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https://www.readbyqxmd.com/read/29043594/specialty-care-access-network-extension-of-community-healthcare-outcomes-model-program-for-liver-disease-improves-specialty-care-access
#1
Lisa M Glass, Akbar K Waljee, Heather McCurdy, Grace L Su, Anne Sales
BACKGROUND AND AIMS: To improve subspecialty access, VA Ann Arbor Healthcare System (VAAAHS) implemented the first Specialty Care Access Network (SCAN)-Extension of Community Healthcare Outcomes (ECHO) in chronic liver disease. SCAN-ECHO Liver links primary care providers (PCPs) to hepatologists via secure video-teleconferencing. We aim to describe characteristics of participants (PCPs) and patients (clinical question and diagnosis) in SCAN-ECHO Liver. METHODS: This is a prospective study of the VAAAHS SCAN-ECHO Liver (June 10, 2011-March 31, 2015)...
October 17, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29026358/medicine-in-society-health-project-five-students-journey-to-a-resource-limited-clinic-in-the-haitian-countryside
#2
Aneesh Gupta, Marie Claire Lamb, John Sisney, Chantel Taylor, Timothy Ziethen, Yvens Laborde
BACKGROUND: Five medical students traveled with 4 doctors and a medical photographer to Mayaya, La Victoire, Haiti, as part of a Medicine in Society rotation to provide medical care to the indigenous population. METHODS: Preparation for the trip involved special study in identifying microbes and using blood analysis equipment; work in a clinic for underserved people in the New Orleans, LA, area; background reading; Haitian dialect classes; and development of ideas for streamlining clinic operations...
2017: Ochsner Journal
https://www.readbyqxmd.com/read/29021637/physical-frailty-and-fitness-of-older-driver
#3
Maria Helena Lenardt, Clovis Cechinel, Maria Angelica Binotto, Nathalia Hammerschmidt Kolb Carneiro, Tânia Maria Lourenço
AIM: to analyze the association between physical frailty and the results of fitness capacity exams for driving vehicles among elder Brazilians. METHODS: this is a cross sectional study, performed in traffic medicine clinics of the city of Curitiba (Brazil). The data was collected through the physical frailty tests, the use of a structured questionnaire, and searches on the records of the Brazilian National Register of Qualified Drivers.To analyze the information, the authors used descriptive statistics and non-parametrical tests...
June 30, 2017: Colombia Médica: CM
https://www.readbyqxmd.com/read/28975470/infections-of-the-central-nervous-system-in-returning-travelers-and-immigrants
#4
REVIEW
Haley Thompson, Kiran Thakur
PURPOSE OF REVIEW: This review highlights current knowledge in travel-related neuroinfectious diseases, providing insight on approaches to prevention, diagnosis, and treatment of infections of the central nervous system (CNS) in travelers and immigrants. RECENT FINDINGS: Updates on travel vaccine recommendations including vaccine-specific interactions with immunosuppressive agents, advances in Zika virus and dengue virus vaccine development, new diagnostic criteria for neurocysticercosis, updates on treatment approaches for tuberculosis meningitis...
October 3, 2017: Current Infectious Disease Reports
https://www.readbyqxmd.com/read/28973011/zika-beyond-the-americas-travelers-as-sentinels-of-zika-virus-transmission-a-geosentinel-analysis-2012-to-2016
#5
Karin Leder, Martin P Grobusch, Philippe Gautret, Lin H Chen, Susan Kuhn, Poh Lian Lim, Johnnie Yates, Anne E McCarthy, Camilla Rothe, Yasuyuki Kato, Emmanuel Bottieau, Kristina Huber, Eli Schwartz, William Stauffer, Denis Malvy, Marc T M Shaw, Christophe Rapp, Lucille Blumberg, Mogens Jensenius, Perry J J van Genderen, Davidson H Hamer
BACKGROUND: Zika virus (ZIKV) was first isolated in Africa; decades later, caused large outbreaks in the Pacific, and is considered endemic in Asia. We aim to describe ZIKV disease epidemiology outside the Americas, the importance of travelers as sentinels of disease transmission, and discrepancies in travel advisories from major international health organizations. METHODS AND FINDINGS: This descriptive analysis using GeoSentinel Surveillance Network records involves sixty-four travel and tropical medicine clinics in 29 countries...
2017: PloS One
https://www.readbyqxmd.com/read/28952896/gastrointestinal-prophylaxis-in-sports-medicine
#6
Akash R Patel, Daniel Oheb, Tracy L Zaslow
CONTEXT: Because sports participation at all levels often requires international travel, coaches, athletic trainers, and team physicians must effectively protect athletes from gastrointestinal infections. Traveler's diarrhea is the most common travel-related illness and can significantly interfere with training and performance. EVIDENCE ACQUISITION: A review of relevant publications was completed using PubMed and Google Scholar. STUDY DESIGN: Clinical review...
September 1, 2017: Sports Health
https://www.readbyqxmd.com/read/28952378/a-review-of-translational-medicine-the-future-paradigm-how-can-we-connect-the-orthopaedic-dots-better
#7
Mohamed Mediouni, Daniel R Schlatterer, Henning Madry, Magali Cucchiarini, Balwant Rai
INTRODUCTION: patients with complex medical and surgical problems often travel great distances to prestigious university medical centers in search of solutions and in some cases for nothing more than a diagnosis of their condition. Translational Medicine (TM) is an emerging method and process of facilitating medical advances efficiently from the scientist to the clinician. Most established clinicians and those in training know very little about this new discipline. The purpose of this article is to illustrate tm in varied scientific, medical and surgical fields...
September 27, 2017: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/28952365/setting-the-stage-a-comparative-analysis-of-an-onstage-offstage-and-a-linear-clinic-modules
#8
Kara Freihoefer, Len Kaiser, Dennis Vonasek, Sara Bayramzadeh
OBJECTIVE: The purpose of this study was to understand how two different ambulatory design modules-traditional and onstage/offstage-impact operational efficiency, patient throughput, staff collaboration, and patient privacy. BACKGROUND: Delivery of healthcare is greatly shifting to ambulatory settings because of rapid advancement of medicine and technology, resulting in more day procedures and follow-up care occurring outside of hospitals. It is anticipated that outpatient services will grow roughly 15-23% within the next 10 years (Sg2, 2014)...
January 1, 2017: HERD
https://www.readbyqxmd.com/read/28944731/the-fda-unapproved-drugs-initiative-an-observational-study-of-the-consequences-for-drug-prices-and-shortages-in-the-united-states
#9
Ravi Gupta, Sanket S Dhruva, Erin R Fox, Joseph S Ross
BACKGROUND: Hundreds of drug products are currently marketed in the United States without approval from the FDA. The 2006 Unapproved Drugs Initiative (UDI) requires manufacturers to remove these drug products from the market or obtain FDA approval by demonstrating evidence of safety and efficacy. Once the FDA acts against an unapproved drug, fewer manufacturers remain in the market, potentially enabling drug price increases and greater susceptibility to drug shortages. There is a need for systematic study of the UDI's effect on prices and shortages of all targeted drugs...
October 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28939502/malaria-prevention-recommendations-for-risk-groups-visiting-sub-saharan-africa-a-survey-of-european-expert-opinion-and-international-recommendations
#10
Mithula Shellvarajah, Christoph Hatz, Patricia Schlagenhauf
INTRODUCTION: Malaria prevention can be complex due to the individual characteristics of the traveller, travel destination, duration of stay and type of travel. Our aim in this study was to document malaria chemoprophylaxis recommendations provided by travel-medicine experts in Europe for specific risk groups of travellers visiting malaria-endemic areas of sub-Saharan Africa. METHODS: Travel medicine experts in Europe were asked to complete an online questionnaire, a 28-item Survey Monkey survey, on 11 malaria prevention scenarios...
September 19, 2017: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/28931147/the-quantified-self-during-travel-mapping-health-in-a-prospective-cohort-of-travellers
#11
Andrea Farnham, Reinhard Furrer, Ulf Blanke, Emily Stone, Christoph Hatz, Milo A Puhan
Background: Travel medicine research has remained relatively unchanged in the face of rapid expansion of international travel and is unlikely to meet health challenges beyond infectious diseases. Our aim was to identify the range of health outcomes during travel using real-time monitoring and daily reporting of health behaviours and outcomes and identify traveller subgroups who may benefit from more targeted advice before and during travel. Methods: We recruited a prospective cohort of travellers ≥ 18 years and planning travel to Thailand for <5 weeks from the travel clinics in Zurich and Basel (Switzerland)...
September 1, 2017: Journal of Travel Medicine
https://www.readbyqxmd.com/read/28931142/malaria-prevention-strategies-and-recommendations-from-chemoprophylaxis-to-stand-by-emergency-treatment-a-10-year-prospective-study-in-a-swiss-travel-clinic
#12
Rim Boubaker, Annie Hérard Fossati, Pierrette Meige, Catherine Mialet, Chantal Ngarambe Buffat, Jacynthe Rochat, Manisinh Souvannaraj-Blanchant, Mediatrice Uwanyiligira, Francine Widmer, Sylvie Payot, Laurence Rochat, Serge de Vallière, Valérie D'Acremont, Blaise Genton
Background: There are several possible malaria prevention strategies for travellers. In Switzerland, chemoprophylaxis (CP) is recommended for persons visiting areas highly endemic for malaria and stand-by emergency treatment (SBET) for areas with moderate to low risk. Objective: To describe the type of malaria prevention prescribed to travel clinic attendees with a specific focus on changes over time following adaptation of recommendations. Methods: All pre-travel first consultation data recorded between November 2002 and December 2012 were included...
September 1, 2017: Journal of Travel Medicine
https://www.readbyqxmd.com/read/28931136/what-proportion-of-international-travellers-acquire-a-travel-related-illness-a-review-of-the-literature
#13
Kristina M Angelo, Phyllis E Kozarsky, Edward T Ryan, Lin H Chen, Mark J Sotir
Introduction: As international travel increases, travellers may be at increased risk of acquiring infectious diseases not endemic in their home countries. Many journal articles and reference books related to travel medicine cite that between 22-64% of international travellers become ill during or after travel; however, this information is minimal, outdated and limited by poor generalizability. We aim to provide a current and more accurate estimate of the proportion of international travellers who acquire a travel-related illness...
September 1, 2017: Journal of Travel Medicine
https://www.readbyqxmd.com/read/28931130/challenges-to-providing-pre-travel-care-for-travellers-visiting-friends-and-relatives-an-audit-of-a-specialist-travel-medicine-clinic
#14
Kate Rowe, Nadia Chaves, Karin Leder
Travellers visiting friends and relatives (VFRs) often have complex pre-travel needs. We identified the characteristics, destinations, vaccinations and pre-travel advice provided to VFRs and compared these with non-VFR travellers. The significant differences we found suggest that future research should focus on improving the uptake of recommended interventions in VFR travellers.
September 1, 2017: Journal of Travel Medicine
https://www.readbyqxmd.com/read/28931129/psychiatric-issues-in-travel-medicine-what-is-needed-now
#15
Thomas H Valk
No abstract text is available yet for this article.
September 1, 2017: Journal of Travel Medicine
https://www.readbyqxmd.com/read/28931128/6-year-review-of-redivi-a-prospective-registry-of-imported-infectious-diseases-in-spain
#16
José A Pérez-Molina, Ana López-Polín, Begoña Treviño, Israel Molina, Josune Goikoetxea, Marta Díaz-Menéndez, Diego Torrús, Eva Calabuig, Agustín Benito, Rogelio López-Vélez
Background: Understanding and detecting imported diseases is a priority in the prevention and management of prevalent and emergent infectious diseases acquired abroad. The +Redivi network measures the burden of imported infections in Spain and is essential for closing the gap in travel medicine. Methods: Demographic characteristics, travel information, syndromes and confirmed travel-related diagnoses were registered in a standardised online database. Results: A total of 10 767 cases of imported infectious diseases were registered between October 2009 and December 2015...
September 1, 2017: Journal of Travel Medicine
https://www.readbyqxmd.com/read/28930220/announcing-the-2017-medicines-travel-award-for-postdocs
#17
EDITORIAL
Gerhard Litscher
For the Medicines Travel Award 2017, we received in total 72 applications from all over the world, most of which were of a very high quality.[...].
January 24, 2017: Medicines (Basel, Switzerland)
https://www.readbyqxmd.com/read/28883977/management-of-plasmodium-vivax-risk-and-illness-in-travelers
#18
EDITORIAL
J Kevin Baird
Malaria poses an exceptionally complex problem for providers of travel medicine services. Perceived high risk of exposure during travel typically prompts prescribing protective antimalarial drugs. Suppressive chemoprophylactic agents have dominated strategy for that practice for over 70 years. This broad class of therapeutic agents kills parasites after they emerge from the liver and attempt development in red blood cells. The dominance of suppressive chemoprophylaxis in travel medicine stems largely from the view of Plasmodium falciparum as the utmost threat to the patient - these drugs are poorly suited to preventing Plasmodium vivax and Plasmodium ovale due to inactivity against the latent liver stages of these species not produced by P...
2017: Tropical Diseases, Travel Medicine and Vaccines
https://www.readbyqxmd.com/read/28856170/factors-influencing-patient-selection-of-an-orthopaedic-sports-medicine-physician
#19
Blaine T Manning, Daniel D Bohl, Bryan M Saltzman, Eric J Cotter, Kevin C Wang, Chad T Epley, Nikhil N Verma, Brian J Cole, Bernard R Bach
BACKGROUND: The rise in consumer-centric health insurance plans has increased the importance of the patient in choosing a provider. There is a paucity of studies that examine how patients select an orthopaedic sports medicine physician. PURPOSE: To evaluate factors that patients consider when choosing an orthopaedic sports medicine physician. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: A total of 1077 patients who sought treatment by 3 sports medicine physicians were administered an anonymous questionnaire...
August 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28846850/building-a-local-medical-workforce-in-tasmania-where-are-international-fee-paying-medical-graduates-likely-to-work
#20
Colleen Cheek, Richard Hays, Penny Allen, Gary Walker, Lizzi Shires
INTRODUCTION: Much of regional Australia continues to face challenges in recruitment and retention of medical practitioners, despite the apparently successful rural medical education initiatives funded by the Commonwealth Government. International fee-paying (IFP) medical students are a significant component of Australian medical education, contributing additional income and more diverse learning environments for universities. Their contribution to the Australian medical workforce is harder to determine...
July 2017: Rural and Remote Health
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