population, was mainly rice and vegetables, representing more than 50% of their total daily food intake. During the periods when nonvegetarian foods (fish and meat) were scarce, the importance of rice increased, and rice alone represented more than 70% of the total daily food intake. The food analysis and the food questionnaires administrated led us to establish a daily intake of i-As of about 170 mu g i-As day(-1), which was above the tolerable daily intake of 150 mu g i-As day(-1), generally admitted. Our results clearly demonstrated that food is a very important source of i-As and that this source should never be forgotten in populations depending heavily on vegetables (mainly rice) for their diet.

Contribution of water and cooked rice to an estimation of the dietary intake of inorganic arsenic in a rural village of West Bengal, India

Arsenic contamination of rice plants by arsenic-polluted irrigation groundwater could result in high arsenic concentrations in cooked rice. The main objective of the study was to estimate the total and inorganic arsenic intakes in a rural population of West Bengal, India, through both drinking water and cooked rice. Simulated cooking of rice with different levels of arsenic species in the cooking water was carried out. The presence of arsenic in the cooking water was provided by four arsenic species (arsenite, arsenate, methylarsonate or dimethylarsinate) and at three total arsenic concentrations (50, 250 or 500 mu g l(-1)). The results show that the arsenic concentration in cooked rice is always higher than that in raw rice and range from 227 to 1642 mu g kg(-1). The cooking process did not change the arsenic speciation in rice. Cooked rice contributed a mean of 41% to the daily intake of inorganic arsenic. The daily inorganic arsenic intakes for water plus rice were 229, 1024 and 2000 mu g day(-1) for initial arsenic concentrations in the cooking water of 50, 250 and 500 g arsenic l(-1), respectively, compared with the tolerable daily intake which is 150 mu g day(-1).

Urban and rural differences in risk of admission to a care home: a census-based follow-up study

Research on admissions to care homes for older people has paid more attention to individual and social characteristics than to geographical factors. This paper considers rural-urban differences in household composition and admission rates. Cohort: 51,619 people aged 65 years or older at the time of the 2001 Census and not living in a care home, drawn from a data linkage study based on c.28% of the Northern Ireland population.Living alone was less common in rural areas; 25% of older people in rural areas lived with children compared to 18% in urban areas. Care home admission was more common in urban (4.7%) and intermediate (4.3%) areas than in rural areas (3.2%). Even after adjusting for age, sex, health and living arrangements, the rate of care home admission in rural areas was still only 75% of that in urban areas.People in rural areas experience better family support by living as part of two or three generation households. Even after accounting for this difference, older rural dwellers are less likely to enter care homes; suggesting that neighbours and relatives in rural areas provide more informal care; or that there may be differential deployment of formal home care services.

Contemporary and 'messy' rural in-migration processes: Comparing counterurban and lateral rural migration.

This paper questions the ongoing dominant coverage given to counterurbanisation in the rural population literature. It is argued that this provides only a partial account of the true diversity of contemporary migration processes operating in rural areas and has the potential to fuse together different in-migration processes. Specifically, lateral rural migration has been under-researched to date. Using empirical data from a survey of 260 migrant households to 3 UK case study areas (in Scotland, Wales, and Northern Ireland), the significance of lateral rural migration is revealed and compared with counterurban migration and migrants. The last change of address shows that 59% relocated from an urban area (participating in a counterurban flow) whilst 41% moved from another rural location (lateral rural flow). The boundary between migration processes can, however, be blurred: Some moves are an example of both counterurbanisation and lateral rural flows. Incorporating lifetime migration histories data demonstrates the contemporary complexity and messiness of rural in-migration processes. For example, 26% of these migrant households only ever undertook a lateral rural move during their lifetime. For others, the direction of migration has changed numerous times and intertwined with each move are aspects of life course, return, and inter-regional migration. Comparing the survey characteristics and motivations of counterurban and lateral rural migrants, alongside interview material, highlights important similarities and differences. The paper concludes by calling on rural population geographers to more fully engage with the complexity, totality, and indeed messiness of contemporary rural in-migration processes.

An investigation of vision problems and the vision care system in Rural China

This paper examines the prevalence of vision problems and the accessibility to and quality of vision care in rural China. We obtained data from 4 sources: 1) the National Rural Vision Care Survey; 2) the Private Optometrists Survey; 3) the County Hospital Eye Care Survey; and 4) the Rural School Vision Care Survey. The data from each of the surveys were collected by the authors during 2012. Thirty-three percent of the rural population surveyed self-reported vision problems. Twenty-two percent of subjects surveyed had ever had a vision exam. Among those who self-reported having vision problems, 34% did not wear eyeglasses. Fifty-four percent of those with vision problems who had eyeglasses did not have a vision exam prior to receiving glasses. However, having a vision exam did not always guarantee access to quality vision care. Four channels of vision care service were assessed. The school vision examination program did not increase the usage rate of eyeglasses. Each county-hospital was staffed with three eye-doctors having one year of education beyond high school, serving more than 400,000 residents. Private optometrists often had low levels of education and professional certification. In conclusion, our findings shows that the vision care system in rural China is inadequate and ineffective in meeting the needs of the rural population sampled.

Impact of age, various forms of cataract, and visual acuity on whole-field scotopic sensitivity screening for glaucoma in rural Taiwan.

OBJECTIVE: To evaluate the impact of age, various forms of cataract, and visual acuity on whole-field scotopic sensitivity screening for glaucoma in a rural population. DESIGN: Clinic-based study with population-based recruitment. SETTING: Jin Shan Township near Taipei, Taiwan. SUBJECTS: Three hundred forty-six residents (ages, > or = 40 years) of Jin Shan Township. INTERVENTIONS: Whole-field scotopic testing, ophthalmoscopy with dilation of the pupils, cataract grading against photographic standards, and screening visual field testing in a random one-third subsample. MAIN OUTCOME MEASURES: Whole-field scotopic sensitivity (in decibels) and diagnostic status as a case of glaucoma, glaucoma suspect, or normal. RESULTS: Participants in Jin Shan Township did not differ significantly in the rate of blindness, low visual acuity, or family history of glaucoma from a random sample of nonrespondents. Scotopic sensitivity testing detected 100% (6/6) of subjects with open-angle glaucoma at a specificity of 80.2%. The mean +/- SE scotopic sensitivity for six subjects with open-angle glaucoma (32.78 +/- 1.51 dB) differed significantly from that of 315 normal individuals (38.51 +/- 0.22 dB), when adjusted for age and visual acuity (P = .05, t test). With linear regression modeling, factors that correlated significantly with scotopic sensitivity were intraocular pressure, screening visual field, best corrected visual acuity, presence of cortical cataract, and increasing age. CONCLUSIONS: Although cataract affects the whole-field scotopic threshold, it appears that scotopic testing may be of value in field-based screening for glaucoma.

Prevention of Cataract Blindness in Rural China.

China has undergone dramatic economic and social reforms during last 30 years, leading to a notably higher level of living standards and health care access for Chinese citizens. However, China's cataract surgical rate of 780 cases/y per million population trails Asian neighbors with lower income levels such as India and Vietnam. Eye care providers and patients encounter many barriers in gaining access to one another.Hands-on training programs conducted by international nongovernmental organizations and the government have helped to increase the number of qualified cataract surgeons in rural area, but establishing a residency training system that produces ophthalmologists capable of performing independent surgery is the only sustainable way to meet the increasing demand for surgery from an aging population. The New Rural Cooperative Medical System has successfully reduced the financial burden of cataract surgery for the rural population; however, reimbursement for outpatient treatment of leading eye diseases is needed.Community outreach screening combined with education is essential in rural areas' increased demand for surgery. Methods to optimize the yield from such screening must still be devised and proven, however. Improvements in the hospital administration and management structure are also needed to improve the efficiency of China's rural hospitals in delivering high-quality, low-cost cataract surgical services.

Dinâmicas do turismo rural: impactos em termos de desenvolvimento rural

Esta tese incide sobre as dinâmicas do turismo rural e as respetivas implicações em termos de desenvolvimento rural. Para tal recorreu-se à mobilização de um conjunto de conhecimentos, nomeadamente da área do turismo no espaço rural, do desenvolvimento rural e do marketing dos destinos rurais. Após uma revisão teórica minuciosa acerca de cada uma das temáticas anteriores, passámos à definição das hipóteses de investigação e do modelo de análise. As hipóteses de investigação permitiram-nos, efetivamente, testar algumas relações que considerámos, desde logo, relevantes no que diz respeito à problemática da investigação. Estas centraram-se nos promotores da oferta e na população rural. Se por um lado pretendíamos analisar a relação entre o perfil dos promotores, motivações de criação do empreendimento turístico e atividades de marketing seguidas, por outro, assumia-se como fundamental, observar as repercussões da oferta turística proporcionada junto da população local. Assumimos que esta se manifesta não só nos benefícios pessoais usufruídos, mas também a nível das perceções positivas e negativas. Após termos integrado as hipóteses de investigação, o modelo foi testado em duas regiões rurais que apresentam particularidades de regiões pobres, mas, ao mesmo tempo, um potencial turístico enorme, sendo que, inclusivamente, parte de uma dessas regiões é Património Mundial da Humanidade. Tomando em consideração esta última constatação, foram também apresentadas hipóteses complementares relativas à existência de diferenças (ao nível dos promotores e residentes) entre as regiões. Estas tarefas obrigaram à recolha de dados primários e secundários. Após a recolha da informação primária, os dados foram tratados e analisados à luz das perspetivas teóricas entretanto fornecidas. Os resultados obtidos com o estudo realizado permitiram identificar relações significativas entre o perfil do promotor, motivações de abertura do empreendimento, objetivos económicos e atividades de marketing desenvolvidas no empreendimento. Por outro lado, confirmámos ainda a existência de relações significativas entre benefícios pessoais auferidos e perceções positivas e negativas desenvolvidas pelos residentes e entre estas e a satisfação e apoio à atividade turística. Considera-se ainda que os resultados obtidos pela investigação devem ser utilizados em prol do desenvolvimento das respetivas regiões rurais. Por fim, sublinha-se o facto do modelo desenvolvido nesta investigação ser passível de aplicar a outras regiões rurais.

Prevalence of ragweed allergy in rural Geneva - a pilot study.

OBJECTIVE: The prevalence of ragweed allergy is increasing worldwide. Ragweed distribution and abundance is spreading in Europe in a wide area ranging from the Rhone valley in France to Hungary and Ukraine, where the rate of the prevalence can peak at as high as 12%. Low-grade ragweed colonisation was seen in Geneva and Ticino, less than two decades ago. There were fears that allergies to ragweed would increase Switzerland. The intent of this study was to assess the rate of prevalence of sensitisation and allergy to ragweed in the population living in the first rural Swiss setting where ragweed had been identified in 1996, and to evaluate indirectly the efficacy of elimination and containment strategies. MATERIAL AND METHODS: In 2009, 35 adults in a rural village in the Canton of Geneva were recruited. Data were collected by means of questionnaires and skin-prick tests were done on each participant. The study was approved by the local Ethics Committee. RESULTS: Based on questionnaires, 48.6% had rhinitis (95% confidence interval [CI] 32.9-64.4; n = 17/35) and 17.1% asthma (95% CI 8.1-32.6; n = 6/35). Atopy was diagnosed in 26.4% (95% CI 12.9-44.4) of the sample (n = 9/34). Ragweed sensitisation was found in 2.9% (95% CI 0.7-19.7; n = 1/34), mugwort sensitisation in 2.9% (95% CI 0.1-14.9; n = 1/35), alder sensitisation in 17.1% (95% CI 6.6-33.6; n = 6/35), ash sensitisation in 12.5% (95% CI 3.5-29.0; n = 4/32) and grass sensitisation in 22.9% (95% CI 10.4-40.1; n = 8/35). Ragweed (95% CI 0.1-14.9; n = 1/34) and mugwort allergies (95% CI 0.1-14.9; n = 1/35) were both found in 2.9% of the population. CONCLUSION: This study showed a surprisingly low incidence of ragweed sensitisation and allergy, of 2.9% and 2.9%, respectively, 20 years after the first ragweed detection in Geneva. The feared rise in ragweed allergy seems not to have happened in Switzerland, compared with other ragweed colonised countries. These results strongly support early field strategies against ragweed.

Rural Transformation in Kerala

This study is an attempt to present an integrated picture of the economic changes that have taken place in the rural economy of Kerala. Its limited purpose is to draw the attention of researchers and policymakers to an important but neglected dimension in rural analysis and planning.The thesis aims to identify changes in income, employment-and population. and analyses the structural change in land ownership and other assets of the rural population. The thesis also studies the changes in agriculture, especially with reference to land use and cropping pattern and examines the extend of rural indebtedness. These aspects are studied with reference to three Panchayats - Thazhava, Pananchery, Muttil – which are taken as case studies.

De la désorganisation à l’organisation apprenante en milieu rural

ZUSAMMENFASSUNG Von der „Chaosgruppe“ zur lernenden Organisation. Fallstudien zur Induzierung und Verbreitung von Innovation in ländlichen Kleinorganisationen im Buruli (Zentral-Uganda). Die oft fehlende Nachhaltigkeit landwirtschaftlicher Projekte in Afrika allgemein und in Buruli (Zentral-Uganda) insbesondere gab den Anstoß zu der Forschung, die der vorliegenden Dissertation zugrunde liegt. Ein häufiger Grund für das Scheitern von Projekten ist, dass die lokale Bevölkerung die landwirtschaftliche Innovation als Risiko für die Ernährungssicherheit der Familie betrachtet. Die vorliegende Arbeit ist daher ein Beitrag zur Suche nach einem Weg zur Nachhaltigkeit, der dieser Tatsache Rechnung trägt. Als Forschungsmethode wurden die Gruppendiskussion und die Beobachtung mit den beiden Varianten „teilnehmender Beobachter“ und „beobachtender Teilnehmer“ gemäß Lamnek(1995b) angewendet. Es stellte sich heraus, dass die ablehnende Haltung der Zielbevölkerung landwirtschaftlicher Innovation gegenüber durch finanzielle Anreize, Seminare oder die Überzeugungskunst von Mitarbeitern der Entwicklungsorganisationen kaum behoben werden kann, sondern nur durch den Einbezug der Menschen in einen von ihnen selbst gesteuerten Risikomanagementprozess. Die Prozessberatung von Schein (2000) und die nichtdirektive Beratung von Rogers (2010) haben sich im Rahmen unserer Untersuchung für die Motivierung der Bevölkerung für eine risikobewusste Entwicklungsinitiative von großem Nutzen erwiesen ebenso wie für die Beschreibung dieses Prozesses in der vorliegenden Studie. Die untersuchten Gruppen wurden durch diesen innovativen Ansatz der Entwicklungsberatung in die Lage versetzt, das Risiko von Innovation zu analysieren, zu bewerten und zu minimieren, ihre Zukunft selbst in die Hand zu nehmen und in einem sozialen, ökonomischen und physischen Umfeld zu gestalten sowie auf Veränderungen im Laufe der Umsetzung angemessen zu reagieren. Der Erwerb dieser Fähigkeit setzte eine Umwandlung einfacher Bauerngruppen ohne erkennbare Strukturen in strukturierte und organisierte Gruppen voraus, die einer lernenden Organisation im ländlichen Raum entsprechen. Diese Transformation bedarf als erstes eines Zugangs zur Information und einer zielorientierten Kommunikation. Die Umwandlung der Arbeitsgruppe zu einer lernenden Bauernorganisation förderte die Nachhaltigkeit des Gemüseanbauprojekts und das Risikomanagement und wurde so zu einem konkreten, von der Umwelt wahrgenommenen Beispiel für die Zweckmäßigkeit des oben beschriebenen Forschungsansatzes. Die Herausbildung einer lernenden Organisation ist dabei nicht Mittel zum Zweck, sondern ist selbst das zu erreichende Ziel. Die Beobachtung, Begleitung und Analyse dieses Umwandlungsprozesses erfordert einen multidisziplinären Ansatz. In diesem Fall flossen agrarwissenschaftliche, soziologische, linguistische und anthropologische Perspektiven in die partnerschaftlich ausgerichtete Forschung ein. Von der Entwicklungspolitik erfordert dieser Ansatz einen neuen Weg, der auf der Partnerschaft mit den Betroffenen und auf einer Entemotionalisierung des Entwicklungsvorhabens basiert und eine gegenseitige Wertschätzung zwischen den Akteuren voraussetzt. In diesem Prozess entwickelt sich im Laufe der Zeit die „lernende“ Bauernorganisation auch zu einer „lehrenden“ Organisation und wird dadurch eine Quelle der Inspiration für die Gesamtgesellschaft. Die Nachhaltigkeit von ländlichen Entwicklungsprojekten wird damit maßgeblich verbessert.

Las personas mayores como actores en la comunidad rural: innovación y empowerment

Este artículo parte de dos ideas ampliamente aceptadas en la literatura gerontológica actual, envejecer es un proceso heterogéneo íntimamente relacionado con el entorno y, el envejecimiento activo y satisfactorio esta vinculado con la participación social. Ahora bien, sigue existiendo un gran desconocimiento de los procesos de envejecimiento característicos de las zonas rurales y una falta de características de los profesionales rurales y de las estrategias innovadoras para promover el envejecimiento activo y el fortalecimiento de estas comunidades. El artículo está basado en los resultados obtenidos en una investigación cualitativa, realizada en la comarca del Alt Empordà, Catalunya. Con un total de 53 participantes. Los resultados muestran el significado que tiene la comunidad para las personas mayores del entorno rural, confirman la necesidad de un perfil profesional rural y elaboran propuestas de acción contextualizadas que permiten reforzar a la comunidad, sin urbanizarla, a través del fortalecimiento de sistemas de participación social

Prevalence of untreated caries in deciduous teeth in urban and rural areas in the state of Sao Paulo, Brazil

Objectives. To describe the prevalence of dental caries in children with deciduous teeth in urban and rural areas in the state of Sao Paulo, Brazil, and to identify associated factors. Methods. The study included 24 744 children ( 5 - 7 years of age) examined as part of an epidemiological survey on oral health carried out in the state of Sao Paulo ( Levan-tamento Epidemiologico de Sa de Bucal do Estado de Sao Paulo). Multilevel analysis was used to investigate whether the prevalence of untreated caries was associated with the sociodemographic characteristics of the children examined or with the socioeconomic aspects of the participating cities. Results. Being black or brown ( adjusted odds ratio ( OR) = 1.27), attending school in rural areas ( adjusted OR = 1.88), and attending public school ( adjusted OR = 3.41) were identified as determinants for an increased probability of presenting deciduous teeth with untreated caries. Being a female ( adjusted OR = 0.83) was identified as a protective factor. The negative coefficients obtained for second- level independent variables indicate that the oral health profile of the cities included in the study were positively impacted by a higher municipal human development index ( beta = - 0.47) and fluoridated drinking water ( beta = - 0.32). Conclusions. The prevalence of untreated caries is influenced by individual and sociodemographic factors. The present study provides epidemiological information concerning the rural areas in the state of Sao Paulo. This information is useful for strategic planning and for establishing guidelines for oral health actions in local health systems, thereby contributing to oral health equity.

Sport safety policies and practices in two rural Victorian communities

Australian football and netball are the predominant sports played in rural Victoria, Australia. This exploratory study is the first to report the sport safety policies and practices adopted by junior Australian football and netball clubs in small rural communities. Eleven informants from four clubs completed a semi-structured interview and survey. Whilst the clubs performed a range of injury prevention activiities, they did not have formal sports safety policies. Generally, netball informants reported fewer safety practices than football informants. Crucial factors influencing safety policies and practices were the reliance on volunteers and a lack of senior players. Barriers towards the adoption of safety policies and practices appeared to be related to rural population declines, a lack of qualified people and attitudes to injury in rural areas. Future research needs to identify how widespread this lack of sport safety policies and practices is across rural Australia and to identify strategies to overcome barriers to implementing them.

Prevalence of psychological distress, anxiety and depression in rural communities in Australia

Objective: To describe the prevalence of psychological distress, depression and anxiety in three Australian rural settings and to identify the levels of risk by gender and age.

Design and setting: Three cross-sectional surveys in the Greater Green Triangle area covering the south-east of South Australia (Limestone Coast), and south-west (Corangamite Shire) and north-west (Wimmera) of Victoria.

Participants: A total of 1563 people, aged 25–74 years, randomly selected from the electoral roll.

Main outcome measures: Psychological distress assessed by the Kessler 10, and anxiety and depression assessed by the Hospital Anxiety and Depression Scale.

Results: The prevalence of psychological distress was 31% for both men and women with two-thirds reporting moderate and one-third high levels of psychological distress. The prevalence of depression and anxiety was approximately 10%. The highest rate of psychological distress, anxiety and depression occurred in the 45–54 years age group. There were no consistent gender or area differences in the prevalence of psychological distress, depression or anxiety.

Conclusions: A third of the rural population reported psychological distress, with the highest prevalence observed in middle-aged men and women. Thus, health professionals should attend not only to physical health, but also to mental health status in this age group. It is also important to target prevention strategies at the 20% who reported moderate levels of psychological distress in order to prevent the development of more serious conditions.