Historical Parallels, Ebola Virus Disease and Cholera: Understanding Community Distrust and Social Violence with Epidemics
In conclusion the recent adverse reactions to EVD in Western Africa have not been new to history or unique to Africa. Instead, the distrust and violence seen in Guinea, Liberia, and Sierra Leone in 2014/15 parallel Europe’s long encounters with cholera from 1830 into the twentieth century. This European past combined with recent events in West Africa can provide lessons for policy makers. First, authorities and health workers must recognize that some diseases have greater potential to spark distrust and violence than others, and the former tend to be ones with high fatality rates, when victims enter health facilities but few return alive. Second, responsible public health experts must negotiate carefully funeral and burial practices central to the ritual life of Africans as they have been for Europeans. Regulating these matters mindful of infection prevention and epidemiological factors alone, without engaging the afflicted communities or their leaders, not only risks triggering resistance, distrust, and violence; it threatens fanning the spread of the epidemic beyond control, increasing misery and the numbers dying. Competing Interest The authors have declared that no competing interests exist. Disclaimer The opinions expressed here are those of the authors and do not necessarily reflect the positions of WHO.
RESUMO Objetivo: Revisar as evid ências científicas que reportem o período de início da nutrição enteral na população pediátrica vítima de queimadura e seus achados. Métodos: Revisão sistemática e metanálise de estudos clínicos randomizados comparando nutrição enteral precoce e nutrição enteral tardia em indiví duos de 1 mês de idade a 18 anos com queimaduras. As bases de dados MEDLINE/PubMed, Embase e Cochrane Library foram acessadas utilizando os termos "burns", "...
The objective of this literature review is to present the theoretical and practical aspects of extracorporeal membrane oxygenation support for respiratory and/or cardiac functions in critically ill patients.
CONCLUSIONS These results indicate that HBO therapy significantly reduces the risk of memory impairment compared to NBO, but 2 sessions of HBO might not be better for memory impairment than 1 session of HBO. PMID: 31606731 [PubMed - in process]
Evaluate the perioperative narcotic utilization patterns at the time of myomectomy, specifically as they relate to the opioid epidemic. We also aim to evaluate the differences between conventional laparoscopy and robotic surgery in terms of narcotic utilization.
Well recognized is the variety of presentations of endometriosis lesions beyond simply the classic "black powder-burn lesions" of John Sampson (1927). No standardized nomenclature exists to provide either gross morphologic description nor classification of the variety of endometriosis lesions. Borrowing from Dermatology systems of descriptive nomenclature, this video reviews a classification system specific for endometriosis focusing on Primary as well as Secondary lesion characteristics and then demonstrates use of the classification system for a variety of different endometriosis lesions.
Screening guidelines for endometrial hyperplasia/malignancy are based on a patient population predating the current obesity epidemic. With the rise in obesity and related malignancies, the objective of this study is to evaluate various risk factors for endometrial hyperplasia/malignancy in premenopausal women with AUB or oligomenorrhea. Specifically the study aims to elucidate whether obesity or age confers higher risk of disease in the premenopausal population.
Evaluate the utilization patterns for narcotic medication both intraoperatively and postoperatively at the time of benign minimally invasive hysterectomy, specifically as they relate to the opioid epidemic.
CONCLUSION: Our study reinforces the role of older age, obesity and hepatomegaly as predictors of fatty liver disease. These variables should be considered in the assessment of fatty changes in the livers of potential liver donors.
Last Thursday, CDC finally revised itswarning to the public about the vaping-associated respiratory disease outbreak to state clearly that vaping THC-containing products is playing a major role in the outbreak. It stated that:" The latest national and state findings suggest products containing THC, particularly those obtained off the street or from other informal sources (e.g. friends, family members, illicit dealers), are linked to most of the cases and play a major role in the outbreak. Therefore, CDC recommends that you should not use e-cigarette, or vaping, products that contain THC."In addition, CDC finallyr...
(Natural News) CARACAS – Venezuela, my home country, has it all: beautiful and breathtaking landscapes, abundant resources, even unique wonders of nature like the Angel Falls or the Catatumbo Lightning. (Article by Christian K. Caruzo republished from Breitbart.com) Yet if you’ve heard our name in the news recently, it’s as the subject of tragedy: toilet paper shortages, desperate people...
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