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https://www.readbyqxmd.com/read/28274263/cross-border-movement-of-older-patients-a-descriptive-study-on-health-service-use-of-japanese-retirees-in-thailand
#1
Yumiko Miyashita, Chutima Akaleephan, Nima Asgari-Jirhandeh, Channarong Sungyuth
BACKGROUND: Thailand's policy to promote long-stay tourism encourages Japanese retirees to relocate to Thailand. One concern of such an influx is the impact of these elderly foreign residents on the Thai health system. This study aims to reveal the current use of and needs for health services amongst Japanese retirees residing in various locations in Thailand. METHODS: In collaboration with nine Japanese self-help clubs in Bangkok, Chiang Mai, Chiang Rai, and Phuket, questionnaire surveys of Japanese long-stay retirees were conducted from January to March 2015...
March 8, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28271992/evaluating-quality-of-medical-tourism-for-heart-surgery-measures-that-matter
#2
Michael Schlosser, Felix Lee
There are some success stories. Lowe's pioneering flat-rate deal with the Cleveland Clinic for heart surgery has shown both cost savings and quality improvement. Other large employers, notably Walmart and PepsiCo, have followed suit, signing contracts with self-described, single-hospital "centers of excellence" for a handful of elective procedures.
February 2017: Managed Care
https://www.readbyqxmd.com/read/28258667/leprosy-one-of-the-many-forgotten-tropical-diseases
#3
Zofia Zwolska, Ewa Augustynowicz-Kopeć
Leprosy or Hansen disease is caused by an infection of Mycobacterium leprae. The large number of undetected cases (2000-2012 years 4 mln people) remains a threat to the elimination of leprosy. Leprosy is an unheard in Poland and generally is considered a condition so "exotic" that it is not worth to spend more attention to it. Forgotten disease in developed countries still thrives in an environment of poor and uneducated. Regardless of the conclusion that in the 21st century none infectious disease should not be treated as a disease on the designated regions of the world, other than our own, it should be recalled that the M...
February 14, 2017: Postȩpy Higieny i Medycyny Doświadczalnej
https://www.readbyqxmd.com/read/28173862/pre-travel-malaria-chemoprophylaxis-counselling-in-a-public-travel-medicine-clinic-in-s%C3%A3-o-paulo-brazil
#4
Tânia do Socorro Souza Chaves, Wuelton Marcelo Monteiro, Jessé Reis Alves, Marcus Lacerda, Marta Heloisa Lopes
BACKGROUND: Malaria is one of the most prevalent parasitic diseases in the world and represents a threat to travellers visiting endemic areas. Chemoprophylaxis is the prevention measure used in travel medicine, avoiding clinical manifestations and protecting against the development of severe disease and death. METHODS: Retrospective and descriptive analysis of malaria prevention data in travellers was recorded from a travel medicine clinic in São Paulo, Brazil, between January 2006 and December 2010...
February 7, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28122576/response-to-fever-and-utilization-of-standby-emergency-treatment-sbet-for-malaria-in-travellers-to-southeast-asia-a-questionnaire-based-cohort-study
#5
Christof D Vinnemeier, Camilla Rothe, Benno Kreuels, Marylyn M Addo, Sabine Vygen-Bonnet, Jakob P Cramer, Thierry Rolling
BACKGROUND: Guidelines in several European countries recommend standby emergency treatment (SBET) for travellers to regions with low or medium malaria transmission instead of continuous chemoprophylaxis: travellers are advised to seek medical assistance within 24 h in case of fever and to self-administer SBET only if they are not able to consult a doctor within the time period specified. Data on healthcare-seeking behaviour of febrile travellers and utilization of SBET is however scarce as only two studies were performed in the mid-1990s...
January 25, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28051285/physicians-as-medical-tourism-facilitators-in-nigeria-ethical-issues-of-the-practice
#6
Olusesan A Makinde
No abstract text is available yet for this article.
December 31, 2016: Croatian Medical Journal
https://www.readbyqxmd.com/read/28029395/the-current-situation-of-infertility-services-provision-in-europe
#7
REVIEW
Ioannis E Messinis, Christina I Messini, Alexandros Daponte, Antonios Garas, Tahir Mahmood
Infertility is a global medical problem of the reproductive system which may affect the quality of a woman's life. Whether infertility provision varies between different European countries has not been investigated in the context of a comparative study. There are, however, differences in legislation between different countries, which encourage "infertility tourism". Women cross borders in order to get access to those treatment modalities that are not provided in their own country. Oocyte donation for example and the high cost of the services locally are common reasons for this mobility...
October 20, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28011170/antiprotozoal-drug-nitazoxanide-enhances-parasitemia-tissue-lesions-and-mortality-caused-by-trypanosoma-cruzi-in-murine-model
#8
Juan Salvador Valle-Reyes, Valery Melnikov, Oxana Dobrovinskaya, Alejandrina Rodriguez-Hernández, Cristina Wookee-Zea, Víctor Pimientel-Rodrigez, Gabriela Rueda-Valdovinos, Iván Delgado-Enciso, Uriel A López-Lemus, Francisco Espinoza-Gómez
Chagas' disease is caused by unicellular parasite Trypanosoma cruzi (T. cruzi). It is endemic throughout Latin America, but nowadays has become a global challenge due to tourism and migration. Non-treated infection may result in health-threatening complications and lead to death. Current medications for this infection are nifurtimox (NFT) and benznidazol. Both drugs may cause side effects and are ineffective in the chronic phase. Therefore, new antichagasic compounds are urgently required. Nitazoxanide (NTZ) is a broad spectrum antiparasitic drug, proposed recently as a potential candidate to be added to the list of essential medicines for integrated neglected tropical disease control and elimination...
January 2017: Experimental Parasitology
https://www.readbyqxmd.com/read/28009388/acute-gastrointestinal-haemorrhage-on-board-a-cruise-ship-in-the-antarctic-peninsula
#9
Mathieu Carron, Peter Globokar, Bruno A Sicard
Antarctic tourism on board cruise ships has expanded since the 1990s, essentially in the Antarctic Peninsula. Due to remoteness, medical cases may evolve into life threatening conditions as emergency medical evacuations are challenging. We discuss the case of a young crew member who suddenly fainted with an epigastric pain and abundant rectal bleeding while on board a cruise ship heading to the Deception Island (62°57.6 South, 60°29.5 West), 44 h away from Ushuaia by sea. A medical evacuation was necessary to save the patient whose haemoglobin level rapidly decreased from 11 g/dL to 8...
2016: International Maritime Health
https://www.readbyqxmd.com/read/27992110/kidney-exchange-to-overcome-financial-barriers-to-kidney-transplantation
#10
M A Rees, T B Dunn, C S Kuhr, C L Marsh, J Rogers, S E Rees, A Cicero, L J Reece, A E Roth, O Ekwenna, D E Fumo, K D Krawiec, J E Kopke, S Jain, M Tan, S R Paloyo
Organ shortage is the major limitation to kidney transplantation in the developed world. Conversely, millions of patients in the developing world with end-stage renal disease die because they cannot afford renal replacement therapy-even when willing living kidney donors exist. This juxtaposition between countries with funds but no available kidneys and those with available kidneys but no funds prompts us to propose an exchange program using each nation's unique assets. Our proposal leverages the cost savings achieved through earlier transplantation over dialysis to fund the cost of kidney exchange between developed-world patient-donor pairs with immunological barriers and developing-world patient-donor pairs with financial barriers...
November 7, 2016: American Journal of Transplantation
https://www.readbyqxmd.com/read/27929141/contact-infection-of-infectious-disease-onboard-a-cruise-ship
#11
Nan Zhang, Ruosong Miao, Hong Huang, Emily Y Y Chan
Cruise tourism has become more popular. Long-term personal contact, complex population flows, a lack of medical care facilities, and defective infrastructure aboard most cruise ships is likely to result in the ship becoming an incubator for infectious diseases. In this paper, we use a cruise ship as a research scenario. Taking into consideration personal behavior, the nature and transfer route of the virus across different surfaces, virus reproduction, and disinfection, we studied contact infection of infectious disease on a cruise ship...
December 8, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27905939/causes-of-death-in-vanuatu
#12
Karen Carter, Viran Tovu, Jeffrey Tila Langati, Michael Buttsworth, Lester Dingley, Andy Calo, Griffith Harrison, Chalapati Rao, Alan D Lopez, Richard Taylor
BACKGROUND: The population of the Pacific Melanesian country of Vanuatu was 234,000 at the 2009 census. Apart from subsistence activities, economic activity includes tourism and agriculture. Current completeness of vital registration is considered too low to be usable for national statistics; mortality and life expectancy (LE) are derived from indirect demographic estimates from censuses/surveys. Some cause of death (CoD) data are available to provide information on major causes of premature death...
March 15, 2016: Population Health Metrics
https://www.readbyqxmd.com/read/27905896/the-impact-of-medical-tourism-on-colorectal-screening-among-korean-americans-a-community-based-cross-sectional-study
#13
Linda K Ko, Victoria M Taylor, Jihye Yoon, Wade K Copeland, Joo Ha Hwang, Eun Jeong Lee, John Inadomi
BACKGROUND: Colorectal cancer (CRC) remains the most commonly diagnosed cancer among Korean Americans (KAs) in part due to low screening rates. Recent studies suggest that some KA patients engage in medical tourism and receive medical care in their home country. The impact of medical tourism on CRC screening is unknown. The purpose of this paper was to 1) investigate the frequency of medical tourism, 2) examine the association between medical tourism and CRC screening, and 3) characterize KA patients who engage in medical tourism...
December 1, 2016: BMC Cancer
https://www.readbyqxmd.com/read/27902990/medical-tourism
#14
Joseph H Friedman
No abstract text is available yet for this article.
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27888818/high-altitude-illness
#15
REVIEW
Anna Hartman-Ksycińska, Jolanta Kluz-Zawadzka, Bogumił Lewandowski
High-altitude illness is a result of prolonged high-altitude exposure of unacclimatized individuals. The illness is seen in the form of acute mountain sickness (AMS) which if not treated leads to potentially life-threatening high altitude pulmonary oedema and high-altitude cerebral oedema. Medical problems are caused by hypobaric hypoxia stimulating hypoxia-inducible factor (HIF) release. As a result, the central nervous system, circulation and respiratory system function impairment occurs. The most important factor in AMS treatment is acclimatization, withdrawing further ascent and rest or beginning to descent; oxygen supplementation, and pharmacological intervention, and, if available, a portable hyperbaric chamber...
2016: Przegla̧d Epidemiologiczny
https://www.readbyqxmd.com/read/27876457/providers-perspectives-on-inbound-medical-tourism-in-central-america-and-the-caribbean-factors-driving-and-inhibiting-sector-development-and-their-health-equity-implications
#16
Rory Johnston, Valorie A Crooks, Alejandro Cerón, Ronald Labonté, Jeremy Snyder, Emanuel O Núñez, Walter G Flores
BACKGROUND: Many governments and health care providers worldwide are enthusiastic to develop medical tourism as a service export. Despite the popularity of this policy uptake, there is relatively little known about the specific local factors prospectively motivating and informing development of this sector. OBJECTIVE: To identify common social, economic, and health system factors shaping the development of medical tourism in three Central American and Caribbean countries and their health equity implications...
2016: Global Health Action
https://www.readbyqxmd.com/read/27845576/assisted-suicide-as-a-remedy-for-suffering-the-end-of-life-preferences-of-british-suicide-tourists
#17
Naomi Richards
The highly charged debate about the moral status of assisted suicide features regularly in the news media in medically advanced countries. In the United Kingdom, the debate has been dominated in recent years by a new mode of death: assisted suicide in Switzerland, so-called suicide tourism. Drawing on in-depth interviews with people who were actively planning on 'going to Switzerland,' alongside participant-observation at a do-it-yourself self-deliverance workshop, I discuss how participants arrived at their decision to seek professionalized assistance...
November 15, 2016: Medical Anthropology
https://www.readbyqxmd.com/read/27843818/the-dire-need-for-primary-care-specialization-in-india-concerns-and-challenges
#18
Nafis Faizi, Najam Khalique, Anees Ahmad, Mohammad Salman Shah
Primary health care is an evidence-based priority, but it is still inadequately supported in many countries. Ironically, on one hand, India is a popular destination for medical tourism due to the affordability of high quality of health care and, on the other hand, ill health and health care are the main reasons for becoming poor through medical poverty traps. Surprisingly, this is despite the fact that India was committed to 'Health for All by 2000' in the past, and is committed to 'Universal Health Coverage' by 2022! Clearly, these commitments are destined to fail unless something is done to improve the present state of affairs...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27808056/-mountain-medicine-an-introduction-i
#19
Kasper Fjellhaugen Hjuler, Bjørn Bay
Tourism to high-altitude areas is increasingly popular even from low-lying regions such as Denmark. Mountain sports include skiing, mountaineering, and ski touring. The young, elderly and at-risk individuals with pre-existing illnesses engage in recreational mountain activities. Thus, risk assessment and counselling regarding altitude exposure is increasingly relevant to all healthcare providers. In this first article of two in a review series, we summarize the state of the art of altitude physiology, alpine dangers and avalanches, and medical aspects of the increased UV-exposure at altitude...
October 31, 2016: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/27795305/carbapenem-resistant-acinetobacter-baumannii-and-enterobacteriaceae-in-south-and-southeast-asia
#20
REVIEW
Li-Yang Hsu, Anucha Apisarnthanarak, Erum Khan, Nuntra Suwantarat, Abdul Ghafur, Paul Anantharajah Tambyah
Carbapenem-resistant Gram-negative bacteria, in particular the Acinetobacter baumannii-calcoaceticus complex and Enterobacteriaceae, are escalating global public health threats. We review the epidemiology and prevalence of these carbapenem-resistant Gram-negative bacteria among countries in South and Southeast Asia, where the rates of resistance are some of the highest in the world. These countries house more than a third of the world's population, and several are also major medical tourism destinations. There are significant data gaps, and the almost universal lack of comprehensive surveillance programs that include molecular epidemiologic testing has made it difficult to understand the origins and extent of the problem in depth...
January 2017: Clinical Microbiology Reviews
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