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Gaps in Utilizing Traveller Health Services in Dubai, Policies, Practises and Protocols 在迪拜利用游民保健服务方面的差距,政策、做法和议定书
Pub Date : 2015-08-22 DOI: 10.4172/2329-9088.1000192
F. Omer, N. Hassan, H. Hussain, Sami Mana, O. Awad
Background: International travel can pose various risks to health, depending on the characteristics of both the traveller and the travel. Travellers may encounter sudden and significant changes in altitude, humidity, microbes, and temperature, which can result in ill health. In addition, serious health risks may arise in areas where accommodation is of poor quality, hygiene and sanitation are inadequate, medical services are not well developed and clean water is unavailable. Objective: To assess knowledge, attitude and practice towards travel health among Dubai’s travellers traveling abroad. Methods: A cross sectional survey was carried out in Jebel Ali Free zone‘s companies employees where on line self- administrated questionnaire has been distributed to the employees of randomly selected 20 companies. 162 responses were collected. Results: The study showed that only 22.8% of respondents had sought pre-travel health advice from travel clinic, 77.8% of respondents were less than 40 years old, and of (40.7%) of respondents planned their trips only one to 2 weeks before travel. The most frequently reported destinations were, Asia (30.2%), India (24.7%) followed by Africa which constitutes (16%). There was a good knowledge regarding importance of vaccination (96.2%), and malaria drug prophylaxis (83.4%), but there was a low attitude towards vaccinations (55.6%). Conclusions: The result of this short study period provided a valuable insight into the knowledge, attitude and practice of the respondents with significant low awareness of pre-travel health advice as reflected by the low uptake of specialist travel medicine advice with regard to travel vaccinations and malaria Prophylaxis which highlighted an important educational need for Dubai travellers.
背景:国际旅行可能对健康构成各种风险,这取决于旅行者和旅行的特点。旅行者可能会遇到海拔、湿度、微生物和温度的突然和显著变化,这可能导致健康不良。此外,在住宿质量差、个人卫生和环境卫生不足、医疗服务不发达和没有清洁水的地区,可能出现严重的健康风险。目的:了解迪拜出境游游客的旅游健康知识、态度和行为。方法:对杰贝阿里保税区各公司员工进行横断面调查,随机抽取20家公司员工发放在线自填问卷。收集了162份回复。结果:调查显示,只有22.8%的受访者在旅行前曾向旅行诊所寻求健康建议,77.8%的受访者年龄在40岁以下,40.7%的受访者在旅行前一至两周才计划旅行。最常报告的目的地是亚洲(30.2%),印度(24.7%),其次是非洲(16%)。对疫苗接种的重要性(96.2%)和疟疾药物预防(83.4%)有较好的认识,但对疫苗接种的态度较低(55.6%)。结论:这一短期研究的结果为调查对象的知识、态度和行为提供了宝贵的见解,调查对象对旅行前健康咨询的认识非常低,这反映在对旅行疫苗接种和疟疾预防方面的专业旅行医学咨询的接受程度很低,这突出了对迪拜旅行者的重要教育需求。
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引用次数: 0
Cancer Presentation in a Developing Nation: The 3:1 Ratio 发展中国家的癌症发病率:3:1的比例
Pub Date : 2015-08-12 DOI: 10.4172/2329-9088.1000194
I. Chibuzo
Phase I delays have been documented to be common in developing countries, including Sub – Saharan Africa (SSA [1-3]. A phase I delay is that caused by the patient’s reluctance to seek medical attention [4]. Late presentation is the order of the day in Sub-Saharan Africa for a multitude of pathologies [5-7], with phase I delays being implicated in a substantial number of articles [8-11]. The outcome of many diseases is a function of the delay in presentation [5]. Phase I delays in general, worsen disease outcomes.
在发展中国家,包括撒哈拉以南非洲(SSA)[1-3],第一阶段的延迟是很常见的。第一阶段的延迟是由于患者不愿就医所致。在撒哈拉以南非洲地区,对于多种病症来说,延迟呈报是一种常态[5-7],大量文章都涉及到第一阶段的延迟[8-11]。许多疾病的结果是延迟出现的函数。I期延迟通常会使疾病结果恶化。
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引用次数: 0
Genetic Redundancy and Chemokines: CCR5 ÃÂ32 HIV-Resistance Allele 遗传冗余和趋化因子:CCR5 ÃÂ32 hiv抗性等位基因
Pub Date : 2015-08-05 DOI: 10.4172/2329-9088.1000191
A. Uba, S. Usman, Musbahu M Sani, U. Abdullahi, M. Muhammad, U. Abdussalam
Gene mutation is a change in nucleotide sequence of DNA which results in an impaired or loss of functions of the associated gene. Mutation can occur spontaneously or be induced by mutagenic agent. It is considered deleterious when it affects the phenotypic expression of the gene products. However, some mutations, such as CCR5 gene mutation turns out to be beneficial. HIV virus uses the gene product, CCR5, as a co-receptor along with CD4 receptor to enter the host’s cell. The product of CCR5 mutant gene does not interact with HIV surface antigen, hence blocks the primary entry of the virus and thus provides immunity to AIDS for homozygous carriers and greatly slows the progress of the disease in heterozygous carriers. How about the critical role of the gene, being the gene encoding a member of the beta chemokine receptors, which in turn play an important role in the immune response? This is probably compensated by genomic redundancy of chemokine-receptor functions. Genetic redundancy refers to the situation where the loss of a gene can be completely or partially compensated by one or more other genes. Taken together, CCR5 Δ32 protein product is of clinical significance in conferring resistance to HIV infection and is thought to reduce the surface expression of wild type CCR5. In this review we highlight the origin of CCR5 Δ32 HIVResistance Allele and discuss chemokine receptors’ functional redundancy as the phenomenon compensating for the normal function the allele in individuals carrying the mutation.
基因突变是DNA核苷酸序列的变化,导致相关基因功能受损或丧失。突变可以自发发生,也可以由诱变剂引起。当它影响基因产物的表型表达时,被认为是有害的。然而,一些突变,如CCR5基因突变被证明是有益的。HIV病毒利用基因产物CCR5作为辅助受体与CD4受体一起进入宿主细胞。CCR5突变基因的产物不与HIV表面抗原发生相互作用,从而阻断病毒的初次进入,从而为纯合子携带者提供对艾滋病的免疫力,大大减缓了杂合子携带者的疾病进展。作为编码趋化因子受体成员的基因,而趋化因子受体反过来又在免疫反应中发挥重要作用,该基因的关键作用又如何呢?这可能是由趋化因子受体功能的基因组冗余补偿的。遗传冗余是指一个基因的丢失可以由一个或多个其他基因完全或部分补偿的情况。综上所述,CCR5 Δ32蛋白产物在赋予HIV感染抗性方面具有临床意义,并且被认为可以降低野生型CCR5的表面表达。在这篇综述中,我们重点介绍了CCR5 Δ32 hiv抗性等位基因的起源,并讨论了趋化因子受体的功能冗余作为补偿携带突变个体的正常功能的等位基因的现象。
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引用次数: 2
Pericarditis as a Rare Complication of Severe Leptospirosis 心包炎是严重钩端螺旋体病的罕见并发症
Pub Date : 2015-08-03 DOI: 10.4172/2329-9088.1000193
E. Puca, G. Stroni, E. Qyra, Zhenisa Hysenaj, Liridon Zguri, A. Pilaca
Leptospirosis is a disease with a large geographical spreading. The clinical picture varies from undiagnosed, flulike syndrome to multiorgan involvement forms. Involvement of pericardium during leptospirosis is a rare event but not unknown. Objective: Our aim is to describe a severe case of leptospirosis (Weil's diseases) with prominent liver involvement, complicated with exudative pericarditis. Materials and Methods: A male patient, working as a mechanic, presents with fever, conjunctival suffusion, jaundice, pronounced myalgia and anuria for more than two days. Based on the clinical evidence, laboratory results showing multiorgan involvement and the epidemiological data, the patient was suspected for leptospirosis. Results: Referring to the above mentioned data, the patient was serologically tested with ELISA for leptospirosis, which resulted positive for IgM and IgG in two blood samples. Conclusion: Severe clinical presentations of leptospirosis are not rare and cardiac involvements are not to, but remain underreported in most of the cases. Through this case report, we want to share our experience with our colleague and at the same time we want to bring into attention the rare complications of leptospirosis, such as pericarditis in our case.
钩端螺旋体病是一种地域分布广泛的疾病。临床表现从未确诊的流感样综合征到多器官受累形式不等。钩端螺旋体病累及心包是一种罕见的事件,但并非未知。目的:我们的目的是描述一个严重的钩端螺旋体病(韦尔病),突出的肝脏受累,并伴有渗出性心包炎。材料与方法:男,技工,发热,结膜积液,黄疸,明显肌痛,无尿2天以上。根据临床证据、多器官受累的实验室结果和流行病学资料,怀疑患者患有钩端螺旋体病。结果:参考上述资料,对患者进行钩端螺旋体病ELISA血清学检测,2份血IgM、IgG阳性。结论:钩端螺旋体病的严重临床表现并不罕见,心脏受累也不罕见,但在大多数病例中仍被低估。通过这个病例报告,我们想与我们的同事分享我们的经验,同时我们想引起人们对钩端螺旋体病罕见并发症的关注,比如我们病例中的心包炎。
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引用次数: 3
European Animal Health Strategy and Transboundary Diseases 欧洲动物卫生战略和跨界疾病
Pub Date : 2015-07-13 DOI: 10.4172/2329-9088.1000E127
M. Giangaspero
A new animal health strategy has been developed for the European Union in 2007. European Member States competent authorities implemented a 4 pillars action plan based on prioritization of intervention, legislative framework, prevention, surveillance and preparedness, and science, innovation and research. The initiative identified long term preventive approaches and recognized the strong relations among animal health and welfare and public health. A positive impact was demonstrated by reported epidemiological trends, showing decreases of certain infectious diseases incidences. However, despite steps toward the application of the new strategy, problems such as the full control of tuberculosis, object of prophylactic campaigns for more than 50 years, still remain to be solved. In addition, high attention is required to face emerging or re-emerging infectious diseases. Exotic diseases such as blue tongue, African swine fever and lumpy skin disease recently challenged Europe showing their potential of transboundary diseases, and indicating that sustainable animal health prevention strategies should be based on interdisciplinary approaches, international cooperation and in line with the “One health” principle.
2007年为欧洲联盟制定了一项新的动物卫生战略。欧洲成员国主管当局根据干预的优先次序、立法框架、预防、监测和准备以及科学、创新和研究实施了四支柱行动计划。该倡议确定了长期预防办法,并认识到动物健康和福利与公共卫生之间的密切关系。报告的流行病学趋势显示了积极的影响,表明某些传染病的发病率有所下降。然而,尽管朝着实施新战略的方向采取了步骤,但诸如全面控制结核病等问题仍有待解决,结核病是50多年来预防运动的目标。此外,需要高度重视面对新出现或再出现的传染病。蓝舌病、非洲猪瘟和结节性皮肤病等外来疾病最近对欧洲构成挑战,显示出它们具有跨界疾病的潜力,并表明可持续的动物卫生预防战略应以跨学科方法、国际合作和符合"同一个健康"原则为基础。
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引用次数: 0
Chronic Arsenicosis with Basal Cell Carcinoma of Scalp: A Rare Co-incidence 慢性砷中毒合并头皮基底细胞癌:罕见的合并症
Pub Date : 2015-07-11 DOI: 10.4172/2329-9088.1000I102
D. Pal, Manoj Gupta, D. Lahre, M. Ghosh, S. Pal
Arsenic is a natural semi-metallic chemical that is found all over the world in groundwater. The WHO cut-off value for arsenic in drinking water is 0.01 mg/L [1]. Chronic arsenicosis is caused by long term exposure to arsenic compounds via ingestion or inhalation. Basal cell carcinoma is the commonest skin malignancy accounting for upto 80% of all cancers arising from epidermis [2]. Its main modality of treatment is surgery and is generally curative.
砷是一种天然的半金属化学物质,存在于世界各地的地下水中。世卫组织饮用水中砷的临界值为0.01毫克/升。慢性砷中毒是由于长期摄入或吸入砷化合物而引起的。基底细胞癌是最常见的皮肤恶性肿瘤,占所有由表皮细胞引起的癌症的80%。其主要治疗方式是手术,通常是可治愈的。
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引用次数: 1
Survey on Coverage and Factors Influencing Delays in BCG Immunization in Hayin Mallam Zango, Zaria, North Western Nigeria 尼日利亚西北部扎里亚Hayin Mallam Zango地区卡介苗免疫接种覆盖率及影响因素调查
Pub Date : 2015-07-02 DOI: 10.4172/2329-9088.1000188
S. Asuke, J. Ibrahim, Ibrahim, Asuke Ua
BCG immunization at birth is an evidence-based intervention for the reduction of tuberculosis transmission. While performance of BCG immunization is commonly measured by coverage, ensuring that every child is immunized immediately after birth is an important public health goal. This study was aimed at assessing the coverage and factors influencing BCG immunization delays in Hayin Mallam, Zango Zaria, Kaduna Nigeria. A cross-sectional study was conducted among 210 mothers of under-fives who were enrolled into the survey. A pre-tested semi-structured interviewer-administered questionnaire was used to collect data from these mothers. Data was analyzed using IBM SPSS 20. Majorities (76.7%) of the children were immunized with BCG, but only 44.7% of them received the vaccine in the first 7 days of life. Majority of the mothers (42.9%) had post-secondary education; this did not translate to being aware of the correct timing of BCG vaccination. The major determinants of delay in a child receiving BCG were mothers’ educational status, whether she attended ANC and whether she delivered in a health facility. Even though most of the under-fives were immunized with BCG, a significant number received it later than the recommended time. Efforts to improve female education must be intensified, and antenatal care attendance and hospital delivery improved so that these could serve as avenues for educating mothers on the usefulness of immunization, particularly if done according to schedule.
出生时接种卡介苗是减少结核病传播的循证干预措施。虽然通常以覆盖率来衡量卡介苗免疫接种的效果,但确保每个儿童在出生后立即获得免疫接种是一项重要的公共卫生目标。本研究旨在评估尼日利亚卡杜纳Zango Zaria Hayin Mallam地区卡介苗免疫延迟的覆盖率和影响因素。一项横断面研究对210名5岁以下的母亲进行了调查。一份预先测试的半结构化访谈问卷被用来收集这些母亲的数据。数据采用IBM SPSS 20进行分析。大多数儿童(76.7%)接种了卡介苗,但只有44.7%的儿童在出生后7天内接种了卡介苗。大多数母亲(42.9%)受过专上教育;这并没有转化为了解卡介苗接种的正确时间。儿童延迟接受卡介苗的主要决定因素是母亲的教育状况、她是否参加了产前护理以及她是否在保健机构分娩。尽管大多数五岁以下儿童接种了卡介苗,但有相当一部分人接种的时间晚于建议时间。必须加强改善妇女教育的努力,改善产前护理和住院分娩,以便这些可以成为教育母亲免疫接种的有用性的途径,特别是如果按计划进行的话。
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引用次数: 3
Seroprevalence of Hepatitis B Infection among out Patients Attending a Public Tertiary Hospital in Kaduna State, Nigeria 尼日利亚卡杜纳州一家公立三级医院门诊患者乙型肝炎感染的血清患病率
Pub Date : 2015-07-02 DOI: 10.4172/2329-9088.1000189
Edia-Asuke Ua, Z. Abubakar, S. Asuke
A survey was conducted amongst 100 randomly selected out-patients attending a Public tertiary Hospital in Kaduna State, Nigeria, in order to ascertain the prevalence of Hepatitis B infection and the general knowledge of people about this highly infectious disease. Sera collected were tested for the presence of Hepatitis B surface antigen (HBsAg) using Wondfo Diagnostic rapid test Kit (China). Questionnaires were also distributed to the subjects in order to ascertain their perception about the disease, and to obtain useful socio demographic information. Chi square test was used to ascertain statistical associations between important characteristics in the study population. A total of 12 out of hundred patients tested positive to HBsAg, giving a prevalence of 12%. There was significant association (p˂0.01) between seropositivity/blood donation, and also between seropositivity/hepatitis B immunization (p˂0.05). There was generally a poor knowledge about HBV infection in the study population.
在尼日利亚卡杜纳州的一家公立三级医院,对随机选择的100名门诊病人进行了调查,以确定乙型肝炎感染的流行程度以及人们对这种高度传染性疾病的一般认识。收集的血清使用wonfo快速诊断试剂盒(中国)检测乙型肝炎表面抗原(HBsAg)的存在。还向受试者分发了调查问卷,以确定他们对该疾病的看法,并获得有用的社会人口信息。卡方检验用于确定研究人群中重要特征之间的统计关联。100名患者中有12名HBsAg检测呈阳性,患病率为12%。血清学阳性与献血之间存在显著相关性(p小于0.01),血清学阳性与乙肝免疫之间也存在显著相关性(p小于0.05)。在研究人群中,对HBV感染的认识普遍较差。
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引用次数: 3
Toxocariasis: A Neglected Parasitic Disease with Public Health Importance 弓形虫病:一种被忽视的具有公共卫生重要性的寄生虫病
Pub Date : 2015-06-29 DOI: 10.4172/2329-9088.1000E126
A. Oryan, Soodeh Alidadi
Toxocariasis together with Chagas disease, neurocysticercosis, toxoplasmosis and trichmoniasis are considered as the five most important neglected parasitic diseases [1]. Toxocariasis is a helminthic zoonosis mostly caused by two species of the ascarid nematodes Toxocara canis and to a lesser extent T. cati [2-4]. However, Toxocaris leonina belonging to the family Ascarididae can produce mixed infections with both Tocoxara species in dogs and cats [4]. In addition, it is able to infect humans; therefore it has zoonotic and public health importance [4,5]. Toxocaris leonina has been regarded as a causative agent of visceral larval migrans in human beings [5]. Toxocara canis and T. cati are common roundworms of the small intestine of canids and felids, respectively [4,6]. Toxocariasis carries a major health risk particularly in developing countries [7]. Human toxocariasis tends to be more prevalent in tropical and subtropical countries and rural populations than in temperate, urban and industrialized ones [4,7,8]. In tropical and subtropical regions, the humid climate provides surviving of parasite eggs in soil and this limits the control, preventive and eradicative programs [4]. Despite the poor hygiene and inappropriate anthelmintic treatments in dogs in rural settings, environmental contamination with Toxocara eggs is common in outdoor parks of urban and suburban settings [4,8,9]. Human beings as paratenic hosts become infected by ingestion of embryonated eggs in soil, from contaminated vegetables and fruits or consuming raw or undercooked meat and viscera of infected paratenic hosts including chicken, calves and lambs [7,10-12].
弓形虫病与恰加斯病、神经囊虫病、弓形虫病和毛滴虫病被认为是被忽视的五种最重要的寄生虫病。弓形虫病是一种寄生虫性人畜共患病,主要由两种蛔虫线虫引起:犬弓形虫和少量猫弓形虫[2-4]。然而,属于蛔虫科的狮子弓形虫可在狗和猫体内产生两种弓形虫的混合感染。此外,它能够感染人类;因此,它具有人畜共患病和公共卫生的重要性[4,5]。狮子座弓形虫已被认为是人类内脏幼虫迁移的病原体。犬弓形虫(Toxocara canis)和猫弓形虫(T. cati)分别是犬科动物和猫科动物小肠中常见的蛔虫[4,6]。弓形虫病具有重大的健康风险,特别是在发展中国家。人类弓形虫病往往在热带和亚热带国家和农村人口中比在温带、城市和工业化国家更为普遍[4,7,8]。在热带和亚热带地区,潮湿的气候为寄生虫卵在土壤中存活提供了条件,这限制了控制、预防和根除计划[10]。尽管农村环境中的狗卫生条件差且不适当的驱虫治疗,但弓形虫卵的环境污染在城市和郊区的户外公园中很常见[4,8,9]。作为副病原宿主的人类通过摄入土壤中的胚胎卵、受污染的蔬菜和水果或食用被感染的副病原宿主(包括鸡、小牛和羔羊)的生的或未煮熟的肉和内脏而被感染[7,10-12]。
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引用次数: 3
Staphylococcus aureus Toxic Shock Syndrome 金黄色葡萄球菌中毒性休克综合征
Pub Date : 2015-06-28 DOI: 10.4172/2329-9088.1000E125
M. Zaghloul
Toxic shock syndrome (TSS), caused by toxic shock syndrome toxin-1 (TSST-1) and type B enterotoxins produced by Staphylococcus aureus [1,2]. The disease (TSS) was initially described in 1978 and came to public attention in 1980 with the occurrence of a series of menstrual-associated cases and at least 50% of non-menstrual cases. TSST-1 is a pyrogenic toxin superantigen produced by Staphylococcus aureus [3,4]. TSST-1 super antigen activate avast number of T cells in a T cell receptor Β chain Vβ-selective manner in direct association with major histocompatibility complex class II molecules on antigenpresenting cells especially Vβ2+ T cells [5-7].
中毒性休克综合征(TSS),由中毒性休克综合征毒素-1 (TSST-1)和金黄色葡萄球菌产生的B型肠毒素引起[1,2]。该疾病(TSS)最初于1978年被描述,并于1980年引起公众注意,发生了一系列与月经有关的病例和至少50%的非月经病例。TSST-1是一种由金黄色葡萄球菌产生的热原毒素超抗原[3,4]。TSST-1超级抗原以T细胞受体Β链v Β选择性方式激活大量T细胞,与抗原呈递细胞特别是Vβ2+ T细胞上的主要组织相容性复合体II类分子直接相关[5-7]。
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引用次数: 2
期刊
Tropical medicine & surgery
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