449 research outputs found
Strongyloidiasis in personnel of the Regional Assistance Mission to Solomon Islands (RAMSI)
Objective: to investigate the first reported cases of strongyloidiasis in the Solomon Islands, and to establish whether this disease poses a risk to personnel of the Regional Assistance Mission to Solomon Islands (RAMSI).
Design, setting and participants: Retrospective review of the pathology database of the RAMSI Medical Facility in Honiara, Solomon Islands, for the period 1 July 2006 –
30 September 2007.
Main outcome measures: number and clinical features of confirmed cases of Strongyloides stercoralis infestation, as diagnosed by serological tests or faecal microscopy.
Results: fourteen confirmed cases of strongyloidiasis in previously healthy RAMSI participants were identified. Of 13 patients with notes available, symptoms documented
at presentation included epigastric pain (10 patients), diarrhoea (7) and urticaria (4). Clinical disease in all patients responded to oral antihelminthic therapy (albendazole or ivermectin).
Conclusions: Strongyloidiasis is endemic in the Solomon Islands and a risk for RAMSI personnel. Australian medical professionals should be aware of this potentially fatal and
lifelong infestation, particularly the importance of an occupation history, appropriate diagnostic tests, effective treatment and adequate follow-up to document cure. We recommend implementation of a postdeployment screening program for strongyloidiasis
Exposure rate of needlestick and sharps injuries among Australian veterinarians
Background: Needlestick and sharps injuries (NSI) represent an important occupational health issue in veterinary practice. Little is known about the distribution and correlates of NSI among Australian veterinarians. Methods: A questionnaire-based NSI survey was mailed to 1094 veterinarians registered with the Veterinary Surgeons Board of Queensland during 2006. Results: A total of 664 surveys were returned from 1038 eligible participants (response rate 64.0%) with 56.8% being male, around one-third in the >50 years age group and about half aged 3150 years. Just over two-fifths were working in small animal practice only. Around three quarters (75.3%) reported suffering at least one NSI in the previous 12 months, while 58.9% reported suffering from at least one contaminated NSI during the previous 12 months, which crudely extrapolates to an exposure rate of 75.3 and 58.9 NSI per 100 person-years respectively. Risk factors for contaminated NSI were female gender, working in small or mixed animal practice, being less experienced, seeing more patients per week and working longer hours per week. The most common causative devices were syringes (63.7%), suture needles (50.6%) and scalpel blades (34.8%). Conclusion: The exposure rate of NSI is high for Queensland veterinarians and clearly remains a major occupational health problem. Current guidelines and strategies to reduce NSI in veterinary practice should be promoted, but appear to be adapted from human health care. Studies to understand why veterinarians have such high NSI rates are required to not only identify risk factors for NSI, but also to determine attitudes and beliefs about NSI. From these studies specific strategies for veterinarians can be designed and trialed to develop evidence-based guidelines and policies that are effective in decreasing the exposure rate of NSI in veterinary practice
Examining the dimensions and correlates of workplace stress among Australian veterinarians
Background: Although stress is known to be a common occupational health issue in the veterinary profession, few studies have investigated its broad domains or the internal validity of the survey instrument used for assessment. Methods: We analysed data from over 500 veterinarians in Queensland, Australia, who were surveyed during 2006-07. Results: The most common causes of stress were reported to be long hours worked per day, not having enough holidays per year, not having enough rest breaks per day, the attitude of customers, lack of recognition from the public and not having enough time per patient. Age, gender and practice type were statistically associated with various aspects of work-related stress. Strong correlations were found between having too many patients per day and not having enough time per patient; between not having enough holidays and long working hours; and also between not enough rest breaks per day and long working hours. Factor analysis revealed four dimensions of stress comprising a mixture of career, professional and practice-related items. The internal validity of our stress questionnaire was shown to be high during statistical analysis. Conclusion: Overall, this study suggests that workplace stress is fairly common among Australian veterinarians and represents an issue that occupies several distinct areas within their professional life
PROBE: preparedness and response - online bioterrorism education: foundation knowledge training
Terrorism and the resulting geo-political state of affairs have created a need for health professionals to be well prepared for bioterror. In our socio-political climate we need a rational approach to managing public perceptions and need to be able to lead an appropriate response to suspected bioterror events. This website was created as a resource for public health professionals interested in learning how to be more effective at preparing for and responding to a terrorist attack using bioweapons.
Who is involved: The Anton Breinl Centre for Public Health and Tropical Medicine (ABC) at James Cook University, has particular expertise in disaster/emergency management, biological agents that constitute the greatest threat, and the sociology of terror. The ABC was the first institution in Australia to develop a bioterrorism course.
What is PROBE? The PROBE (Preparedness & Response - Online Bioterrorism Education) project designs and develops multimedia-based, interactive decision support simulation modules for training and support of health professionals in the management of bioterrorism events in an Australian context.
PROBE modules provide knowledge and experience that to enhance ability to make timely and appropriate decisions to management of bioterrorism events.
In the foundation chapters, students develop an awareness of the increased focus and attention on bioterrorism research and preparedness and explore the implications for the public health sector
Who wants to move? The role of neighbourhood change
This is the author accepted manuscript. The final version is available from SAGE via http://dx.doi.org/10.1177/0308518X15615367 There is growing interest in how, when and where neighbourhoods affect individual behaviours and outcomes. In Britain, falling levels of owner-occupation and the growth of ethnic minority populations have sparked a debate about how neighbourhood characteristics and neighbourhood change intersect with the decision to move. In this paper we investigate how mobility preferences vary with neighbourhood characteristics and neighbourhood change. We use multilevel logistic regression models to test whether this is configured by personal attributes or attachment to one's neighbourhood and perceived similarity to one's neighbours. The results show that neighbourhood deprivation, changes in neighbourhood ethnic composition and changes in tenure mix are associated with preferring to move. Importantly, we show that a feeling of belonging to the neighbourhood or feeling similar to others in the neighbourhood significantly reduces the desire to move. </jats:p
In vitro comparison of four treatments which discourage infestation by head lice
Products which discourage the transmission of head lice are appealing; however, few studies have tested this concept. This study aims to test the efficacy of four commercial products which claim to discourage infestation by head lice; MOOV Head Lice Defence Spray (MOOV), Wild Child Quit Nits Head Lice Defence Spray (Wild Child), 100% Natural Head Lice Beater (Lice Beater) or Lysout Natural Anti-Lice Spray (Lysout). An in vitro challenge test was used. Briefly, one half of a filter paper lining the base of a petri dish was treated with the test product. Lice were then introduced to the centre of the dish, which was covered and placed in the dark at 20°C for 30 min. The number of lice on the treated and untreated sides of the filter paper was then counted after 2, 4 and 8 h post-application. MOOV was significantly more effective at discouraging the transmission of lice than the water control (p < 0.01), while Wild Child and Lysout were not at all time points. Lice Beater was significantly worse than the water control after 2 h (p < 0.01), while there was no difference after 4 and 8 h. MOOV was found to perform significantly better than Wild Child (p < 0.05) and Lice Beater (p < 0.05) at all time points. It also performed significantly better than Lysout at 2 (p < 0.05) and 8 h (p < 0.05), but not 4 h. MOOV offers the best efficacy and consistency of performance of the four products tested to discourage the transmission of head lice
The application of one health concept to an outdoor problem based learning activity for veterinary students
Background: The One Health (OH) approach, which seeks to bring together human and animal health, is particularly suited to the effective management of zoonotic diseases across both sectors. To overcome professional silos, OH needs to be taught at the undergraduate level. Here, we describe a problem-based learning activity using the OH approach that was conducted outdoors for 3rd-year veterinary students in Malaysia.
Materials and Methods: A total of 118 students, divided into two groups, completed the activity which spanned 1½ days at a deer park adjacent to a wilderness area. Students were asked to evaluate the activity using an online survey that had quantitative and qualitative components.
Results: Response rate was 69.5%. The activity was rated excellent by 69.5% and good by 30.4%. Levels of satisfaction were high on a range of criteria. 97.5% of students intended to take action in their studies as a result of what they had learned.
Conclusions: Delivery of an outdoor problem-based learning activity using OH approach was very successful in terms of participation, knowledge delivery and understanding, and the willingness of students to integrate OH into their future practice. For the improvement of future programs, the involvement of other disciplines (such as Medical, Biology, Biotechnology, Biomedical, and Public Health) is being considered
The application of One Health concept to an outdoor problem-based learning activity for veterinary students
Background: The One Health (OH) approach, which seeks to bring together human and animal health, is particularly suited to the effective management of zoonotic diseases across both sectors. To overcome professional silos, OH needs to be taught at the undergraduate level. Here, we describe a problem-based learning activity using the OH approach that was conducted outdoors for 3rd-year veterinary students in Malaysia.
Materials and Methods: A total of 118 students, divided into two groups, completed the activity which spanned 11/2 days at a deer park adjacent to a wilderness area. Students were asked to evaluate the activity using an online survey that had quantitative and qualitative components.
Results: Response rate was 69.5%. The activity was rated excellent by 69.5% and good by 30.4%. Levels of satisfaction were high on a range of criteria. 97.5% of students intended to take action in their studies as a result of what they had learned.
Conclusions: Delivery of an outdoor problem-based learning activity using OH approach was very successful in terms of participation, knowledge delivery and understanding, and the willingness of students to integrate OH into their future practice. For the improvement of future programs, the involvement of other disciplines (such as Medical, Biology, Biotechnology, Biomedical, and Public Health) is being considered
Bostonia: The Boston University Alumni Magazine. Volume 12
Founded in 1900, Bostonia magazine is Boston University’s main alumni publication
A Longitudinal Analysis of Moving Desires, Expectations and Actual Moving Behaviour
Residential mobility theory proposes that moves are often preceded by the expression of moving desires and expectations. Much research has investigated how individuals form these premove thoughts, with a largely separate literature examining actual mobility. Although a growing number of studies link premove thoughts to subsequent moving behaviour, these often do not distinguish explicitly between different types and combinations of premove thoughts. Using 1998–2006 British Household Panel Survey data, this study investigates whether moving desires and expectations are empirically distinct premove thoughts. Using multinomial regression models we demonstrate that moving desires and expectations have different meanings, and are often held in combination: the factors associated with expecting to move differ depending upon whether the move is also desired (and vice versa). Next, using panel logistic regression models, we show that different desire–expectation combinations have different effects on the probability of subsequent moving behaviour. The study identified two important groups generally overlooked in the literature: those who expect undesired moves and those who desire to move without expecting this to happen.The definitive, peer reviewed and edited version of this article is published in Environment and Planning A, 2011, 43(11), pp. 2742-2760, doi:10.1068/a44105
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