This article investigates the rise of urban policing of itinerant poor in the Northern Low Countries in the late medieval period. Practices of prosecution show important variations between cities (selected cases are Deventer, Kampen, Haarlem and Gouda), both in chronology and compared to urban bylaws and other regulations, such as the 1531 edict issued by Holy Roman Emperor Charles V. A combination of external factors such as war, conflict, dearth, disease and the socio-political ambitions of urban authorities were at play and could lead to regionally different outcomes. In the course of this process, we see the complex making of vagrancy as a social and legal category to negotiate the reality of a highly mobile society, with a major impact on the attitudes towards itinerant poor and on the latter’s lives. Dit artikel bestudeert het ontstaan van maatregelen rondom arme migranten in vier steden in de Noordelijke Nederlanden tijdens de Late Middeleeuwen, namelijk Deventer, Kampen, Haarlem en Gouda. Het onderzoek naar hoe deze vervolging van rondtrekkende armen in deze steden in de praktijk werd gebracht, legt belangrijke verschillen bloot wat betreft de chronologie van de maatregelen, alsook in vergelijking met de stedelijke verordeningen en andere voorschriften, zoals het edict van Keizer Karel V uit 1531. Een combinatie van externe factoren, zoals oorlog, conflict, voedselschaarste en ziekte, en interne sociaal-politieke ambities van stedelijke autoriteiten, was bepalend voor deze verschillen. De bestudeerde maatregelen demonstreren de complexe totstandkoming van landloperij als een sociale en juridische categorie, die door lokale autoriteiten werd gebruikt om controle te behouden over een zeer mobiele samenleving. Dit had grote gevolgen voor de houding tegenover rondtrekkende armen en voor het leven van deze landlopers zelf.
INTRODUCTION Micronutrients are essential minerals and vitamins needed for optimal health. There are however conflicting reports about the roles of micronutrients in severity and outcomes of childhood pneumonia. This study aims to determine the socio-demographic and serum micronutrients - Zinc (Zn), Selenium (Se), Vitamins (Vit) A, C and E status of Nigerian children with or without pneumonia and relate these to pneumonia severity and outcome. METHODOLOGY Children aged two months to 14 years with severe and non-severe pneumonia were recruited with age and sex-matched controls over 12 month period in a Nigerian tertiary health centre. Relevant history and serum micronutrients were compared in the two groups and related to pneumonia severity and length of hospitalisation (LOH). RESULTS One hundred and forty-four children (72 for each group) were recruited with median (IQR) age 1.6 (0.6 - 4.0) years and fifty-six (38.8%) had severe pneumonia. Pneumonia incidence was associated with undernutrition, inappropriate immunisation and Zn deficiency (p < 0.05). Hypovitaminosis A [60.8(22.2)µg/dl vs. 89.5(34.7)µg/dl; p < 0.001], low serum Zn [71.6(32.5)µg/dl vs. 92.6(24.6)µg/dl; p=0.019] and indoor air pollution (IAP) were associated with pneumonia severity. However, only IAP (OR = 4.529; 95%CI 1.187-17.284; p=0.027) and Zn deficiency (OR=6.144; 95%CI 1.157-32.617; p=0.033) independently predicted severe pneumonia. No significant correlation between serum micronutrients and LOH. CONCLUSIONS Exposure to IAP and low serum micronutrients particularly Zn and Vit A were associated with pneumonia incidence and severity in Nigerian children. Routine micronutrient supplementation may assist to reduce the burden of childhood pneumonia in developing countries.
Abstract This article explores the social background and material culture of an understudied medieval brothel, the private ‘stew’, the most common type of brothel in the Southern Low Countries, where public brothels were rare. The fifteenth-century lease contracts of private stews contain information about the stew's size, economic value, and ambiance, suggesting the advantageous social position of some of the women who sold sex and providing inspiration to English brothel keepers. The absence of public brothels in the Low Countries reflected both a tolerance for prostitution and the relative freedom enjoyed by women in this region.
Abel Gebre Wuneh, Woisa Ahmed, Afework Mulugeta
et al.
ABSTRACT Introduction: Inappropriate infant and young child feeding practices in the first two years of life are among the major causes of childhood malnutrition in developing countries, including Ethiopia. Dietary diversity refers to increasing the consumption of a variety of foods across and within the food groups. Therefore, this study aimed to assess the minimum dietary diversity and minimum meal frequency practices among children aged 6–23 months in Agro pastoral communities, Afar Region, Ethiopia. Methods: A community-based cross-sectional study was conducted from December 1–30, 2018. A multi-stage stratified sampling followed by a systematic random sampling technique was used to select participants. An interviewer-administered questionnaire was used to collect data. Bivariate and multivariable logistic regression analysis was employed to identify factors associated with minimum dietary diversity and meal frequency. The adjusted odds ratios (AOR) together with their corresponding 95% confidence intervals (CI) were computed to see the association between the outcome and independent variables. The statistical significance was declared at p-value <0.05. Results: The proportion of children who met the minimum dietary diversity and meal frequency were 21.8% (95% CI: 19.0%-24.7%) and 43.8% (95% CI: 40.4%-47.2%) respectively. Maternal education (AOR = 2.5, 95% CI = 1.1–5.3 and AOR = 3.9, 95% CI = 1.3–11.5), maternal occupation (AOR = 4.2, 95% CI = 2.3–7.8), sex of child (AOR = 2.6, 95% CI = 1.5–4.5) and history of postnatal care visit (AOR = 1.8, 95% CI = 1.1–3.2) were independently associated with minimum dietary diversity. Similarly, age of child (AOR = 2.8, 95% CI = 1.4–5.5 and AOR = 5.3, 95% CI = 2.3–12.4), sex of child (AOR = 2.6, 95% CI = 1.4–4.6) and history of postnatal care visit (AOR = 2.2, 95% CI = 1.3–3.8) were the factors significantly associated with minimum meal frequency practices. Conclusions: The current study showed that the proportions of children who met the minimum dietary diversity and meal frequency were low. Increasing maternal education, being a housewife, being a male child and attending a postnatal care visit were independently associated with minimum dietary diversity. Likewise, increasing the age of a child, being a male child and attending a postnatal care visit were significantly associated with minimum meal frequency. Improving maternal education and health care utilization, health and nutrition counseling during postnatal care visits are highly recommended to improve infant and young child feeding practices. Abbreviations ANC: Ante Natal Care, DHS: Demographic and Health Surveys, EDHS: Ethiopian Demographic and Health Surveys, RERC: Research and Ethical Review Committee, IYCF: Infant and Young Child Feeding, MDD: Minimum Dietary Diversity, MMF: Minimum Meal Frequency, PNC: Post Natal Care, WHO: World Health Organization.
ABSTRACT BACKGROUND: Preeclampsia represents a major cause of morbidity and mortality in mother, fetus and infant in many parts of the world particularly developing countries including Ethiopia. It has been increasing and linked to multiple factors, and making prevention of the disease a continuous challenge. OBJECTIVE: To assess risk factors of preeclampsia among pregnant women visiting ante natal or delivery care in four public health facilities of Addis Ababa City administrative, Ethiopia. METHOD: This is a case control study of 261 (87 Cases and 174 Control) pregnant women attending antepartum or intrapartum. Bivariate analysis was run to assess crude association between predictor and outcome variable. Multiple logistic regression analysis was used to see the effect of independent variables on the outcome variable for those p values 30 [AOR 5.2 95% CI 2.1-12.6], age 18—23 years, [AOR .3, 95% CI .128 –.71)], low level of occupation/daily worker/, [AOR 0.3, 95% CI .128 –.71)], not know or heard preeclampsia [AOR 6.49 95% CI 3.02--13.9], and primigravidity [AOR 3.29, 95% CI 1.143 –7.54)]. Whereas women who were gravid more than four [AOR 3.85, 95% CI 1.46 –10.1], previous history of preeclampsia [AOR 9.74 95% CI 2.38--39.8] and family history of hypertension [AOR 2.92, 95% CI 1.194 –7.1] after the effects of other significant risk factors were controlled in multivariate logistic analysis. CONCLUSIONS: This study found evidence that socioeconomic, medical and obstetric variables have a significant influence on the odds of in pregnant woman. Effective interventions targeting risk factors of preeclampsia and routinely educate and create awareness by the pregnant woman towards risk factors of preeclampsia during antenatal care visit. KEY WORDS: Preeclampsia, Risk Factor, knowledge, Addis Ababa, Ethiopia. (Ethiopian Journal of Reproductive Health 2017;9:45-59)
The United Kingdom of the Netherlands was a state of contrasts. Not only did its political system combine elements from the Old Regime with the modern, postrevolutionary Napoleonic administration; it also brought together two territories with very different political backgrounds. This article explores how the new regime in the Netherlands dealt with these contrasts by focusing on the establishment of the provinces in the years 1813-1815. It argues that the appropriation of pre-modern institutions and sentiments by the authorities in post-Napoleonic Europe was an important asset for the development of the new unitary state, but that at the same time a regionally differentiated approach was indispensable to lending this policy credibility.
This article is part of the special issue 'Political Change and Civic Continuities in the Age of Revolutions'.
Het Verenigd Koninkrijk der Nederlanden was een staat vol tegenstellingen. Niet alleen verenigde het elementen uit het Ancien Régime met een modern, Napoleontisch bestuursapparaat, ook bracht het gebiedsdelen samen met geheel verschillende politieke achtergronden. Dit artikel verkent hoe het nieuwe bewind in de Nederlanden omging met deze tegenstellingen door de aandacht te vestigen op de herinrichting van de provincies in de jaren 1814-1815. Het laat zien dat voor de nieuwe bestuurders de toe-eigening van vroegmoderne instellingen en gevoelens een belangrijk instrument was in het creëren van een nieuwe eenheidsstaat, maar ook dat een regiospecifieke aanpak noodzakelijk was om de geloofwaardigheid van dit beleid te waarborgen.
Dit artikel maakt deel uit van het themanummer 'Political Change and Civic Continuities in the Age of Revolutions'.
Background/Aims: The frequencies of opportunistic diseases (ODs) vary across countries based on genetic, environmental, and social differences. The Korean HIV/AIDS cohort study was initiated in 2006 to promote research on human immunodeficiency virus (HIV) infection in Korea, and to provide a logistical network to support multicenter projects on epidemiological, clinical, and laboratory aspects of HIV infection. This study evaluated the prevalence of ODs among HIV-infected patients in the era of highly active antiretroviral therapy, and the risk factors associated with ODs. Methods: The study enrolled 1,086 HIV-infected patients from 19 hospitals. This study examined the baseline data of the HIV/AIDS Korean cohort study at the time of enrollment from December 2006 to July 2013. Results: Candidiasis was the most prevalent opportunistic infection (n = 176, 16.2%), followed by Mycobacterium tuberculosis infection (n = 120, 10.9%), Pneumocystis jirovecii pneumonia (n = 121, 11.0%), cytomegalovirus infection (n = 52, 4.7%), and herpes zoster (n = 44, 4.0%). The prevalence rates of Kaposi’s sarcoma (n = 8, 0.7%) and toxoplasmosis (n = 4, 0.4%) were very low compared with other countries. The risk factors for ODs were a low CD4 T cell count at the time of HIV diagnosis (odds ratio [OR], 1.01; p < 0.01), current smoking (OR, 2.27; p = 0.01), current alcohol use (OR, 2.57; p = 0.04), and a history of tuberculosis (OR, 5.23; p < 0.01). Conclusions: Using recent Korean nationwide data, this study demonstrated that an important predictor of ODs was a low CD4 T cell count at the time of HIV diagnosis. Tuberculosis remains one of the most important ODs in HIV-infected patients in Korea.
Purpose: To study the demographic and clinical profile of patients with vernal keratoconjunctivitis (VKC) at a tertiary eye care center in India. Materials and Methods: Retrospective chart analysis of 468 patients of VKC seen from January 2006 to December 2006. Results: Mean age at presentation was 12 years. Majority of the patients had mixed pattern disease (72%). Chronic perennial disease was seen in 36% patients. Personal or family history of allergies was noted in 5% patients. Severe disease based on clinical grading was present in 37% patients. Moderate to severe vision loss was seen in 12% of total population. Persistent disease beyond 20 years of age was found in 12% patients. VKC-related complications such as corneal scarring (11%), shield ulcer (3%), keratoconus (6%), and limbal stem cell deficiency (1.2%) were seen. Treatment-related complications like corticosteroid-induced cataract and glaucoma were seen in 6% and 4% of patients, respectively. Conclusion: Clinical pattern of VKC seen in the tropical climate of India is essentially similar to that seen in other tropical countries. Few distinct features that we noted represent chronic perennial disease, low association with atopy, and higher propensity for disease and treatment-related complications.
Daniëlle Teeuwen, Financing Poor Relief through Charitable Collections in Dutch Towns, c. 1600-1800 (PhD Utrecht University 2014; Amsterdam Studies in de Dutch Golden Age 29; Amsterdam: Amsterdam University Press, 2016, 230 pp., ISBN 978 90 8964 793 1).
Compared to the number of prosecutions for male sodomy, few cases of same-sex acts between women are known in early modern Europe. In the Southern Netherlands however, no less than 25 women were charged with this crime between c. 1400 and 1550, which means that nearly one out of ten accused sodomites in the region was a woman. Moreover, female sodomites were punished in the same way as their male counterparts. This article argues that the exceptional repression of female same-sex acts was the result of the relatively high level of liberty and visibility women enjoyed in the Southern Netherlands, compared to other regions. The more visible women were in society, the more women attracted to people of their own sex were at risk of being discovered and penalised.
Zichtbare vrouwen. Vrouwelijke sodomie in de laatmiddeleeuwse en vroegmoderne Zuidelijke Nederlanden (1400-1550)
In vergelijking met het aantal mannelijke sodomieprocessen dat in vroegmodern Europa gevoerd werd, zijn er amper zaken bekend waarin vrouwen betrokken waren. In de Zuidelijke Nederlanden daarentegen werden niet minder dan 25 vrouwelijke sodomieten vervolgd tussen ca. 1400 en 1550. Dit betekent dat bijna één op de tien beschuldigde sodomieten in de Zuidelijke Nederlanden vrouwen waren. Bovendien
werden vrouwelijke sodomieten op dezelfde manier bestraft als hun mannelijke tegenhangers. Dit artikel stelt dat de grote mate van vrijheid en zichtbaarheid die vrouwen in de Zuidelijke Nederlanden genoten de oorzaak is van de uitzonderlijk hoge vervolgingsgraad van vrouwelijke sodomie in de regio. Hoe zichtbaarder vrouwen waren in de maatschappij, hoe groter het risico voor vrouwen die zich aangetrokken voelden tot andere vrouwen om ontdekt en bestraft te worden.