Tropical Travel Trouble 006 Watery Diarrhoea

LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 006 Our medical student who caught shigella on a Nepalese elective has a thirst for adventure. They plan to help at a Bangladesh refugee camp but the latest CDC report states there have been some cases of cholera. They’ve done a little bit of reading and want your help to teach them all about cholera and how they may prepare and best serve their new community. Questions: Q1. What is cholera and how is it transmitted? Answer and interpretation expand(document.getElementById('ddet1570906629'));expand(document.getElementById('ddetlink1570906629')) Cholera is a gram-negative comma-shaped bacillus. Sero groups 01 and 0139 cause clinical disease.  Humans are the only animal host. Arguably it is present in some shellfish and plankton but the main transmission is contaminated food/water from infected faeces. John Snow from epidemiological fame (not Game of Thrones) challenged the theory that cholera was in the air and due to “miasma“, he thought it was a contaminant in water. When cholera returned to London in 1853, Snow recognised an ideal opportunity to test his hypothesis by comparing cholera mortality rates in populations of south London supplied by water drawn from sewage-contaminated versus uncontaminated regions of the Thames. On 30 August 1854 while involved in the...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Cases Tropical Medicine cholera diarrhoea john snow ORS rice water diarrhoea watery diarrhoea Source Type: blogs

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This study uses interviews (qualitative) to collect data from women technology librarians who work in an academic library within the United States.Research limitations/implicationsThe generalizability of the findings is due to the sample consisting of only academic librarians within the United States. The methodology also has limitations since interviews are not a perfect methodology and rely on self-reported descriptions and experiences; thus, may be susceptible to perceptional biases. The findings from the research also rely only on the gender variable while ignoring other variables that affect an individual's experience...
Source: The Journal of Academic Librarianship - Category: Databases & Libraries Source Type: research
Publication date: December 2019Source: Materials Science and Engineering: C, Volume 105Author(s): Zhijia Zhang, Xiaojun HanAbstractThe antibacterial PE cling films were successfully obtained through precipitation polymerization and UV polymerization of N,N′-[(4,5-dihydroxy-1, 2-phenylene)bis(methylene)] bisacrylamide (OHABA) monomers, respectively. The inhibition rates of the PE cling films using UV polymerization method against E. coli and B. subtilis were 85.1% and 92.1% respectively, whilst the inhibition rates of the antibacterial PE cling films prepared by precipitation polymerization method against E. coli and ...
Source: Materials Science and Engineering: C - Category: Materials Science Source Type: research
The New York Times Magazine recently released its “1619 Project,” an initiative marking the 400th anniversary of the first African slaves arriving in North America. The project is ambitious, aiming to “reframe the country’s history, understanding 1619 as our true founding.” A collection of pundits have framed this project as an attempt to “delegimitize” the United States. Such commentary provides an opportunity to consider the state of American race relations and the role of slavery in American history. Whether or not the foundation of the United States was legitimate is an in...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
NHS England will consider allowing other healthcare settings outside of general practice to offer  vaccinations as part of a government strategy to tackle vaccine coverage in the UK.
Source: The Pharmaceutical Journal - Category: Drugs & Pharmacology Source Type: research
In this study, effects of ingoing nitrite level (0, 50, 100 and 150 mg/kg), use of sodium ascorbate, addition of starter culture (Lactobacillus plantarum GM77 + Staphylococcus xylosus GM92) and cooking level (control, medium, medium well, well done and very well done) on nitrosamine formation in heat-treated sucuk, a type of semi-dry fermented sausage, were investigated. The use of ascorbate had no significant effect on NDMA (N-Nitrosodimethylamine) and NPIP (N-Nitrosopiperidine) contents in the presence of starter culture. A higher NPYR (N- Nitrosopyrrolidine) content was detected in the group with starter culture a...
Source: Meat Science - Category: Food Science Source Type: research
Publication date: Available online 19 August 2019Source: Food ChemistryAuthor(s): Fahad Al Juhaimi, Kashif Ghafoor, Nurhan Uslu, Isam A. Mohamed Ahmed, Elfadıl E Babiker, Mehmet Musa Özcan, Gbemisola J. FadimuAbstractIn the study, the impact of harvest time on total phenolic content, antioxidant activity, and phenolic compounds of prickly pear (Opuntia ficus-barbarica A. Berger) fruit pulp and the oil content and fatty acids profile of the seed were investigated. The highest total phenolic content was determined as 156.77 mg/100g in July 1 harvest, while the maximum antioxidant activity and total oil content were fou...
Source: Food Chemistry - Category: Food Science Source Type: research
Publication date: Available online 19 August 2019Source: Food ChemistryAuthor(s): Terenzio Bertuzzi, Erika Martinelli, Annalisa Mulazzi, Silvia RastelliAbstractThe formation and partial degradation of acrylamide (AA), asparagine and low molecular weight sugars were evaluated during an industrial coffee roasting process, in which the temperature increased from 90° to about 215 °C. Arabica and Robusta varieties were roasted individually. AA content reached the maximum value at 10 min, corresponding to a temperature of 175–177 °C (1045 ± 28 and 795 ± 25 µg kg−1 for...
Source: Food Chemistry - Category: Food Science Source Type: research
Over 230 measles cases were reported in the UK in the first quarter of the year.  
Source: mobihealthnews - Category: Information Technology Source Type: news
[ANGOP] Matala -More than 500,000 children aged from six months to five years old, have been vaccinated against poliomyelitis in the provinces of Huambo, Bi é, Cuando Cubango, Cunene and Huíla.
Source: AllAfrica News: Polio - Category: Infectious Diseases Source Type: news
Harsh measures, or even threats of them, can lead to the avoidance of prenatal care entirely.
Source: NYT - Category: American Health Authors: Tags: Pregnancy and Childbirth Alcoholic Beverages Babies and Infants Women and Girls Child Abuse and Neglect Source Type: news
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