Planning and implementation of a training program applicable to diverse societies - lessons learned from the JICA group training: ‘Continuum of Care for Quality Improvement of Maternal, Newborn, and Child Health in Francophone Africa’ / 国際保健医療

Introduction  Since the year 2003, National Center for Global health and Medicine (NCGM) has been implementing a JICA group training: ‘Continuum of Care for Quality Improvement of Maternal, Newborn, and Child Health in Francophone Africa’. During these ten years, we have recognized the difficulty for trainees to adopt their new knowledge and skills, into their own work because of social and cultural differences. To overcome this issue, we had introduced an approach: ‘laboratory method’ for experiential learning. In this method, participants work together in a group to learn through experiences-based analysis.  However, we have faced the gap between the ‘laboratory method’ and the whole contents of course. Trainees could not utilize ‘laboratory method’ as a useful tool to learn practical skills in the training. To solve this problem, in the year 2013, we added several new learning styles to make the ‘laboratory method’ more usable throughout the training period.Method and Results  We utilized the ‘inception reports’, which all trainees had submitted to JICA before they came to Japan, as an important tool for the ‘laboratory method’. Trainees extracted their common theme from all reports in their group work. Moreover, they used one common ‘matrix’ to analyze their common agenda. Trainees recorded their learning on the ‘matrix’ and revised them if necessary after discussions in regular review meetings. This work helped trainees understand how to put the ‘laboratory method’ into their practice. They also recognized their colleagues and themselves as important ‘resources’ for learning by sharing their own experiences.Conclusion  Participants in the group-training course could utilize the ‘laboratory method’ for their learning throughout the course by using a ‘matrix’ as a tool for analysis. The awareness that their colleagues and themselves could be valuable ‘resources’ could be a breakthrough for working after they went back to their countries.

Assessment of the presence of toxocara eggs in soils of an arid area in central-western Argentina / Evaluación de la presencia de huevos de Toxocara en suelos de una zona árida en la región centro-oeste Argentina

With the aim of studying the contamination of soils with eggs of Toxocara spp. in an arid area in the central-western region of Argentina, 76 soil samples were collected from 18 towns belonging to six provinces of central-western Argentina. They were processed by the centrifugal flotation method. No eggs of Toxocara spp. were found. It can be concluded that the negative results are directly related to the characteristics of the environment and climate present in the studied area. The finding of eggs in soils depends on several factors: the presence of canine or feline feces, the hygienic behavior of pet owners, the presence of stray animals without veterinary supervision, the weather and environmental conditions, and laboratory techniques used; and all these circumstances must be considered when comparing the results found in different geographical regions. In order to accurately define the importance of public spaces in the transmission of infection to humans, it is important to consider the role of backyards or green spaces around housing in small towns, where the population is not used to walking pets in public spaces, and in such cases a significant fraction of the population may acquire the infection within households.

Con el objetivo de estudiar la contaminación de los suelos con huevos de Toxocara spp, se obtuvieron 76 muestras de suelo de 18 pueblos pertenecientes a 6 provincias del centro-oeste de Argentina. Las muestras fueron procesadas por el método de centrifugación-flotación. No se encontraron huevos de Toxocara spp. en ninguna de las muestras de suelo. Llegamos a la conclusión de que los resultados negativos podrían estar en relación directa con las características ambientales y climáticas presentes en el área estudiada. El hallazgo o no de huevos en el suelo depende de varios factores: la presencia de heces de caninos o felinos, el comportamiento de los dueños de mascotas, la presencia de animales abandonados y sin control veterinario, las condiciones climáticas y ambientales y las técnicas de laboratorio utilizadas. Todas estas circunstancias deben ser consideradas cuando se comparan los resultados encontrados en diferentes regiones geográficas. Con el fin de definir la importancia que tienen los espacios públicos en la transmisión de la infección a los humanos, se debería considerar el papel que tienen los patios y veredas de las viviendas en las ciudades pequeñas, donde la población no acostumbra a pasear mascotas en parques y plazas, y en esos casos, la población puede adquirir la infección dentro de los hogares.

Research development in laboratory diagnosis method of mycoplasma pneumoniae infection / 中国小儿急救医学

Mycoplasma pneumoniae is a genus of tiny microorganism between bacteria and virus,infection rate present rising trend in recent years,it seriously influence the children's health.Because early diagnosis of mycoplasma pneumoniae infection is difficult,so finding a high sensitivity and specificity method of diagnosis is more important.In this article,the progress on diagnosis method about mycoplasma pneumoniae infection was reviewed.