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Huge vacancy rates across care sector adding to staff mental health crisis
The government’s failure to deal with ​the growing staffing ​crisis in social care ​risks worsening the mounting mental health toll on workers, says UNISON today (Wednesday). Figures from a recent UNISON survey show a substantial proportion of care workers have suffered problems during the pandemic including post-traumatic stress disorder (PTSD), with more than two thirds (68%) saying their mental health has declined. The vast majority ​said their work had contributed to the difficulties ​they were experiencing. UNISON says there​ is a serious risk their health woes could worsen ​becau...
Source: UNISON Health care news - September 14, 2021 Category: UK Health Authors: Fatima Ayad Tags: Press release adult social care Christina McAnea mental health Source Type: news

Government must act on watchdog ’s call for social care reform, says UNISON   
Responding to the National Audit Office’s (NAO) report on adult social care ​that highlights the government’s failure to plan long term, UNISON general secretary Christina McAnea said: “The NAO’s strongly-worded call for action is hugely significant. Campaigners, politicians and now even government watchdogs want urgent reform. “The current privatised, fragmented and largely unregulated system is unfit for purpose. It’s a recipe for buck passing, wasted resources and failure to deliver for those who depend on care. “​Unions, employers and ​organisations from across the political spectrum ​...
Source: UNISON Health care news - March 25, 2021 Category: UK Health Authors: Sophie Goodchild Tags: News Press release adult social care Source Type: news

Congenital Tuberculosis: A New Concern in the Neonatal Intensive Care Unit.
Abstract BACKGROUND: Congenital tuberculosis (TB) is rare in the United States. Recent immigration patterns to the United States have made the diagnosis of congenital TB an important public health issue. PURPOSE: To explore the epidemiology, pathophysiology, diagnostic evaluation, treatment, and prognosis for congenital TB. The implications for exposed healthcare professionals in the neonatal intensive care unit (NICU) setting are also explored. METHODS/SEARCH STRATEGY: Relevant articles were accessed via PubMed, CINAHL, and Google Scholar. FINDINGS/RESULTS: Until 1994, fewer than 400 cases of confi...
Source: Advances in Neonatal Care - August 9, 2018 Category: Nursing Authors: Newberry DM, Robertson Bell T Tags: Adv Neonatal Care Source Type: research

Can Democracy Survive In The Absence of Health Care Security?
By MIKE MAGEE In my course this fall at the President’s College at the University of Hartford, we began by exploring the word “right” at the intersection of health care services and the U.S. Constitution.  But where we have ended up is at the crossroads of American history, considering conflicting federal and state law, and exploring Social Epidemiology, a branch of epidemiology that concentrates on the impact of the various social determinants of health on American citizens. What makes the course timely and relevant is that we are uncovering a linkage between health and the construction or destruction of ...
Source: The Health Care Blog - November 17, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy health care security Mike Magee Source Type: blogs

Research and Reviews in the Fastlane 052
This study looked at compliance with discharge instructions. Surprisingly (or maybe not so), 39% of pediatric patients returned to play (RTP) on the day of the injury. RTP is widely recognized as a risk for recurrent and more severe concussions as well as significant morbidity. It is the duty of the Emergency Physician to stress the importance of discharge instructions as well as the importance of appropriate follow up. Recommended by: Anand Swaminathan PediatricsSingleton T et al. Emergency department care for patients with hemophilia and von Willebrand disease. J Emerg Med. 2010; 39(2): 158-65. PMID: 18757163 Bleeding...
Source: Life in the Fast Lane - October 9, 2014 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Administration Anaesthetics Cardiology Clinical Research Education Emergency Medicine Haematology Infectious Disease Intensive Care International Emergency Medicine Microbiology Neurosurgery Obstetrics / Gynecology Ophthalmology Source Type: blogs

Tropical Travel Trouble 010 Fever, Arthralgia and Rash
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 010 Peer Reviewer: Dr Jennifer Ho, ID physician QLD, Australia You are an ED doc working in Perth over schoolies week. An 18 yo man comes into ED complaining of fever, rash a “cracking headache” and body aches. He has just hopped off the plane from Bali where he spent the last 2 weeks partying, boozing and running amok. He got bitten by “loads” of mosquitoes because he forgot to take insect repellent. On examination he looks miserable,...
Source: Life in the Fast Lane - July 16, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine arthralgia dengue fever rash Source Type: blogs

The Things They Carry: Diphyllobothriasis at Sea, a Case Report.
Authors: Reilly DF Abstract Diphyllobothrium, also known as the "Broad Tapeworm" or "Fish Tapeworm," is a genus of Cestoda acquired through the consumption of undercooked fish. Although infection by a Diphyllobothrium spp. in the United States is rare, it remains an important global zoonosis, with an estimated burden of approximately 20 million people worldwide. A seldom on the Primary Care Physician's differential diagnosis in the United States, Diphyllobothrium spp. should be considered more readily when treating operational service members as they are exposed to endemic regions more frequently than the civilian ...
Source: Military Medicine - March 6, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Household and Hospitalization Costs of Pediatric Dengue Illness in Colombo, Sri Lanka
Am J Trop Med Hyg. 2021 May 17:tpmd201179. doi: 10.4269/ajtmh.20-1179. Online ahead of print.ABSTRACTDengue, a mosquito-borne viral infection that affects millions around the world, poses a substantial economic burden in endemic countries. We conducted a prospective costing study in hospitalized pediatric dengue patients at the Lady Ridgeway Hospital for Children (LRHC), a public pediatric hospital in Colombo district, Sri Lanka, to assess household out-of-pocket and hospitalization costs of dengue in pediatric patients during peak dengue transmission season. Between August and October 2013, we recruited 216 hospitalized p...
Source: The American Journal of Tropical Medicine and Hygiene - May 17, 2021 Category: Tropical Medicine Authors: Enoka Sonali Fernando Tyler Y Headley Hasitha Tissera Annelies Wilder-Smith Amala De Silva Yesim Tozan Source Type: research

Diagnosis, treatment, and prevention of monkeypox in children: an experts' consensus statement
World J Pediatr. 2022 Nov 21. doi: 10.1007/s12519-022-00624-3. Online ahead of print.ABSTRACTMonkeypox is a zoonotic disease. Since the first human monkeypox case was detected in 1970, it has been prevalent in some countries in central and western Africa. Since May 2022, monkeypox cases have been reported in more than 96 non-endemic countries and regions worldwide. As of September 14, 2022, there have been more than 58,200 human monkeypox cases, and there is community transmission. The cessation of smallpox vaccination in 1980, which had some cross-protection with monkeypox, resulted in a general lack of immunity to monkey...
Source: World Journal of Pediatrics : WJP - November 21, 2022 Category: Pediatrics Authors: Rong-Meng Jiang Yue-Jie Zheng Lei Zhou Lu-Zhao Feng Lin Ma Bao-Ping Xu Hong-Mei Xu Wei Liu Zheng-De Xie Ji-Kui Deng Li-Juan Xiong Wan-Jun Luo Zhi-Sheng Liu Sai-Nan Shu Jian-She Wang Yi Jiang Yun-Xiao Shang Miao Liu Li-Wei Gao Zhuang Wei Guang-Hua Liu None Source Type: research

Ebola And EHRs: An Unfortunate And Critical Reminder
The Dallas hospital communication lapse that led to the discharge of a Liberian man with Ebola symptoms is an example of the failure of the American health care system to effectively share health information, even within single institutions. It is not possible to know whether a faster response would have saved Thomas Eric Duncan’s life or reduced risk to the community and health workers. What is clear is that rapid sharing of information is one of the elements critical to halting the spread of Ebola. Had all members of the initial care team known of the patient’s recent arrival from an Ebola-stricken country and acted ...
Source: Health Affairs Blog - October 28, 2014 Category: Health Management Authors: Lara Cartwright-Smith, Jane Hyatt Thorpe, and Sara Rosenbaum Tags: All Categories Emergency Medicine Global Health Health IT Hospitals Policy Public Health Technology Source Type: blogs

What Experts in Law and Medicine Have to Say About the Cost of Drugs
By ANDY ORAM Pharmaceutical drug costs impinge heavily on consumers’ consciousness, often on a monthly basis, and have become such a stress on the public that they came up repeatedly among both major parties during the U.S. presidential campaign–and remain a bipartisan rallying cry. A good deal of the recent conference named Health Law Year in P/Review, at the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School, covered issues with a bearing on drug costs. It’s interesting to take the academic expertise from that conference–and combine it with a bit of commo...
Source: The Health Care Blog - February 2, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Andy Oram Drug Pricing Pharma Source Type: blogs

Risk assessment of the entry of canine-rabies into Papua New Guinea via sea and land routes
This study provides a foundation to develop targeted border control measures, surveillance and response strategies for canine-rabies for the highest risk routes and regions in PNG. Sensitivity analysis using the Sobol method played a key role in this study and directed further data collection to refine risk estimates. The ease of expert-elicitation using online methods demonstrates the feasibility of using such methods for animal and human disease surveillance in PNG.
Source: Preventive Veterinary Medicine - June 28, 2017 Category: Veterinary Research Source Type: research