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https://www.readbyqxmd.com/read/29678361/chikungunya-report-from-the-task-force-on-tropical-diseases-by-the-world-federation-of-societies-of-intensive-and-critical-care-medicine
#1
Pravin Amin, Gisele Sampaio Silva, Jorge Hidalgo, Juan Ignacio Silesky Jiménez, Dilip R Karnad, Guy A Richards
Chikungunya is an arbovirus that is transmitted by the Aedes mosquito causing a febrile illness with periodic outbreaks in large parts of the world. In the last decade it has become a public health concern in a host of countries and has affected international tourists. In the vast majority of cases Chikungunya presents as an acute febrile illness, associated with rash, headache, myalgia and debilitating arthralgia or even polyarthritis. A small proportion of patients present atypically with nervous, ocular, renal, myocardial, respiratory and renal system involvement and may require ICU management...
April 7, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29665887/a-cabinet-of-the-ordinary-domesticating-veterinary-education-1766-1799
#2
Kit Heintzman
In the late eighteenth century, the Ecole vétérinaire d'Alfort was renowned for its innovative veterinary education and for having one of the largest natural history and anatomy collections in France. Yet aside from a recent interest in the works of one particular anatomist, the school's history has been mostly ignored. I examine here the fame of the school in eighteenth-century travel literature, the historic connection between veterinary science and natural history, and the relationship between the school's hospital and its esteemed cabinet...
April 18, 2018: British Journal for the History of Science
https://www.readbyqxmd.com/read/29656536/mmr-deficiency-does-not-sensitize-or-compromise-the-function-of-hematopoietic-stem-cells-to-low-and-high-let-radiation
#3
Rutulkumar Patel, Yulan Qing, Lucy Kennedy, Yan Yan, John Pink, Brittany Aguila, Amar Desai, Stanton L Gerson, Scott M Welford
One of the major health concerns on long-duration space missions will be radiation exposure to the astronauts. Outside the earth's magnetosphere, astronauts will be exposed to galactic cosmic rays (GCR) and solar particle events that are principally composed of protons and He, Ca, O, Ne, Si, Ca, and Fe nuclei. Protons are by far the most common species, but the higher atomic number particles are thought to be more damaging to biological systems. Evaluation and amelioration of risks from GCR exposure will be important for deep space travel...
April 14, 2018: Stem Cells Translational Medicine
https://www.readbyqxmd.com/read/29651337/weaving-the-health-and-pharmaceutical-care-agenda-through-the-themes-of-the-commonwealth-heads-of-government-meeting-chogm-london-2018
#4
EDITORIAL
Victoria Rutter, Amy Hai Yan Chan, Chloe Tuck, Lina Bader, Zaheer-Ud-Din Babar, Ian Bates
The biennial Commonwealth Heads of Government Meeting (CHOGM) this year is based around four key themes: prosperity, fairness, sustainability and security. This is an opportune time to consider the role of pharmacists in healthcare delivery, and particularly their contribution to achieving the United Nations Sustainable Development Goals (SDGs). As a member of the Commonwealth Health Professions Alliance (CHPA), the Commonwealth Pharmacists Association (CPA) has been working to ensure that pharmacy-related aspects of health are represented in the advocacy papers submitted by Civil Society...
2018: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/29650071/improving-observational-skills-to-enhance-the-clinical-examination
#5
REVIEW
Stephen W Russell
For much of the 20th century, educators lacked evidence that teaching observational skills could benefit modern medicine. But in 2001, a statistical model emerged that supported the effectiveness of teaching observational skills to medical students using a museum-based curriculum. The story that led to that ground-breaking study, and the consequences that sprung from it, is retold here, traveling from the darkened caves in the foothills of France to the brightly lit galleries of the Yale center for British art...
May 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/29649298/haemophilus-ducreyi-cutaneous-ulcer-contracted-at-seram-island-indonesia-presented-in-the-netherlands
#6
Jarne M van Hattem, Tessa J C Langeveld, Sylvia M Bruisten, Marion Kolader, Martin P Grobusch, Henry J C de Vries, Godelieve J de Bree
OVERVIEW: We describe the first case of a cutaneous ulcer caused by Haemophilus ducreyi imported from Indonesia to the Netherlands. Skin infections caused by H. ducreyi are uncommon in travellers and have been described in just a few case reports and were all contracted on the Pacific Islands. THE CASE: A 22-year-old healthy male visited the Center of Tropical Medicine and Travel Medicine in February 2017 with a cutaneous ulcer of the right lateral malleolus 4 weeks after returning from Indonesia (Seram and Ambon Islands)...
April 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29628404/when-the-reading-room-meets-the-team-room-resident-perspectives-from-radiology-and-internal-medicine-on-the-effect-of-personal-communication-after-implementing-a-resident-led-radiology-rounds
#7
Andrew J Klobuka, John Lee, Raquel Buranosky, Matthew Heller
OBJECTIVE: Current radiology and internal medicine (IM) residents have trained to varying degrees depending on program in the post picture archiving and communication systems implementation era and thus have largely missed out on the benefits of in-person, 2-way communication between radiologists and consulting clinicians. The purpose of this study is to broadly explore resident perspectives from these groups on the desire for personal contact between radiologists and referring physicians and the effect of improved contact on clinical practice...
February 13, 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29625787/tropical-diseases-in-the-icu-a-syndromic-approach-to-diagnosis-and-treatment
#8
Dilip R Karnad, Guy A Richards, Gisele Sampaio Silva, Pravin Amin
Tropical infections form 20-30% of ICU admissions in tropical countries. Diarrheal diseases, malaria, dengue, typhoid, rickettsial diseases and leptospirosis are common causes of critical illness. Overlapping clinical features makes initial diagnosis challenging. A systematic approach involving (1) history of specific continent or country of travel, (2) exposure to specific environments (forests or farms, water sports, consumption of exotic foods), (3) incubation period, and (4) pattern of organ involvement and subtle differences in manifestations help in differential diagnosis and choice of initial empiric therapy...
March 27, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29608738/improving-access-and-provision-of-pre-travel-healthcare-for-travellers-visiting-friends-and-relatives-a-review-of-the-evidence
#9
Anita E Heywood, Nicholas Zwar
Background: Travellers visiting friends and relatives (VFR travellers) in their country of origin are at increased risk of a range of preventable infections. Risks are broadly related to circumstances of travel, risk misconceptions and access to health services. Despite nearly two decades of literature highlighting these increased risks little impact has been made on their risk disparity. Methods: This review draws on evidence from travel medicine literature, supplemented by evidence from the broader field of immigrant health, and is structured to include strategies that aim to reduce barriers at the patient, provider and health system level...
January 1, 2018: Journal of Travel Medicine
https://www.readbyqxmd.com/read/29606127/stand-by-emergency-treatment-sbet-of-malaria-in-spanish-travellers-a-cohort-study
#10
Pietro Ferrara, Cristina Masuet-Aumatell, Fernando Agüero, Josep Maria Ramon-Torrell
BACKGROUND: Among strategies for malaria prevention, stand-by emergency treatment (SBET) is a possible approach, but scarce evidences exists investigating travellers' adherence and behaviours toward its use; therefore, the presented study aimed to determine travellers' compliance toward the SBET when prescribed in travel clinics. METHODS: A prospective cohort study was performed at the Travel Health Clinic of the Hospital Universitari de Bellvitge, Barcelona, Spain, during 2017...
April 2, 2018: Malaria Journal
https://www.readbyqxmd.com/read/29606107/plasmodium-knowlesi-infection-in-a-returning-german-traveller-from-thailand-a-case-report-on-an-emerging-malaria-pathogen-in-a-popular-low-risk-travel-destination
#11
Guenter Froeschl, Marcus Beissner, Kristina Huber, Gisela Bretzel, Michael Hoelscher, Camilla Rothe
BACKGROUND: Thailand is a major destination for German travellers with more than 760,000 arrivals in 2015. At the same time, malaria is a concern in travel recommendations with regard to this destination. The World Malaria Report of 2016 mentions only P. falciparum and P. vivax as prevalent species for Thailand, however, P. knowlesi infections have been occasionally reported in Thailand. In German travellers, only five cases of P. knowlesi infections have been reported to date. CASE PRESENTATION: A 45-year-old German male tourist travelled to Thailand from 25 December 2016 to 13 January 2017...
April 2, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29555538/terrorism-and-travel-medicine-where-do-we-go-from-here
#12
EDITORIAL
Travis W Heggie
No abstract text is available yet for this article.
March 16, 2018: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/29553319/region-specific-life-threatening-diseases-among-international-travelers-from-israel-2004-2015
#13
Chen Avni, Shmuel Stienlauf, Eyal Meltzer, Yechezkel Sidi, Eli Schwartz, Eyal Leshem
We characterized posttravel hospitalizations of citizens returning to Israel by summarizing the returning traveler hospitalization dataset of the national referral Center for Travel Medicine and Tropical Diseases at Sheba Medical Center in Israel. Of 722 hospitalizations, 181 (25%) infections were life-threatening; most would have been preventable by chemoprophylaxis and pretravel vaccination.
April 2018: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29545979/effect-of-commuter-time-on-emergency-medicine-residents
#14
Christopher Sampson, Marc Borenstein
Background The impact of resident work hours on resident well-being and patient safety has long been a controversial issue. Objectives What has not been considered in resident work hour limitations is whether resident commuting time has any impact on a resident's total work hours or well-being. Methods A self-administered electronic survey was distributed to emergency medicine residents in 2016. Results The survey response was 8% (569/6828). Commuter time was 30 minutes or less in 70%. Two residents reported a commuter time of 76 to 90 minutes and one resident had a commuter time of 91 to 105 minutes...
January 12, 2018: Curēus
https://www.readbyqxmd.com/read/29544774/re-emergence-of-severe-west-nile-virus-neuroinvasive-disease-in-humans-in-romania-2012-to-2017-implications-for-travel-medicine
#15
Corneliu Petru Popescu, Simin Aysel Florescu, Ani Ioana Cotar, Daniela Badescu, Cornelia Svetlana Ceianu, Mihaela Zaharia, Gratiela Tardei, Daniel Codreanu, Emanoil Ceausu, Simona Maria Ruta
BACKGROUND: In Romania, after a major outbreak in 1996, West Nile neuroinvasive disease (WNND) was reported only in a limited number of cases annually. During 2016-2017, a significant increase in the number of WNND cases was reported at the national level, associated with high mortality rates. METHODS: A retrospective analysis of all cases confirmed with WNND, hospitalized during 2012-2017 in a single tertiary facility from Bucharest was performed in order to determine the annual prevalence and mortality rate and the risk factors associated with a severe outcome...
March 12, 2018: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/29527349/achieving-universal-health-coverage-in-small-island-states-could-importing-health-services-provide-a-solution
#16
Mariyam Suzana, Helen Walls, Richard Smith, Johanna Hanefeld
Background: Universal health coverage (UHC) is difficult to achieve in settings short of medicines, health workers and health facilities. These characteristics define the majority of the small island developing states (SIDS), where population size negates the benefits of economies of scale. One option to alleviate this constraint is to import health services, rather than focus on domestic production. This paper provides empirical analysis of the potential impact of this option. Methods: Analysis was based on publicly accessible data for 14 SIDS, covering health-related travel and health indicators for the period 2003-2013, together with in-depth review of medical travel schemes for the two highest importing SIDS-the Maldives and Tuvalu...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29511605/hypothermia-in-a-rural-setting-an-emergency-medicine-simulation-scenario
#17
Felix Zhou, Robert Jong, Aron Heroux, Adam Dubrowski
Patients presenting with hypothermia in a rural emergency department can be quite challenging to manage without significant mortality and morbidity. Standard medical school curricula do not fully prepare trainees for the unique aspects of practice in northern rural and remote communities. Training opportunities on site may provide a solution to this lack of experience. However, these communities often have limited simulation-based resources and expertise for conducting and developing simulation scenarios. In this technical report, we outline a hypothermia simulation that utilizes only basic resources and is, thus, practical for rural and remote facilities...
December 28, 2017: Curēus
https://www.readbyqxmd.com/read/29489939/-a-health-survey-in-riverine-communities-in-amazonas-state-brazil
#18
Abel Santiago Muri Gama, Tiótrefis Gomes Fernandes, Rosana Cristina Pereira Parente, Silvia Regina Secoli
Population-based health surveys are important tools for identifying disease determinants, especially in regions with widely dispersed populations and low health system coverage. The aim of this study was to describe the principal methodological aspects and to describe the socioeconomic, demographic, and health characteristics of the riverine populations of Coari, Amazonas State, Brazil. This was a population-based cross-sectional study in river-dwelling communities in the rural area of Coari, from April to July 2015...
February 19, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29480045/-pre-travel-advice-and-patient-education-of-hungarian-travellers
#19
Ingrid Lengyel, Péter Felkai
INTRODUCTION: According to international surveys, over half of the travellers face some kind of health issue when travelling. The overwhelming majority of travel-related illnesses can be prevented with pre-travel medical consultations, but the syllabus and content of the consultation have to match the travel habits and culture of the given society. AIM: This publication explores the specificities and travel habits of Hungarian travellers. METHOD: One hundred participants of a travel exhibition completed a survey about their international travel...
March 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/29472902/prevention-and-control-strategies-to-counter-zika-virus-a-special-focus-on-intervention-approaches-against-vector-mosquitoes-current-updates
#20
REVIEW
Raj K Singh, Kuldeep Dhama, Rekha Khandia, Ashok Munjal, Kumaragurubaran Karthik, Ruchi Tiwari, Sandip Chakraborty, Yashpal S Malik, Rubén Bueno-Marí
Zika virus (ZIKV) is the most recent intruder that acquired the status of global threat creating panic and frightening situation to public owing to its rapid spread, attaining higher virulence and causing complex clinical manifestations including microcephaly in newborns and Guillain Barré Syndrome. Alike other flaviviruses, the principal mode of ZIKV transmission is by mosquitoes. Advances in research have provided reliable diagnostics for detecting ZIKV infection, while several drug/therapeutic targets and vaccine candidates have been identified recently...
2018: Frontiers in Microbiology
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