MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Travel Medicine and Infectious Disease' source. Sun, 17 Jan 2010 14:26:55 +0100 http://www.medworm.com/index.php?rid=3041549&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001586%2Fabstract%3Frss%3Dyes Summary: This is a report of a case of blackwater fever in a 28-year-old Nigerian man who was admitted to hospital with fever, jaundice and passing dark urine. Abdominal examination revealed splenomegaly and an examination of the peripheral smear of the patient showed the ring form of the trophozoites of Plasmodium falciparum (P. falciparum). Serum creatinine was 200μmol/L. Treatment with quinine and doxycycline was started and intravenous fluids were administered with close monitoring of the urine output and serum electrolytes. Due to the alarming amount of fluid accumulation and his exacerbated azotaemia the decision was made to haemodialyse the patient; the patient required five haemodialysis sessions during his stay in the hospital. He was discharged on the sixteenth day after admissi... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041549 Wed, 18 Nov 2009 00:00:00 +0100 3041549 http://www.medworm.com/index.php?rid=3041547&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001549%2Fabstract%3Frss%3Dyes Summary: Health concerns arising from sexual relationships between tourists and locals usually focus on the travelling public. The local sex partners' health, and their impact on their communities' health, seem far less acknowledged. This paper describes a local health education session which implemented recommendations based on a study in Cuzco/Peru on tourists' and locals' views, knowledge, attitudes and experiences relating to sexual relationships between them. On location, fifteen discotheque employees received a health education session at the establishment's owner's request. Concluding from the positive experience, it is argued that researchers should, where possible, respond to requests to deliver ad hoc health education sessions while on location to address an identified local heal... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041547 Wed, 18 Nov 2009 00:00:00 +0100 3041547 http://www.medworm.com/index.php?rid=3041550&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000891%2Fabstract%3Frss%3Dyes Summary: Tunga penetrans are ectoparasites distributed widely. The infestations are endemic in some areas. People both from and visiting this region are susceptible to these infestations. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041550 Fri, 06 Nov 2009 00:00:00 +0100 3041550 http://www.medworm.com/index.php?rid=3041541&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001537%2Fabstract%3Frss%3Dyes Summary: What is already known on this topicWhat this study adds (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041541 Thu, 05 Nov 2009 00:00:00 +0100 3041541 http://www.medworm.com/index.php?rid=3041540&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001653%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041540 Sun, 01 Nov 2009 00:00:00 +0100 3041540 http://www.medworm.com/index.php?rid=3041551&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001495%2Fabstract%3Frss%3Dyes We read with interest the article by Rodriguez-Morales, et al., describing the signs/symptoms of malaria. However, our malaria experience differs from theirs in several respects. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041551 Mon, 26 Oct 2009 00:00:00 +0100 3041551 http://www.medworm.com/index.php?rid=3041548&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001513%2Fabstract%3Frss%3Dyes Conclusions: Tungiasis should be considered in the differential diagnosis of parasitic infections in travelers returning from endemic geographical areas. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041548 Thu, 15 Oct 2009 00:00:00 +0100 3041548 http://www.medworm.com/index.php?rid=3041542&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001446%2Fabstract%3Frss%3Dyes Conclusion: While current standard of care is self-treatment of diarrhea in civilian travelers, the U.S. military lacks standards outlining self-treatment of personnel at the individual level. Further research is needed to develop treatment guidelines on diarrhea management during military deployment. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041542 Mon, 05 Oct 2009 00:00:00 +0100 3041542 http://www.medworm.com/index.php?rid=3041544&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001458%2Fabstract%3Frss%3Dyes Conclusions: The findings support calls for more emphasis on sexual health in travel health education. Three aspects should be included: 1) an awareness that unfamiliar environment can cause ‘out of character’ behaviour, 2) an emphasis on not only to use but to not stop using condoms, and 3) the need to acquire negotiation skills. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041544 Wed, 23 Sep 2009 00:00:00 +0100 3041544 http://www.medworm.com/index.php?rid=2780152&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789390900129X%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780152 Mon, 31 Aug 2009 23:00:00 +0100 2780152 http://www.medworm.com/index.php?rid=2754526&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001239%2Fabstract%3Frss%3Dyes The objective of this study was to determine the patterns of bacterial isolates found in blood culture of patients with bactermia in King Abdul Aziz University Hospital in addition to determination of antibiotic resistance. A retrospective analysis of the 672 positive samples collected over the period of December 2006–December 2008. The observed mean age was 40 years with comparable distribution in both genders. 65.2% of the population were Non-Saudi. 65.5% of isolates were Gram positive, mainly Staphylococcus epidermidis, on the other hand Klebsiella was the common Gram negative bacteria. Diabetes has been observed in 38.5%. Mortality was 32.4 (P-value 0.001) in diabetic patients versus non-diabetics. Benzyl penicillin, clindamycin, erythromycin, tetracycline, ciprofloxacin, oxacillin c... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754526 Mon, 24 Aug 2009 23:00:00 +0100 2754526 http://www.medworm.com/index.php?rid=3041545&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001240%2Fabstract%3Frss%3Dyes Conclusion: The carriage of multi-drug resistant, toxin expressing pathogenic Escherichia coli by this population is of public health concern because exposure to low doses can result in infection. Screening food handlers and implementing public awareness programs is recommended as an intervention to control transmission of enteric pathogens. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041545 Mon, 17 Aug 2009 00:00:00 +0100 3041545 http://www.medworm.com/index.php?rid=2780154&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001227%2Fabstract%3Frss%3Dyes Summary: Background: Vast majority of Indians travel for religious, cultural and socio-economic purposes either alone or with families.Objectives: The present study attempts to elicit the travel related health issues experienced by college students (youth) and their parents (elderly) during travel, to identify the variations between youth and elderly, and to suggest remedial measures.Material and methods: A total of 400 college students (age range 17–25; mean age 21) and 330 of their parents (age range 39–64; mean age 49) were included in the study. After a brief introduction to the study, a pretested structured anonymous questionnaire was distributed and completed. The data was analyzed statistically.Results: Ailments were significantly (p (Source: Travel Medicine and Infectious Disea... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780154 Sun, 16 Aug 2009 23:00:00 +0100 2780154 http://www.medworm.com/index.php?rid=2754525&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001203%2Fabstract%3Frss%3Dyes Summary: The Islamic Hajj pilgrimage to Mecca, Saudi Arabia has historically been associated with outbreaks of serogroup A and W135 meningococcal disease. Prevention against meningococcal disease has principally been vaccination with meningococcal polysaccharide vaccines, either in a bivalent serogroup A/C or quadrivalent A/C/Y/W135 form. These interventions have suppressed meningococcal disease since 2002. Countries with large Muslim populations have now started to show a trend of increased serogroup B meningococcal disease, a serogroup for which there is no universal vaccine available. These trends should increase our preparedness to expect a sudden change in the etiology of meningococcal disease during the Hajj. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754525 Tue, 11 Aug 2009 23:00:00 +0100 2754525 http://www.medworm.com/index.php?rid=2780163&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001215%2Fabstract%3Frss%3Dyes The objective of this study was to define the proportion and the profile of VFRs who seek pre-travel counselling in Greece. The study was conducted prospectively, from July, 2005 to December, 2007, in seven Health Departments of the Prefectures in Athens and Attica, where 35.6% of the Greek population resides; migrants account for 17% and 8% of the population in these areas, respectively. 2548 travellers seeking pre-travel advice were studied; 23 (0.9%) were identified as VFRs. Children younger than 15 years accounted for 30.4% of VFRs, compared to 2.3% among non-VFRs. VFRs were younger than non-VFRs (mean ages: 29.9 versus 40.4 years, respectively). A comparison of VFRs with non-VFRs revealed that VFRs travelled for longer periods of time, stayed at local people's home more frequently (87... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780163 Wed, 05 Aug 2009 23:00:00 +0100 2780163 http://www.medworm.com/index.php?rid=2780157&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000842%2Fabstract%3Frss%3Dyes Summary: Dengue fever is the most prevalent arboviral infection worldwide, with up to 40% of the world population living in endemic regions. Among travelers to tropical countries, dengue infection is increasingly reported, and it is now a leading cause of post-travel fever. Outbreaks of dengue-like illness were already described since the 18th century, but it is only in the last half century that a severe form of the disease – dengue hemorrhagic fever (DHF) has been described. Although the cause of DHF is not established, the prevailing theory attributes the disease to antibody-dependent enhancement of viral replication, in the presence of a secondary dengue infection. Comparative studies of primary vs. secondary infection are difficult to perform in endemic countries because of the rari... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780157 Wed, 22 Jul 2009 23:00:00 +0100 2780157 http://www.medworm.com/index.php?rid=2780166&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000921%2Fabstract%3Frss%3Dyes Scientific development in any biomedical discipline, particularly in developing countries relies on many factors and could be evaluated by different ways and instruments. Bibliometry, the metrics of publications, allow us to estimate not just the number of available publications and published papers, but also its usefulness for other researchers globally or regionally in any given specialty. In this sense, it is interesting to review under this approach, the trends in the publication of scientific research in Travel Medicine from Latin America in the last 25 years (1984–2008). (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780166 Mon, 20 Jul 2009 23:00:00 +0100 2780166 http://www.medworm.com/index.php?rid=2780156&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000969%2Fabstract%3Frss%3Dyes Summary: The genus Plasmodium includes many species that naturally cause malaria among apes and monkeys. The 2004 discovery of people infected by Plasmodium knowlesi in Malaysian Borneo alerted to the potential for non-human species of plasmodia to cause human morbidity and mortality. Subsequent work revealed what appears to be a surprisingly high risk of infection and relatively severe disease, including among travelers to Southeast Asia. The biology and medicine of this zoonosis is reviewed here, along with an examination of the spectrum of Plasmodium species that may cause infection of humans. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780156 Tue, 14 Jul 2009 23:00:00 +0100 2780156 http://www.medworm.com/index.php?rid=2780161&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789390900060X%2Fabstract%3Frss%3Dyes Summary: Current guidelines for Japanese encephalitis (JE) vaccine relate to an older mouse brain derived vaccine with an uncertain history of adverse events including delayed anaphylaxis. JE is widely distributed, including in urban areas. Underreporting is likely in many endemic countries, and atypical clinical forms exist. A new JE vaccine produced in Vero cells has become available, which appears equi-efficacious to the mouse brain derived vaccine. In development trials the new JE vaccine was as well tolerated as placebo. A review of existing guidelines for JE vaccine use in travelers should be considered. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780161 Mon, 13 Jul 2009 23:00:00 +0100 2780161 http://www.medworm.com/index.php?rid=2780155&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000957%2Fabstract%3Frss%3Dyes Summary: Two Indian migrant workers suffering from fever and malaise were admitted to the hospital directly after arrival in the Netherlands. The first patient was 25-year-old man who had fever and rigors on admission. The patient was treated for presumptive typhoid fever with ciprofloxacin. Cefotaxime was added the following day because of the possibility of a nalidixic-acid resistant strain of S. typhi. The clinical course was complicated by a small bowel perforation on the third day of the disease. Blood cultures grew a nalidixic acid resistant strain of Salmonella enterica serovar typhi. The patient recovered completely. The second patient, a 22-year-old man, suffered from fever, malaise and hearing loss. A sensorineural hearing loss with vestibular dysfunction was diagnosed. Cultures ... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780155 Mon, 13 Jul 2009 23:00:00 +0100 2780155 http://www.medworm.com/index.php?rid=2780169&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000593%2Fabstract%3Frss%3Dyes First published in 1898 and now into a freshly minted twenty-second edition, Manson's “manual on diseases of warm climates” retains its position as the classic text of tropical medicine. Travel medicine practitioners should note that the publishers, quite rightly in my opinion, have described the book as travel medicine text. This is not only a recognition that travel medicine has come of age, but also that exotic diseases may emerge from the obscurest tropical location to present themselves anywhere, at any time. Underlining this, there are chapters contributed by recognized travel medicine experts: Robert Steffen, Ron Behrens and Jane Zuckerman. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780169 Sun, 12 Jul 2009 23:00:00 +0100 2780169 http://www.medworm.com/index.php?rid=2780153&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000945%2Fabstract%3Frss%3Dyes Summary: Volcano tourism and tourism to geothermal destinations is increasingly popular. If such endeavors are to be a sustainable sector of the tourism industry, tourists must be made aware of the potential health hazards facing them in volcanic environments. With the aim of creating awareness amongst the tourism industry and practitioners of travel medicine, this paper reviews the potential influences and effects of volcanic gases such as carbon dioxide (CO2), hydrogen sulfide (H2S), sulfur dioxide (SO2), and hydrogen chloride/hydrochloric acid (HCl). It also reviews the negative health impacts of tephra and ash, lava flows, landslides, and mudflows. Finally, future research striving to quantify the health risks facing volcano tourists is recommended. (Source: Travel Medicine and Infecti... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780153 Tue, 07 Jul 2009 23:00:00 +0100 2780153 http://www.medworm.com/index.php?rid=2780164&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000933%2Fabstract%3Frss%3Dyes Summary: Acinetobacter lwoffii is a non-fermentative aerobic gram-negative bacillus that is seen as a normal flora of the oropharynx and skin in approximately 25% of the healthy individuals. Due to its ubiquitous nature, it is a potential opportunistic pathogen in patients with impaired immune systems, and it has been identified as a cause of nosocomial infections like septicemia, pneumonia, meningitis, urinary tract infections, skin and wound infections. To our knowledge, this is the first case reported of a community acquired A. lwoffii bacteremia associated with gastroenteritis. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780164 Wed, 01 Jul 2009 23:00:00 +0100 2780164 http://www.medworm.com/index.php?rid=2754515&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000866%2Fabstract%3Frss%3Dyes We live in a far more mobile world than past generations. In the last 200 years the world population has increased from less than 1 billion to over 6 billion and there has been a 100-fold increase in population mobility since 1960. Combining the expansion of population, and population mobility, population flux has increased 3000–7000 times in just two centuries. Jet aircraft have been around for little more than 50 years and now travellers arrive back in their home countries from the most distant locations on earth within 2 days, greatly increasing the potential for the symptoms of imported infection to present to primary health care after returning home. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754515 Tue, 30 Jun 2009 23:00:00 +0100 2754515 http://www.medworm.com/index.php?rid=2754514&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000994%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754514 Tue, 30 Jun 2009 23:00:00 +0100 2754514 http://www.medworm.com/index.php?rid=2754523&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000830%2Fabstract%3Frss%3Dyes Summary: The Islamic Hajj pilgrimage to Mecca, Kingdom of Saudi Arabia (KSA) has historically been associated with outbreaks of Neisseria meningitidis serogroup A. The main means of prevention against meningococcal disease was the bivalent serogroup A/C polysaccharide vaccine. During the Hajj pilgrimages of 2000 and 2001, there was an epidemiological shift from serogroup A disease to serogroup W135 disease together with an increase in incidence in younger age groups. This prompted the Ministry of Health to introduce quadrivalent ACYW135 polysaccharide vaccines. These interventions have quelled meningococcal disease since 2002. Trials on meningococcal quadrivalent conjugate vaccines are now underway in the KSA. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754523 Wed, 24 Jun 2009 23:00:00 +0100 2754523 http://www.medworm.com/index.php?rid=2754518&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789390900091X%2Fabstract%3Frss%3Dyes We report a case of imported human myiasis and present a literature review of human myiasis. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754518 Tue, 16 Jun 2009 23:00:00 +0100 2754518 http://www.medworm.com/index.php?rid=2754522&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789390900088X%2Fabstract%3Frss%3Dyes Summary: An Indian traveler developed fever and neurological symptoms after a visit to East Africa. He was treated with suramin, melarsoprol and prednisolone for presumed East African trypanosomiasis. His condition deteriorated and cerebral lesions developed. Neurobrucellosis was diagnosed. Combination antibiotic therapy led to gradual clinical improvement and regression of the brain lesions. Misdiagnosis of East African trypanosomiasis followed by treatment with potentially lethal medication should be avoided by not relying on insufficient evidence during the diagnostic process. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754522 Sun, 14 Jun 2009 23:00:00 +0100 2754522 http://www.medworm.com/index.php?rid=2754519&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000908%2Fabstract%3Frss%3Dyes In this report the literature is reviewed and the pathogenesis of the disease is discussed. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754519 Sun, 14 Jun 2009 23:00:00 +0100 2754519 http://www.medworm.com/index.php?rid=2780165&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000829%2Fabstract%3Frss%3Dyes Summary: A case is described of subcutaneous dirofilariasis in a Greek woman who had visited many countries around the world, including areas of sub-Saharan Africa. The patient presented with a single hard subcutaneous nodule on the right cheek, with no cutaneous manifestations of early or long-standing onchocercal dermatitis or eye lesions. The nodule was removed surgically and the filarial adult worm Onchocerca volvulus was initially diagnosed, based on the history, the hardness and large size of the fibrous nodule and the absence of cuticular longitudinal ridges of the parasite in the initial histological sections. Bloodless skin snips taken from the regions of the scapula, iliac crest and lateral calf were negative for O. volvulus microfilariae. Serial cross-sections of the fibrous no... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780165 Sun, 07 Jun 2009 23:00:00 +0100 2780165 http://www.medworm.com/index.php?rid=3041546&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000817%2Fabstract%3Frss%3Dyes Conclusions: On this premium seniors' tour, the health problems encountered were largely similar to those reported for other specialised tours, including premium expeditions. The most common medical problems included gastrointestinal, respiratory, dermatological, cardiovascular and musculoskeletal conditions in descending order. One aspect requiring further study is the psychological adjustments made by travellers on group tours and expeditions. As well as being part of the service provided to travellers, the inclusion of an expedition physician on this premium seniors' tour increased the independence of the travel group on this journey. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041546 Mon, 01 Jun 2009 00:00:00 +0100 3041546 http://www.medworm.com/index.php?rid=2780167&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000805%2Fabstract%3Frss%3Dyes Tattooing is an age-old custom in India. Although transmission of infectious diseases through tattooing is well known, there have been occasional reports of the association of leprosy and tattooing. However, disease, localized to tattoos, goes unrecognized or misdiagnosed as another tubercular disease such as lupus vulgaris or non-tubercular disease. An unusual case of leprotic plaque over tattoos is discussed below. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780167 Sun, 24 May 2009 23:00:00 +0100 2780167 http://www.medworm.com/index.php?rid=2780168&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000611%2Fabstract%3Frss%3Dyes Hepatitis B virus (HBV) infection is a disease prevalent in tropical Asia and elsewhere. Screening for HBV infection in workers pursuing work abroad is a basic practice, and is useful for preventing infected migrating workers from being sent home to their original countries. The cost of a screening programme for HBV infection among workers who wish to work abroad with emphasis on Thailand. The method for screening is based on tests for hepatitis B surface antigen (HBsAg) test. Although expensive to run, the cost is acceptance because of the saving by preventing infected workers from being sent home. A published paper on screening was used to model the cost analysis. The infectious rate with HBV in Thailand was 4.2%. The model is set at a scale of 10,000 performed screening. The cost for sc... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780168 Thu, 21 May 2009 23:00:00 +0100 2780168 http://www.medworm.com/index.php?rid=3041543&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000581%2Fabstract%3Frss%3Dyes Conclusions: Australian travellers to Southeast Asia and East Asia commonly undertake activities with a risk of exposure to HBV. Hepatitis B vaccination coverage amongst this group remains low. It is important that travellers to this region seek travel health advice from a qualified source, which will include a risk assessment for hepatitis B vaccination. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041543 Tue, 12 May 2009 00:00:00 +0100 3041543 http://www.medworm.com/index.php?rid=2780159&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789390900057X%2Fabstract%3Frss%3Dyes Summary: International travelers are at increased risk of acquiring infectious diseases. These risks are even greater for individuals visiting resource-poor tropical regions and for immunocompromised travelers, including those with HIV infection. We reviewed ten years of consultative charts from the International Health Clinic at the Ottawa Hospital General Campus to describe travel risks and preventative measures for international travelers infected with HIV. A total of 100 patients infected with HIV (63 male, 37 female; mean age 42.2 years) were referred to the clinic prior to international travel. More than half (57%) were born in countries endemic for tropical diseases. Overall the median HIV viral load (VL) was (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780159 Thu, 07 May 2009 23:00:00 +0100 2780159 http://www.medworm.com/index.php?rid=2780158&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000568%2Fabstract%3Frss%3Dyes Conclusions: This study of Australian DMAT members suggests that, in the field, attention should be given to basics, such as adequate food, water, shelter and personal hygiene as well as appropriate clothing, sunscreen and vector protection. The inclusion of appropriate personal items can be assisted by provision of a minimum suggested personal equipment list, with local conditions and the nature of the deployment being taken into account. A personal survival kit should also be recommended. There should be medical and psychological support for team members themselves, including the provision of a dedicated team member medical cache. Concern for their own health and ability to communicate with family members at home are major issues for deployed team members and need to be addressed in miss... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780158 Thu, 07 May 2009 23:00:00 +0100 2780158 http://www.medworm.com/index.php?rid=2479827&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000647%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2479827 Fri, 01 May 2009 04:00:00 +0100 2479827 http://www.medworm.com/index.php?rid=2754521&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000544%2Fabstract%3Frss%3Dyes The resurgence of dengue, a potentially severe and fatal viral illness transmitted by certain Aedes spp. of mosquitoes, has been described as a significant international public health problem. The World Health Organization (WHO) estimates that 2.5 billion people or two-fifths of the world's population live in areas where dengue can be transmitted and that there may be up to 50 million cases of dengue infection worldwide every year. Travel has probably had the single most important impact on the spread of dengue globally. Reflecting this situation is the emergence of dengue as a problem of returning travellers. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754521 Sun, 19 Apr 2009 23:00:00 +0100 2754521 http://www.medworm.com/index.php?rid=2754520&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000556%2Fabstract%3Frss%3Dyes Summary: The 21st Winter Olympic Games will be held in Vancouver, British Columbia, Canada from February 12 to 28, 2010. Following the Winter Olympic Games, the Winter Paralympic Games will be held from March 12 to 21, 2010. There will be 86 winter sporting events hosted in Vancouver with 5500 athletes staying in two Olympic Villages. Another 2800 members of the media, 25,000 volunteers, and 1 million spectators are expected in attendance. This paper reviews health and safety issues for all travelers to Canada for the 2010 Vancouver Winter Olympic Games with a specific focus on pre-travel planning, road and transportation safety in British Columbia, natural and environmental hazards, Olympic medical facilities, safety and security, and infectious disease. (Source: Travel Medicine and Infec... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754520 Sun, 19 Apr 2009 23:00:00 +0100 2754520 http://www.medworm.com/index.php?rid=2780160&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000520%2Fabstract%3Frss%3Dyes Conclusion: Although the profile of travel-related health problems in Japanese travelers is similar to that of Western travelers, the characteristics of travel were quite different. Therefore Japanese travel advice should be tailored to suit the Japanese traveler. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780160 Thu, 16 Apr 2009 23:00:00 +0100 2780160 http://www.medworm.com/index.php?rid=2754516&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000313%2Fabstract%3Frss%3Dyes Conclusions: Foreign shore exit screening greatly reduces numbers of PI infected passengers. U.S. airport screening identifies 50% infected individuals; efficacy is limited by the asymptomatic PI infected. Screening will not significantly delay arrival of PI via international air transport, but will reduce the rate of new US cases and subsequent deaths. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754516 Wed, 15 Apr 2009 23:00:00 +0100 2754516 http://www.medworm.com/index.php?rid=2479829&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000532%2Fabstract%3Frss%3Dyes Summary: Skin diseases are the third most common cause of morbidity in returning travellers and may affect 8% of travellers during travel. Classic tropical diseases account for one quarter and the remainder are cosmopolitan diseases. The majority are of infectious origin, and of these bacterial infections are the most common and lead to the most hospitalisations. The ten most frequently encountered diagnoses comprise four classical tropical infections (cutaneous larva migrans, myiasis, tungiasis and cutaneous leishmaniasis) and six nontropical diseases (bacterial skin infections, arthropod bites, allergic reactions, scabies, animal bites and superficial fungal infections). Other notable skin problems include swimmer's itch, dengue fever presenting with a rash and rickettsial infections pre... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2479829 Mon, 13 Apr 2009 04:00:00 +0100 2479829 http://www.medworm.com/index.php?rid=2780162&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000519%2Fabstract%3Frss%3Dyes Conclusions: This study of Australian DMAT members suggests that more emphasis should be placed on health of personnel prior to deployment with pre-deployment medical examinations and psychological assessment. Following the return home, and in addition to mission and psychological debriefing, there should be a post-deployment medical examination and ongoing support and follow-up of DMAT members. More research is needed to examine deployment health support issues. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780162 Sun, 12 Apr 2009 23:00:00 +0100 2780162 http://www.medworm.com/index.php?rid=2479828&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000337%2Fabstract%3Frss%3Dyes Dental problems represent a significant health concern of travellers abroad. In terms of travel insurance claims, studies in Australia indicate that about 7–8% of claims made by Australians returning from abroad are for dental conditions. About three-quarters of these claims were for conservative (30%), endodontic (18%) or prosthodontic (26%) treatment overseas, primarily for problems such as lost fillings, dental caries, root canal treatment and repair of prosthetic devices. About one quarter of travel insurance claims for dental conditions were not accepted, primarily because the condition claimed was a pre-existing problem. It is important therefore that travellers have recently had a dental check-up before travel and care for their teeth and dentures during travel. Travellers may sti... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2479828 Tue, 31 Mar 2009 04:00:00 +0100 2479828 http://www.medworm.com/index.php?rid=2754517&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000490%2Fabstract%3Frss%3Dyes Conclusion: Minor changes have been made based upon these results. The intervention will be reviewed again and proceed to clinical trials with female military personnel and other travelers. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754517 Fri, 27 Mar 2009 00:00:00 +0100 2754517 http://www.medworm.com/index.php?rid=2479831&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000325%2Fabstract%3Frss%3Dyes Conclusions: Ethnic minority travellers visiting friends and relations have the greatest need for improved malaria prevention, yet appear to receive the worst prevention advice. Substantial improvement in delivery of advice is required. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2479831 Mon, 23 Mar 2009 04:00:00 +0100 2479831 http://www.medworm.com/index.php?rid=2479832&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000489%2Fabstract%3Frss%3Dyes Travellers are increasingly taking the opportunity to explore more adventurous and wilderness destinations, sometimes as part of an expedition, which may have the additional benefit of medical cover that is often provided by an expedition physician, paramedic or nurse. Wilderness areas, although often unspoilt and spectacular, often harbour a multitude of biological and environmental hazards. Apart from major expeditionary organisations, such as the Royal Geographical Society, who have traditionally contributed guidelines in this area, often as part of broader publications, there have been few handbooks published specifically on guidelines related to wilderness medicine. This First Edition of Therapeutic Guidelines: Toxicology and Wilderness, the 14th instalment of the popular and respecte... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2479832 Mon, 09 Mar 2009 04:00:00 +0100 2479832 http://www.medworm.com/index.php?rid=2479830&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000301%2Fabstract%3Frss%3Dyes Conclusion: Travelers to the rural areas with high prevalence of the disease should be made aware of the risk of tick-borne relapsing fever and use of appropriate control measures. Communicable disease surveillance including tick-borne relapsing fever should be pursued as well. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2479830 Mon, 02 Mar 2009 05:00:00 +0100 2479830 http://www.medworm.com/index.php?rid=2309710&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19237145%26dopt%3DAbstract Authors: Albuquerque PL, Silva Júnior GB, Diógenes SS, Silva HF Aplastic anemia is a medullary insufficiency secondary to the complete or partial disappearance of hematopoietic tissue without abnormal cellular proliferation. This is a rare complication of infections, such as dengue hemorrhagic fever. A 15-year-old girl was admitted with anemia, bleeding from the gums, petechiae and fever. Laboratory tests at the time of admission showed: Hemoglobin 4.8 g/dl; Hematocrit 13.4%; white blood count 2240/microl and platelets 11,500/microl. Dengue virus IgM antibodies were found. A bone marrow aspirate and biopsy showed severe aplastic anemia. Treatment with intravenous immunoglobulin and methylprednisolone was started. The patient had a favorable outcome. She was then given long-te... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2309710 Sun, 01 Mar 2009 05:00:00 +0100 2309710 http://www.medworm.com/index.php?rid=2217090&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19237138%26dopt%3DAbstract Authors: Nicholson AN PMID: 19237138 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2217090 Thu, 26 Feb 2009 20:29:36 +0100 2217090 http://www.medworm.com/index.php?rid=2217089&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19237139%26dopt%3DAbstract Authors: Auger RR, Morgenthaler TI Sleep and wakefulness are governed by homeostatic and circadian regulatory processes, and perturbations therein are primarily responsible for the sleep disturbances associated with travel. Misalignment between endogenous rhythms and the light/dark cycle can result in circadian rhythm sleep disorders, including jet lag. This condition will be the primary focus of this review, with an emphasis on predisposing factors, preventative options, and treatment strategies. PMID: 19237139 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2217089 Thu, 26 Feb 2009 20:29:32 +0100 2217089 http://www.medworm.com/index.php?rid=2217088&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19237140%26dopt%3DAbstract Authors: Brown GM, Pandi-Perumal SR, Trakht I, Cardinali DP Jet lag is a disorder in which body rhythms are out of phase with the environment because of rapid travel across time zones. Although it often produces minor symptoms it can cause serious problems in those who need to make rapid critical decisions including airline pilots and business travelers. In this article the authors review basic knowledge underlying the body clock, the suprachiasmatic nucleus (SCN) of the hypothalamus, and the manner in which it regulates the sleep/wake cycle. The regulation of melatonin by the SCN is described together with the role of the melatonin receptors which are integral to its function as the major hormonal output of the body clock. Several factors are known that help prevent and treat jet lag,... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2217088 Thu, 26 Feb 2009 20:29:28 +0100 2217088 http://www.medworm.com/index.php?rid=2217087&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19237141%26dopt%3DAbstract Authors: Coste O, Lagarde D Jet lag, which appears after a long lasting transmeridian flight, is generally considered as a consequence of a desynchronization of circadian rhythms. After a recall of the circadian physiology, a modern view of the physiopathology is proposed. The major idea that emerges from these data is that only the wake-sleep rhythm may adapt itself quickly during jet lag and therefore it constitutes a good therapeutic target for physicians. We focus on the modalities of a light pharmacological aid to counteract jet lag. This punctual aid should help passengers to restore an adapted wake-sleep rhythm as quickly as possible. From this point of view, hypnotics may constitute a good indication. Finally, we suggest that the use of psychostimulants could also be interestin... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2217087 Thu, 26 Feb 2009 20:29:24 +0100 2217087 http://www.medworm.com/index.php?rid=2217086&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19237142%26dopt%3DAbstract Authors: Reilly T, Waterhouse J, Edwards B Long-distance travel is becoming increasingly common. Whatever the means of transport, any long journey will be associated with "travel fatigue". The symptoms associated with this phenomenon result from a changed routine (particularly sleep lost and meals) and the general disruption caused by travel. Planning any trip well in advance will minimise many of these problems, but some factors are less easy to guard against. These problems include sitting in cramped and uncomfortable conditions and, with flights, the hypoxic environment in the cabin. After arrival at the destination in another country, there can be problems coping with the local language, alterations in food and different customs. If the flight has crossed the equator, then there is... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2217086 Thu, 26 Feb 2009 20:29:19 +0100 2217086 http://www.medworm.com/index.php?rid=2217085&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19237143%26dopt%3DAbstract Authors: Sack RL Jet Lag Disorder (JLD) is a recognized circadian rhythm sleep disorder characterized by insomnia or excessive daytime sleepiness (and sometimes general malaise and somatic symptoms) associated with transmeridian jet travel. It is a consequence of circadian misalignment that occurs after crossing time zones too rapidly for the circadian system to keep pace. The thesis of this review is that a rational treatment approach for jet lag can be grounded in an understanding of the biology of the human circadian timekeeping system. An overview of circadian rhythm physiology is presented with special emphasis on the role of light exposure and melatonin secretion in the regulation of circadian timing. Both timed light exposure (or avoidance) and exogenous melatonin administration... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2217085 Thu, 26 Feb 2009 20:29:15 +0100 2217085 http://www.medworm.com/index.php?rid=2217084&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19237144%26dopt%3DAbstract In conclusion, P. vivax is the most common cause of imported malaria, with the majority acquired from the Indian subcontinent. Only a few patients presented with severe malaria. Increased efforts are needed to educate travelers about the need for prophylaxis and other measures. PMID: 19237144 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2217084 Thu, 26 Feb 2009 20:29:10 +0100 2217084 http://www.medworm.com/index.php?rid=2217083&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19237145%26dopt%3DAbstract Authors: Albuquerque PL, Silva Júnior GB, Diógenes SS, Silva HF Aplastic anemia is a medullary insufficiency secondary to the complete or partial disappearance of hematopoietic tissue without abnormal cellular proliferation. This is a rare complication of infections, such as dengue hemorrhagic fever. A 15-year-old girl was admitted with anemia, bleeding from the gums, petechiae and fever. Laboratory tests at the time of admission showed: Hemoglobin 4.8g/dl; Hematocrit 13.4%; white blood count 2240/mul and platelets 11,500/mul. Dengue virus IgM antibodies were found. A bone marrow aspirate and biopsy showed severe aplastic anemia. Treatment with intravenous immunoglobulin and methylprednisolone was started. The patient had a favorable outcome. She was then given long-term trea... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2217083 Thu, 26 Feb 2009 20:29:05 +0100 2217083 http://www.medworm.com/index.php?rid=2754524&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000052%2Fabstract%3Frss%3Dyes Summary: Public health security, the provision of safeguarding health and safety for a designated population during a specific event, is paramount to the success of all mass gatherings (MG). Hajj, the pilgrimage to Makkah, Saudi Arabia – one of the largest annual MG – this year hosted over 2.5 million. Hajj presents an annual public health security challenge of extraordinary dimensions, not only due to its scale but also due to Hajj-specific environmental and host factors. Opportunities for sharing public health security insights from Hajj are limited by the lack of standardized outcome measures. The June 2008 WHO Guidelines on communicable disease alert and response for mass gatherings offer novel opportunities for both Hajj planning and assessment. We discuss the evolution of these G... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754524 Mon, 23 Feb 2009 00:00:00 +0100 2754524 http://www.medworm.com/index.php?rid=2490822&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000088%2Fabstract%3Frss%3Dyes Conclusion: Earlier efforts are required to provide counseling for HBV chronic carriers, vaccinate the unexposed, and assure entry into medical care for those with chronic HBV infection among refugee communities resettled in the US. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2490822 Tue, 17 Feb 2009 00:00:00 +0100 2490822 http://www.medworm.com/index.php?rid=2490821&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000076%2Fabstract%3Frss%3Dyes Summary: Syphilis serology is a basic screening test for the manual workers who wish to go abroad. In this work, the authors summarize results and prevalence screening syphilis serology in Thai manual workers going aboard from a tertiary hospital in Thailand. Although these manual workers have healthy general appearance there are a considerable number of a rapid plasma regain (RPR) positive cases (0.83%). (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2490821 Tue, 17 Feb 2009 00:00:00 +0100 2490821 http://www.medworm.com/index.php?rid=2490820&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000039%2Fabstract%3Frss%3Dyes Conclusions: Abdominal pain, collapse, or fainting is warning symptoms. Fourteen published observations support conservative management in carefully selected patients. Spleen preservation likely reduces the risk of future severe malaria attacks in patients with potential further exposition to Plasmodium sp., and also that of overwhelming sepsis in all. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2490820 Mon, 09 Feb 2009 00:00:00 +0100 2490820 http://www.medworm.com/index.php?rid=2490823&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893908001506%2Fabstract%3Frss%3Dyes This work is a large volume suited really neither to a desktop nor a pocket, although it might find a home on the top shelf of a travel clinic library. The format of the volume suggests it to be a reference work, although the preface positions the book as a practical work, intended to assist the travel medicine practitioner as he busies himself about his daily travel clinic duties; the preface describes the volume as a “how to” manual, which may be read in its entirety, from cover to cover, although few would have time for that in today's world. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2490823 Wed, 07 Jan 2009 00:00:00 +0100 2490823 http://www.medworm.com/index.php?rid=2144769&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19174292%26dopt%3DAbstract Authors: Zuckerman JN PMID: 19174292 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2144769 Thu, 01 Jan 2009 05:00:00 +0100 2144769 http://www.medworm.com/index.php?rid=2144768&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19174293%26dopt%3DAbstract Authors: Toovey S A literature review revealed that mefloquine neurotoxicity has been demonstrated at both the preclinical and clinical levels, with nausea, dizziness, sleep disturbances, anxiety and psychosis, amongst other adverse neuropsychiatric events, reported in users. Females and individuals of low body mass index (BMI) are at apparent greater risk. Mechanisms of possible neurotoxicity may include binding to neuroreceptors and cholinesterases, inhibition of sarcoendoplasmic reticulum ATPase (SERCA) and interference with cellular Ca(2+) homeostasis, accumulation in the CNS, and reductions in CNS efflux in individuals possessing certain MDR1 polymorphisms. It may be prudent to avoid mefloquine in females and low BMI individuals, and in combination with other potentially neurotoxi... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2144768 Thu, 01 Jan 2009 05:00:00 +0100 2144768 http://www.medworm.com/index.php?rid=2144767&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19174294%26dopt%3DAbstract Authors: Küpper TE, Schöffl V, Milledge JS This paper provides the official recommendation of the Union Internationale des Associations d'Alpinisme (UIAA) Medical Commission to manage the problem of safe drinking water. The recommendation was accepted and authorized for publication by the Medical Commission during their annual meeting at Treplice, Tzechia, 2008. Safe water is essential for mountaineers worldwide in order to balance challenges associated with high altitude dehydration. The paper summarizes the advantages and disadvantages of several procedures used to procure safe drinking water in the mountains or at high altitude. Limitations or critical details, which may cause failure of the methods are mentioned systematically. We differentiate between "conventional" meth... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2144767 Thu, 01 Jan 2009 05:00:00 +0100 2144767 http://www.medworm.com/index.php?rid=2144766&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19174295%26dopt%3DAbstract Authors: Tissingh EK Today's medical student will practice medicine in a globalised world, where an understanding of travel medicine and global health will be vital. Students at UK medical schools are keen to learn more about these areas and yet receive little specific training. Tomorrow's doctors should be taught about global health and travel medicine if they are to be prepared to work in tomorrow's world. PMID: 19174295 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2144766 Thu, 01 Jan 2009 05:00:00 +0100 2144766 http://www.medworm.com/index.php?rid=2144765&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19174296%26dopt%3DAbstract CONCLUSIONS: Providing EMS for tourists can be a challenging task. As tourist endeavors increase globally and move into more remote environments, the level of EMS operations in California's NPS units can serve as a model for developing EMS operations serving tourist populations. PMID: 19174296 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2144765 Thu, 01 Jan 2009 05:00:00 +0100 2144765 http://www.medworm.com/index.php?rid=2144764&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19174297%26dopt%3DAbstract Authors: Cabada MM, Maldonado F, Mozo K, Seas C, Gotuzzo E Travel related illnesses are a concern among travelers visiting developing countries. These illnesses affect the travelers' plans and the local tourism industry. Few data on travel related illnesses are available from tourist destinations. Foreign travelers answered a self-administered questionnaire on health issues at the departures area of Cuzcos' International Airport between August and November 2002. Self-reported travel related illnesses that occurred during the travelers stay in Cuzco were compared with demographic and risk factors. The total number of participants was 5988. Their mean age was 35.4 years (SD 11.4), and slightly over half were female. The most common countries of residence were the United States (23.5%) an... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2144764 Thu, 01 Jan 2009 05:00:00 +0100 2144764 http://www.medworm.com/index.php?rid=2144763&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19174298%26dopt%3DAbstract CONCLUSION: Significantly higher prevalence of MRSA infections was documented in El Paso compared to Ciudad Juarez. PMID: 19174298 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2144763 Thu, 01 Jan 2009 05:00:00 +0100 2144763 http://www.medworm.com/index.php?rid=2144762&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19174299%26dopt%3DAbstract CONCLUSIONS: Since 2004, many Romanian citizens left their homeland looking for a better job in the Mediterranean region. Unaware of the risks of outdoor labor in warm climatic conditions, they accepted to live and work in improper sanitary conditions. Late identification of the disease resulted mainly from failure of the physicians to diagnose and associate the syndrome with travel. PMID: 19174299 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2144762 Thu, 01 Jan 2009 05:00:00 +0100 2144762 http://www.medworm.com/index.php?rid=2144761&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19174300%26dopt%3DAbstract Authors: Muyembe-Tamfum JJ, Veyi J, Kaswa M, Lunguya O, Verhaegen J, Boelaert M Between October 2004 and January 2005, 144 patients with peritonitis were admitted to the surgical wards of Kinshasa General Hospital and a few private city clinics. 63 patients (44%) underwent surgical intervention because of intestinal perforation consistent with typhoid fever; the case fatality rate was 53%. The majority of patients had received a course of first-line antibiotics such as chloramphenicol, ampicillin or co-trimoxazole before admission. On bacteriological investigation, Salmonella Typhi was isolated from the blood of 11 patients with peritonitis. The isolates were all resistant to ampicillin, chloramphenicol, tetracycline and co-trimoxazole, but sensitive to third-generation cephalosporins,... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2144761 Thu, 01 Jan 2009 05:00:00 +0100 2144761 http://www.medworm.com/index.php?rid=2144760&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19174301%26dopt%3DAbstract DISCUSSION: Imported cases of malaria due to P. vivax and P. falciparum in the studied population are associated with significant hematological complications. These findings illustrate the importance of educating non-immune populations about the malaria risk and prevention strategies; and from a pubic health perspective, the need to develop further malaria prevention strategies at a national level. PMID: 19174301 [PubMed - as supplied by publisher] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2144760 Thu, 01 Jan 2009 05:00:00 +0100 2144760 http://www.medworm.com/index.php?rid=2144759&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19174302%26dopt%3DAbstract CONCLUSIONS: Final diagnosis was established with difficulty in this case. Failure to associate a febrile prolonged syndrome or chronic diarrhea with a history of travel can cause a delayed diagnosis. PMID: 19174302 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2144759 Thu, 01 Jan 2009 05:00:00 +0100 2144759 http://www.medworm.com/index.php?rid=2144758&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19174303%26dopt%3DAbstract This report highlights the need for surveillance in countries where such emerging infections could be introduced by returning travellers. PMID: 19174303 [PubMed - as supplied by publisher] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2144758 Thu, 01 Jan 2009 05:00:00 +0100 2144758 http://www.medworm.com/index.php?rid=2754527&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893908001257%2Fabstract%3Frss%3Dyes Summary: While an increased risk of hepatitis is associated with travel, the risk of hepatitis associated with the Islamic Hajj pilgrimage to Mecca, Saudi Arabia has not been carefully quantified. Conditions unique to this gathering can pose the risk of both enteral and parenteral viral hepatitis. During this congregation, pilgrims stay in tents shared by 100 or more people often living on foods from street vendors and sharing common toilet facilities that can expose them to both hepatitis A and E. To mark the end of the festival, head shaving or trimming by fellow pilgrims or street barbers, who often re-use their razor may expose them to hepatitis B or C. Pilgrims are also at risk of cuts to the hands and feet while sacrificing cattle and walking barefooted, which may further increase th... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754527 Tue, 25 Nov 2008 00:00:00 +0100 2754527 http://www.medworm.com/index.php?rid=2754529&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893908001233%2Fabstract%3Frss%3Dyes Summary: Influenza and meningococcal disease are two serious diseases that are especially linked. Outbreaks of influenza have been frequently associated with secondary outbreaks of meningococcal disease. Travellers such as Hajj pilgrims are at particular risk, the most recent meningococcal outbreaks being in 2000 and 2001, while concern is rising that the annual pilgrimage, centred as it presently is on winter, may even become the epicentre of an avian influenza pandemic. Routine vaccination of pilgrims against meningococcal disease using a 4-valent product has been in place since 2002 with good effect, but influenza vaccine is not yet routinely required for all pilgrims despite the high proportion afflicted.Meningococcal polysaccharide vaccines are effective in older children and adults a... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754529 Fri, 14 Nov 2008 00:00:00 +0100 2754529 http://www.medworm.com/index.php?rid=1939765&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18984477%26dopt%3DAbstract Authors: Banzhoff A, Bröker M, Zent O Once considered a local health issue confined to certain regions in Russia and Central and Eastern Europe, tick-borne encephalitis (TBE) is now considered an international health concern, and the most important and widespread viral disease transmitted by ticks in Europe. The number of reported TBE cases continues to increase in many endemic regions, and new foci have been identified. Increases in travel, access to high-risk areas, and the pursuit of leisure activities within TBE-endemic areas are placing more people at risk of TBE. Travellers from non-endemic regions are often unaware of the risk of acquiring TBE and therefore many travellers are not protected against TBE. Active immunization is the most effective way to avoid TBE and its pote... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1939765 Sat, 01 Nov 2008 04:00:00 +0100 1939765 http://www.medworm.com/index.php?rid=1939764&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18984478%26dopt%3DAbstract Authors: Nakano T The current situation of vaccination in Japan is reviewed from a viewpoint of overseas travelers. Vaccinations before travel to developing countries, where the risk of infection is high, are recommended for two reasons: "individual protection" and "prevention of communicable disease importation". However, there are problems in Japan; some vaccines available commonly in foreign nations are not approved in Japan and the vaccination schedule is not convenient for travelers. Vaccination is sometimes needed also for travel to Europe and North America. This is because certain vaccinations are required for entering school or studying abroad. In Japan, there is no regulation which recommends vaccination as an entrance requirement. Compared with other nations, Japanese childre... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1939764 Sat, 01 Nov 2008 04:00:00 +0100 1939764 http://www.medworm.com/index.php?rid=1939763&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18984479%26dopt%3DAbstract Authors: Taniguchi K, Yoshida M, Sunagawa T, Tada Y, Okabe N Surveillance of imported infectious diseases is important because of the need for early detection of outbreaks of international concern as well as information of risk to the travelers. This paper attempts to review how the Japanese surveillance system deals with imported infectious diseases and reviews the trend of these diseases. The cases of acquired infection overseas were extracted from the surveillance data in 1999-2008. The incidence and rate of imported cases of a series of infectious diseases with more than one imported case were observed by the year of diagnosis and place of acquired infection. During the period 10,030 cases that could be considered to be imported infectious diseases were identified. Shigellosis rank... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1939763 Sat, 01 Nov 2008 04:00:00 +0100 1939763 http://www.medworm.com/index.php?rid=1939762&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18984480%26dopt%3DAbstract CONCLUSIONS: Search and rescue operations in Alaska can be expensive and end with severe health consequences. Preventive education efforts at park visitor centers and at the lower and upper base camps on Mt. McKinley should be continued. In addition, pre-departure travel education efforts via the internet should be expanded for all park units and match the detail provided on the Denali National Park and Preserve website. PMID: 18984480 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1939762 Sat, 01 Nov 2008 04:00:00 +0100 1939762 http://www.medworm.com/index.php?rid=1939761&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18984481%26dopt%3DAbstract Authors: Weinke T, Liebold I, Burchard GD, Frühwein N, Grobusch MP, Hatz C, Kollaritsch H, Nothdurft HD, Reisinger E, Rieke B, Schönfeld Ch, Steffen R, Stich A Traveller's diarrhoea (TD) constitutes the most common disease relevant to travel medicine with ETEC as the leading causative pathogen. Cholera is the most serious, but very rare form of TD. ETEC and cholera share pathogenic mechanisms by producing a toxin that has an 80% amino acid homology. A consensus of German-speaking experts sees the indication to use the whole cell/B subunit oral cholera vaccine (WC--BS) if cholera is a risk for aid workers or travellers with an anticipated threat of cholera who stay under poor hygienic conditions. The use of the vaccine should be considered in the indication to avoid ETEC TD fo... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1939761 Sat, 01 Nov 2008 04:00:00 +0100 1939761 http://www.medworm.com/index.php?rid=1939760&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18984482%26dopt%3DAbstract CONCLUSIONS: These malaria incidence data in travelers should be taken into consideration for pre-travel risk assessment. They need to be constantly updated, and at the same time, limitations in data interpretation that are inherent in various study methodologies should also be clarified. PMID: 18984482 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1939760 Sat, 01 Nov 2008 04:00:00 +0100 1939760 http://www.medworm.com/index.php?rid=1939759&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18984483%26dopt%3DAbstract In this report, an 88-year-old patient is described, who was admitted to hospital with fever, confusion and general deterioration in her condition, accompanied by severe abdominal pain. WNV infection was diagnosed by a lumbar puncture and serological tests. The laboratory results demonstrated elevated amylase and lipase levels. The patient was treated conservatively and the symptoms regressed slowly until full recovery. WNV infection and its complications are described, along with descriptions of previous reports of pancreatitis associated with WNV infection. PMID: 18984483 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1939759 Sat, 01 Nov 2008 04:00:00 +0100 1939759 http://www.medworm.com/index.php?rid=1939758&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18984484%26dopt%3DAbstract DISCUSSION: The identification of imported cutaneous leishmaniasis in our setting becomes important, given the differences in the epidemiology of the disease and the clinical severity of leishmaniasis between both zones (ecological characteristics, circulating Leishmania spp., and population characteristics) and the risk of the mucocutaneous forms of the disease. PMID: 18984484 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1939758 Sat, 01 Nov 2008 04:00:00 +0100 1939758 http://www.medworm.com/index.php?rid=1939757&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18984485%26dopt%3DAbstract Authors: Kunze U Tick - borne encephalitis is a vector-borne disease primarily transmitted to humans by the bite of infected ticks. Clinical presentations range from mild meningitis to severe encephalitis with or without myelitis and may result in long-term neurological equelae or death. The disease can successfully be prevented through active immunization. BE is endemic in regions of at least 26 European countries. The risk of contracting TBE in the most affected countries has increased in the past 20 to 30 years, between 1974 and 2003, the number of reported clinical TBE cases increased by an appalling 400%, the only exception having been Austria. Because of increasing international travel streams of tourists from non-endemic countries to TBE risk areas, the infection is now becoming... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1939757 Sat, 01 Nov 2008 04:00:00 +0100 1939757 http://www.medworm.com/index.php?rid=2754528&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893908001245%2Fabstract%3Frss%3Dyes Conclusion: Septic shock is a major cause of admission to the ICU during Hajj and carries a poor outcome. More studies are needed to evaluate modifiable factors that are associated with this high mortality. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754528 Thu, 23 Oct 2008 23:00:00 +0100 2754528 http://www.medworm.com/index.php?rid=1755234&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18760248%26dopt%3DAbstract In conclusion, mefloquine significantly reduces egg production in S. mansoni-infected mice, suggesting a therapeutic potency in schistosomiasis therapy. Mefloquine also exerts a significant proinflammatory effect on the intestine. Through its effect on egg production, mefloquine may be a cause of silent schistosomiasis in travelers using mefloquine for malaria chemoprophylaxis. Further study of the anti-schistosomal activity of mefloquine is warranted, as its activity against other helminths. PMID: 18760248 [PubMed - as supplied by publisher] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1755234 Mon, 01 Sep 2008 04:00:00 +0100 1755234 http://www.medworm.com/index.php?rid=1755233&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18760249%26dopt%3DAbstract CONCLUSIONS: The authors present some non-medical interventions that may be used to limit exposure to a number of disease processes. They then review the available information regarding the safety and efficacy of routine and travel-related vaccines as well as prophylactic medications for malaria, diarrhea, motion sickness and altitude sickness. When there are no obstetrical or medical contraindications, travel-related illness can usually be safely prevented during pregnancy in much the same ways as in the non-pregnant state. PMID: 18760249 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1755233 Mon, 01 Sep 2008 04:00:00 +0100 1755233 http://www.medworm.com/index.php?rid=1755232&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18760250%26dopt%3DAbstract Authors: Bauer I In the vast Travel Health literature there is still a considerable dearth on tourism's impact on local communities. This review attempts to remedy the situation. Its focus is on potential health impacts on populations living at tourist destinations outside the industrialised world. To facilitate a better understanding of how health is linked to tourism today, a brief overview of the historical and theoretical evolution of tourism is presented. Ecotourism is given special attention as it is perceived as a version of the industry that is more benign on environment and people. After discussing Indigenous Tourism, a variety of potential health implications is outlined. These follow a previously suggested classification of indirect and direct impacts, with the indirect impa... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1755232 Mon, 01 Sep 2008 04:00:00 +0100 1755232 http://www.medworm.com/index.php?rid=1755231&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18760251%26dopt%3DAbstract CONCLUSIONS: On this premium expedition, the health problems encountered were largely similar to those reported for other expeditions. The most common problems included respiratory, gastrointestinal, dermatological conditions and minor trauma in descending order. As well as being part of the service provided to travellers, the inclusion of an expedition physician on this premium expedition increased the independence of the travellers on this journey and decreased the reliance of the tour on local health services, a source which is often scarce or absent on more remote location expeditions. PMID: 18760251 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1755231 Mon, 01 Sep 2008 04:00:00 +0100 1755231 http://www.medworm.com/index.php?rid=1755230&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18760252%26dopt%3DAbstract CONCLUSION: Imported malaria is increasingly being diagnosed in returning travelers, especially from Mozambique. Rapid antigen tests remain useful for the diagnosis of malaria in non-endemic areas. PMID: 18760252 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1755230 Mon, 01 Sep 2008 04:00:00 +0100 1755230 http://www.medworm.com/index.php?rid=1755229&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18760253%26dopt%3DAbstract CONCLUSION: Among travellers at risk, the presence of severe headache and eosinophilia combined with a consistent exposure history to exotic food should alert to the possibility of A. cantonensis infestation. Travellers should be aware of the risk of infection associated with eating exotic ethnic dishes. PMID: 18760253 [PubMed - as supplied by publisher] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1755229 Mon, 01 Sep 2008 04:00:00 +0100 1755229 http://www.medworm.com/index.php?rid=1755228&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18760254%26dopt%3DAbstract CONCLUSIONS: The findings of this study suggest that the FAS and FAM questionnaires can be applied in the investigation of fearful flyers and the normal population. A considerable number of flying phobics obtained scores in the clinically significant range on the subscales assessing anticipatory anxiety, in-flight anxiety, generalized flight anxiety, somatic complaints and cognitive complaints. PMID: 18760254 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1755228 Mon, 01 Sep 2008 04:00:00 +0100 1755228 http://www.medworm.com/index.php?rid=1755227&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18760255%26dopt%3DAbstract Authors: Bongiorno MR, Pistone G, Noto S, Aricò M A patient is described with tuberculoid leprosy and Type 1 (lepra) reaction from Sicily a non-endemic region, who lived previously in Manila from 2000 to 2005. The skin lesions became acutely inflamed and edematous. The plaques were painless to touch or pinprick, and there was swelling of the nerves in the fibro-osseous tunnels under the surface of the skin, including both the ulnar nerve at the elbow, and the posterior tibial nerve (medial malleolus). During the course of electro-neurographic studies, conduction velocity in the motory nerves indicated a slowing-down. The diagnosis of leprosy was confirmed by residence in an endemic area for about 5 years, by simultaneous skin lesions and peripheral nerve abnormalities, and by skin... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1755227 Mon, 01 Sep 2008 04:00:00 +0100 1755227 http://www.medworm.com/index.php?rid=1755226&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18760256%26dopt%3DAbstract CONCLUSION: Compared to a previous survey, this follow on survey 7 years later indicates the risk of exposure to hepatitis B has increased, but not hand-in-hand with the protection of travellers against hepatitis B through vaccination: travellers to at risk destinations continue to be unvaccinated against hepatitis B, including those who visit health care practitioners prior to travelling. Advice regarding hepatitis B immunisation for travel is received infrequently and travellers remain unaware of the risks of hepatitis B associated with travel. Many high risk situations are not predictable prior to travel, supporting an all-inclusive approach to hepatitis B vaccination in travellers. PMID: 18760256 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1755226 Mon, 01 Sep 2008 04:00:00 +0100 1755226 http://www.medworm.com/index.php?rid=1755225&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18760257%26dopt%3DAbstract Authors: Berger D, Eames D, Prados-Ruano P This paper describes the current state of mental health care for Western expatriates in Tokyo, Japan. Types of therapists, patient demographics, illness breakdown, and psychiatric medications in Japan are discussed and problems in the system and potential remedies are presented. PMID: 18760257 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1755225 Mon, 01 Sep 2008 04:00:00 +0100 1755225 http://www.medworm.com/index.php?rid=1755224&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18760258%26dopt%3DAbstract Authors: Gunther A, Burchard GD, Schoenfeld C PMID: 18760258 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1755224 Mon, 01 Sep 2008 04:00:00 +0100 1755224 http://www.medworm.com/index.php?rid=1739524&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571108%26dopt%3DAbstract Authors: Felkai P At the end of the 1980s, a new peoples' migration began, during which the inhabitants of the former Eastern bloc discovered the Western world and the interest of Western tourists turned towards Eastern Europe. Thus, a "travel industrial revolution" took place in Eastern Europe, albeit 20 years after the corresponding Western revolution. Both the common features of their past political systems and the local peculiarities of several Eastern European countries could affect the later development of the ideas and microstructures of travel medicine. By reassessing those particularities that have influenced the formation and development of travel medicine in Eastern European countries, based upon Hungarian experiences, the author has reviewed the primary, secondary, and tert... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1739524 Tue, 01 Jul 2008 04:00:00 +0100 1739524 http://www.medworm.com/index.php?rid=1544022&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571102%26dopt%3DAbstract Authors: Zuckerman JN PMID: 18571102 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544022 Wed, 25 Jun 2008 23:03:18 +0100 1544022 http://www.medworm.com/index.php?rid=1544021&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571103%26dopt%3DAbstract Authors: Greenwood B The international community is now making a serious effort to bring malaria under control. Funds for malaria control have become available on a scale not seen since the days of the eradication campaign 50 years ago. These new resources are being used largely to support a supply of artemisinin combination therapy to replace ineffective chloroquine and sulphadoxixne pyrimethamine for first line treatment of malaria and for the provision of long-lasting, insecticide treated bednets. There are early indications from several countries in Africa that this renewed effort at malaria control is beginning to have an effect but additional tools will probably be needed, including a highly effective vaccine, if the ultimate goal of malaria eradication is to be achieved. PMI... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544021 Wed, 25 Jun 2008 23:03:15 +0100 1544021 http://www.medworm.com/index.php?rid=1544020&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571104%26dopt%3DAbstract Authors: Martinez L, Blanc L, Nunn P, Raviglione M Air travel provides opportunities for infectious diseases to spread rapidly between countries and continents. There may be a potential risk of transmission during the flight, notably with airborne and droplet-borne respiratory infections. Seven episodes of potential transmission of TB infection during air travel reported in 1992-1994 caused widespread concern. Contact investigations revealed evidence of transmission of infection in two instances but active TB disease was not found in any of the infected individuals, or in subsequently published cases. In recent years, multidrug-resistant TB (MDR-TB) has become an increasingly important public health problem in many countries, exacerbated by the emergence of extensively drug-resistant T... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544020 Wed, 25 Jun 2008 23:03:12 +0100 1544020 http://www.medworm.com/index.php?rid=1544019&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571105%26dopt%3DAbstract Authors: Wilder-Smith A International travel and migration facilitate the rapid intercontinental spread of meningococcal disease. Serogroup A and, less so serogroup C, have been responsible for epidemics in the past (mainly in Africa). In recent years, W135 has emerged (first in Saudi Arabia, then in West Africa) as a serogroup that requires attention. Serogroups X and Y are infrequent, but associated with slowly rising trends. There are significant variations in the incidence of meningococcal disease and the distribution of serogroups responsible for meningococcal disease, both geographically and with time. Vaccine strategies need to address this variation, and broad coverage against all serogroups for which vaccines are currently available should be offered to travellers. Tetravalent... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544019 Wed, 25 Jun 2008 23:03:09 +0100 1544019 http://www.medworm.com/index.php?rid=1544018&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571106%26dopt%3DAbstract Authors: Ross MH, Kielkowski D, de Frey A, Brink G Sub-Saharan Africa is a common destination for occupational travellers from South Africa. Adequate preventive measures require timeous medical consultation before travel. A secondary analysis of datasets of over 8000 occupational travellers who visited travel clinics in South Africa indicated that 82% were travelling to African countries and over 50% consulted less than a week before travel. For the 70% who consult less than 10 days before departure, yellow fever certificates issued at consultation would not be valid for entry to endemic countries, although they may be protected from contracting yellow fever. The 'last minute' travel medicine consultation appears to be more common in South Africa than in Europe and North America. This ... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544018 Wed, 25 Jun 2008 23:03:07 +0100 1544018 http://www.medworm.com/index.php?rid=1544017&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571107%26dopt%3DAbstract Authors: Sarangi J, Sellwood C, Nguyen-Van-Tam JS PMID: 18571107 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544017 Wed, 25 Jun 2008 23:03:04 +0100 1544017 http://www.medworm.com/index.php?rid=1544016&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571108%26dopt%3DAbstract Authors: Felkai P At the end of the 1980s, a new peoples' migration began, during which the inhabitants of the former Eastern bloc discovered the Western world and the interest of Western tourists turned towards Eastern Europe. Thus, a "travel industrial revolution" took place in Eastern Europe, albeit 20 years after the corresponding Western revolution. Both the common features of their past political systems and the local peculiarities of several Eastern European countries could affect the later development of the ideas and microstructures of travel medicine. By reassessing those particularities that have influenced the formation and development of travel medicine in Eastern European countries, based upon Hungarian experiences, the author has reviewed the primary, secondary, and tert... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544016 Wed, 25 Jun 2008 23:02:48 +0100 1544016 http://www.medworm.com/index.php?rid=1544015&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571109%26dopt%3DAbstract This study was designed to obtain information on the health problems among international travellers from a subtropical region to the neighbouring tropical, subtropical, and temperate regions. Health problems among international travellers from Taiwan to the Philippines, Malaysia, Indonesia, Singapore, Vietnam, Thailand (tropical group), Hong Kong, Macao, China and Japan (non-tropical group) were surveyed through the telephone. Of 649 travellers surveyed, 8.2% had one or more health problems and insect bite (3.4%) and coughing or sore throats (3.2%) were the most important symptoms. The rate of coughing or sore throats was significantly higher among those returned from the non-tropical regions. However, no associations were found between health problems and the demographic factors, travel s... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544015 Wed, 25 Jun 2008 23:02:44 +0100 1544015 http://www.medworm.com/index.php?rid=1544014&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571110%26dopt%3DAbstract CONCLUSION: In our study all but one patients with severe malaria had a infection with a multiplicity of P. falciparum clones. At multivariate analysis the male gender, and the occurrence of severe malaria were significanly more commonly detected in patients affected by imported malaria with multiple clones. PMID: 18571110 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544014 Wed, 25 Jun 2008 23:02:41 +0100 1544014 http://www.medworm.com/index.php?rid=1544013&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571111%26dopt%3DAbstract Authors: Idowu OA, Mafiana CF, Luwoye IJ, Adehanloye O A survey was carried out in five rural communities that enjoy agricultural extension services from the University of Agriculture Abeokuta. Questionnaires and focus group discussions (FGDs) were used to assess perceptions and home management practices of malaria infection. The inhabitants considered malaria (which they refer to as "Iba Otutu") has the least dangerous of other types of common fever such as yellow fever and typhoid fever. A vast majority of the respondents (73%) attributed malaria infection to doing of strenuous jobs in the hot sun, while only 11.7% attributed it to mosquito bites. Hunger, eating or drinking of contaminated food or water were other sources of malaria infection mentioned by the respondent. During the F... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544013 Wed, 25 Jun 2008 23:02:37 +0100 1544013 http://www.medworm.com/index.php?rid=1544012&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571112%26dopt%3DAbstract CONCLUSIONS: Findings of our study have shown that P. falciparum is the main malaria species in Timis County, outlining the difficulties in the diagnosis and management of the imported cases. PMID: 18571112 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544012 Wed, 25 Jun 2008 23:02:34 +0100 1544012 http://www.medworm.com/index.php?rid=1544011&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571113%26dopt%3DAbstract CONCLUSIONS: The crude ethanolic extracts of D. sissoo fruits and roots exhibited promising molluscicidal activities (LC(90) values<100mgl(-1)) against adult B. pfeifferi with additional toxicities towards its 0-24h-old egg masses. PMID: 18571113 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544011 Wed, 25 Jun 2008 23:02:30 +0100 1544011 http://www.medworm.com/index.php?rid=1544010&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571114%26dopt%3DAbstract CONCLUSIONS: The majority of community-acquired Klebsiella pneumoniae liver abscess occurred in patients of Asian descent. Many of these patients have not resided in their country of origin for quite some time. In hospitals serving large Asian populations, this diagnosis must be considered and appropriate work-up for metastatic complications should be provided promptly. PMID: 18571114 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544010 Wed, 25 Jun 2008 23:02:27 +0100 1544010 http://www.medworm.com/index.php?rid=1544009&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571115%26dopt%3DAbstract Authors: Barbosa J, Costa-de-Oliveira S, Rodrigues AG, Pina-Vaz C Giardia lamblia is responsible for causing diarrhoeal diseases in humans. Infection occurs by fecal-oral route and is considered an important water pathogen, since many water surfaces are infected by cysts. Most studies involve cyst concentration procedures, followed by conventional microscopy, but are often tedious and influenced by fatigue. Our main objective was to optimize a specific flow cytometric (FC) protocol for detection of G. lamblia, to establish its sensibility limit and also the cyst viability. G. lamblia cysts (Waterborne, Inc., USA) were used for protocol optimization. FC analysis was performed using cyst suspensions stained with serial concentrations of a fluorescein-labelled mouse monoclonal antibody (G... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544009 Wed, 25 Jun 2008 23:02:23 +0100 1544009 http://www.medworm.com/index.php?rid=1544008&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571116%26dopt%3DAbstract Authors: Passantino A, Macrì D, Coluccio P, Foti F, Marino F Mycobacterium fortuitum, as well as Mycobacterium marinum and Mycobacterium chelonae, are the etiological agents of fish Mycobacterioses. Mycobacteriosis has been reported to affect a wide range of freshwater and marine fish species, suggesting an ubiquitous distribution, and can cause zoonotic infections (known as "fish tank granuloma" or "swimming pool granuloma") in humans exposed to fish and contaminated water. Infection in human consists of nodular cutaneous lesions that can progress to tenosynovitis, arthritis, and osteomyelitis, depending on the immunological status. Authors describe some cases observed during routinary diagnostic activity in aquarium fish. Fish were sampled and histopathological, microbiological,... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544008 Wed, 25 Jun 2008 23:02:18 +0100 1544008 http://www.medworm.com/index.php?rid=1544007&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571117%26dopt%3DAbstract Authors: Beck W In Germany there is little information available about the distribution of the Tropical rat mite (Ornithonyssus bacoti) in rodents. A few case reports show that this haematophagous mite species may also cause dermatitis in man. All developmental stages are exclusively bloodfeeder. Three children (4, 11 and 15 years old) of a family and a 23-year-old medical student were attacked by the Tropical rat mite. Prior to the consultation of our institution, the patients' conditions had been diagnosed as allergic dermatitis of unclear origin and treated by several antiphlogistic agents, however without success. The conclusive diagnosis, Tropical rat mite dermatitis, was based on the identification of the arthropod Ornithonyssus bacoti in the flats of the patients (husbandry of g... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544007 Wed, 25 Jun 2008 23:02:14 +0100 1544007 http://www.medworm.com/index.php?rid=1544006&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18571118%26dopt%3DAbstract Authors: Conte F, Passantino A Enterobacter sakazakii (Es) infections are likely to involve newborns and infants, causing meningitis and necrotizing enterocolitis and sepsis. Contamination of infant formulae milk during factory production or bottle preparation is implicated. Es has been isolated from environmental sources and from food other than infant formula and milk powder, but why it is associated only with the consumption of infant formulae, is unclear. According to Regulation (EC) No. 2073/2005 on the microbiological criteria for foodstuffs, Es is considered a microorganisms of greatest concern in infant formulae and follow-on formulae. Es is included between "safety criteria". The isolation of two strains of Es from 50 samples of ass' milk in Sicily is described. The antibiotic... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1544006 Wed, 25 Jun 2008 23:02:10 +0100 1544006 http://www.medworm.com/index.php?rid=1454830&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486064%26dopt%3DAbstract This article will review current guidelines for travel medicine practitioners serving children and their families. These guidelines are based on available pediatric travel-related research, appropriately extrapolated adult and pediatric research, currently accepted practice standards, and expert opinion and experiences. PMID: 18486064 [PubMed - as supplied by publisher] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454830 Thu, 01 May 2008 04:00:00 +0100 1454830 http://www.medworm.com/index.php?rid=1454829&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486065%26dopt%3DAbstract CONCLUSIONS: Influenza imposes a sizeable burden of CNS disease. Increased awareness and monitoring of CNS function is indicated, especially in infants and young children. PMID: 18486065 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454829 Thu, 01 May 2008 04:00:00 +0100 1454829 http://www.medworm.com/index.php?rid=1454828&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486066%26dopt%3DAbstract Authors: Bagshaw M This paper reviews the current knowledge of cosmic radiation and its applicability to commercial aviation. Galactic cosmic radiation emanates from outside the solar system, while occasionally a disturbance in the suns' atmosphere leads to a surge in radiation particles. Protection is provided by the suns' magnetic field, the earths' magnetic field, and the earths' atmosphere. Dose rates are dependent on the altitude, the geomagnetic latitude and the solar cycle. For occupational exposure to ionising radiation, which includes aircrew, the International Commission on Radiological Protection recommends maximum mean body effective dose limits of 20mSv/yr (averaged over 5 years, with a maximum in any 1 year of 50mSv). Radiation doses can be measured during flight or may b... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454828 Thu, 01 May 2008 04:00:00 +0100 1454828 http://www.medworm.com/index.php?rid=1454827&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486067%26dopt%3DAbstract We report a case of a patient returning from Cameroon who developed Plasmodium ovale malaria, despite atovaquone/proguanil (AP, Malarone) prophylaxis, which is widely used for the prevention of chloroquine-resistant malaria. AP is indeed active only on schizont blood forms of P. ovale but not against liver-stage hypnozoites and does not realize effective prophylaxis against delayed onset of P. ovale malaria. Hence, this case illustrates the risk of failure with Malarone for the prophylaxis of P. ovale infection for travelers in endemic regions. Travelers returned from risk areas with symptoms suggestive of malaria, should not have the diagnosis of P. ovale (or P. vivax) infection discounted, despite a history of compliance with a standard chemoprophylactic regimen. PMID: 18486067 [PubM... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454827 Thu, 01 May 2008 04:00:00 +0100 1454827 http://www.medworm.com/index.php?rid=1454826&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486068%26dopt%3DAbstract CONCLUSIONS: Simultaneous vaccination is feasible for Chinese applicants for a United States immigrant visa because the adverse reactions are mostly mild and temporary. Our data suggest that more Chinese people should be encouraged to receive simultaneous vaccination if the time is limited so as to reduce the risk of vaccine-preventable diseases. PMID: 18486068 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454826 Thu, 01 May 2008 04:00:00 +0100 1454826 http://www.medworm.com/index.php?rid=1454825&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486069%26dopt%3DAbstract CONCLUSIONS: Japanese travel medicine providers and general practitioners who engage in pre-travel consultation should raise awareness of travelers about the seriousness of malaria, the need for improved compliance with chemoprophylaxis, and the importance of being properly prepared prior to departure. PMID: 18486069 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454825 Thu, 01 May 2008 04:00:00 +0100 1454825 http://www.medworm.com/index.php?rid=1454824&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486070%26dopt%3DAbstract Authors: Bull K Presentation made at the Aviation Health Conference, London, November 2006. In modern aircraft, the air in the cabin is provided by the environmental control system (ECS) and consists of approximately 50% outside air (engine 'bleed air') mixed with approximately 50% filtered, recirculated air. This paper describes how modern aircraft cabin air filters are effective at removing airborne particulate contamination (such as bacteria and viruses) from the recirculated air system. It also describes one of the technological solutions that is currently available to treat any odours or volatile organic compounds (VOCs) that may be present in the aircraft ECS. PMID: 18486070 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454824 Thu, 01 May 2008 04:00:00 +0100 1454824 http://www.medworm.com/index.php?rid=1454823&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486071%26dopt%3DAbstract Authors: Baig WW, Ravindra Prabhu A, Natraj KS, Mathew M A combined infection with mucorales and candida is described involving the cecum in a patient with chronic kidney disease stage V, who was referred to us with history of diarrhea and abdominal pain of 2 weeks duration and had been found to have a tender mass in the right iliac fossa. Colonoscopy revealed an ulcerated and inflamed cecum and the biopsy from the ulcers showed a mixed infection with mucorales and candida. This case is reported because of the unusual site of presentation and the presence of mixed fungal infection. To our knowledge, only one case of mucormycosis in an adult, presenting as a mass (appendiceal mass), has been reported [Ter Borg F, Kuijper EJ, van der Lelie H. Fatal mucormycosis presenting as an appendice... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454823 Thu, 01 May 2008 04:00:00 +0100 1454823 http://www.medworm.com/index.php?rid=1454822&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486072%26dopt%3DAbstract CONCLUSIONS: On this premium expedition, the health problems encountered were largely similar to those reported for other expeditions. The most common problems included respiratory, gastrointestinal, dermatological conditions and musculoskeletal conditions in descending order. As well as being part of the service provided to travellers, the inclusion of an expedition physician on this premium expedition increased the independence of the travellers on this journey, yet decreased the reliance on local health services, a source which is often scarce or absent on more remote location expeditions. PMID: 18486072 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454822 Thu, 01 May 2008 04:00:00 +0100 1454822 http://www.medworm.com/index.php?rid=1454821&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486073%26dopt%3DAbstract This report highlights the multifaceted pathology that can be encountered with tropical infections. PMID: 18486073 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454821 Thu, 01 May 2008 04:00:00 +0100 1454821 http://www.medworm.com/index.php?rid=1454820&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486074%26dopt%3DAbstract Authors: Pistone T, Ezzedine K, Accoceberry I, Receveur MC, Juguet F, Malvy D Schistosomiasis, an infection with the three anthropophilic species of Schistosoma, is endemic throughout wide areas of the tropics and subtropics with an estimated rate of over 200 million people infected worldwide. Whereas symptoms and signs of vesical and gastrointestinal forms of the infection are recognized readily, cutaneous manifestations are still a challenging diagnosis particularly in Western countries. A case is described of a 34-year-old Caucasian pregnant woman who presented to our department and was diagnosed with a cutaneous schistosomiasis involvement of the perianal region. Shistosoma haematobium was shown to be present in the lesion by histopathology and was considered to be the causative or... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454820 Thu, 01 May 2008 04:00:00 +0100 1454820 http://www.medworm.com/index.php?rid=1454819&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486075%26dopt%3DAbstract Authors: Smith DR, Wei N PMID: 18486075 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454819 Thu, 01 May 2008 04:00:00 +0100 1454819 http://www.medworm.com/index.php?rid=1454818&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486076%26dopt%3DAbstract Authors: Leggat PA, Shaw MT, Borwein S PMID: 18486076 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454818 Thu, 01 May 2008 04:00:00 +0100 1454818 http://www.medworm.com/index.php?rid=1454817&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18486077%26dopt%3DAbstract Authors: Rodriguez-Morales AJ, Benitez JA, Tellez I, Franco-Paredes C PMID: 18486077 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1454817 Thu, 01 May 2008 04:00:00 +0100 1454817 http://www.medworm.com/index.php?rid=1311537&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342266%26dopt%3DAbstract Authors: Hauquitz A, Leggat PA PMID: 18342266 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311537 Tue, 01 Jan 2008 05:00:00 +0100 1311537 http://www.medworm.com/index.php?rid=1311536&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342267%26dopt%3DAbstract Authors: Manzardo C, Treviño B, Gómez I Prat J, Cabezos J, Monguí E, Clavería I, Luis Del Val J, Zabaleta E, Zarzuela F, Navarro R For geographical and historical reasons, Spain is receiving an increasing number of immigrants. The aim of this study was to evaluate some epidemiological aspects and the main public health issues of communicable diseases in Barcelona's immigrant population. From 2001 to 2004, a population of immigrants from tropical, subtropical regions and Eastern Europe was attended to in our centre. Each patient was offered a complete screening for tropical and common diseases. The prevalence and demographical characteristics of eight diseases with a potential risk of transmission in our setting were studied: latent and active tuberculosis, syphilis,... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311536 Tue, 01 Jan 2008 05:00:00 +0100 1311536 http://www.medworm.com/index.php?rid=1311535&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342268%26dopt%3DAbstract CONCLUSIONS: An injury by potentially rabid animals is not rare among long-term travelers. As the injury may occur early in the itinerary, rabies PEP should be considered for this population. Educational efforts are required in light of the lack of understanding of the dismal consequences of rabies among travelers. PMID: 18342268 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311535 Tue, 01 Jan 2008 05:00:00 +0100 1311535 http://www.medworm.com/index.php?rid=1311534&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342269%26dopt%3DAbstract Authors: Srinivasan V, Spence DW, Pandi-Perumal SR, Trakht I, Cardinali DP Each year millions of travelers undertake long distance flights over one or more continents. These multiple time zone flights produce a constellation of symptoms known as jet lag. Familiar to almost every intercontinental traveler is the experience of fatigue upon arrival in a new time zone, but almost as problematic are a number of other jet lag symptoms. These include reduced alertness, nighttime insomnia, loss of appetite, depressed mood, poor psychomotor coordination and reduced cognitive skills, all symptoms which are closely affected by both the length and direction of travel. The most important jet lag symptoms are due to disruptions to the body's sleep/wake cycle. Clinical and pathophysiological studies ... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311534 Tue, 01 Jan 2008 05:00:00 +0100 1311534 http://www.medworm.com/index.php?rid=1311533&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342270%26dopt%3DAbstract CONCLUSIONS: Artemether-lumefantrine is effective in semi-immune adults in an unsupervised outpatient setting in Southern Africa, with no evidence of recrudescence. PMID: 18342270 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311533 Tue, 01 Jan 2008 05:00:00 +0100 1311533 http://www.medworm.com/index.php?rid=1311532&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342271%26dopt%3DAbstract We describe a case of K. pneumoniae meningitis, diplopia and chemosis in a recently immigrated patient with impaired glucose tolerance. The reason for the high prevalence of metastatic septic infections caused by K. pneumoniae in Taiwan and South-East Asia remains unclear: high prevalence in this area of serotype K1 and K2 and the expression of a novel locus called magA conferring to bacterium an elevated phagocytosis resistance and an active proliferation ability have been suggested. A high degree of suspicion for this etiology must be taken into account in immigrants from China and Taiwan. Due to a very high lethality, guidelines on empiric treatment should be considered in the management of bacterial meningitis, with the patients geographical origin and the clinical syndrome (meningitis... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311532 Tue, 01 Jan 2008 05:00:00 +0100 1311532 http://www.medworm.com/index.php?rid=1311531&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342272%26dopt%3DAbstract Authors: Armengaud A, Legros F, D'Ortenzio E, Quatresous I, Barre H, Houze S, Valayer P, Fanton Y, Schaffner F A case of Plasmodium vivax malaria was diagnosed in Corsica in summer 2006. This is the first case of autochthonous transmission of malaria to be reported in Corsica since 1972. Corsica is a well-known malaria endemic region characterised, for several years now by an anophelism situation without malaria disease, due to the presence of An. labranchiae and An. saccharovi able to transmit P. vivax. The occurring sequence of malaria signs in an imported case on 9 July and in an autochthonous case on 5 August, both in Porto, implies a transmission by local Anopheles. This suspicion is reinforced by the results of entomological investigations. However, from June to September 2006, n... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311531 Tue, 01 Jan 2008 05:00:00 +0100 1311531 http://www.medworm.com/index.php?rid=1311530&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342273%26dopt%3DAbstract In this report, we describe a case of eosinophilic meningitis due to infection with this nematode in a traveller who presented with slight headache, diarrhoea, general malaise and thoracic radicular pain after a trip through Latin America and the Fiji Islands. She responded less than optimally to repeated steroid and albendazole treatments, but finally recovered completely. PMID: 18342273 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311530 Tue, 01 Jan 2008 05:00:00 +0100 1311530 http://www.medworm.com/index.php?rid=1311529&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342274%26dopt%3DAbstract We present two Norwegian holidaymakers who developed extensive disease after returning from Brazil and Tanzania, respectively. Both patients responded to the treatment with ivermectin. PMID: 18342274 [PubMed - as supplied by publisher] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311529 Tue, 01 Jan 2008 05:00:00 +0100 1311529 http://www.medworm.com/index.php?rid=1311528&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342275%26dopt%3DAbstract Authors: Sanjay S, Yeo TK, Eong KG PMID: 18342275 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311528 Tue, 01 Jan 2008 05:00:00 +0100 1311528 http://www.medworm.com/index.php?rid=1311527&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342276%26dopt%3DAbstract Authors: Toovey S PMID: 18342276 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311527 Tue, 01 Jan 2008 05:00:00 +0100 1311527 http://www.medworm.com/index.php?rid=1311526&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342277%26dopt%3DAbstract In conclusion PfHT represents one example of a rational approach in the drug discovery process to structure-base design of drugs. PMID: 18342277 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311526 Tue, 01 Jan 2008 05:00:00 +0100 1311526 http://www.medworm.com/index.php?rid=1311525&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342278%26dopt%3DAbstract Authors: Clark IA, Alleva LM, Budd AC, Cowden WB It is now broadly accepted for infectious disease in general that it is not the invading organism, but the body's unbridled response to it-the "cytokine storm"-that causes illness and pathology. Nevertheless, many researchers still regard the harmful effects of falciparum malaria as being governed by oligaemic hypoxia arising from parasitised erythrocytes obstructing blood flow through vulnerable organs, particularly the brain, and we summarise why these notions are no longer tenable. In our view, this harmful sequestration is readily accommodated within the cytokine storm perspective as one of its secondary effects. We approach these issues by examining aspects of malaria, sepsis and influenza in parallel, and discuss the insights that ... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311525 Tue, 01 Jan 2008 05:00:00 +0100 1311525 http://www.medworm.com/index.php?rid=1311524&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18342279%26dopt%3DAbstract Authors: Erdman LK, Kain KC Malaria is the most devastating parasitic infection in the world, annually causing over 1 million deaths and extensive morbidity. The global burden of malaria has increased over the last several decades, as have rates of imported malaria into non-endemic regions. Rapid and accurate diagnostics are a crucial component of malaria control strategies, and epidemiological surveillance is required to monitor trends in malaria prevalence and antimalarial drug resistance. Conventional malaria diagnostic and surveillance tools can be cumbersome and slow with limitations in both sensitivity and specificity. New molecular techniques have been developed in an attempt to overcome these restrictions. These molecular techniques are discussed with regard to their technical ... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1311524 Tue, 01 Jan 2008 05:00:00 +0100 1311524 http://www.medworm.com/index.php?rid=1010660&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17983971%26dopt%3DAbstract Authors: Zuckerman JN, Toovey S PMID: 17983971 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1010660 Thu, 01 Nov 2007 04:00:00 +0100 1010660 http://www.medworm.com/index.php?rid=1010659&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17983972%26dopt%3DAbstract Authors: Leggat PA, Aitken P PMID: 17983972 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1010659 Thu, 01 Nov 2007 04:00:00 +0100 1010659 http://www.medworm.com/index.php?rid=1010658&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17983973%26dopt%3DAbstract Authors: Toovey S Purified rabies vaccine cultured on Vero cells (Verorab((R)), sanofi pasteur) is WHO-approved for pre- and post-exposure prophylaxis by intradermal and intramuscular routes. During 20 years of use, over 40 million doses of Verorab((R)) have been administered in more than 100 countries. No serious adverse event due to Verorab((R)) has been reported in clinical trials involving 3937 persons, and Verorab((R)) is better tolerated than human diploid cell vaccine (HDCV). Pre-exposure prophylaxis is confirmed immunogenic in 1437 subjects by all routes, with prompt responses following boosting; Verorab((R)) boosts effectively subjects pre-immunized with HDCV. Unlike HDCV, Verorab((R)) is not associated with post-boosting serum sickness. In the absence of data in immunodeficie... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1010658 Thu, 01 Nov 2007 04:00:00 +0100 1010658 http://www.medworm.com/index.php?rid=1010657&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17983974%26dopt%3DAbstract Authors: Giovanetti F As a direct consequence of the current increase in international mobility, a significant increase in family travel is occurring. Protection against vaccine preventable diseases in the travelling child plays a key role both from an individual and a public health perspective: pre-travel immunisation protects travelling children and, at the same time, prevents the importation of pathogens that can spread throughout the community. Children immunisation presents unique challenges in travel medicine practice: some vaccines cannot be given below a definite age for several reasons and altering the standard schedule of routine vaccines is sometimes needed to ensure early protection. Furthermore, the risk for some travel-related diseases is higher among children. The aim of... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1010657 Thu, 01 Nov 2007 04:00:00 +0100 1010657 http://www.medworm.com/index.php?rid=1010656&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17983975%26dopt%3DAbstract Authors: Shaw MT, Leggat PA, Borwein S The 29th modern Olympic Summer Games, conducted once every 4 years since 1896, will be held in Beijing, China, from 8 to 24 August 2008. There will be approximately 28 major and 302 minor events in 37 venues in the prominent cities of Beijing, Hong Kong and Shanghai, and also in Qingdao (a coastal town in Shandong Province), Qinhuangdao (northeast of Beijing), Shanghai, Shenyang (an industrial city in Liaoning Province) and in Tianjin (on the coast near Beijing). Following the Olympic Games, the Paralympic Games will be conducted from 6 to 17 September 2008 in Beijing and 20 Paralympic Sports will be represented. This paper focuses on health and safety issues for travellers to China in general, although it makes specific references to advice for v... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1010656 Thu, 01 Nov 2007 04:00:00 +0100 1010656 http://www.medworm.com/index.php?rid=1010655&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17983976%26dopt%3DAbstract CONCLUSIONS: Q fever should be suspected in any imported febrile disease of unknown origin. Clinical manifestations are variable and repeated serological testing is mandatory. In some cases diagnostic biopsies might help to establish early diagnosis. PMID: 17983976 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1010655 Thu, 01 Nov 2007 04:00:00 +0100 1010655 http://www.medworm.com/index.php?rid=1010654&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17983977%26dopt%3DAbstract DISCUSSION: Vaccination reduced the risk of travellers' diarrhoea by 43%; possibly due to the protective effect of the oral vaccine Dukoral((R)) against travellers' diarrhoea caused by enterotoxigenic Escherichia coli (ETEC) or cholera. The efficacy of vaccination increased after adjusting for confounding factors, being modified by traveller age (under 30 years, or 45 years and older the protective effect of the vaccine is 4.8 greater, 95% confidence interval (CI): 2.1-10.7). The number needed to treat to prevent one traveller from suffering from one or more episodes of travellers' diarrhoea was 5.8. PMID: 17983977 [PubMed - in process] (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=1010654 Thu, 01 Nov 2007 04:00:00 +0100 1010654