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https://www.readbyqxmd.com/read/28213046/splenectomy-as-a-destination-improving-quality-of-care-among-asplenic-veterans-through-a-travel-clinic
#1
Aaron P Mitchell, Joel C Boggan, Karen Lau, David L Simel
BACKGROUND: Asplenic patients are at risk for severe infections, but adherence to recommended preventive education and vaccination is poor. The goal of this study was to demonstrate that a targeted intervention can improve vaccination rates in a population of asplenic veterans. METHODS: Surgically asplenic patients actively receiving care in our health care system were identified via a database search. Patients were contacted via mailed letters and encouraged to attend an existing travel clinic with a new process designed for asplenic patients...
February 14, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28211266/-non-febrile-syndromes-in-the-traveler-returning-from-tropical-regions-admitted-in-a-monographic-unit
#2
A Anula-Morales, B Martin-Giner, M Hernández-Cabrera, C Carranza-Rodríguez, E Pisos-Álamo, N Jaén-Sánchez, J L Pérez-Arellano
OBJECTIVE: The aim was to analyse those syndromes without fever in travellers who return from tropical regions evaluated at our Department of Infectology and Tropical Medicine. Clarifying these conditions intends to reach earlier diagnoses and, perhaps, to avoid the emergence and spread of imported diseases, as well as to establish appropriate preventive measures. METHODS: An observational descriptive transversal study was performed, selecting those patients who returned from tropical regions without fever (n = 281), amongst all travellers evaluated in our department between 1998 and 2013...
February 17, 2017: Revista Española de Quimioterapia: Publicación Oficial de la Sociedad Española de Quimioterapia
https://www.readbyqxmd.com/read/28209195/qualitative-exploration-of-why-people-repeatedly-attend-emergency-departments-for-alcohol-related-reasons
#3
Tom Parkman, Joanne Neale, Ed Day, Colin Drummond
BACKGROUND: Understanding why people repeatedly attend Emergency Departments (EDs) for alcohol-related reasons is an important prerequisite to identifying ways of reducing any unnecessary demands on hospital resources. We use Andersen's Behavioural Model of Health Services Use to explore factors that contributed to repeat ED attendances. METHODS: Qualitative interviews were conducted with 30 people who repeatedly attended EDs for alcohol-related reasons (≥10 attendances in the past 12 months)...
February 16, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28208966/study-of-parental-perceptions-on-health-social-needs-of-children-with-neuro-developmental-disability-and-it-s-impact-on-the-family
#4
Nusrat Jahan Rafique Ansari, Ramchandra Keshav Dhongade, Preeti Sagar Lad, Ashwin Borade, Suvarna Yg, Vishal Yadav, Ashwini Mehetre, Rahul Kulkarni
INTRODUCTION: The term Neuro Developmental Disorder (NDD) is used for conditions caused by a dysfunction in any part of the brain or nervous system, resulting in physical and/or psychological symptoms as a child develops. Family of children with NDD face many problems. It is very important to find them and create awareness so that gaps in essential services and supports can be decreased. AIM: To explore parental perceptions on health & social needs of children with NDD, to understand the impact of disability on the families having children with disability, and to find out the parental perceptions on availability of services for children with NDD and its utilization by families...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28205633/does-zika-virus-infection-affect-mosquito-response-to-repellents
#5
Walter S Leal, Rosângela M R Barbosa, Fangfang Zeng, Gabriel B Faierstein, Kaiming Tan, Marcelo H S Paiva, Duschinka R D Guedes, Mônica M Crespo, Constância F J Ayres
The World Health Organization (WHO) recommends that people travelling to or living in areas with Zika virus (ZIKV) outbreaks or epidemics adopt prophylactic measures to reduce or eliminate mosquito bites, including the use of insect repellents. It is, however, unknown whether repellents are effective against ZIKV-infected mosquitoes, in part because of the ethical concerns related to exposing a human subject's arm to infected mosquitoes in the standard arm-in-cage assay. We used a previously developed, human subject-free behavioural assay, which mimics a human subject to evaluate the top two recommended insect repellents...
February 16, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28199263/travel-distance-to-cancer-treatment-facilities-in-the-deep-south
#6
Mary J Wills, Marilyn V Whitman, Thomas M English
Despite ongoing efforts to improve rural healthcare, the health problems facing rural communities persist. The lack of healthcare providers and infrastructure in rural areas has been linked to a number of negative consequences. Among the elderly rural population, the lack of proximal access presents greater barriers because many elderly people are further limited in their ability to travel and pay for services. In the Deep South specifically, rural residents experience limited access to care and overall poor health outcomes...
January 2017: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/28198548/phylogenetic-characterization-of-circulating-dengue-and-alkhumra-hemorrhagic-fever-viruses-in-western-saudi-arabia-and-lack-of-evidence-of-zika-virus-in-the-region-a-retrospective-study-2010-2015
#7
Moneerah S Al-Saeed, Sherif A El-Kafrawy, Suha A Farraj, Tagreed L Al-Subhi, Norah A Othman, Arwa Alsultan, Huda G Ben Helaby, Mustafa M Alshawdari, Ahmed M Hassan, Remi N Charrel, Esam I Azhar, Anwar M Hashem
Flaviviruses represent a global public health concern. They consist of ∼70 viruses with almost half of them causing human diseases with unspecified febrile illnesses. Cities in western Saudi Arabia are endemic for viruses (DENV) with sporadic infections due to Alkhumra hemorrhagic fever virus (AHFV). They also represent a major destination for travelers coming for annual religious pilgrimages (Hajj and Umrah) from all over the world. However, whether other flaviviruses are circulating is not known because of the limited number of surveillance studies...
February 15, 2017: Journal of Medical Virology
https://www.readbyqxmd.com/read/28198547/phylogenetic-characteristics-of-hiv-1-among-travelers-entering-china-from-myanmar-a-retrospective-study
#8
Li Zhang, Binhui Wang, Yaobo Liang, Yue Feng, Shuwei Dong, Yajuan Wang, Yaping Li, A-Mei Zhang, Li Liu, Weihong Qin, Xueshan Xia
Due to the open policy of the Chinese government, a large number of Burmese individuals enter China at land ports in Yunnan province for travel or business. However, the situation of HIV-1 infection and its phylogenetic characteristics among these travelers remains unclear, which is a potential threat to public health. From January 2003 to December 2012, a total of 1,961 travelers were detected to be positive for HIV-1 infection at land ports between Myanmar and Yunnan province, China. From 1153 (58.8%) Burmese of them, we randomly collected 489 serum samples for HIV-1 subtype/recombinant analysis...
February 15, 2017: Journal of Medical Virology
https://www.readbyqxmd.com/read/28196569/reflections-on-an-innovative-approach-to-studying-abroad-in-nursing
#9
Nancy Napolitano, Karen V Duhamel
Nursing students are largely excluded from travel-abroad studies because of demanding curricula, lack of time, and cost. A poll was conducted and distributed to bachelor of science in nursing (BSN) and master of science in nursing (MSN) students who participated in 8-day observational trips. Questions were framed around the themes of cultural awareness, global health care perspective, translating theory into practice, and personal and professional growth. The results were compared with traditional long-term study-abroad outcomes...
February 1, 2017: Creative Nursing
https://www.readbyqxmd.com/read/28196318/common-skin-conditions-in-children-skin-infections
#10
Brian Z Rayala, Dean S Morrell
Skin infections account for a significant subset of dermatologic conditions of childhood. Common cutaneous viral infections in children include warts, molluscum contagiosum, hand-foot-and-mouth disease, and herpes simplex. Although viral infections are self-limited and often only mildly symptomatic, they can cause anxiety, embarrassment, and health care use. Recognition of their common and atypical presentations is necessary to differentiate them from other skin conditions of similar morphology. Impetigo, cellulitis, and abscess comprise the majority of childhood bacterial skin infections and are treated with topical or systemic antibiotics that cover group A Streptococcus and Staphylococcus aureus...
February 2017: FP Essentials
https://www.readbyqxmd.com/read/28192579/infectious-diseases-and-immunizations-in-international-adoption
#11
Emily Obringer, Linda Walsh
Children who are adopted internationally have an increased risk of infectious diseases due to endemic conditions and variable access to preventive health care, such as vaccines, in their country of origin. Pediatricians and other providers who care for children should be familiar with the recommended screening for newly arrived international adoptees. Testing for gastrointestinal pathogens, tuberculosis, hepatitis, syphilis, and HIV should be routinely performed. Other endemic diseases and common skin infections may need to be assessed...
February 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28191786/quantifying-the-potential-pathways-and-locations-of-rift-valley-fever-virus-entry-into-the-united-states
#12
A J Golnar, R C Kading, G L Hamer
The global invasion of West Nile virus, chikungunya virus and Zika virus in the past two decades suggests an increasing rate of mosquito-borne virus (arbovirus) dispersal. Rift Valley fever virus (RVFV) is an arbovirus identified as a high-consequence threat to the United States (USA) because of the severe economic and health consequences associated with disease. Numerous studies demonstrate that the USA is receptive to RVFV transmission based on the widespread presence of competent mosquito species and vertebrate species...
February 12, 2017: Transboundary and Emerging Diseases
https://www.readbyqxmd.com/read/28190689/trends-in-automobile-travel-motor-vehicle-fatalities-and-physical-activity-2003-2015
#13
Noreen C McDonald
INTRODUCTION: Annual per-capita automobile travel declined by 600 miles from 2003 to 2014 with decreases greatest among young adults. This article tests whether the decline has been accompanied by public health co-benefits of increased physical activity and decreased motor vehicle fatalities. METHODS: Minutes of auto travel and physical activity derived from active travel, sports, and exercise were obtained from the American Time Use Survey. Fatalities were measured using the Fatality Analysis Reporting System...
February 1, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28188078/travelling-abroad-with-cystic-fibrosis-assessment-of-risks-and-healthcare-requirements
#14
Rachel Miller, Laura Blanch, Sarah Lenaghan, Alan Anderson, Simon Doe, Stephen J Bourke
There is limited information on the risks and healthcare requirements of patients with cystic fibrosis (CF) undertaking travel abroad. Of 100 patients (mean age 24.7 years, mean FEV1 57.3 %predicted) attending a UK adult CF Centre, 96% had travelled abroad but 14% now limited travel on medical advice. They travelled frequently and widely, often undertaking adventurous activities on holidays, but because of the costs involved, 18% travelled without travel insurance and 23% with insurance which did not cover CF...
January 24, 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/28187874/falling-while-walking-a-hidden-contributor-to-pedestrian-injury
#15
Jennifer Oxley, Steve O'Hern, Duane Burtt, Ben Rossiter
Walking is a sustainable mode of transportation which is beneficial to both individuals and to the broader community, however, there are risks and it is essential that road design and operation provides safe conditions for walking. In Victoria, pedestrians represent one of the most vulnerable road user groups, accounting for approximately 12% of all road fatalities and serious injuries. These figures largely represent injuries where the pedestrian has been struck by a vehicle with the extent of pedestrian-only injuries largely un-reported...
February 7, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28187770/malaria-risk-in-young-male-travellers-but-local-transmission-persists-a-case-control-study-in-low-transmission-namibia
#16
Jennifer L Smith, Joyce Auala, Erastus Haindongo, Petrina Uusiku, Roly Gosling, Immo Kleinschmidt, Davis Mumbengegwi, Hugh J W Sturrock
BACKGROUND: A key component of malaria elimination campaigns is the identification and targeting of high risk populations. To characterize high risk populations in north central Namibia, a prospective health facility-based case-control study was conducted from December 2012-July 2014. Cases (n = 107) were all patients presenting to any of the 46 health clinics located in the study districts with a confirmed Plasmodium infection by multi-species rapid diagnostic test (RDT). Population controls (n = 679) for each district were RDT negative individuals residing within a household that was randomly selected from a census listing using a two-stage sampling procedure...
February 10, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28186100/school-food-environments-associated-with-adiposity-in-children-attending-canadian-urban-schools
#17
C Fitzpatrick, G D Datta, M Henderson, K Gray-Donald, Y Kestens, T A Barnett
BACKGROUND/OBJECTIVES: Targeting obesogenic features of children's environment that are amenable to change represents a promising strategy for health promotion. The school food environment, defined as the services and policies regarding nutrition and the availability of food in the school and surrounding neighborhood, is particularly important given that students travel through the school neighborhood almost daily and that they consume a substantial proportion of their calories at school...
February 10, 2017: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/28185296/a-report-of-cerebral-malaria-treated-with-automated-red-blood-cell-exchange
#18
Waseem Q Anani, Gerald P Smith, Mehraboon Irani, Kathleen E Puca
BACKGROUND: Adjunctive automated whole blood or red blood cell exchange (RBCEx) can rapidly decrease malarial hyperparasitemia. Several case reports and series suggest improvement in clinical symptomatology; however, recent Centers of Disease Control and Prevention (CDC) recommendations concluded that RBCEx has no efficacy as an adjunctive therapy. We present a case of mental status changes secondary to cerebral malaria treated with automated RBCEx resulting in rapid and dramatic neurologic improvement...
February 10, 2017: Transfusion
https://www.readbyqxmd.com/read/28182538/febrile-illness-in-healthcare-workers-caring-for-ebola-virus-disease-patients-in-a-high-resource-setting
#19
Douglas Fink, Ian Cropley, Michael Jacobs, Stephen Mepham
Ebola virus disease (EVD) patients treated in high-resource facilities are cared for by large numbers of healthcare staff. Monitoring these healthcare workers (HCWs) for any illness that may represent transmission of Ebola virus is important both for the individuals and to minimise the community risk. International policies for monitoring HCWs vary considerably and their effectiveness is unknown. Here we describe the United Kingdom (UK) experience of illness in HCWs who cared for three patients who acquired EVD in West Africa...
January 26, 2017: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
https://www.readbyqxmd.com/read/28179003/respiratory-outcomes-of-ultrafine-particulate-matter-ufpm-as-a-surrogate-measure-of-near-roadway-exposures-among-bicyclists
#20
Hye-Youn Park, Susan Gilbreath, Edward Barakatt
BACKGROUND: Studies have shown a consistent association between exposure to traffic-related air pollution and adverse health effects. In particular, exposure can be high for cyclists who travel near roadways. The objective of the current study was to examine the relationship between short-term exposure of near-road traffic emissions and acute changes in lung function among individuals who frequently bike in the Sacramento and Davis areas in California. Ultrafine particulate matter (UFPM) was used as a surrogate for near-roadway exposure in this study since the main source of this pollutant is from motor vehicle exhaust...
February 8, 2017: Environmental Health: a Global Access Science Source
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