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Emerging health threats journal最新文献

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Natural disasters and use of syndromic surveillance: Austin, Texas Metro Area 2011 自然灾害和综合征监测的使用:2011年德克萨斯州奥斯汀都市区
Pub Date : 2011-12-06 DOI: 10.3402/EHTJ.V4I0.11194
Judy Henry, P. Murphy, Janet Pichette, David Anderson, Heather Cooks-Sinclair
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引用次数: 0
Confusing standards: common misconceptions about disease surveillance standards 混淆标准:对疾病监测标准的常见误解
Pub Date : 2011-12-06 DOI: 10.3402/EHTJ.V4I0.11180
Wayne Loschen
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引用次数: 0
Using injury surveillance to assess sport- and recreation-related heat illness 使用损伤监测来评估运动和娱乐相关的中暑疾病
Pub Date : 2011-12-06 DOI: 10.3402/ehtj.v4i0.11043
E. Yard, J. Gilchrist, D. Comstock, T. Haileyesus, M. Murphy
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引用次数: 0
Use of an electronic health record system for public health surveillance 使用电子健康记录系统进行公共健康监测
Pub Date : 2011-12-06 DOI: 10.3402/ehtj.v4i0.11115
J. Cheek, Aneel A. Advani, B. Reilley, F. Hack, Amy V. Groom, J. Hayslett, J. Redd, J. Keck, T. Cullen
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引用次数: 0
Visualizing data quality: tools and views 可视化数据质量:工具和视图
Pub Date : 2011-12-06 DOI: 10.3402/EHTJ.V4I0.11144
I. Painter, J. Eaton, D. Olson, William Lober, D. Revere
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引用次数: 0
Evaluating the relationship between heat-related ED visits and weather variables 评估与热有关的急诊就诊与天气变量之间的关系
Pub Date : 2011-12-06 DOI: 10.3402/EHTJ.V4I0.11080
B. Storm, B. Fowler
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引用次数: 0
The spatial and temporal anatomy of seasonal influenza in the United States, 1972–2007 1972-2007年美国季节性流感的时空解剖
Pub Date : 2011-12-06 DOI: 10.3402/EHTJ.V4I0.11013
Bianca Malcolm, S. Morse
The Spatial and Temporal Anatomy of Seasonal Influenza in the United States, 1968-2008 Bianca Malcolm Seasonality has a major effect on the spatiotemporal dynamics of natural systems and their populations and is a driving force behind the transmission of influenza in temperate regions. Although the seasonality of influenza in temperate countries is widely recognized, inter-state spread of influenza in the United States has not been well characterized. This dissertation characterized the seasonality of influenza throughout the United States by using monthly pneumonia and influenza (P&I) mortality to model inter-state movement of seasonal influenza in the continental United States between 1968 and 2008. The first chapter summarizes the current knowledge of the burden, morphology, and geography of influenza as well as limitations of prior studies. In the second chapter, weekly data on laboratory-confirmed influenza isolates from a national viral surveillance system (considered the “gold standard”) is compared with weekly pneumonia and influenza (P&I) mortality data from a national mortality surveillance system in order to determine if the timing of mortality data correlated well with the timing of viral surveillance data and was, therefore, a good measurement for determining the timing of annual influenza epidemics. Sufficient viral surveillance data for influenza is not available for the majority of the study period and its quality most likely varies geographically. This made it necessary for this study to use mortality data as a substitute. It was, therefore, critical for this dissertation to assess the reliability of mortality data as a measurement to determine the timing of annual influenza waves. In the third chapter, an analysis of monthly P&I mortality data was conducted to identify an average underlying wave of seasonal influenza spread in the United States, the spatial and temporal patterns of seasonal influenza in the U.S. from 1968 to 2008, and the dependence of the timing and spread of influenza on the dominant circulating influenza type or subtype in a given influenza season. Source locations of influenza transmission in the U.S. were also identified. The dependence of the spread process of seasonal influenza in the U.S. on distance and/or population was assessed in chapter four. Additionally, spatial clusters of P&I mortality rates at different phases of an average influenza wave were identified. An assessment of the effect of the introduction or reintroduction of a novel influenza virus subtype on the spatio-temporal dynamics of influenza spread in the U.S. was performed in the fifth chapter. In the sixth and final chapter, I conclude by summarizing the findings of these four studies. This research found that P&I mortality was a valid measure used to assess the timing of influenza epidemics. Additionally, seasonal influenza in the U.S. typically began in November, peaked in February, and ceased in May. Annual influenza epidemics laste
季节性对自然系统及其种群的时空动态具有重要影响,是温带地区流感传播背后的驱动力。虽然温带国家流感的季节性已得到广泛认识,但美国流感的州际传播尚未得到很好的描述。本论文通过使用每月肺炎和流感(P&I)死亡率来模拟1968年至2008年间美国大陆季节性流感的州际流动,从而表征了整个美国流感的季节性。第一章总结了目前对流感负担、形态和地理的认识以及先前研究的局限性。在第二章中,将来自国家病毒监测系统的实验室确诊流感分离株的每周数据(被认为是“金标准”)与来自国家死亡率监测系统的每周肺炎和流感(P&I)死亡率数据进行比较,以确定死亡率数据的时间是否与病毒监测数据的时间密切相关,因此,这是确定年度流感流行时间的良好衡量标准。在大部分研究期间,流感病毒监测数据不足,其质量很可能因地区而异。这使得本研究有必要使用死亡率数据作为替代。因此,评估死亡率数据作为确定年度流感波时间的测量的可靠性对于本论文至关重要。第三章对月度损益死亡率数据进行了分析,以确定美国季节性流感传播的平均潜在波,1968 - 2008年美国季节性流感的时空格局,以及流感时间和传播对特定流感季节主要流行流感类型或亚型的依赖关系。还确定了美国流感传播的源头地点。第四章评估了美国季节性流感传播过程对距离和/或人群的依赖性。此外,还确定了平均流感波不同阶段损失率的空间集群。第五章评估了引入或再引入一种新型流感病毒亚型对美国流感传播时空动态的影响。在第六章也是最后一章中,我对这四项研究的结果进行了总结。这项研究发现,损益死亡率是用于评估流感流行时间的有效措施。此外,美国的季节性流感通常在11月开始,2月达到高峰,5月停止。每年的流感流行平均持续6.7个月,在美国各地产生一股小规模但显著的向南传播的流感浪潮,于9月至10月从北部各州发源于南部各州,并在4个月的时间内向南部各州移动。h3n2显著季比h1n1显著季短且进展快。此外,美国邻近地区的流感波遵循一般的空间传染模式,特别是在高峰期,在流行病的每个阶段,中西部(北达科他州、明尼苏达州、南达科他州、爱荷华州、内布拉斯加州、堪萨斯州、密苏里州、阿肯色州和俄克拉荷马州)、东南部(肯塔基州、田纳西州和西弗吉尼亚州)和东北部各州(纽约州、佛蒙特州、马萨诸塞州和康涅狄格州)的损失率都很高。最后,在引入或重新引入新型流感亚型的季节之后直接出现的流感波比引入/重新引入新型病毒的流感波明显更长、进展更慢。识别时空格局有助于提高疫情预测和预防水平。本研究确定了美国季节性流感的时空特征,并表明这些特征因主要流感亚型而异。这项研究的结果应有助于公共卫生专业人员改进流感干预战略,包括更好地安置和分发疫苗和其他药物。
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引用次数: 0
Applications of the ESSENCE Desktop Edition for outbreak detection in a resource-limited setting 在资源有限的设置中用于爆发检测的ESSENCE桌面版应用程序
Pub Date : 2011-12-06 DOI: 10.3402/EHTJ.V4I0.11101
J. M. Velasco, V. Roque, J. Coberly, R. Wojcik, Charles J. Hodanics, June Corpuz, Sheri H. Lewis, I. Yoon
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引用次数: 0
An information visualization approach to improving data quality 一种提高数据质量的信息可视化方法
Pub Date : 2011-12-06 DOI: 10.3402/EHTJ.V4I0.11014
A. Baer
Introduction The Public Health*Seattle & King County (PHSKC) syndromic surveillance system has been collecting emergency department (ED) data since 1999. These data include hospital name, age, sex, zip code, chief complaint, diagnoses (when available), disposition and a patient and visit key. Data are collected for 19 of 20 King County EDs, for visits that occurred the previous day. Over time, various problems with data quality have been encountered, including data drop-offs, missing data elements, incorrect values of fields, duplication of data, data delays and unexpected changes in files received from hospitals. In spite of close monitoring of the data as part of our routine syndromic surveillance activities, there have occasionally been delays in identifying these problems. Since the validity of syndromic surveillance is dependent on data quality, we sought to develop a visualization to help monitor data quality over time, in order to improve the timeliness of addressing data quality problems.
公共卫生*西雅图和金县(PHSKC)综合征监测系统自1999年以来一直在收集急诊科(ED)数据。这些数据包括医院名称、年龄、性别、邮政编码、主诉、诊断(如果有的话)、性格、病人和就诊钥匙。收集了金县20个急诊室中19个前一天就诊的数据。随着时间的推移,遇到了各种数据质量问题,包括数据丢失、数据元素缺失、字段值不正确、数据重复、数据延迟以及从医院收到的文件出现意外更改。尽管作为我们日常综合征监测活动的一部分对数据进行了密切监测,但在确定这些问题方面偶尔会出现延误。由于综合征监测的有效性取决于数据质量,我们试图开发一种可视化方法来帮助监测数据质量,以提高解决数据质量问题的及时性。
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引用次数: 1
Pandemic H1N1-related ICU rates according to race/ethnic groups in Massachusetts 根据马萨诸塞州种族/族裔群体的流感大流行相关ICU率
Pub Date : 2011-12-06 DOI: 10.3402/EHTJ.V4I0.11058
H. Placzek, L. Madoff
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引用次数: 0
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Emerging health threats journal
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