Having and Fighting Ebola: Public Health Lessons From a Clinician Turned Patient

While treating patients with Ebola in Guinea, I kept a journal to record my perceived level of risk of being infected with the deadly virus. A friend who'd volunteered previously had told me that such a journal comforted him when he looked back and saw no serious breach of protocol or significant exposure. On a spreadsheet delineating three levels of risk -- minimal, moderate, and high -- I'd been able to check off minimal risk every day after caring for patients. Yet on October 23, 2014, I entered Bellevue Hospital as New York City's first Ebola patient. Though I didn't know it then -- I had no television and was too weak to read the news -- during the first few days of my hospitalization, I was being vilified in the media even as my liver was failing and my fiancée was quarantined in our apartment. One day, I ate only a cup of fruit -- and held it down for less than an hour. I lost 20 lb, was febrile for 2 weeks, and struggled to the bathroom up to a dozen times a day. But these details of my illness are not unique. For months, we've heard how infected West Africans, running high fevers and too weak to move, were dying at the doorsteps of treatment centers. We've seen pictures of dying children crippled by vomiting and diarrhea and unable to drink. Yet for clinicians, striving and repeatedly failing to cure Ebola is brutal, too. The Ebola treatment center in Guéckédou, Guinea, was the most challenging place I've ever worked. Ebola is frightening not j...
Source: Science - The Huffington Post - Category: Science Source Type: news

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Publication date: April 2020Source: Food Control, Volume 110Author(s): Naiqing Lin, Kevin R. RobertsAbstractReports from the Center for Control Disease and Prevention suggest that approximately 61% of foodborne illnesses were attributed to improper food handling and is the leading cause of outbreaks in the foodservice industry. However, even when employees are trained in food safety, knowledge does not translate into improved practices on the job. Several meta-analyses have suggested the importance of using injunctive norms to predict individual behavior in both social psychology and management journals. Therefore, the pur...
Source: Food Control - Category: Food Science Source Type: research
CONCLUSION: There is currently no uniform hospitalization strategy for postoperative care of children who undergo typical otorhinolaryngologic interventions in Germany. PMID: 31712876 [PubMed - as supplied by publisher]
Source: HNO - Category: ENT & OMF Tags: HNO Source Type: research
CONCLUSION: CRP SNPs rs1800947 and rs2794521 may be associated with depressive symptoms in patients with depression in a sexspecific fashion. Furthermore, rs2794521 may be a predictor of the efficacy of antidepressants in female patients. PMID: 31711279 [PubMed - as supplied by publisher]
Source: Psychiatry Investigation - Category: Psychiatry Tags: Psychiatry Investig Source Type: research
CONCLUSION: In conclusion, depression is associated with deficiency of TRP, Se, Vit D, Mg, and serotonin displays the characteristics of biomarkers. The correlation between TRP and other biomarkers/trace elements is also important in depression. PMID: 31711278 [PubMed - as supplied by publisher]
Source: Psychiatry Investigation - Category: Psychiatry Tags: Psychiatry Investig Source Type: research
Publication date: Available online 12 November 2019Source: Life SciencesAuthor(s): Vaishali Kasture, Anvita Kale, Karuna Randhir, Deepali Sundrani, Sadhana JoshiAbstractAimDisturbed placentation results in pregnancy complications like preeclampsia. Placental development is influenced by apoptosis during trophoblast differentiation and proliferation. Increased oxidative stress upregulates placental apoptosis. We have earlier reported increased oxidative stress, lower omega-3 fatty acids and vitamin E levels in women with preeclampsia. Current study examines effect of maternal omega-3 fatty acids and vitamin E supplementatio...
Source: Life Sciences - Category: Biology Source Type: research
Publication date: Available online 12 November 2019Source: Journal of Theoretical BiologyAuthor(s): Mohammad Hassan Nematollahi, Ramin Vatankhah, Mojtaba SharifiAbstractTuberculosis is one of deadly diseases in many countries that attacks to the human body and causes damage to the lung, causing bloody coughing and if left untreated, it will kill half of the affected people. Tuberculosis bacteria can stay latent and reactivate after passing appropriate conditions. For this reason, control of this disease and treatment of infected people has a significant importance, and observing health issues can prevent the spread of it. ...
Source: Journal of Theoretical Biology - Category: Biology Source Type: research
ConclusionThe acute toxicity associated with oral selenium ingestion and the blood and urinary levels of selenium in different cases of poisonings were reviewed. Mortality is a risk of acute selenium poisoning. Concentrations of selenium in blood and urine samples in non-fatal cases are close to those observed in fatal cases.
Source: Journal of Trace Elements in Medicine and Biology - Category: Biochemistry Source Type: research
CONCLUSION: During 1983-2015, the proportion of twins born in Victoria by caesarean delivery increased almost threefold, mostly because caesarean delivery has become the preferred mode of birth for twin pregnancies. Regional differences in the delivery of twins suggest that the number of caesarean deliveries can be reduced with appropriate system and training support. PMID: 31713879 [PubMed - as supplied by publisher]
Source: Medical Journal of Australia - Category: General Medicine Tags: Med J Aust Source Type: research
In this study it is analyzed, whether shame-proneness and self-compassion moderate the influence of bully-experience on depressive symptoms. Data of depressive adolescent in-patients (n = 37) and healthy controls (n = 19) is analyzed. It could be shown that high shame-proneness reinforces the influence of bully-experience on depressive symptoms. General self-compassion has no moderating influence. However, self-kindness is a protective factor against the negative impact of bully-experience on depressive symptoms. Results are discussed regarding their relevance for therapy and prevention. PMID: 31711401 [PubMed - in process]
Source: Praxis der Kinderpsychologie und Kinderpsychiatrie - Category: Child Development Tags: Prax Kinderpsychol Kinderpsychiatr Source Type: research
Authors: Haid-Stecher N, Sevecke K Abstract Childhood Maltreatment and Non-Suicidal Self-Injury - the Impact of Emotion Regulation Non-suicidal self-injury (NSSI) is a common phenomenon in adolescence. Furthermore, it is often associated with maltreatment during childhood. One factor determining the relation between childhood maltreatment and NSSI is maladaptive emotion regulation strategies. The current study examines this relation in adolescent psychiatric inpatients (n = 97). Adolescents engaging in NSSI present maladaptive strategies in emotion regulation more frequently. In addition, they experienced maltreatm...
Source: Praxis der Kinderpsychologie und Kinderpsychiatrie - Category: Child Development Tags: Prax Kinderpsychol Kinderpsychiatr Source Type: research
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