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https://www.readbyqxmd.com/read/28101127/mental-health-and-trauma-in-asylum-seekers-landing-in-sicily-in-2015-a-descriptive-study-of-neglected-invisible-wounds
#1
Anna Crepet, Francesco Rita, Anthony Reid, Wilma Van den Boogaard, Pina Deiana, Gaia Quaranta, Aurelia Barbieri, Francesco Bongiorno, Stefano Di Carlo
BACKGROUND: In 2015, Italy was the second most common point of entry for asylum seekers into Europe after Greece. The vast majority embarked from war-torn Libya; 80,000 people claimed asylum that year. Their medical conditions were assessed on arrival but their mental health needs were not addressed in any way, despite the likelihood of serious trauma before and during migration. Médecins sans Frontières (MSF), in agreement with the Italian Ministry of Health, provided mental health (MH) assessment and care for recently-landed asylum seekers in Sicily...
2017: Conflict and Health
https://www.readbyqxmd.com/read/28089281/features-of-public-healthcare-services-provided-to-migrant-patients-in-the-eastern-macedonia-and-thrace-region-greece
#2
Christos A Tsitsakis, Anastasios Karasavvoglou, Efstathios Tsaridis, Georgia Ramantani, Giannoula Florou, Persefoni Polychronidou, Stamatios Stamatakis
BACKGROUND: The influx of migrants, refugees and asylum-seekers into European Union (EU) countries, especially into Greece, in the last 20 years is an issue of growing concern and requires a rational approach. The aim of this study is to chart the use of public health services by the migrants of the Eastern Macedonia and Thrace Region, which forms the northeastern border of Greece. METHODS: We collected data from five of the six public hospitals in the specified region, and we carried out a per clinic cross tabulation analysis of admission diagnosis and citizenship variables in order to establish the frequency at which the various diagnoses emerge per distinct group of migrant and non-migrant patients in each clinic...
December 27, 2016: Health Policy
https://www.readbyqxmd.com/read/28074291/unaccompanied-refugee-minors-in-germany-attitudes-of-the-general-population-towards-a-vulnerable-group
#3
Paul L Plener, Rebecca C Groschwitz, Elmar Brähler, Thorsten Sukale, Jörg M Fegert
Germany saw an increase in numbers of refugees in 2015, with nearly a third being below the age of 18. Unaccompanied refugee minors (URMs) present an especially vulnerable group. In addition to pre-flight and flight stress, the acculturation process can work as potential stressor, and we wanted to explore attitudes towards URM. We conducted a study in a representative sample (n = 2524) of the German population (ages 14 years or older) between January and March 2016. Only 22.8% of participants thought that Germany could accompany more URM...
January 10, 2017: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/28064088/asylum-seekers-alleging-torture-in-their-countries-evaluation-of-a-french-center
#4
Renaud Clément, David Lebossé, Lucia Barrios, Olivier Rodat
MATERIALS AND METHODS: Over a 6-year period, 570 survivors gave consent to this study and were examined by forensic medical doctors in academic French hospital. They evaluated with the aim of cataloguing the physical evidence of torture. Sociological data, declared violence (single physical altercation, repeated physical violence less than one year or more than one year, incarceration not more than one week or more than 1 week), and method of violence (blows by blunt object, crushing, burns, electrical shocks, attempted drowning, smothering, incision, or gunshot) were studied...
December 27, 2016: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28053362/cost-effectiveness-of-screening-for-active-cases-of-tuberculosis-in-flanders-belgium
#5
G Suzanne A Smit, Ludwig Apers, Wouter Arrazola de Onate, Philippe Beutels, Pierre Dorny, An-Marie Forier, Kristien Janssens, Jean Macq, Ruud Mak, Sandrina Schol, Dirk Wildemeersch, Niko Speybroeck, Brecht Devleesschauwer
OBJECTIVE: To assess the cost-effectiveness of the tuberculosis screening activities currently funded by the Flemish government in Flanders, Belgium. METHODS: After estimating the expenses for 2013-2014 of each of nine screening components - which include high-risk groups, contacts and people who are seeking tuberculosis consultation at a centre for respiratory health care - and the associated costs per active case of tuberculosis identified between 2007 and 2014, we compared the cost-effectiveness of each component...
January 1, 2017: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/28008581/-health-care-of-refugees-in-2015-evaluation-of-an-ambulance-for-refugees-in-a-cologne-emergency-accommodation-cologne-model
#6
H S Borgschulte, A Bunte, F Neuhann, L T Weber, G A Wiesmüller
Access to medical care is a core element in the care of refugees and asylum seekers, and should therefore be guaranteed in a barrier-free way. In practice, there are usually numerous access barriers and the first contact with the German Health Care System takes place in form of a statutory examination to exclude infectious diseases. In addition to the introduction of health insurance cards for refugees, an offer of medical consultation for several hours a week in the municipal emergency accommodations provides an opportunity for low threshold access to primary care and a bridging function to the integration into the regular health care system...
December 2016: Das Gesundheitswesen
https://www.readbyqxmd.com/read/27997313/they-survived-we-can-help-them-thrive-older-adult-refugees-in-the-united-states
#7
Mitra Ahmadinejad-Naseh, Shanna L Burke
As of November 2016, the Council on Foreign Relations (CFR) classified nine ongoing conflicts as limited, eleven as significant, and six as critical in terms of their impact on the United States' interests. The CFR evaluated all of these conflicts as worsening or remaining unchanged. During the past few years, several conflicts have started, but few have been resolved. Ongoing conflicts and fear of persecution resulted in the forced displacement of millions of individuals in recent years. The population of forcibly displaced individuals rose to 65...
December 20, 2016: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/27965902/tuberculosis-and-migration-a-challenge-for-medical-staff-and-public-health
#8
Ines Griesshammer, David Shiva Srivastava, Christophe von Garnier, Till Silvan Blaser, Aris Exadaktylos, Moritz Steib
A high number of asylum seekers enter Switzerland every year. They often originate from countries with a high TB prevalence. Our patient from Somalia presented with 2 lipoma-like tumors with pain on palpation on his left chest wall but no symptoms including coughing, fever, night-sweats, or loss of weight. CT scan then showed diffuse infiltrations of his lung and multiple abscesses on his left chest wall. Therefore contagious tuberculosis (TB) was suspected and the patient was put in isolation. In the follow-up the diagnosis of open TB was proofed with bronchial secretion and EBUS-guided biopsy that showed acid-fast rods...
2016: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/27931054/-tb-screening-of-pregnant-women-in-accordance-with-the-german-protection-against-infection-act
#9
(no author information available yet)
Pregnant women should be tested with immune tests for tuberculosis when they undergo TB screening according to the German Infectious Diseases Protection Act. Interferon Gamma Release Assays (IGRAs) should be the priority tests used for pregnant refugees and asylum seekers, especially when migrating from high incidence countries (> 20 cases/100.000 population according to the ECDC) or when they fled from crisis regions; positive tuberculin skin tests should be veryfied with IGRA. Once immunological tests are suggesting a latent tuberculosis infection it should be considered that pregnant women have an increased risk of developing active tuberculosis with potential health threats for the unborn child...
December 2016: Pneumologie
https://www.readbyqxmd.com/read/27923341/-unseen-suffering-therapy-for-traumatized-refugee-children
#10
Andreas Mattenschlager, Stefanie Nahler, Regine Reisinger
Unseen Suffering - Therapy for Traumatized Refugee Children In March 2015 the psychological counselling service (Psychologische Familien- und Lebensberatung) of Caritas Ulm initiated a psychotherapy project for traumatized minor refugees. Besides individual and group therapy, networking and qualification of qualified personnel and volunteers, in autumn 2015 we started offering our services on-site in a large collective accommodation for asylum seekers in Ulm. This was mainly because - in contrast to unaccompanied, mostly adolescent, minor refugees - our services appeared to reach children only by chance...
December 2016: Praxis der Kinderpsychologie und Kinderpsychiatrie
https://www.readbyqxmd.com/read/27923340/-decision-support-for-the-therapy-planning-for-young-refugees-and-asylum-seekers-with-posttraumatic-disorders
#11
Cornelia Reher, Franka Metzner
Decision Support for the Therapy Planning for Young Refugees and Asylum-Seekers with Posttraumatic Disorders Due to the Convention on the Rights of the Child and § 6 of the Asylum Seekers' Benefit Act, there are legal and ethical obligations for the care of minor refugees suffering from trauma-related disorders. In Germany, psychotherapeutic care of adolescent refugees is provided by specialized treatment centers and Child and Adolescent psychiatries with specialized consultation-hours for refugees. Treatment of minor refugees is impeded by various legal and organizational barriers...
December 2016: Praxis der Kinderpsychologie und Kinderpsychiatrie
https://www.readbyqxmd.com/read/27919742/refugees-and-antimicrobial-resistance-a-systematic-review
#12
REVIEW
Allard Willem de Smalen, Hatem Ghorab, Moataz Abd El Ghany, Grant A Hill-Cawthorne
BACKGROUND: There is a large increase in the numbers of refugees and asylum seekers worldwide and a lack of data on the carriage of antimicrobial resistance in refugee/asylum seeking groups. METHODS: This article aims to identify the impact of refugees and asylum seekers on the acquisition and transmission of antimicrobial resistance (AMR) through a literature search. The databases Embase, Medline, Pubmed, and Web of Science Core Collection were utilised and covered all articles before the 1st of October 2016...
December 3, 2016: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/27900778/predicting-post-traumatic-stress-disorder-treatment-response-in-refugees-multilevel-analysis
#13
Joris F G Haagen, F Jackie June Ter Heide, Trudy M Mooren, Jeroen W Knipscheer, Rolf J Kleber
OBJECTIVES: Given the recent peak in refugee numbers and refugees' high odds of developing post-traumatic stress disorder (PTSD), finding ways to alleviate PTSD in refugees is of vital importance. However, there are major differences in PTSD treatment response between refugees, the determinants of which are largely unknown. This study aimed at improving PTSD treatment for adult refugees by identifying PTSD treatment response predictors. DESIGN: A prospective longitudinal multilevel modelling design was used to predict PTSD severity scores over time...
November 30, 2016: British Journal of Clinical Psychology
https://www.readbyqxmd.com/read/27896828/addressing-the-occupational-needs-of-refugees-and-asylum-seekers
#14
Concettina Trimboli, Jackie Taylor
No abstract text is available yet for this article.
December 2016: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/27896371/-mental-treatment-of-refugees-in-germany-model-for-a-stepped-approach
#15
F Schneider, M Bajbouj, A Heinz
The recent influx of refugees and asylum seekers into Germany poses a challenge for the national healthcare system. In compliance with the present Asylum Seekers Benefits Act, the national healthcare system can be expected to have 1.5 million new members by early 2017. Providing adequate care particularly for people with mental illnesses or disorders will represent an immense challenge for all actors in the system. The circumstances of the flight combined with the foreign linguistic and socio-cultural background increase the severity of the cases and the difficulties of treatment...
November 28, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27896303/data-on-some-socio-economic-parameters-explaining-the-movement-of-extra-eu-asylum-seekers-in-europe
#16
Silvia Angeloni
This article contains data concerning the movement of extra-EU asylum seekers in Europe. Data used in this paper were collected from the Eurostat database and the UNHCR database. The data consist of some socio-economic features related to 30 European countries where extra-EU asylum seekers have applied for protection. All variables were transformed into their natural logs. The degree of statistical correlation is evaluated from Pearson׳s coefficient, using the 0.05 level of significance. Regression analysis is conducted to identify some socio-economic predictors of countries attracting asylum migration...
December 2016: Data in Brief
https://www.readbyqxmd.com/read/27885431/forensic-age-assessment-of-asylum-seekers-in-finland
#17
Mari Metsäniitty, Olli Varkkola, Janna Waltimo-Sirén, Helena Ranta
In Finland, forensic age assessment is strictly regulated by legislation. According to the Aliens Act (301/2004) and the amendment of the Act (549/2010), the police authorities, the frontier guard authorities, and the immigration authorities have the right to refer asylum seekers to the University of Helsinki, Department of Forensic Medicine, for age assessment. These assessments are especially performed to solve if the person is of major age, the cutoff being 18 completed years. The forensic age assessment is largely based on dental development, since the special permit of the Radiation and Nuclear Safety Authority (STUK) to the Department of Forensic Medicine of the University of Helsinki, allowing the use of ionizing radiation for non-medical purposes, includes dental and hand X-rays...
January 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/27885404/-health-examination-of-asylum-seekers-a-nationwide-analysis-of-state-policies-in-germany-%C3%A2-%C3%A2-62-of-the-asylum-law
#18
Katharina Wahedi, Stefan Nöst, Kayvan Bozorgmehr
BACKGROUND: A health examination of newly arrived asylum seekers, aimed at detecting infectious diseases and preventing disease outbreaks in accommodation facilities, is mandated by national law in all German states. Due to the decentralized German federal system, different state policies are in place and lead to substantial variation in the content and implementation of the health examination. OBJECTIVES: To compare health examination policies in the 16 German states with a focus on conducted tests, preventive measures and the general procedure...
January 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/27884856/a-refugee-camp-in-the-centre-of-europe-clinical-characteristics-of-asylum-seekers-arriving-in-brussels
#19
Gerlant van Berlaer, Francisca Bohle Carbonell, Sofie Manantsoa, Xavier de Béthune, Ronald Buyl, Michel Debacker, Ives Hubloue
BACKGROUND: In the summer of 2015, the exodus of Syrian war refugees and saturation of refugee camps in neighbouring countries led to the influx of asylum-seekers in European countries, including Belgium. This study aims to describe the demographic and clinical characteristics of asylum seekers who arrived in a huddled refugee camp, in the centre of a well-developed country with all medical facilities. METHODS: Using a descriptive cross-sectional study design, physicians of Médecins du Monde prospectively registered age, gender, origin, medical symptoms and diagnoses of all patients presenting to an erected field hospital in Brussels in September 2015...
November 24, 2016: BMJ Open
https://www.readbyqxmd.com/read/27859692/louse-borne-relapsing-fever-in-finland-in-two-asylum-seekers-from-somalia
#20
Jukka Hytönen, Tamim Khawaja, Juha O Grönroos, Anna Jalava, Seppo Meri, Jarmo Oksi
We report two cases of louse-borne relapsing fever (LBRF) in young Somali asylum seekers having recently arrived to Finland. They had sought medical attention for a febrile illness. Blood smears were examined for suspected malaria, but instead, spirochete shaped bacteria were observed. The bacteria were confirmed as Borrelia recurrentis by PCR and sequencing. The patients survived, but their treatment was complicated by Jarisch-Herxheimer reaction. We conclude that LBRF must be considered as a diagnostic option in febrile refugees also in the northernmost parts of Europe...
January 2017: APMIS: Acta Pathologica, Microbiologica, et Immunologica Scandinavica
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