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https://www.readbyqxmd.com/read/29676874/-screening-of-frailty-in-the-emergency-unit-myth-or-reality
#1
A A Zulfiqar
At present, it is recognized that screening for frailty in the elderly is a major public health issue. Frailty screening in emergency unit is essential to optimize the management of elderly patients in hospital. Ideally, the role of a mobile geriatric team seems essential, taking over the frailty screening carried out in the emergency department, in order to optimize intra-hospital management and consequently reduce further intra-hospital visits and possible risks of decompensation of geriatric syndromes.
April 2018: Revue Médicale de Liège
https://www.readbyqxmd.com/read/29673556/research-participation-among-state-and-local-public-health-emergency-preparedness-and-response-programs
#2
H Yusuf, L Ekperi, S Groseclose, A Siegfried, M Meit, E Carbone
OBJECTIVES: The objective of our study was to assess whether state and local health staff participated in public health emergency preparedness research activities and what partner organizations they collaborated with on research. STUDY DESIGN: This is a cross-sectional study. METHODS: Data were derived from a 2014 web-based survey of state, territorial, and local health departments conducted by the Centers for Disease Control and Prevention and NORC at the University of Chicago as part of a larger project to assess the public health emergency preparedness and response research priorities of state and local health departments...
April 16, 2018: Public Health
https://www.readbyqxmd.com/read/29672141/health-care-utilization-and-expenditures-of-homeless-family-members-before-and-after-emergency-housing
#3
Robin E Clark, Linda Weinreb, Julie M Flahive, Robert W Seifert
OBJECTIVES: To describe longitudinal health service utilization and expenditures for homeless family members before and after entering an emergency shelter. METHODS: We linked Massachusetts emergency housing assistance data with Medicaid claims between July 2008 and June 2015, constructing episodes of health care 12 months before and 12 months after families entered a shelter. We modeled emergency department visits, hospital admissions, and expenditures over the 24-month period separately for children and adults...
April 19, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29665783/surveillance-on-the-endemic-of-zika-virus-infection-by-meteorological-factors-in-colombia-a-population-based-spatial-and-temporal-study
#4
Lung-Chang Chien, Ro-Ting Lin, Yunqi Liao, Francisco S Sy, Adriana Pérez
BACKGROUND: Zika virus (ZIKV) infection is a pandemic and a public health emergency. It is transmitted by mosquitoes, primarily the Aedes genus. In light of no treatment currently, it is crucial to develop effective vector control programs to prevent the spread of ZIKV infection earlier when observing possible risk factors, such as weather conditions enhancing mosquito breeding and surviving. METHODS: This study collected daily meteorological measurements and weekly ZIKV infectious cases among 32 departments of Colombia from January 2015-December 2016...
April 17, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29621204/prevalence-of-asthma-asthma-attacks-and-emergency-department-visits-for-asthma-among-working-adults-national-health-interview-survey-2011-2016
#5
Jacek M Mazurek, Girija Syamlal
In 2010, an estimated 8.2% of U.S. adults had current asthma, and among these persons, 49.1% had had an asthma attack during the past year (1). Workplace exposures can cause asthma in a previously healthy worker or can trigger asthma exacerbations in workers with current asthma* (2). To assess the industry- and occupation-specific prevalence of current asthma, asthma attacks, and asthma-related emergency department (ED) visits among working adults, CDC analyzed 2011-2016 National Health Interview Survey (NHIS) data for participants aged ≥18 years who, at the time of the survey, were employed at some time during the 12 months preceding the interview...
April 6, 2018: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29601479/burden-and-risk-factors-for-cold-related-illness-and-death-in-new-york-city
#6
Kathryn Lane, Kazuhiko Ito, Sarah Johnson, Elizabeth A Gibson, Andrew Tang, Thomas Matte
Exposure to cold weather can cause cold-related illness and death, which are preventable. To understand the current burden, risk factors, and circumstances of exposure for illness and death directly attributed to cold, we examined hospital discharge, death certificate, and medical examiner data during the cold season from 2005 to 2014 in New York City (NYC), the largest city in the United States. On average each year, there were 180 treat-and-release emergency department visits (average annual rate of 21.6 per million) and 240 hospital admissions (29...
March 30, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29599395/exploring-factors-impacting-early-childhood-health-among-aboriginal-and-torres-strait-islander-families-and-communities-protocol-for-a-population-based-cohort-study-using-data-linkage-the-defying-the-odds-study
#7
Bridgette McNamara, Lina Gubhaju, Louisa Jorm, David Preen, Jocelyn Jones, Grace Joshy, Carrington Shepherd, Daniel McAullay, Sandra Eades
INTRODUCTION: Empirical evidence on family and community risk and protective factors influencing the comparatively high rates of potentially preventable hospitalisations and deaths among Aboriginal and Torres Strait Islander infants and children is limited. As is evidence on geographical variation in these risks. The 'Defying the Odds' study aims to explore the impact of perinatal outcomes, maternal social and health outcomes and level of culturally secure service availability on the health outcomes of Western Australian (WA) Aboriginal infants and children aged 0-5 years...
March 28, 2018: BMJ Open
https://www.readbyqxmd.com/read/29597289/the-epidemiology-of-unintentional-and-violence-related-injury-morbidity-and-mortality-among-children-and-adolescents-in-the-united-states
#8
Michael F Ballesteros, Dionne D Williams, Karin A Mack, Thomas R Simon, David A Sleet
Injuries and violence among young people have a substantial emotional, physical, and economic toll on society. Understanding the epidemiology of this public health problem can guide prevention efforts, help identify and reduce risk factors, and promote protective factors. We examined fatal and nonfatal unintentional injuries, injuries intentionally inflicted by other (i.e., assaults and homicides) among children ages 0-19, and intentionally self-inflicted injuries (i.e., self-harm and suicides) among children ages 10-19...
March 28, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29590177/emergence-of-orientia-tsutsugamushi-as-an-important-cause-of-acute-encephalitis-syndrome-in-india
#9
Parul Jain, Shantanu Prakash, Piyush K Tripathi, Archana Chauhan, Shikha Gupta, Umesh Sharma, Anil K Jaiswal, Devraj Sharma, Amita Jain
BACKGROUND: Acute Encephalitis Syndrome (AES) is a major seasonal public health problem in Bihar, India. Despite efforts of the Bihar health department and the Government of India, burden and mortality of AES cases have not decreased, and definitive etiologies for the illness have yet to be identified. OBJECTIVES: The present study was undertaken to study the specific etiology of AES in Bihar. METHODS: Cerebrospinal fluid and/or serum samples from AES patients were collected and tested for various pathogens, including viruses and bacteria by ELISA and/or Real Time PCR...
March 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29587713/identifying-complications-requiring-re-operation-following-primary-hip-or-knee-arthroplasty-a-consecutive-series-of-98-patients
#10
Bill Reynolds, Nick Maister, Stephen D Gill, Shaun Waring, Peter Schoch, Sally Beattie, Andrew Thomson, Richard S Page
BACKGROUND: The number of hip and knee arthroplasties completed is expected to double over the next decade. In public hospitals, regular post-arthroplasty orthopaedic review has commonly occurred for the duration of a patient's life, which requires substantial outpatient resources. However, there is limited evidence regarding the utility of these reviews for identifying complications. The current study investigated when and where complications requiring re-operation were identified following primary hip or knee arthroplasty...
March 27, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29581683/an-analysis-of-presentation-pattern-and-outcome-of-chest-trauma-patients-at-an-urban-level-1-trauma-center
#11
Rajasekhar Narayanan, Subodh Kumar, Amit Gupta, Virinder Kumar Bansal, Sushma Sagar, Maneesh Singhal, Biplab Mishra, Sanjeev Bhoi, Babita Gupta, Shivanand Gamangatti, Adarsh Kumar, Mahesh Chandra Misra
Chest trauma is an important public health problem accounting for a substantial proportion of all trauma admissions and deaths. It directly account for 20-25 % of deaths due to trauma. Therefore, this study was conducted to analyze the presentation, patterns, and outcome of chest trauma in a level-1 urban trauma center. It was a prospective observational study of all patients presented with chest trauma to an urban level 1-trauma center over a period of 3 years. Demographic profile, mechanism of injury, injury severity scores (ISS), associated injuries, hospital stay, etc...
February 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29578899/saving-lives-and-preventing-injuries-from-unjustified-protective-actions-method-for-developing-a-comprehensive-public-protective-action-strategy-for-a-severe-npp-emergency
#12
J Callen, T McKenna
During the response to the Fukushima Daiichi nuclear power plant (FDNPP) emergency, about 50 patients died during or shortly after an evacuation when they were not provided with the needed medical support. In addition, it has been shown that during the FDNPP emergency there were increases in mortality rates among the elderly due to long-term dislocation as a result of evacuation and relocation orders and an inability to stay in areas where residents were advised to shelter for extended periods. These deaths occurred even though the possible radiation exposure to the public was too low to result in radiation-induced deaths, injuries, or a meaningful increase in the cancer rate, even if no protective actions had been taken...
May 2018: Health Physics
https://www.readbyqxmd.com/read/29570664/mortality-and-morbidity-during-extreme-heat-events-and-prevalence-of-outdoor-work-an-analysis-of-community-level-data-from-los-angeles-county-california
#13
Kevin Riley, Holly Wilhalme, Linda Delp, David P Eisenman
Heat is a well-recognized hazard for workers in many outdoor settings, yet few investigations have compared the prevalence of outdoor work at the community level and rates of heat-related mortality and morbidity. This analysis examines whether heat-related health outcomes occur more frequently in communities with higher proportions of residents working in construction, agriculture, and other outdoor industries. Using 2005-2010 data from Los Angeles County, California, we analyze associations between community-level rates of deaths, emergency department (ED) visits, and hospitalizations during summer heat events and the prevalence of outdoor work...
March 23, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29562948/emergency-department-and-inpatient-health-care-services-utilization-by-the-elderly-population-hurricane-sandy-in-the-state-of-new-jersey
#14
Linda McQuade, Barry Merriman, Mark Lyford, Bella Nadler, Sangeeta Desai, Roger Miller, Samuel Mallette
OBJECTIVE: In this investigation, we reported the increase in emergency department and inpatient admission cases during the month of November 2012 post Hurricane Sandy as compared with baseline (November 2010, 2011, and 2013) for elderly patients aged 65 and up. METHODS: Medical claims data for patients aged 65 and over treated at emergency department and inpatient health care facilities in New Jersey were analyzed to examine the surge in frequencies of diagnoses treated immediately following Hurricane Sandy...
March 22, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29560844/an-effective-risk-minimization-strategy-applied-to-an-outdoor-music-festival-a-multi-agency-approach
#15
Matt Luther, Fergus Gardiner, Shane Lenson, David Caldicott, Ryan Harris, Ryan Sabet, Mark Malloy, Jo Perkins
Specific Event Identifiers a. Event type: Outdoor music festival. b. Event onset date: December 3, 2016. c. Location of event: Regatta Point, Commonwealth Park. d. Geographical coordinates: Canberra, Australian Capital Territory (ACT), Australia (-35.289002, 149.131957, 600m). e. Dates and times of observation in latitude, longitude, and elevation: December 3, 2016, 11:00-23:00. f. Response type: Event medical support. Abstract Introduction Young adult patrons are vulnerable to risk-taking behavior, including drug taking, at outdoor music festivals...
April 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29560070/optimal-implementation-of-prescription-drug-monitoring-programs-in-the-emergency-department
#16
REVIEW
Joshua W Elder, Garrett DePalma, Jesse M Pines
The opioid epidemic is the most significant modern-day, public health crisis. Physicians and lawmakers have developed methods and practices to curb opioid use. This article describes one method, prescription drug monitoring programs (PDMP), through the lens of how to optimize use for emergency departments (ED). EDs have rapidly become a central location to combat opioid abuse and drug diversion. PDMPs can provide emergency physicians with comprehensive prescribing information to improve clinical decisions around opioids...
March 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29560069/cannabinoid-hyperemesis-syndrome-public-health-implications-and-a-novel-model-treatment-guideline
#17
Jeff Lapoint, Seth Meyer, Charles K Yu, Kristi L Koenig, Roneet Lev, Sayone Thihalolipavan, Katherine Staats, Christopher A Kahn
Introduction: Cannabinoid hyperemesis syndrome (CHS) is an entity associated with cannabinoid overuse. CHS typically presents with cyclical vomiting, diffuse abdominal pain, and relief with hot showers. Patients often present to the emergency department (ED) repeatedly and undergo extensive evaluations including laboratory examination, advanced imaging, and in some cases unnecessary procedures. They are exposed to an array of pharmacologic interventions including opioids that not only lack evidence, but may also be harmful...
March 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29553427/acute-poisoning-in-the-gaza-strip-a-retrospective-study
#18
Mohammed K El-Habil
BACKGROUND: Acute poisoning is a major public health problem worldwide and a common cause of patient admissions to emergency departments and intensive care units. The aim of this study was to assess the acute poisoning cases admitted to three hospitals in the Gaza Strip and to assess the need for a poison control and drug information centre in the Gaza Strip. METHODS: All patients diagnosed with acute poisoning between 2010 and 2015 at the emergency departments of Al-Shifa Hospital, European Gaza Hospital, and Al-Nassr Paediatric Hospital in the Gaza Strip were included in this retrospective study...
February 21, 2018: Lancet
https://www.readbyqxmd.com/read/29540170/geographic-differences-in-overweight-and-obesity-prevalence-in-peruvian-children-2010-2015
#19
J Smith Torres-Roman, Diego Urrunaga-Pastor, Jose L Avilez, Luis M Helguero-Santin, German Malaga
BACKGROUND: Childhood obesity is emerging as a major public health problem worldwide. To date, most studies of obesity and overweight in Peru are focused on adults, with few of them involving children, a population at a critical stage of development. The trend in overweight and obesity prevalence in Peruvian children under the age of five has not yet been determined. Thus, the objective of the present study is to evaluate the prevalence rates of overweight and obesity between 2010 and 2015 in children under the age of five, stratified by geographical areas in Peru...
March 14, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29534918/surveillance-of-carbon-monoxide-related-incidents-implications-for-prevention-of-related-illnesses-and-injuries-2005-2014
#20
Sutapa Mukhopadhyay, Annie Hirsch, Suze Etienne, Natalia Melnikova, Jennifer Wu, Kanta Sircar, Maureen Orr
BACKGROUND: Carbon monoxide (CO) is an insidious gas responsible for approximately 21,000 emergency department visits, 2300 hospitalizations, and 500 deaths in the United States annually. We analyzed 10 combined years of data from two Agency for Toxic Substances and Disease Registry acute hazardous substance release surveillance programs to evaluate CO incident-related injuries. METHODS: Seventeen states participated in these programs during 2005-2014. RESULTS: In those 10years, the states identified 1795 CO incidents...
February 13, 2018: American Journal of Emergency Medicine
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