Project description:BackgroundWith globalization, more and more people travel to countries where they are at risk of injuries and travel-related diseases. To protect travelers' health, it is crucial to understand whether travelers accurately perceive medical assistance resources before and during their trips. This study investigated the need, awareness, and previous usage of overseas emergency medical assistance services (EMAS) among people traveling abroad.MethodsAnonymous questionnaires were distributed to patients (n = 500) at a travel clinic in Taipei, Taiwan.ResultsThe results showed that EMAS were important, especially in the following categories: 24-h telephone medical consultation (91.8%), emergent medical repatriation (87.6%), and assistance with arranging hospital admission (87.4%). Patients were less aware of the following services: arrangement of appointments with doctors (70.7%) and monitoring of medical conditions during hospitalization (73.0%). Less than 5% of respondents had a previous experience with EMAS.ConclusionsEMAS are considered important to people who are traveling abroad. However, approximately 20-30% of travelers lack an awareness of EMAS, and the percentage of travelers who have previously received medical assistance through these services is extremely low. The discrepancy between the need and usage of EMAS emphasizes the necessity to adapt EMAS materials in pre-travel consultations to meet the needs of international travelers.
Project description:ObjectiveTo determine risks of exposure to and prevention of bloodborne virus infections among medical students during their elective period.DesignQuestionnaire study of students returning from their electives in 1997-8.SettingUrban teaching hospital.Subjects220 final year medical students.Results148 students (67%) returned questionnaires; all had been vaccinated against hepatitis B. 65 respondents (44%) had visited areas of relatively high endemicity for HIV, although 27 (42%) of these, all of whom had visited areas other than sub-Saharan Africa, were unaware of this. All but one had discussed their elective with advisers. Four students experienced percutaneous or mucosal exposure to potentially infectious body fluids, three in areas with a high prevalence of HIV infection. 44 respondents (30%) had experienced at least one such exposure during their clinical training; 75% of these exposures were unreported. 34% (13/38) students who visited areas known to have a high prevalence of HIV infection took with them a starter pack of zidovudine for post-exposure prophylaxis; 53% (20) took latex gloves and 63% (24) a medi-kit. None of the 27 students who were unaware that the areas they visited had a relatively high prevalence of HIV infection took zidovudine; only 15% (4) took gloves and 30% (8) a medi-kit.ConclusionsMedical schools should produce, regularly update, and implement guidelines regarding protection from bloodborne viruses during clinical studies, including electives. Education and training in infection control should start at the earliest opportunity.
Project description:Background: More than a decade after the National Institute for Health and Clinical Excellence recommendation of home haemodialysis (home HD) for 10-15% of those needing renal replacement therapy, the uptake across different regions in the UK remains uneven. Methods: This survey is part of the Barriers to Successful Implementation of Care in Home Haemodialysis (BASIC-HHD) study, an observational study of patient and organizational factor barriers and enablers of home HD uptake, in the UK. The study centres had variable prevalence of home HD by design [low: <3% (2), medium: 5-8% (2) and high: >8% (1)]. This survey was administered electronically in 2013, and had 20 questions pertaining to home HD beliefs and practices. A total of 104 members of staff across five study centres were approached to complete the survey. Results: The response rate was 46%, mostly from experienced HD practitioners. Most believed in the benefits of home HD therapy. Across all centres, respondents believed that preconceptions about patients' and carers' ability to cope with home HD (35% to a great or very great extent) and staff knowledge and bias influenced offer of home HD therapy (45%). Also, compared with respondents from high prevalence (HP) centre, those from low prevalence (LP) centres felt that display and presentation of dialysis information lacked clarity and uniformity (44% versus 18%), and that a better set-up for training patients for self-care HD was required (72.8% versus 33.3%). A greater proportion of respondents from the HP centre expressed concerns over caregiver support and respite care for patients on home HD (63.7% versus 33.3%). Conclusions: Survey results indicate that across all centres in the study, there is an appetite for growing home HD. There are some differences in attitudes and practice between LP and HP centres. There are other domains where all centres have expressed concern and addressing these will be influential in navigating change from the current course.
Project description:In response to the Trump trade war, China, the EU, and other countries enacted politically-targeted trade retaliation (PTTR) against swing states and Republican strongholds in the United States. We argue that PTTR increases public concerns about foreign election interference and assess the effects of such retaliation across partisan affiliations. We test our predictions using a national survey experiment in the United States fielded before the 2020 election. In contrast to findings about sanctions and foreign endorsements, we find strong evidence that PTTR increases fears of election interference among both Republicans and Democrats. Partisan double standards in reaction to PTTR were strongest for retaliation targeting swing states and smaller for retaliation targeting the President's base. Overall, the evidence shows that economic policies which are not primarily intended to influence elections may nevertheless come to be viewed by the public as foreign election interference.Supplementary informationThe online version contains supplementary material available at 10.1007/s11558-022-09464-2.
Project description:The Star Wars Scroll Illusion is a dynamic version of the Leaning Tower Illusion. When two copies of a Star-Wars-like scrolling text are placed side by side (with separate vanishing points), the two scrolls appear to head in different directions even though they are physically parallel in the picture plane. Variations of the illusion are shown with one vanishing point, as well as from an inverted perspective where the scrolls appear to originate in the distance. The demos highlight the conflict between the physical lines in the picture plane and perspective interpretation: With two perspective points, the scrolling texts are parallel to each other in the picture plane but not in perspective interpretation; with one perspective point, the texts are not parallel to each other in the picture plane but are parallel to each other in perspective interpretation. The size of the effect is linearly related to the angle of rotation of the scrolls into the third dimension; the Scroll Illusion is stronger than the Leaning Tower Illusion for rotation angles between 35° and 90°. There is no effect of motion per se on the strength of the illusion.
Project description:In view of globalization and the associated transport of goods as well as rising travel activity, imported infections with subtropical and tropical pathogens are increasing in Germany. In returning travelers presenting with fever, general symptoms and skin rash, a number of diseases need to be considered. The clinical appearance of the skin rash, accurate travel history and epidemiological information on country-specific risks are helpful in making the correct diagnosis. In this article we provide an overview of the most common exanthemas in travelers who have returned, associated symptoms, diagnostic methods, therapies, as well as prevention strategies.
Project description:BACKGROUND:Human rhinoviruses (HRVs) are the most common cause of viral illness worldwide but today, less than half the strains have been sequenced and only a handful examined structurally. This viral super-group, known for decades, has still to face the full force of a molecular biology onslaught. However, newly identified viruses (NIVs) including human metapneumovirus and bocavirus and emergent viruses including SARS-CoV have already been exhaustively scrutinized. The clinical impact of most respiratory NIVs is attributable to one or two major strains but there are 100+ distinct HRVs and, because we have never sought them independently, we must arbitrarily divide the literature's clinical impact findings among them. Early findings from infection studies and use of inefficient detection methods have shaped the way we think of 'common cold' viruses today. OBJECTIVES:To review past HRV-related studies in order to put recent HRV discoveries into context. RESULTS:HRV infections result in undue antibiotic prescriptions, sizable healthcare-related expenditure and exacerbation of expiratory wheezing associated with hospital admission. CONCLUSION:The finding of many divergent and previously unrecognized HRV strains has drawn attention and resources back to the most widespread and frequent infectious agent of humans; providing us the chance to seize the advantage in a decades-long cold war.
Project description:Directed by a consolidated government budget constraint, we compare US monetary–fiscal responses to World Wars I and II and the War on COVID-19.