Vaginal herb use and Chlamydia trachomatis infection: cross-sectional study among women of various ethnic groups in Suriname

Sexually transmitted infections on the border between Suriname and French Guiana: A scoping review

Purpose

The Maroni basin –delineating the border between Suriname and French Guiana— presents sociocultural, geographical and economic circumstances that have been conducive to the circulation of sexually transmitted infections and to delays in diagnosis and care. Given the scarcity of published data, we aimed to describe different sexually transmitted infections along the Maroni and to gain a broader understanding of the epidemiologic situation.

Methods

We conducted a scoping review of the efforts to approach the problem of sexually transmitted infections in this complex border area. Temporal trends were plotted and crude numbers were divided by local population numbers.

Results

For HIV, despite increasing testing efforts, most patients still present at the advanced HIV stage (median CD4 count at diagnosis is < 20 per mm³), and 25% of patients in Saint Laurent du Maroni were lost to follow-up within 6 years. However, progress on both sides has led to a decline in AIDS cases and mortality. Despite a rapid increase in the 1990’s along the Maroni, the current HIV prevalence seemed lower (0.52%) in the rural villages than in coastal urban centers (> 1%). High risk HPV infection prevalence among women reaches 23.3%. The incidence of gonorrhea was 4.2 per 1,000 population aged 15-59. For chlamydiasis it was 3.4 per 1,000 population aged 15-59. For syphilis, the incidence was 2.5 per 1,000 population aged 15-59. Gonorrhea, chlamydiasis, hepatitis B detection increased over time with greater testing efforts and new diagnostic tests. Since the COVID-19 epidemic, congenital syphilis has dramatically increased in Saint Laurent du Maroni reaching 808 per 100,000 live births.

Conclusion

Sexually transmitted infections seemed more prevalent in Saint Laurent du Maroni –the sole urban center—than in the remote villages along the Maroni. The syndromic approach and the heterogeneity of diagnostic platforms presumably overlook most infections in the region. Therefore, a concerted approach and a shared diagnostic upgrade with molecular diagnosis and rapid diagnostic tests seem necessary to reduce the burden of sexually transmitted infections on both sides of the Maroni. Congenital syphilis resulting from COVID-19 disruption of health services requires urgent attention.

Exploration and Practice of "Internet + Maker Education" University Innovative Entrepreneurship Education Model From the Perspective of Positive Psychology

This thesis aims to analyze the importance of psychological quality in the entrepreneurial education for undergraduates in the case of positive psychology, to explore an educational model that combines the Internet information technology with maker education, and to culture the innovative entrepreneurial capabilities of undergraduates. First, the theories of positive psychology were reviewed worldwide, and the current cultivation of entrepreneurial psychological quality for undergraduates was summarized. Second, undergraduates were taken as the survey objects. The questionnaires were distributed both online and offline to investigate the innovative entrepreneurship education (the IE education) in three different universities in Zhejiang Province, China. The current development of IE education in universities was summarized. Finally, according to the current educational status in universities, combining the Internet and maker education, the implementation strategies suitable for IE education in universities were proposed. According to the results of questionnaire survey, the proportion of college students who chose entrepreneurship was 6.1%. The innovation and entrepreneurship of contemporary college students was not optimistic, which was mainly related to the lack of systematic planning and teachers in China's current innovation and entrepreneurship education. Through the integration of Internet information technology and maker education, this study constructed a more systematic implementation scheme of innovation and entrepreneurship education in colleges and universities. It could meet the needs of students of different majors and grades. Meanwhile, teachers should give full play to the Students' subjective initiative and emphasize the student-centered learning style, thereby promoting the cultivation of students' innovative thinking. The IE education model of "Internet + Maker Education" in colleges can reform traditional college teaching methods and promote the cultivation of entrepreneurship, innovative thinking, and creative abilities, and the model can be used as a new idea and method for the development of IE education in universities.