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The resurgence of malaria in the United States: analyzing recent cases and strengthening surveillance and prevention measures 疟疾在美国的死灰复燃:分析最近的病例并加强监测和预防措施
Pub Date : 2023-09-01 DOI: 10.1097/GH9.0000000000000325
Nicholas Aderinto, G. Olatunji, Irumudomon Jessy Grantay
Significant strides have been made in malaria control and elimination efforts in the United States. Over the years, concerted efforts were made to combat the disease, including establishing Malaria Control inWarAreas in 1942, which targetedmalaria control in the Southern United States and its territories. These efforts proved successful, and in 1951 malaria was eliminated in the United States. However, recent developments have raised concerns about the resurgence of malaria. Despite the previous success, there have been isolated malaria outbreaks in the United States in 2003 and 2023. An outbreak in Palm Beach County, Florida, initially suggested local transmission, but it was later determined to be imported cases. The most recent cases reported in Florida and Texas have triggered alarms regarding the potential for a resurgence. Recognizing the potential risks, the Centres for Disease Control and Prevention issued a Health Alert Network Health Advisory. The advisory emphasized the importance of identifying locally acquired cases and the potential increase in imported malaria associated with international travel. These recent cases serve as a wake-up call for the United States and other malariafree countries, urging them to increase their vigilance in preventing the reemergence of the disease. Strengthening surveillance efforts to address the current situation and prevent a major public health crisis is crucial. This paper aims to analyze the situation, identify contributing factors to the recent cases, and provide recommendations for enhancing surveillance. By doing so, the goal is to prevent a potential resurgence of malaria and prompt other malaria-free countries to reinforce their vigilance against the disease. Overview of the recent malaria cases in the United States
美国在控制和消除疟疾方面取得了重大进展。多年来,双方共同努力防治疟疾,包括1942年在战区建立了疟疾控制中心,目标是在美国南部及其领土上控制疟疾。这些努力被证明是成功的,1951年疟疾在美国被消灭。然而,最近的事态发展引起了人们对疟疾死灰复燃的担忧。尽管以前取得了成功,但在2003年和2023年,美国发生了孤立的疟疾疫情。佛罗里达州棕榈滩县的一次疫情最初表明是当地传播,但后来确定为输入病例。最近在佛罗里达州和德克萨斯州报告的病例引发了有关疫情可能卷土重来的警报。认识到潜在的风险,疾病控制和预防中心发布了健康警报网络健康咨询。该咨询强调了确定当地获得病例和与国际旅行有关的输入性疟疾可能增加的重要性。最近的这些病例为美国和其他无疟疾国家敲响了警钟,敦促它们提高警惕,防止这种疾病再次出现。加强监测工作以应对当前局势并防止重大公共卫生危机至关重要。本文旨在分析现状,找出近期病例的影响因素,并提出加强监测的建议。这样做的目的是防止疟疾可能死灰复燃,并促使其他无疟疾国家加强对这一疾病的警惕。美国最近疟疾病例概述
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引用次数: 0
Ensuring patient safety: addressing meningitis outbreaks linked to epidural anesthesia; lessons from Mexico 确保患者安全:处理与硬膜外麻醉有关的脑膜炎疫情;墨西哥的教训
Pub Date : 2023-09-01 DOI: 10.1097/GH9.0000000000000324
Nicholas Aderinto, G. Olatunji
Epidural anesthesia-related meningitis outbreaks are a rare but significant concern within medical settings. These outbreaks can occur due to various factors, such as contaminated medication, breaches in aseptic technique, immune compromise, prolonged catheterization, and inadequate disinfection practices. In a systematic review conducted by researchers, 234 reported cases of septic meningitis were examined, comprising 22 epidemiological studies and 71 case-report articles. Among these cases, 10 involved mixed neuraxial anesthesia, 25 were associated with epidural anesthesia, and 199 were linked to spinal anesthesia. In particular, the researchers identified a prevalent risk factor: the absence of surgical mask use during surgeries, accounting for 41 cases (16.7%). This correspondence focuses on a recent fungal meningitis outbreak in Matamoros, Mexico. By examining this case, we aim to emphasize the importance of stringent protocols, proper aseptic techniques, equipment sterilization, and patient monitoring to minimize infection risks and ensure patient well-being. The analysis will encompass the outbreak’s origin, consequences, and challenges, providing expert insights and evidence-based recommendations for prevention and mitigation. In addition, it will underscore the importance of early detection, surveillance, and adequate preparation measures. Ultimately, this correspondence delves into the importance of ensuring patient safety, explores the factors contributing to meningitis outbreaks, and highlights valuable lessons that can be derived from the Mexican context.
硬膜外麻醉相关的脑膜炎暴发是罕见的,但在医疗环境中值得关注。这些暴发可由多种因素引起,如药物污染、无菌技术的破坏、免疫损害、插管时间延长和消毒措施不充分。在研究人员进行的一项系统综述中,研究了234例报告的脓毒性脑膜炎病例,包括22项流行病学研究和71篇病例报告文章。在这些病例中,10例涉及混合神经轴麻醉,25例涉及硬膜外麻醉,199例涉及脊髓麻醉。特别是,研究人员确定了一个普遍的风险因素:手术期间没有使用外科口罩,占41例(16.7%)。本文通信的重点是最近在墨西哥马塔莫罗斯爆发的真菌性脑膜炎。通过检查这个病例,我们的目的是强调严格的方案,适当的无菌技术,设备消毒和患者监测的重要性,以尽量减少感染风险,确保患者的健康。分析将包括疫情的起源、后果和挑战,为预防和缓解疫情提供专家见解和基于证据的建议。此外,它还将强调早期发现、监测和充分准备措施的重要性。最后,本文深入探讨了确保患者安全的重要性,探讨了导致脑膜炎暴发的因素,并强调了可从墨西哥情况中获得的宝贵经验教训。
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引用次数: 0
Use of Nile tilapia fish skin in treatment for burn victims 尼罗罗非鱼鱼皮用于烧伤患者的治疗
Pub Date : 2023-09-01 DOI: 10.1097/GH9.0000000000000257
Bikona Ghosh, D. Sánchez-Velazco, Parvati Prem, Anam S Ali, Olivia Dominique, Shahtaj A Shah, Luis Morales Ojeda, Dinali Obeysekera
Burn injuries in the United States result in 1.1 million hospital admissions, with around 4500 deaths annually, according to the CDC. Although skin grafts have been the standard treatment since 1869, recent research suggests that tilapia skin could offer a safer and more effective alternative. This review aims to assess the strengths and knowledge gaps related to the usage of fish skin in burn patients. A systematic search was conducted on electronic databases, such as PubMed, Scopus, Web of Science, Clinicaltrials.gov, and Google Scholar, using relevant MESH keywords from 2018 to 2022. The search and analysis followed the “Preferred Reporting Items for Systematic Reviews and Meta-analysis” methodology. Data extraction utilized a template based on the Cochrane Consumers and Communication Review group’s extraction guidelines. Out of 166 studies identified, 12 relevant studies were extensively analyzed. The trials consistently demonstrated accelerated reepithelialization, improved patient compliance in managing burn-related pain, no immunologic or allergic reactions, reduced infection rates, shorter hospital stays, and decreased treatment costs when using fish skin. These findings suggest that fish skin is comparable to traditional treatments in terms of effectiveness and safety. Considering the discussed advantages, Nile tilapia fish skin emerges as a promising xenograft option for burn victims. However, further large-scale trials and studies are needed before its widespread and official implementation in burn centers. More research is required to establish the efficacy and safety of fish skin as a viable treatment modality.
根据美国疾病控制与预防中心的数据,美国每年有110万人因烧伤入院,约4500人死亡。尽管自1869年以来,皮肤移植一直是标准的治疗方法,但最近的研究表明,罗非鱼皮肤可以提供一种更安全、更有效的替代方法。本综述旨在评估与烧伤患者使用鱼皮相关的优势和知识差距。系统检索PubMed、Scopus、Web of Science、Clinicaltrials.gov、Google Scholar等电子数据库,使用2018 - 2022年相关MESH关键词进行检索。搜索和分析遵循“系统评价和荟萃分析的首选报告项目”方法。数据提取使用了基于Cochrane消费者与沟通评估小组提取指南的模板。在确定的166项研究中,对12项相关研究进行了广泛分析。试验一致表明,使用鱼皮可加速表皮再生,提高患者对烧伤相关疼痛的依从性,无免疫或过敏反应,降低感染率,缩短住院时间,降低治疗费用。这些发现表明,鱼皮在有效性和安全性方面与传统疗法相当。考虑到所讨论的优点,尼罗罗非鱼鱼皮成为烧伤患者有前途的异种移植选择。然而,在烧伤中心广泛和正式实施之前,还需要进一步的大规模试验和研究。需要更多的研究来确定鱼皮作为一种可行的治疗方式的有效性和安全性。
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引用次数: 0
The measles outbreak in Indonesia: an assessment of Sthe 2023 epidemic 印度尼西亚麻疹暴发:对2023年麻疹疫情的评估
Pub Date : 2023-09-01 DOI: 10.1097/gh9.0000000000000161
Sanobar Shariff, Rania Itani, Taha Oseili, J. Wellington, Abubakar Nazir, Olivier Uwishema
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引用次数: 0
Prevalence, risk factors and implications of hypercholesterolemia in Pakistan 巴基斯坦高胆固醇血症的患病率、危险因素及其影响
Pub Date : 2023-09-01 DOI: 10.1097/gh9.0000000000000319
Ghazia Zeeshan, Warda Naimat, Humam Furqan, Haya Shuja
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引用次数: 0
Assessment of self-medication status among international students in different universities in Pakistan; a cue to the rational use of medicines: a cross-sectional study 巴基斯坦不同高校留学生自我药疗状况评估合理用药提示:一项横断面研究
Pub Date : 2023-08-29 DOI: 10.1097/GH9.0000000000000320
S. Khadka, G. Yadav, Ravi Prasad Gupta, P. Aryal, Mohammad Saleem, Arun Sharma, K. Amgain, Muhammad Abdul Jabar Adnan
Background: Self-medication is a global phenomenon that can lead to adverse consequences. This study was conducted to assess the self-medication status among international students in Pakistan so that rational use of medicines (RUM) can be assured with effective interventions. Methods: A web-based cross-sectional survey was conducted among 317 international students in different universities in Pakistan. The original Bloom’s cutoff point was utilized to categorize the participants’ overall knowledge, attitude, and practice. The χ2 test was used to test for group differences. For binary logistic regression analyses, the odds ratio (OR) was calculated at 95% CI. Spearman rank correlation coefficient test was used to assess the relationships among the knowledge, attitude, and/or practice scores. Results: The participants demonstrated overall good knowledge (85.5%), positive attitude (83.9%), and good practice (78.5%) towards self-medication. None of the demographic parameters were found statistically significant with knowledge, attitude, and practice about self-medication. The participants with good knowledge and positive attitude had more than 7 and 30 times high odds of good practice (OR: 7.97, 95% CI: 4.06–15.65, P < 0.001 and OR: 30.91, 95% CI: 14.26–67.00, P < 0.001) than those without good knowledge and positive attitude, respectively. Conclusion: Good knowledge, positive attitude, and good practice towards self-medication show the value of education and awareness towards RUM. The interventions to halt the irrational practice of self-medication, expanding awareness, and executing legislation to upgrade the judicious use of self-medication practices are indicated for the RUM at the national level.
背景:自我药疗是一种可能导致不良后果的全球现象。本研究旨在评估巴基斯坦留学生的自我药疗状况,通过有效的干预措施确保合理用药。方法:采用基于网络的横断面调查方法,对巴基斯坦不同大学的317名留学生进行调查。最初的Bloom截断点被用来对参与者的整体知识、态度和实践进行分类。组间差异采用χ2检验。对于二元逻辑回归分析,以95% CI计算优势比(OR)。采用Spearman秩相关系数检验评估知识、态度和/或练习得分之间的关系。结果:参试者对自我药疗的认知总体良好(85.5%),态度积极(83.9%),行为良好(78.5%)。人口学参数与自我药疗的知识、态度和实践均无统计学意义。具有良好知识和积极态度的参与者比没有良好知识和积极态度的参与者的良好实践几率分别高7倍和30倍(OR: 7.97, 95% CI: 4.06-15.65, P < 0.001)和30.91,95% CI: 14.26-67.00, P < 0.001)。结论:良好的自我药疗知识、积极的态度和良好的行为表现了对RUM的教育和认识的价值。建议在国家一级采取干预措施,制止自我药疗的不合理做法,扩大认识,并执行立法,以提高自我药疗做法的明智使用。
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引用次数: 0
Risk factors and management strategies for atrial fibrillation 房颤的危险因素及治疗策略
Pub Date : 2023-08-29 DOI: 10.1097/GH9.0000000000000318
Duaa Durrani, R. Fatima, M. Shaikh
Atrial fibrillation (AF) is a cardiac arrhythmia characterised by the irregular and frequently fast depolarization of the atrial myocardium resulting from a disturbance of the usual electrical conduction routes within the atria, which causes disorganised and ineffective atrial contractions. The management of AF involves a multidisciplinary approach that includes identifying and treating underlying risk factors, managing symptoms, and preventing complications. The risk factors for AF include age, hypertension, obesity, diabetes mellitus, valvular heart disease, coronary artery disease, congestive heart failure, alcohol consumption, sleep apnea, and family history. The management strategies for AF include rate control, rhythm control, anticoagulation, left atrial appendage closure, lifestyle modifications, surgical ablation, catheter ablation, cardioversion, and education and support. The choice of management strategy should be tailored to the individual patient’s risk profile, comorbidities, and other factors. Further research is needed to improve our understanding of the pathophysiology of AF and to develop more effective management strategies for this condition.
心房颤动(AF)是一种心律失常,其特征是心房心肌不规则且经常快速去极化,这是由于心房内通常的电传导路线受到干扰,导致心房收缩紊乱和无效。房颤的治疗涉及多学科的方法,包括识别和治疗潜在的危险因素、控制症状和预防并发症。房颤的危险因素包括年龄、高血压、肥胖、糖尿病、瓣膜性心脏病、冠状动脉疾病、充血性心力衰竭、饮酒、睡眠呼吸暂停和家族史。房颤的治疗策略包括心率控制、心律控制、抗凝、左心耳关闭、生活方式改变、手术消融、导管消融、心律转复、教育和支持。管理策略的选择应根据个体患者的风险概况、合并症和其他因素进行调整。需要进一步的研究来提高我们对房颤病理生理的理解,并制定更有效的治疗策略。
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引用次数: 0
Bird flu outbreak in Bulgaria: a cause for alarming concern? 保加利亚爆发禽流感:令人担忧的原因?
Pub Date : 2023-08-29 DOI: 10.1097/gh9.0000000000000157
Sanobar Shariff, Israel Oluwasegun Ayenigbara, Mahmoud Taha, Olivier Uwishema, Abubakar Nazir
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引用次数: 0
Resurgence of Lassa fever in Nigeria: clinical features, epidemiology, pathogenesis, diagnostic methods, and treatment 尼日利亚拉沙热死灰复燃:临床特征、流行病学、发病机制、诊断方法和治疗
Pub Date : 2023-08-28 DOI: 10.1097/gh9.0000000000000238
Md. Imam Hossain, Prosun Bhattacharya, Md. Aminul Islam
{"title":"Resurgence of Lassa fever in Nigeria: clinical features, epidemiology, pathogenesis, diagnostic methods, and treatment","authors":"Md. Imam Hossain, Prosun Bhattacharya, Md. Aminul Islam","doi":"10.1097/gh9.0000000000000238","DOIUrl":"https://doi.org/10.1097/gh9.0000000000000238","url":null,"abstract":"","PeriodicalId":306111,"journal":{"name":"International Journal of Surgery: Global Health","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122954576","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
Donislecel (Lantidra); first stem cell therapy, a cutting-edge therapeutic option for type 1 diabetes, but would it be beneficial in the riskiest region of the world? Donislecel (Lantidra);首先是干细胞治疗,一种治疗1型糖尿病的前沿选择,但它在世界上最危险的地区是否有益?
Pub Date : 2023-08-25 DOI: 10.1097/GH9.0000000000000259
Amna Iqbal, Ayesha Sheikh
Diabetes mellitus (DM) is of 2 types: type 1 and type 2. Type 1 DM or juvenile diabetes also commonly named insulin-dependent diabetes has affected people of all ages, but usually, the young population is affected. The primary risk factor is the family history, however, no preventive methods are available but a healthy lifestyle and low-sugar diet are recommended. The significant symptoms of type 1 diabetes are excessive thirst, frequent urination, weight loss, blurred vision, and fatigue. The diagnosis can be made by checking blood glucose levels, glycosylated hemoglobin test (A1 c), basic metabolic panel, urinalysis, and arterial blood gas. Type 1 diabetes mellitus is one the most common disease in the world with 1.24 million people in the United States living with it and by 2050 it can increase to 5 million. Pakistan has the world’s largest population affected by DM with a prevalence rate of 30.8%.
糖尿病(DM)分为2型:1型和2型。1型糖尿病或青少年糖尿病,通常也被称为胰岛素依赖型糖尿病,影响所有年龄段的人,但通常,年轻人受到影响。主要的危险因素是家族史,然而,没有预防方法,但建议健康的生活方式和低糖饮食。1型糖尿病的显著症状是过度口渴、尿频、体重减轻、视力模糊和疲劳。诊断可通过检查血糖水平、糖化血红蛋白试验(A1 c)、基础代谢组、尿液分析和动脉血气来进行。1型糖尿病是世界上最常见的疾病之一,在美国有124万人患有糖尿病,到2050年,这一数字可能会增加到500万。巴基斯坦是世界上受糖尿病影响人口最多的国家,患病率为30.8%。
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引用次数: 0
期刊
International Journal of Surgery: Global Health
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