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Africa emergency medicine

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https://www.readbyqxmd.com/read/28211266/-non-febrile-syndromes-in-the-traveler-returning-from-tropical-regions-admitted-in-a-monographic-unit
#1
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/28183374/experiences-of-codeine-use-misuse-and-dependence-application-of-liese-and-franz-s-cognitive-developmental-model-of-substance-abuse
#2
Marie Claire Van Hout, Ian Norman, Eileen Rich, Michael Bergin
BACKGROUND: Misuse of codeine-containing medicines is an emerging public health issue. AIMS: We present the application of Liese and Franz's (1996) cognitive developmental model of substance abuse to the trajectory from legitimate codeine use for pain, towards that of therapeutic and other forms of misuse, and physical and psychological dependence. It illustrates a cognitive behavioural analysis of the experiences of codeine misusers - which 'surfaces' the specific beliefs, thoughts, emotions and behaviours of this group of hidden codeine dependent individuals, who are distinct and unique from other opioid-dependent cohorts...
February 10, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28146366/cdc-s-evolving-approach-to-emergency-response
#3
Stephen C Redd, Thomas R Frieden
The Centers for Disease Control and Prevention (CDC) transformed its approach to preparing for and responding to public health emergencies following the anthrax attacks of 2001. The Office of Public Health Preparedness and Response, an organizational home for emergency response at CDC, was established, and 4 programs were created or greatly expanded after the anthrax attacks: (1) an emergency management program, including an Emergency Operations Center; (2) increased support of state and local health department efforts to prepare for emergencies; (3) a greatly enlarged Strategic National Stockpile of medicines, vaccines, and medical equipment; and (4) a regulatory program to assure that work done on the most dangerous pathogens and toxins is done as safely and securely as possible...
January 2017: Health Security
https://www.readbyqxmd.com/read/27914720/improving-publication-quality-and-quantity-for%C3%A2-acute-care-authors-from-low-and-middle-income-settings
#4
Stevan R Bruijns, Megan Banner, Gabrielle A Jacquet
STUDY OBJECTIVE: Researchers from low- and middle-income countries have limited access to publishing and editing resources. This study describes a journal-initiated platform to improve publication quantity and quality in Sub-Saharan Africa emergency care research: Author Assist. METHODS: This is a descriptive report of a quality improvement project of referrals to the African Journal of Emergency Medicine's (AfJEM's) Author Assist program between January 2011 and December 2015...
November 30, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27914479/race-trouble-experiences-of-black-medical-specialist-trainees-in-south-africa
#5
Nicola Thackwell, Leslie Swartz, Sipho Dlamini, Lebogang Phahladira, Rudzani Muloiwa, Bonginkosi Chiliza
BACKGROUND: This research aimed to identify and explore the experiences of Black registrars in their training in the Western Cape's academic hospitals in order to identify structures, practices, attitudes and ideologies that may promote or impede the advancement of Black doctors into specialist medicine. This is justified by the requirement for universities to work towards monitoring and evaluating efforts to create non-discriminatory and inclusive training environments. METHODS: This study employed qualitative research methods...
December 3, 2016: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/27903203/prevalence-of-bullying-discrimination-and-sexual-harassment-among-trainees-and-fellows-of-the-college-of-intensive-care-medicine-of-australia-and-new-zealand
#6
Bala Venkatesh, Charlie Corke, Raymond Raper, Mary Pinder, Dianne Stephens, Gavin Joynt, Peter Morley, Rinaldo Bellomo, Rob Bevan, Ross Freebairn, Benoj Varghese, Michael Ashbolt, Felicity Hawker, Stephen Jacobe, Sarah Yong
BACKGROUND: Anecdotal reports about bullying behaviour in intensive care emerged during College of Intensive Care Medicine (CICM) hospital accreditation visits. Bullying, discrimination and sexual harassment (BDSH) in the medical profession, particularly in surgery, were widely reported in the media recently. This prompted the College to formally survey its Fellows and trainees to identify the prevalence of these behaviours in the intensive care workplace. METHODS: An online survey of all trainees (n = 951) and Fellows (n = 970) of the CICM...
December 2016: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/27902502/zika-virus-and-patient-blood-management
#7
Lawrence T Goodnough, Marisa B Marques
Sporadic Zika virus infections had only occurred in Africa and Asia until an outbreak in Micronesia (Oceania) in 2007. In 2013 to 2014, several outer Pacific Islands reported local outbreaks. Soon thereafter, the virus was likely introduced in Brazil from competing athletes from French Polynesia and other countries that participated in a competition there. Transmission is thought to have occurred through mosquito bites and spread to the immunologically naive population. Being also a flavivirus, the Zika virus is transmitted by the Aedes mosquito that is endemic in South and Central America that is also the vector of West Nile virus, dengue, and chikungunya...
January 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27884199/a-bibliometric-analysis-of-literature-on-malaria-vector-resistance-1996-2015
#8
Waleed M Sweileh, Ansam F Sawalha, Samah W Al-Jabi, Sa'ed H Zyoud, Naser Y Shraim, Adham S Abu-Taha
BACKGROUND: Emergence of insecticide resistance in malaria vectors is a real threat to future goals of elimination and control of malaria. Therefore, the objective of this study was to assess research trend on insecticide resistance of Anopheles mosquito. In specific, number of publications, countries, institutions, and authors' research profile, citation analysis, international collaborations, and impact of journals publishing documents on insecticide resistance will be presented. It was conducted via Scopus search engine which was used to retrieve relevant data...
November 25, 2016: Globalization and Health
https://www.readbyqxmd.com/read/27871955/challenges-to-practicing-sexual-medicine-in-the-middle-east
#9
REVIEW
Abdulaziz Baazeem
INTRODUCTION: The Middle East is a vast region that includes the Arabian Peninsula, Turkey, Iran, the Levant, and North Africa. Some of the world's earliest civilizations appeared in this region and major religions such as Judaism, Christianity, and Islam originated there. It is an influential region in politics, economy, and resources, but it remains largely enigmatic to those outside the region. The various ethnicities, religions, traditions, and customs in the region have made it unique and diverse at the same time...
July 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27783635/estimating-client-out-of-pocket-costs-for-accessing-voluntary-medical-male-circumcision-in-south-africa
#10
Michel Tchuenche, Vibhuti Haté, Dacia McPherson, Eurica Palmer, Ananthy Thambinayagam, Dayanund Loykissoonlal, Emmanuel Njeuhmeli, Steven Forsythe
In 2010, South Africa launched a countrywide effort to scale up its voluntary medical male circumcision (VMMC) program on the basis of compelling evidence that circumcision reduces men's risk of acquiring HIV through heterosexual intercourse. Even though VMMC is free there, clients can incur indirect out-of-pocket costs (for example transportation cost or foregone income). Because these costs can be barriers to increasing the uptake of VMMC services, we assessed them from a client perspective, to inform VMMC demand creation policies...
2016: PloS One
https://www.readbyqxmd.com/read/27779918/producing-interdisciplinary-competent-professionals-integrating-one-health-core-competencies-into-the-veterinary-curriculum-at-the-university-of-rwanda
#11
Hellen J Amuguni, Melissa Mazan, Robert Kibuuka
Infectious diseases of grave concern to human health are emerging from wildlife and livestock populations in multiple regions of the world. Responding effectively to these emerging pandemics requires engagement of multidisciplinary groups of professionals. Using a One Health approach, One Health Central and Eastern Africa (OHCEA), a network of seven schools of public health and seven veterinary schools, with the support of the United States Agency for International Development (USAID), has engaged in curriculum review with the aim of building the skills of multidisciplinary groups of professionals to improve their capacity to respond to emerging infectious diseases...
October 25, 2016: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/27692776/association-of-rift-valley-fever-virus-infection-with-miscarriage-in-sudanese-women-a-cross-sectional-study
#12
Maria Baudin, Ammar M Jumaa, Huda J E Jomma, Mubarak S Karsany, Göran Bucht, Jonas Näslund, Clas Ahlm, Magnus Evander, Nahla Mohamed
BACKGROUND: Rift Valley fever virus is an emerging mosquito-borne virus that causes infections in animals and human beings in Africa and the Arabian Peninsula. Outbreaks of Rift Valley fever lead to mass abortions in livestock, but such abortions have not been identified in human beings. Our aim was to investigate the cause of miscarriages in febrile pregnant women in an area endemic for Rift Valley fever. METHODS: Pregnant women with fever of unknown origin who attended the governmental hospital of Port Sudan, Sudan, between June 30, 2011, and Nov 17, 2012, were sampled at admission and included in this cross-sectional study...
November 2016: Lancet Global Health
https://www.readbyqxmd.com/read/27661797/the-department-of-defense-at-the-forefront-of-a-global-health-emergency-response-lessons-learned-from-the-ebola-outbreak
#13
Glendon Diehl, Nicole Bradstreet, Felicia Monahan
Tasked with analyzing the effectiveness of the Department of Defense's (DoD's) global health engagements, the Uniformed Services University of the Health Sciences (USU) used the Measures Of Effectiveness in Defense Engagement and Learning (MODEL) study to conduct a qualitative analysis of the DoD's response efforts to the Ebola pandemic in West Africa. The research aims to summarize the findings of studies that monitor and evaluate the DoD's response to the Ebola pandemic or compare the effectiveness of different DoD response activities; it further aims to identify common themes around positive and negative lessons learned and recommendations that can be applied to future DoD humanitarian assistance and disaster response efforts...
September 2016: Health Security
https://www.readbyqxmd.com/read/27642392/-the-problem-of-the-cost-of-new-oncologic-therapies-what-about-morocco
#14
Sami Aziz Brahmi, Ziani Fatima Zahra, Youssef Seddik, Said Afqir
Cancer is a major public health problem in Africa. The progress in cancer treatment over the past decade is undeniable. The emergence of targeted therapies in oncology made it possible to modify the natural history of some cancers associated with a poor prognosis. Despite their efficiency, these therapies pose a major health care problem that makes them inaccessible to most patients in developing countries. In Morocco, cancer is considered a long-term condition and for this reasons patients have health insurance coverage...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27623807/explanatory-models-of-adult-patients-with-type-2-diabetes-mellitus-from-urban-centers-of-central-ethiopia
#15
Bruck M Habte, Tedla Kebede, Teferi G Fenta, Heather Boon
BACKGROUND: Type 2 diabetes, which is increasing as a public health problem in the low resource settings of Africa has been associated with the high prevalence of micro-vascular complications and increasing levels of macro-vascular complications. There is evidence from the developed world that understanding patient perceptions of chronic illness is important to design effective strategies for helping patients manage these conditions. This study utilized Kleinman's model to explore the illness perceptions of type 2 diabetes patients attending treatment in Addis Ababa and Butajira (Ethiopia) and better understand how they manage their illness...
September 13, 2016: BMC Research Notes
https://www.readbyqxmd.com/read/27582573/delivery-fee-exemption-and-subsidy-policies-how-have-they-affected-health-staff-findings-from-a-four-country-evaluation
#16
Sophie Witter, Patrick G Ilboudo, Nadia Cunden, Chakib Boukhalfa, Patrick Makoutode, Zoumana Daou
Many countries, especially in Africa, have in recent years introduced fee exemptions or subsidies targeting deliveries and emergency obstetric care. A number of aspects of these policies have been studied but there are few studies which look at how staff have been affected and how they have responded. This article focuses on this question, comparing data from Benin, Burkina Faso, Mali and Morocco. It is nested in wider evaluation of the policies. The article analyses responses to a health worker survey, carried out in 2012 on 683 health staff (doctors, nurses, midwives and others such as auxiliaries) across the four countries...
August 30, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/27580621/characterising-and-comparing-drug-dispensing-practices-at-animal-health-outlets-in-the-rift-valley-kenya-an-exploratory-analysis-part-ii
#17
L E Higham, W Ongeri, K Asena, M V Thrusfield
A mixed-method study was conducted in the Rift Valley of Kenya to characterise drug-dispensing practices amongst staff at animal health outlets and to explore perceptions of veterinary medicines amongst pastoralists and farmers. Forty structured questionnaires were administered to staff at animal health outlets, including franchise outlets of 'Sidai Africa Ltd.', and two focus group discussions were facilitated to explore the perceptions of local animal health services by a Maasai pastoralist group and a dairy farmer cooperative...
December 2016: Tropical Animal Health and Production
https://www.readbyqxmd.com/read/27576010/middle-east-respiratory-syndrome-emergence-of-a-pathogenic-human-coronavirus
#18
Anthony R Fehr, Rudragouda Channappanavar, Stanley Perlman
In 2012, a zoonotic coronavirus was identified as the causative agent of Middle East respiratory syndrome and was named MERS coronavirus (MERS-CoV). As of August 11, 2016, the virus has infected 1,791 patients, with a mortality rate of 35.6%. Although MERS-CoV generally causes subclinical or mild disease, infection can result in serious outcomes, including acute respiratory distress syndrome and multi-organ failure in patients with comorbidities. The virus is endemic in camels in the Arabian Peninsula and Africa and thus poses a consistent threat of frequent reintroduction into human populations...
January 14, 2017: Annual Review of Medicine
https://www.readbyqxmd.com/read/27566202/the-genus-anogeissus-a-review-on-ethnopharmacology-phytochemistry-and-pharmacology
#19
REVIEW
Deeksha Singh, Uttam Singh Baghel, Anshoo Gautam, Dheeraj Singh Baghel, Divya Yadav, Jai Malik, Rakesh Yadav
ETHNOPHARMACOLOGICAL RELEVANCE: The genus Anogeissus (axlewood tree, ghatti tree, button tree and chewing stick tree) belongs to Combretaceae, includes eight species that are distributed in Asia and Africa. Plants are used as an ethnomedicine in Asia and Africa to treat various ailments like diabetes, fever, diarrhoea, dysentery, tuberculosis, wound healing, skin diseases (eczema, psoriasis), snake and scorpion venom. Based on the traditional knowledge, different phytochemical and pharmacological activities have been at the focus of research...
December 24, 2016: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/27526773/effective-non-drug-interventions-for-improving-outcomes-and%C3%A2-quality-of-maternal-health-care%C3%A2-in-sub-saharan-africa-a-systematic-review
#20
Frederick M Wekesah, Chidozie E Mbada, Adamson S Muula, Caroline W Kabiru, Stella K Muthuri, Chimaraoke O Izugbara
BACKGROUND: Many interventions have been implemented to improve maternal health outcomes in sub-Saharan Africa (SSA). Currently, however, systematic information on the effectiveness of these interventions remains scarce. We conducted a systematic review of published evidence on non-drug interventions that reported effectiveness in improving outcomes and quality of care in maternal health in SSA. METHODS: African Journals Online, Bioline, MEDLINE, Ovid, Science Direct, and Scopus databases were searched for studies published in English between 2000 and 2015 and reporting on the effectiveness of interventions to improve quality and outcomes of maternal health care in SSA...
2016: Systematic Reviews
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