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Pesquisa : I01.409.418.750.099 [Categoria DeCS]
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  1 / 16 MEDLINE  
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[PMID]:28487213
[Au] Autor:Tan KR; Henderson SJ; Williamson J; Ferguson RW; Wilkinson TM; Jung P; Arguin PM
[Ad] Endereço:Malaria Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: ktan@cdc.gov.
[Ti] Título:Long term health outcomes among Returned Peace Corps Volunteers after malaria prophylaxis, 1995-2014.
[So] Source:Travel Med Infect Dis;17:50-55, 2017 May - Jun.
[Is] ISSN:1873-0442
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A primary reason for non-adherence to malaria chemoprophylaxis is fear of latent side effects. We examined latent effects of malaria chemoprophylaxis among Returned Peace Corps Volunteers (RPCVs). METHODS: During July 18-September 16, 2016, RPCVs who served during 1995-2014 with an e-mail address in Peace Corps' RPCV database were invited to take an internet-based survey on malaria prophylaxis and medical diagnoses. "Good adherence" meant taking prophylaxis "as prescribed" or "most of the time." Prevalence of diseases diagnosed after Peace Corps service was compared between users and nonusers of each antimalarial using log-binomial regression. RESULTS: Of 8931 participants (11% response rate), 5055 (57%) took chemoprophylaxis. Initial chemoprophylaxis was mefloquine 59%, chloroquine 13%, doxycycline 16%, atovaquone-proguanil 4%, and "other" 8%. Sixty percent reported good adherence. Mefloquine users had the best adherence (67% good adherence). Prevalences of most diseases were similar between exposed and unexposed groups. Certain psychiatric diagnoses were slightly more likely among mefloquine users (PR 1.14, 95% CI [1.04-1.25], P = 0.0048). When excluding those with prior psychiatric illness, there were no differences in psychiatric diagnosis rates. CONCLUSION: Malaria chemoprophylaxis use by Peace Corps Volunteers is safe. Avoiding mefloquine use in those with prior psychiatric illness can reduce psychiatric side effects.
[Mh] Termos MeSH primário: Antimaláricos/uso terapêutico
Quimioprevenção/estatística & dados numéricos
Malária/prevenção & controle
Adesão à Medicação/estatística & dados numéricos
Peace Corps
[Mh] Termos MeSH secundário: Adulto
Atovaquona/uso terapêutico
Cloroquina/uso terapêutico
Estudos Transversais
Doxiciclina/uso terapêutico
Combinação de Medicamentos
Feminino
Seres Humanos
Masculino
Mefloquina/uso terapêutico
Proguanil/uso terapêutico
Viagem
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antimalarials); 0 (Drug Combinations); 0 (atovaquone, proguanil drug combination); 886U3H6UFF (Chloroquine); N12000U13O (Doxycycline); S61K3P7B2V (Proguanil); TML814419R (Mefloquine); Y883P1Z2LT (Atovaquone)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170511
[St] Status:MEDLINE


  2 / 16 MEDLINE  
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[PMID]:27356308
[Au] Autor:Ferguson RW; Henderson SJ; Lee EA; Jung P
[Ti] Título:Dengue in Peace Corps Volunteers, 2000-14.
[So] Source:J Travel Med;23(3), 2016 Mar.
[Is] ISSN:1708-8305
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Dengue is an arboviral disease estimated to cause 50-100 million infections each year in >100 tropical and subtropical countries. Urbanization, human population growth and expanded global travel have resulted in an increase in the incidence of dengue worldwide. International travellers to areas with endemic dengue are at risk of contracting dengue and US Peace Corps Volunteers are one specific group of long-term travellers who are exposed to environments where dengue can be contracted. METHODS: Cases of dengue among Peace Corps Volunteers, defined as clinically apparent infections with laboratory-confirmation by a positive NS1 antigen test, demonstration of IgM antibodies or by a 4-fold increase in IgG antibodies, between 1 January 2000 and 31 December 2014, reported to the Peace Corps' Epidemiologic Surveillance System were analyzed. RESULTS: Overall there were 1448 cases of dengue reported among Volunteers, with an incidence rate of 1.12 cases per 1000 Volunteer-months (95% CI 1.06-1.17). The highest rate of dengue among Volunteers was reported in the Caribbean region, with a rate of 5.51 cases per 1000 Volunteer-months (95% CI 4.97-6.10), followed by the East Asia/South Asia region (3.34, 95% CI 2.96-3.75) and Central America (2.55, 95% CI 2.32-2.79). The rate of dengue peaked in 2007, 2010 and 2013. Each peak year was followed by a trough year. CONCLUSIONS: Globally, there appears to be a 3-year cyclical pattern of dengue incidence among Volunteers, with differences by region. Dengue continues to be a priority health issue for travellers to endemic areas, and enhanced surveillance of dengue among international travellers may result in improved patient education and prevention efforts.
[Mh] Termos MeSH primário: Dengue/epidemiologia
Peace Corps
Viagem
Voluntários/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Ásia Sudeste/epidemiologia
Região do Caribe/epidemiologia
América Central/epidemiologia
Vírus da Dengue
Feminino
Seres Humanos
Incidência
Masculino
Fatores de Risco
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160701
[St] Status:MEDLINE
[do] DOI:10.1093/jtm/taw010


  3 / 16 MEDLINE  
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[PMID]:26684486
[Au] Autor:Brown ML; Henderson SJ; Ferguson RW; Jung P
[Ad] Endereço:US Peace Corps, Office of Health Services, Washington, DC, USA.
[Ti] Título:Revisiting tuberculosis risk in Peace Corps Volunteers, 2006-13.
[So] Source:J Travel Med;23(1), 2016 Jan.
[Is] ISSN:1708-8305
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Risk of tuberculosis (TB) is generally considered to be low for long-term travellers, though risk varies with travel destination, duration and purpose. Peace Corps Volunteers (PCVs) serve for 27 months as community-level development workers in various countries around the world and may be exposed to TB in the course of their service. This study examines recent trends in TB in PCVs and compares rates with a previous analysis published by Jung and Banks. METHODS: Tuberculosis case data submitted to the Peace Corps' Epidemiologic Surveillance System by Peace Corps Medical Officers and gathered from Federal Employees Compensation Act claims for latent TB infection (LTBI) and active TB between 2006 and 2013 were aggregated and analysed for trends and significance. RESULTS: Overall, there were 689 cases of LTBI and 13 cases of active TB, for a rate of 0.95 cases of LTBI [95% confidence interval (CI) 0.88-1.02] and 0.02 cases of active TB (95% CI 0.01-0.03) per 1000 Volunteer-months. Both are significantly lower than rates presented in the initial study (P < 0.001). Per-country incidence rates for LTBI ranged from 0.00 to 4.52 cases per 1000 Volunteer-months. Per-country active TB rates ranged from 0.00 to 0.78 cases per 1000 Volunteer-months. Among the 13 cases of active TB, there was one successfully treated case of extensively drug-resistant TB. CONCLUSIONS: Overall rates of both active and latent TB in PCVs were significantly lower compared with the previous study period. PCVs continue to have statistically significantly higher rates of active TB compared with the general US population but lower rates compared with other long-term travellers.
[Mh] Termos MeSH primário: Tuberculose Latente/epidemiologia
Peace Corps
Viagem
Voluntários/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Fatores de Risco
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1609
[Cu] Atualização por classe:151219
[Lr] Data última revisão:
151219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151220
[St] Status:MEDLINE
[do] DOI:10.1093/jtm/tav005


  4 / 16 MEDLINE  
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[PMID]:25534297
[Au] Autor:Landman KZ; Tan KR; Arguin PM
[Ad] Endereço:U.S. Centers for Disease Control and Prevention, Center for Global Health/Malaria Branch, 1600 Clifton Rd NE, MS A06, Atlanta, GA 30333, USA. Electronic address: klandman@gmail.com.
[Ti] Título:Adherence to malaria prophylaxis among Peace Corps Volunteers in the Africa region, 2013.
[So] Source:Travel Med Infect Dis;13(1):61-8, 2015 Jan-Feb.
[Is] ISSN:1873-0442
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Although malaria can be prevented with prophylaxis, it is diagnosed in over 100 Africa-region Peace Corps Volunteers annually. This suggests that prophylaxis non-adherence is a problem in these non-immune travelers. METHODS: We investigated Volunteers' knowledge, attitudes, and practices regarding prophylaxis using an internet-based survey during August 19-September 30, 2013. Adherence was defined as taking doxycycline or atovaquone-proguanil daily, or taking mefloquine doses no more than 8 days apart. RESULTS: The survey was sent to 3248 Volunteers. Of 781 whose responses were analyzed, 514 (73%) reported adherence to prophylaxis. The most common reasons for non-adherence were forgetting (n = 530, 90%); fear of long-term adverse effects (LTAEs; n = 316, 54%); and experiencing adverse events that Volunteers attributed to prophylaxis (n = 297, 51%). Two hundred fourteen (27%) Volunteers reported not worrying about malaria. On multivariate analysis controlling for sex and experiencing adverse events Volunteers attributed to prophylaxis, the factor most strongly associated with non-adherence was being prescribed mefloquine (OR 5.4, 95% confidence interval 3.2-9.0). CONCLUSIONS: We found moderate adherence and a prevailing fear of LTAEs among Volunteers. Strategies to improve prophylaxis adherence may include medication reminders, increasing education about prophylaxis safety and malaria risk, and promoting prompt management of prophylaxis side effects.
[Mh] Termos MeSH primário: Antimaláricos/uso terapêutico
Malária/prevenção & controle
Adesão à Medicação
Peace Corps
Profilaxia Pré-Exposição
Voluntários
[Mh] Termos MeSH secundário: África
Atovaquona/efeitos adversos
Atovaquona/uso terapêutico
Coleta de Dados
Doxiciclina/efeitos adversos
Doxiciclina/uso terapêutico
Combinação de Medicamentos
Feminino
Seres Humanos
Internet
Masculino
Mefloquina/efeitos adversos
Mefloquina/uso terapêutico
Proguanil/efeitos adversos
Proguanil/uso terapêutico
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antimalarials); 0 (Drug Combinations); 0 (atovaquone, proguanil drug combination); N12000U13O (Doxycycline); S61K3P7B2V (Proguanil); TML814419R (Mefloquine); Y883P1Z2LT (Atovaquone)
[Em] Mês de entrada:1507
[Cu] Atualização por classe:161025
[Lr] Data última revisão:
161025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141224
[St] Status:MEDLINE


  5 / 16 MEDLINE  
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[PMID]:25520979
[Au] Autor:Terry PE
[Ti] Título:Finding purpose in the Kingdom of Tonga.
[So] Source:Am J Health Promot;29(2):TAHP11-2, 2014 Nov-Dec.
[Is] ISSN:2168-6602
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Promoção da Saúde
Peace Corps
[Mh] Termos MeSH secundário: Cultura
Seres Humanos
Tonga
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:141217
[Lr] Data última revisão:
141217
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:141219
[St] Status:MEDLINE


  6 / 16 MEDLINE  
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[PMID]:25469506
[Au] Autor:Watts NS; Pajuelo M; Clark T; Loader MC; Verastegui MR; Sterling C; Friedland JS; Garcia HH; Gilman RH; Cysticercosis Working Group in Peru
[Ad] Endereço:Department of Epidemiology, Boston University School of Public Health, Boston, United States of America.
[Ti] Título:Taenia solium infection in Peru: a collaboration between Peace Corps Volunteers and researchers in a community based study.
[So] Source:PLoS One;9(12):e113239, 2014.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Neurocysticercosis is a leading cause of seizures and epilepsy in most of the world, and it occurs when Taenia solium larval cysts infect the central nervous system. T. solium tapeworm infection is endemic in much of Peru, but there are scarce data on the prevalence in many rural highland communities where it is likely to be hyper-endemic. Peace Corps Volunteers live and work in these communities; however, to our knowledge, they have not been used to facilitate public health research. MATERIALS AND METHODS: We utilized Peace Corps Volunteers to estimate the prevalence of T. solium tapeworm infection in seven rural communities in northern Peru. A convenience non-random sampling frame was used. Peace Corps Volunteers facilitated the collection of stool samples (N = 2,328), which were analyzed by sedimentation and microscopy. Niclosamide treatment and purgation preceded species identification, which was done by PCR-REA. RESULTS: Taenia sp. egg-positive stool samples were found in three of the seven communities we surveyed. The overall prevalence of Taenia sp. egg positivity was 2.1% (49/2,328) (95% CI = 1.6-2.8%) with prevalence up to 4.3% (42/977) (95% CI = 3.1-5.8%) by community. All 34 of the specimens tested by PCR-REA were T. solium. The overall prevalence of T. solium tapeworm infection was 1.5% (34/2,328) (95% CI = 1.0-2.0%). Prevalence up to 2.9% (28/977) (95% CI = 1.9-4.1%) by community was observed. CONCLUSION/SIGNIFICANCE: This study recorded high T. solium tapeworm prevalence, and identified hyper-endemic rural communities. It demonstrates that synergy between researchers and Peace Corps Volunteers can be an effective means to conducting large-scale, community-based studies in remote areas of Peru.
[Mh] Termos MeSH primário: Anticestoides/administração & dosagem
Neurocisticercose/tratamento farmacológico
Neurocisticercose/epidemiologia
Niclosamida/administração & dosagem
Taenia solium/isolamento & purificação
[Mh] Termos MeSH secundário: Adolescente
Adulto
Animais
Criança
Comportamento Cooperativo
Estudos Transversais
Fezes/parasitologia
Feminino
Seres Humanos
Masculino
Neurocisticercose/parasitologia
Peace Corps
Peru/epidemiologia
Prevalência
Pesquisadores
População Rural
Taenia solium/efeitos dos fármacos
Estados Unidos
Voluntários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Anticestodal Agents); 8KK8CQ2K8G (Niclosamide)
[Em] Mês de entrada:1508
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141204
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0113239


  7 / 16 MEDLINE  
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[PMID]:24955641
[Au] Autor:Hekim N; Coskun Y; Sinav A; Abou-Zeid AH; Agirbasli M; Akintola SO; Aynacioglu S; Bayram M; Bragazzi NL; Dandara C; Dereli T; Dove ES; Elbeyli L; Endrenyi L; Erciyas K; Faris J; Ferguson LR; Gögüs F; Güngör K; Gürsoy M; Gürsoy UK; Karaömerlioglu MA; Kickbusch I; Kiliç T; Kilinç M; Kocagöz T; Lin B; LLerena A; Manolopoulos VG; Nair B; Özkan B; Pang T; Sardas S; Srivastava S; Toraman C; Üstün K; Warnich L; Wonkam A; Yakicier MC; Yasar Ü; Özdemir V
[Ad] Endereço:1 Office of the Dean, Faculty of Medicine, SANKO University , Gaziantep, Turkey .
[Ti] Título:Translating biotechnology to knowledge-based innovation, peace, and development? Deploy a Science Peace Corps--an open letter to world leaders.
[So] Source:OMICS;18(7):415-20, 2014 Jul.
[Is] ISSN:1557-8100
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Scholarship knows no geographical boundaries. This science diplomacy and biotechnology journalism article introduces an original concept and policy petition to innovate the global translational science, a Science Peace Corps. Service at the new Corps could entail volunteer work for a minimum of 6 weeks, and up to a maximum of 2 years, for translational research in any region of the world to build capacity manifestly for development and peace, instead of the narrow bench-to-bedside model of life science translation. Topics for translational research are envisioned to include all fields of life sciences and medicine, as long as they are linked to potential or concrete endpoints in development, foreign policy, conflict management, post-crisis capacity building, and/or peace scholarship domains. As a new instrument in the global science and technology governance toolbox, a Science Peace Corps could work effectively, for example, towards elucidating the emerging concept of "one health"--encompassing human, environmental, plant, microbial, ecosystem, and planet health--thus serving as an innovative crosscutting pillar of 21(st) century integrative biology. An interdisciplinary program of this caliber for development would link 21(st) century life sciences to foreign policy and peace, in ways that can benefit many nations despite their ideological differences. We note that a Science Peace Corps is timely. The Intergovernmental Panel on Climate Change (IPCC) of the United Nations released the Fifth Assessment Report on March 31, 2014. Worrisomely, the report underscores that no person or nation will remain untouched by the climate change, highlighting the shared pressing life sciences challenges for global society. To this end, we recall that President John F. Kennedy advocated for volunteer work that has enduring, transgenerational, and global impacts. This culminated in establishment of the Peace Corps in 1961. Earlier, President Abraham Lincoln aptly observed, "nearly all men can stand adversity, but if you want to test a man's character, give him power." We therefore petition President Barack Obama, other world leaders, and international development agencies in positions of power around the globe, to consider deploying a Science Peace Corps to cultivate the essential (and presently missing) ties among life sciences, foreign policy, development, and peace agendas. A Science Peace Corps requires support by a credible and independent intergovernmental organization or development agency for funding, and arbitration in the course of volunteer work when the global versus local (glocal) value-based priorities and human rights intersect in synergy or conflict. In all, Science Peace Corps is an invitation to a new pathway for competence in 21(st) century science that is locally productive and globally competitive. It can open up scientific institutions to broader considerations and broader inputs, and thus cultivate vital translational science in a world sorely in need of solidarity and sustainable responses to the challenges of 21(st) century science and society.
[Mh] Termos MeSH primário: Biotecnologia
Invenções
Pesquisa Médica Translacional
[Mh] Termos MeSH secundário: África
Seres Humanos
Peace Corps
Pesquisa
Ciência/tendências
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1503
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140624
[St] Status:MEDLINE
[do] DOI:10.1089/omi.2014.0079


  8 / 16 MEDLINE  
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[PMID]:24918487
[Au] Autor:Landman KZ; Tan KR; Arguin PM; Centers for Disease Control and Prevention (CDC)
[Ti] Título:Knowledge, attitudes, and practices regarding antimalarial chemoprophylaxis in U.S. Peace Corps Volunteers--Africa, 2013.
[So] Source:MMWR Morb Mortal Wkly Rep;63(23):516-7, 2014 Jun 13.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Long-term travelers to areas where malaria is endemic are at risk for this potentially fatal disease; however, malaria can be prevented through the use of insecticide-treated bednets, mosquito repellents, and chemoprophylaxis. Three options for chemoprophylaxis are available in the Africa region: mefloquine, doxycycline, and atovaquone-proguanil. These options differ by dosing regimen, cost, and side effect profile. Long-term adverse effects of these drugs have been reported rarely.
[Mh] Termos MeSH primário: Antimaláricos/uso terapêutico
Conhecimentos, Atitudes e Prática em Saúde
Malária/prevenção & controle
Peace Corps
Voluntários/psicologia
[Mh] Termos MeSH secundário: África
Antimaláricos/economia
Atovaquona/economia
Atovaquona/uso terapêutico
Quimioprevenção
Doxiciclina/economia
Doxiciclina/uso terapêutico
Combinação de Medicamentos
Seres Humanos
Adesão à Medicação/estatística & dados numéricos
Mefloquina/economia
Mefloquina/uso terapêutico
Proguanil/economia
Proguanil/uso terapêutico
Viagem
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antimalarials); 0 (Drug Combinations); 0 (atovaquone, proguanil drug combination); N12000U13O (Doxycycline); S61K3P7B2V (Proguanil); TML814419R (Mefloquine); Y883P1Z2LT (Atovaquone)
[Em] Mês de entrada:1407
[Cu] Atualização por classe:140612
[Lr] Data última revisão:
140612
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140612
[St] Status:MEDLINE


  9 / 16 MEDLINE  
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[PMID]:24639304
[Au] Autor:Harvey K; Jentes ES; Charles M; Johnson KJ; Petersen B; Lamias MJ; Blanton JD; Sotir MJ; Brunette GW
[Ad] Endereço:Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Office of Medical Services, Peace Corps, Washington, District of Columbia; Division of High Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia; Office of Informatics, Centers for Disease Control and Prevention, Atlanta, Georgia.
[Ti] Título:Possible rabies exposures in Peace Corps volunteers, 2011.
[So] Source:Am J Trop Med Hyg;90(5):902-7, 2014 May.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We surveyed Peace Corps Medical Officers (PCMOs) to determine the frequency of and responses to possible rabies exposures of U.S. Peace Corps volunteers (PCVs). Surveys were sent to 56 PCMOs serving in countries with moderate or high rabies vaccine recommendations from the U.S. Centers for Disease Control and Prevention (CDC), of which 38 (68%) responded. Thirty-seven PCMOs reported that, of 4,982 PCVs, 140 (3%) experienced possible rabies exposures. Of these, 125 (89%) had previously received rabies vaccination, 129 (92%) presented with adequately cleansed wounds, and 106 (76%) were deemed to require and were given post-exposure prophylaxis (PEP). Of 35 respondents, 30 (86%) reported that rabies vaccine was always accessible to PCVs in their country within 24 hours. Overall, the Peace Corps is successful at preventing and treating possible rabies exposures. However, this study identified a few gaps in policy implementation. The Peace Corps should continue and strengthen efforts to provide education, preexposure vaccination, and PEP to PCVs.
[Mh] Termos MeSH primário: Peace Corps
Raiva/prevenção & controle
Voluntários/estatística & dados numéricos
[Mh] Termos MeSH secundário: Inquéritos Epidemiológicos
Seres Humanos
Profilaxia Pós-Exposição
Vacinas Antirrábicas/uso terapêutico
Inquéritos e Questionários
Estados Unidos
Vacinação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Rabies Vaccines)
[Em] Mês de entrada:1406
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:140319
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.13-0521


  10 / 16 MEDLINE  
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[PMID]:23730963
[Au] Autor:Barnes JB; Nickerson A; Adler AB; Litz BT
[Ad] Endereço:Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston, Massachusetts 02130, USA,
[Ti] Título:Perceived military organizational support and peacekeeper distress: a longitudinal investigation.
[So] Source:Psychol Serv;10(2):177-85, 2013 May.
[Is] ISSN:1939-148X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Many professions vital to the safety of society require workers to face high magnitude and potentially traumatizing events. Because this routine exposure can cause high levels of stress in workers, it is important to investigate factors that contribute to both risk of posttraumatic stress disorder (PTSD), and healthy responses to stress. Although some research has found social support to mitigate the effects of posttraumatic stress symptoms, scant research has investigated organizational support. The aim of the present study is to investigate the temporal relationship between stress symptoms and perceived organizational support in a sample of 1,039 service members deployed to the peacekeeping mission to Kosovo. Participants completed self-report measures of stress symptoms and perceived organizational support at 4 study time points. Bivariate latent difference score structural equation modeling was utilized to examine the temporal relationship among stress and perceived organizational support. In general, across the 4 time points, latent PCL scores evidenced a salient and negative relationship to subsequent POS latent difference scores. However, no significant relationship was found between latent POS variables and subsequent PCL latent difference scores. Findings suggest that prior stress symptoms are influencing service member's perceptions of the supportiveness of their organization such that increased prior stress is associated with worsening perceptions of support. These results illustrate that targeting stress directly may potentiate the positive influence of organizational support and that institutional support programs should be adapted to better account for the negative biases increased distress may encourage.
[Mh] Termos MeSH primário: Medicina Militar/organização & administração
Militares/psicologia
Psiquiatria Militar/organização & administração
Apoio Social
Estresse Psicológico/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Kosovo
Estudos Longitudinais
Masculino
Modelos Estatísticos
Peace Corps
Percepção
Autorrelato
Estresse Psicológico/epidemiologia
Fatores de Tempo
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1401
[Cu] Atualização por classe:130604
[Lr] Data última revisão:
130604
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130605
[St] Status:MEDLINE
[do] DOI:10.1037/a0032607



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