International Journal of Travel Medicine and Global Health最新文献_第10页

Better Late Than Never - An Analysis of Last-Minute Travelers Attending a Specialist Travel Medicine Clinic in Ireland 迟到总比不到好——对爱尔兰一家专业旅行医学诊所的最后一刻旅行者的分析

International Journal of Travel Medicine and Global Health Pub Date : 2019-12-15 DOI: 10.15171/ijtmgh.2019.26

G. Flaherty, Muhammad Haziq Hasnol, L. Sulaiman

{"title":"Better Late Than Never - An Analysis of Last-Minute Travelers Attending a Specialist Travel Medicine Clinic in Ireland","authors":"G. Flaherty, Muhammad Haziq Hasnol, L. Sulaiman","doi":"10.15171/ijtmgh.2019.26","DOIUrl":"https://doi.org/10.15171/ijtmgh.2019.26","url":null,"abstract":"Introduction: Last-minute travelers (LMTs) are a vulnerable group, because it may not be possible to adequately vaccinate them against exposure to infectious diseases. The purpose of this retrospective cross-sectional study was to describe the characteristics of LMTs attending a travel health clinic. Methods: The following data was extracted from records of travelers attending the Tropical Medical Bureau (Galway, Ireland) over a 6-year period with less than 2 weeks remaining before their departure: gender, age, occupation, destination(s), purpose of travel, departure date, travel duration, travel group size, accommodation, past medical history, medications, and vaccination history. Results: Of 7555 traveler records, 1296 (17.2%) were of LMTs, of whom 45 (3.5%) were recurrent LMTs. LMTs were equally likely to be male or female. The mean age of this cohort was 32.2 years. The most common travel destination was Asia, and holiday was the most frequent purpose of travel. The mean interval before departure was 7.54 ± 3.65 days, and the mean travel duration was 7.36 ± 2.3 weeks. The majority (n=454, 35.1%) of LMTs traveled in pairs. Approximately 2 in 5 (n=497, 38.4%) travelers reported a past medical history; over half (n=674, 52.0%) had previously received travel vaccinations. The majority (n=1202, 92.8%) of LMTs were unable to complete a scheduled course of pre-travel vaccines. Conclusion: This study provides insight into the characteristics and travel patterns of LMTs. A large proportion of LMTs have pre-existing medical conditions. Further research should focus on the travel health risk-taking behavior of these individuals.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":"7 1","pages":"123-128"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41729447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Influence of History, Geography, and Economics on the Elimination of Malaria: A Perspective on Disease Persistence in Rural Areas of Zambia 历史、地理和经济对消除疟疾的影响:对赞比亚农村地区疾病持续性的看法

International Journal of Travel Medicine and Global Health Pub Date : 2019-12-15 DOI: 10.15171/ijtmgh.2019.24

Mukumbuta Nawa

{"title":"Influence of History, Geography, and Economics on the Elimination of Malaria: A Perspective on Disease Persistence in Rural Areas of Zambia","authors":"Mukumbuta Nawa","doi":"10.15171/ijtmgh.2019.24","DOIUrl":"https://doi.org/10.15171/ijtmgh.2019.24","url":null,"abstract":"The fight against malaria is currently ongoing in many countries where the disease is still endemic. The overall target is to eliminate malaria in all nations, regardless of their malaria burden, by 2030. Currently, the disease has been eliminated mainly in low-burden and unstable malaria areas globally. However, in high-burden countries, particularly in Africa, the disease is still not eliminated; some countries are even recording increases in incidence. This paper discusses why the disease is currently being eliminated in some countries and not in others using a historical and geo-economic perspective. It identifies gaps in the primary contemporary interventions in high endemic areas, particularly in rural constituencies where incidence of the disease is even higher. The key discussion point is that poor housing and behavioral patterns predispose rural dwellers to more malaria. Other risk factors include agricultural occupations, livestock keeping, and the fact that mosquito vectors in Africa thrive more in rural than urban areas. Combating malaria in rural African areas, therefore, requires radical transformative action to address the unique situations that currently enable the persistence of malaria beyond the contemporary, mainly indoor, and health facility-based interventions. Improving housing structures in rural Africa, which are mainly mud and thatched huts, to at least insect-proof standards is the recommended transformative action. Moreover, behavioral patterns, such as cooking outdoors in the evenings, must be modified to cooking in improvised insect-proof kitchens.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":"7 1","pages":"113-117"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41547004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Familial Mediterranean Fever (FMF): Mysterious Presentations and Challenging Points From Diagnosis to Management in Acute Care Settings; A Literature Review 家族性地中海热（FMF）：从诊断到急性护理管理的神秘表现和挑战点；文献综述

International Journal of Travel Medicine and Global Health Pub Date : 2019-12-15 DOI: 10.15171/ijtmgh.2019.25

S. Heydari, Hosein Namdar, M. Behzadnia

{"title":"Familial Mediterranean Fever (FMF): Mysterious Presentations and Challenging Points From Diagnosis to Management in Acute Care Settings; A Literature Review","authors":"S. Heydari, Hosein Namdar, M. Behzadnia","doi":"10.15171/ijtmgh.2019.25","DOIUrl":"https://doi.org/10.15171/ijtmgh.2019.25","url":null,"abstract":"Introduction: Familial Mediterranean fever (FMF) is an autosomal recessive disease considered to be the most common entity of a rare group of disorders known as auto-inflammatory syndromes which have acute presentations in emergency settings. Methods: A search of Web of Science, Google Scholar, Cochrane, and PubMed databases for articles published before January 2019 was performed using relevant keywords. Full-text English articles, including review articles, case series, and experimental studies, were evaluated. Unrelated studies were excluded. Based on the selected keywords, 440 studies were selected for review. Ultimately, 60 met the study criteria for final assessment. Results: Given the various symptoms and the multiplicity of differential diagnoses, physicians may easily miss diagnosing FMF. Accordingly, emergency medical staff must be trained in order to significantly reduce the number of medical errors and economic costs and to improve the quality of life of involved patients. Conclusion: Although FMF is already known to be an inflammatory entity, more study and investigation of it is required. There is an educational gap in both medical and general populations that should be filled by using new genetic testing and providing appropriate social and medical education.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":"7 1","pages":"118-122"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44003325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Serendipitous Detection of Asymptomatic Lesions in International Travellers 国际旅行者中无症状病变的偶然发现

International Journal of Travel Medicine and Global Health Pub Date : 2019-12-15 DOI: 10.15171/ijtmgh.2019.30

William Oh, G. Flaherty

{"title":"Serendipitous Detection of Asymptomatic Lesions in International Travellers","authors":"William Oh, G. Flaherty","doi":"10.15171/ijtmgh.2019.30","DOIUrl":"https://doi.org/10.15171/ijtmgh.2019.30","url":null,"abstract":"The recent case of a 41-year-old British tourist, whose breast cancer was first suggested by a visit to a popular tourist attraction in Scotland, prompted us to consider how travel may serendipitously yield unforeseen diagnoses. The woman and her family were entertained in the thermal imaging camera room of the Camera Obscura and World of Illusions exhibit in Edinburgh when she noticed that her left breast had a different colour to her right breast.1 She recorded an image of the heat patch on her phone which she subsequently discussed with her doctor. A diagnosis of early-stage breast cancer was made and the patient was successfully treated with mastectomy without the need for chemo-radiotherapy.1 The manager of the facility was previously unaware of the potential for their thermal camera to detect occult cancers. Thermal imaging is used at some international airports for the mass screening of passengers entering a jurisdiction, in order to detect the presence of fever, which appears as an area of intense thermal activity on the heat map. While this technology was used with some success during the 2002-2003 SARS outbreak, it has been criticised in a recent review, which questioned its effectiveness in the surveillance of groups of passengers in transit.2 To the best of our knowledge, no case of breast cancer has been reported in the context of airport thermal scanning...(Read more...)","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":"7 1","pages":"147-148"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42398166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of Knowledge, Attitude and Adherence to Treatment in Patients With Heart Disease in Iran 伊朗心脏病患者对治疗的知识、态度和依从性评估

International Journal of Travel Medicine and Global Health Pub Date : 2019-11-26 DOI: 10.15171/ijtmgh.2019.29

Masoud Khodaveisi, Shahla Fakhreazizi, N. Mohammadi, Leili Tapak

{"title":"Assessment of Knowledge, Attitude and Adherence to Treatment in Patients With Heart Disease in Iran","authors":"Masoud Khodaveisi, Shahla Fakhreazizi, N. Mohammadi, Leili Tapak","doi":"10.15171/ijtmgh.2019.29","DOIUrl":"https://doi.org/10.15171/ijtmgh.2019.29","url":null,"abstract":"Introduction: Adherence to treatment is essential in heart disease. This study was conducted to evaluate the nutritional awareness of hypertensive patients and their dietary intake in heart disease. Methods: This is a descriptive-analytical study that was performed on hypertensive patients referred to Farshchian Cardiovascular Clinic in Iran, using the available random sampling method. Data collection tools included demographic information questionnaire and three questionnaires of nutritional awareness, illness perception, and dietary follow-up of patients with hypertension. Data were analyzed using SPSS software version 16 and descriptive statistics. Results: The mean score of knowledge was 4.73±1.55. Fifty-eight percent of patients were unaware of high-fat diet, 56% of them did not eat red meat and 63% of them did not eat sweets. The mean score of perception was 29.58±3.94 of which 38% of the patients were uncontrollable and 43% strongly opposed their illnesses which could lead to premature death and 56% were against dietary restriction. Conclusion: There is a need for interventions to improve the knowledge and attitude of patients with heart disease.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":"7 1","pages":"142-146"},"PeriodicalIF":0.0,"publicationDate":"2019-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42740653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Effects of Community-Based Interventions in Reducing the Obesity and Overweight Rate Among Iranian Women: Using Urban Health Equity Assessment and Response Tool 基于社区的干预措施对降低伊朗妇女肥胖和超重率的影响:使用城市健康公平评估和反应工具

International Journal of Travel Medicine and Global Health Pub Date : 2019-09-20 DOI: 10.15171/ijtmgh.2019.21

Farzaneh Rassam, L. Khedmat, F. Khatami

{"title":"Effects of Community-Based Interventions in Reducing the Obesity and Overweight Rate Among Iranian Women: Using Urban Health Equity Assessment and Response Tool","authors":"Farzaneh Rassam, L. Khedmat, F. Khatami","doi":"10.15171/ijtmgh.2019.21","DOIUrl":"https://doi.org/10.15171/ijtmgh.2019.21","url":null,"abstract":"Introduction: The increasing prevalence of overweight and obesity is one of the most critical issues of urban health. The current study investigated the effects of community-based interventions on modification of overweight and obesity. Methods: A program based on the Urban Health Equity Assessment and Response Tool (Urban HEART) was developed and implemented in 2013-2014. A total of 166 Iranian females aged 15 years or older who were classified as overweight or obese using body mass index (BMI) were randomly selected and gave verbal consent to participate in this study. The intervention was carried out for a duration of 4 months. Results: The mean age of subjects was 43.6±12.2 years. The total number of overweight and obese individuals were 75 (45.2%) and 91 (54.8%), respectively. The mean BMI of the patients before and after the intervention was 30.3±2.7 and 29.4±2.7 kg/m2 , respectively (P < 0.05). Higher education level and greater floor area were recognized as valid predictors for reduced BMI after the intervention (P < 0.001). Conclusion: This study successfully represents the collaborative role of the community in improving health status by reducing overweight and obesity. The Urban HEART provided distinct opportunities for presenting the promising results of interventions to health policymakers and managers so they can adjust macro and micro policies for achieving better community health outcomes.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46450361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

A Disease Outbreak Prediction Model Using Bayesian Inference: A Case of Influenza 基于贝叶斯推理的疾病爆发预测模型:以流感为例

International Journal of Travel Medicine and Global Health Pub Date : 2019-09-10 DOI: 10.15171/ijtmgh.2019.20

Atefeh Sadat Mirarabshahi, M. Kargari

{"title":"A Disease Outbreak Prediction Model Using Bayesian Inference: A Case of Influenza","authors":"Atefeh Sadat Mirarabshahi, M. Kargari","doi":"10.15171/ijtmgh.2019.20","DOIUrl":"https://doi.org/10.15171/ijtmgh.2019.20","url":null,"abstract":"Introduction: One major problem in analyzing epidemic data is the lack of data and high dependency among the available data, which is due to the fact that the epidemic process is not directly observable. Methods: One method for epidemic data analysis to estimate the desired epidemic parameters, such as disease transmission rate and recovery rate, is data intensification. In this method, unknown quantities are considered as additional parameters of the model and are extracted using other parameters. The Markov Chain Monte Carlo algorithm is extensively used in this field. Results: The current study presents a Bayesian statistical analysis of influenza outbreak data using Markov Chain Monte Carlo data intensification that is independent of probability approximation and provides a wider range of results than previous studies. A method for estimating the epidemic parameters has been presented in a way that the problem of uncertainty regarding the modeling of dynamic biological systems can be solved. The proposed method is then applied to fit an SIR-like flu transmission model to data from 19 years leading up to the seventh week of the 2017 incidence of influenza. Conclusion: The proposed method showed an improvement in estimating the values of all the parameters considered in the study. The results of this study showed that the distributions are significant and the error ranges are real.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44776046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Pre-travel Health Advice for Patients With Cardiovascular Disease 心血管疾病患者旅行前健康指引

International Journal of Travel Medicine and Global Health Pub Date : 2019-08-31 DOI: 10.15171/ijtmgh.2019.18

C. H. Liew, G. Flaherty

{"title":"Pre-travel Health Advice for Patients With Cardiovascular Disease","authors":"C. H. Liew, G. Flaherty","doi":"10.15171/ijtmgh.2019.18","DOIUrl":"https://doi.org/10.15171/ijtmgh.2019.18","url":null,"abstract":"Cardiovascular disease (CVD) is the leading cause of death among international travellers. Practitioner knowledge of the effects of CVD on international travel is imperative in order to promote a healthy travel experience. This review aimed to explore the available literature on this topic. The PubMed database was accessed to source relevant literature using combinations of relevant keywords as search terms. Articles were restricted to those published in the English language through March 2019. Of 1726 article records retrieved, 73 relevant papers were examined carefully. The results of this narrative review are related to multiple aspects of CVD and travel. The pre-travel consultation should address issues regarding vaccinations, travel insurance, anticoagulation, and medical devices. Additional vaccines to be discussed include influenza, pneumococcal, and hepatitis B. Patients with CVD should be advised of the need to carry a copy of their ECG, prescription(s), and pacemaker manufacturer’s card. Knowledge of the location overseas of automated external defibrillators and awareness of health risks associated with strenuous adventure activities are important for CVD travellers. Medical tourism for patients with CVD is briefly considered. Space tourism is an emerging category of extreme international travel that requires specialized pre-travel preparation. This narrative review article highlights the gaps in the travel medicine literature in relation to CVD. A strong evidence base for most recommendations is lacking. Future scholarly efforts are warranted to facilitate more robust travel recommendations for CVD patients. No qualitative studies to date have described the experiences of international travellers with CVD.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47586099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Opportunities of Telemedicine for Orthopedics and Trauma Surgery 骨科和创伤外科远程医疗的机遇

International Journal of Travel Medicine and Global Health Pub Date : 2019-06-06 DOI: 10.15171/IJTMGH.2019.17

M. Nerlich, T. Herbst, A. Ernstberger, Markus Blaetzinger

引用次数: 1

Initiatives in Medical Volunteerism Aimed at Reducing the Burden of Orthopedic Disease in Low- and MiddleIncome Countries 旨在减轻中低收入国家骨科疾病负担的医疗志愿服务倡议

International Journal of Travel Medicine and Global Health Pub Date : 2019-06-01 DOI: 10.15171/IJTMGH.2019.10

A. Anastasio

引用次数: 2