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Journal of Epidemiology and Global Health
   [9 followers]  Follow    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
     ISSN (Print) 2210-6006
     Published by Elsevier Homepage  [2571 journals]   [SJR: 0.105]   [H-I: 2]
  • Global surgery: Integrating an emerging sub-specialty within global health
    • Authors: Rele Ologunde; Isobel Marks
      Abstract: Much has been made of the emerging sub-specialty of global surgery; however, the processes by which its objectives can be achieved within the larger architecture of the global health landscape remain to be explored. This once marginalized [1] field has over the last decade gained institutional and political momentum as evidenced by the numerous academic centers setting up specific programs in global surgery and the increasing number of ministries of health in low- and middle-income countries (LMICs) who have partnered with Western institutions to study surgical capacity within their countries and identify barriers to accessing surgical care [2].
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-11-17
       
  • Establishing a field epidemiology elective for medical students in Kenya:
           A strategy for increasing public health awareness and workforce capacity
    • Authors: Wences Arvelo; Zeinab Gura, Samuel Amwayi, Petra Wiersma, Jared Omolo, Steven Becknell, Donna Jones, Dismas Ongore, Richard Dicker
      Abstract: Medical students have limited exposure to field epidemiology, even though will assume public health roles after graduation. We established a 10-week elective in field epidemiology during medical school. Students attended one-week didactic sessions on epidemiology, and nine weeks in field placement sites. We administered pre- and post-tests to evaluate the training. We enrolled 34 students in 2011 and 2012. In 2011, we enrolled five of 24 applicants from a class of 280 medical students. In 2012, we enrolled 18 of 81 applicants from a class of 360 students; plus 11 who participated in the didactic sessions only.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-11-16
       
  • Incidence of acute-onset atrial fibrillation correlates with air
           temperature. Results of a nine-year survey
    • Authors: Ivan Comelli; Gianfranco Cervellin, Jayme Ferro, Denis Comelli, Elisabetta Sartori, Giuseppe Lippi
      Abstract: We are thankful to Turin et al. for the interesting observations raised on our previous article [1]. The authors suggest that a graphical presentation of data using a U-shaped non-linear association is a “very pragmatic possibility”. We have hence taken into account the suggestion of a potential better performance exhibited by linear analysis, and we applied a non-linear fitting model of quadratic form (U-shaped), where:
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-11-13
       
  • Acute-onset atrial fibrillation and ambient air temperature: A linear or a
           non-linear association?
    • Authors: Tanvir Chowdhury Turin; Yoshikuni Kita, Nahid Rumana
      Abstract: The study by Comelli et al. [1] published in a recent issue of the Journal of Epidemiology and Global Health describing the association between ambient temperature and incidence of acute-onset arterial fibrillation (AAF) in Italy was read with great interest. The authors retrieved data from the electronic health records of the Academic Hospital of Parma for the period of January 2002 to December 2010 (a total of 3287days) to identify the AAF admissions in the Emergency Department. For all the 3287 study-days, meteorological data of the catchment locality were collected and were linked to the AAF database.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-11-11
      DOI: 10.1016/j.jegh.2014.09.006
       
  • The association between development assistance for health and malaria, HIV
           and tuberculosis mortality: A cross-national analysis
    • Authors: Allan J. Hsiao; Connor A. Emdin
      Abstract: Development assistance for health (DAH) and foreign aid have been criticized for being poorly associated with health and economic outcomes on a national level. This study is an attempt to examine whether DAH targeted specifically to malaria, HIV and tuberculosis (TB) is associated with changes in malaria, HIV and TB mortality, respectively. A dataset of DAH targeted to malaria, HIV and TB and corresponding malaria-, HIV- and TB-specific mortality was compiled for 120 low- and middle-income countries.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-11-10
       
  • Metabolic parameters and blood pressures achieved by diabetic patients at
           two health care facilities in south Trinidad
    • Authors: Ganga Bhagirathee; Rohan G. Maharaj
      Abstract: Previous studies have demonstrated poor metabolic and blood pressure control in the diabetic population in Trinidad. The aim of this study is to compare baseline and follow-up metabolic parameters and blood pressures taken within a 16-month period to ascertain if there have been improvements.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-10-27
      DOI: 10.1016/j.jegh.2014.09.005
       
  • The association between disability and cognitive impairment in an elderly
           Tanzanian population
    • Authors: Catherine L. Dotchin; Stella-Maria Paddick, William K. Gray, Aloyce Kisoli, Golda Orega, Anna R. Longdon, Paul Chaote, Felicity Dewhurst, Matthew Dewhurst, Richard W. Walker
      Abstract: Cognitive impairment is thought to be a major cause of disability worldwide, though data from sub-Saharan Africa (SSA) are sparse. This study aimed to investigate the association between cognitive impairment and disability in a cohort of community-dwelling older adults living in Tanzania. The study cohort of 296 people aged 70years and over was recruited as part of a dementia prevalence study. Subjects were diagnosed as having dementia or mild cognitive impairment according to the DSM-IV criteria.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-10-23
      DOI: 10.1016/j.jegh.2014.09.004
       
  • Factors associated with incident HIV infection versus prevalent infection
           among youth in Rakai, Uganda
    • Authors: Zoe R. Edelstein; John S. Santelli, Stephane Helleringer, Ashley C. Schuyler, Ying Wei, Sanyukta Mathur, Xiaoyu Song, Tom Lutalo, Fred Nalugoda, Ronald H. Gray, Maria J. Wawer, David M. Serwadda
      Abstract: Factors associated with prevalent and incident HIV infection were compared among sexually experienced Ugandans aged 15–24. Most factors were similar. However, in women, older age and current marriage were associated with prevalent, but not incident, infection. It is important to recognize the limitations of prevalence analyses for identifying at-risk youth.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-10-20
      DOI: 10.1016/j.jegh.2014.09.003
       
  • Does emotion and its daily fluctuation correlate with depression' A
           cross-cultural analysis among six developing countries
    • Authors: Derwin K.C. Chan; Xin Zhang, Helene H. Fung, Martin S. Hagger
      Abstract: Utilizing a World Health Organization (WHO) multi-national dataset, the present study examined the relationships between emotion, affective variability (i.e., the fluctuation of emotional status), and depression across six developing countries, including China (N=15,050); Ghana (N=5,573); India (N=12,198); Mexico (N=5,448); South Africa (N=4,227); and Russia (N=4,947). Using moderated logistic regression and hierarchical multiple regression, the effects of emotion, affective variability, culture, and their interactions on depression and depressive symptoms were examined when statistically controlling for a number of external factors (i.e., age, gender, marital status, education level, income, smoking, alcohol drinking, physical activity, sedentary behavior, and diet).
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-10-09
      DOI: 10.1016/j.jegh.2014.09.001
       
  • Corrigendum to “Neonatal mortality in Nepal: A multilevel analysis
           of a nationally representative” [J. Epidemiol. Global Health 4
           (2014) 213–222]
    • Authors: Subas Neupane; David Teye Doku
      Abstract: The author regrets to inform that the title of the article was incomplete and the complete title should be:
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-10-07
      DOI: 10.1016/j.jegh.2014.09.002
       
  • Anaesthesia, surgery, obstetrics, and emergency care in Guyana
    • Authors: H.J. Vansell; J.J. Schlesinger, A. Harvey, J.P. Rohde, S. Persaud, K.A. McQueen
      Abstract: The surgical and anaesthesia needs of low-income countries are mostly unknown due to the lack of data on surgical infrastructure and human resources. The goal of this study is to assess the surgical and anaesthesia capacity in Guyana.A survey tool adapted from the WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care was used to survey nine regional and district hospitals within the Ministry of Health system in Guyana.In nine hospitals across Guyana, there were an average of 0.7 obstetricians/gynaecologists, 3.5 non-OB surgeons, and 1 anaesthesiologist per hospital.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-10-06
      DOI: 10.1016/j.jegh.2014.08.003
       
  • A cluster-randomised controlled trial to test the efficacy of facemasks in
           preventing respiratory viral infection among Hajj pilgrims
    • Authors: Mandy Wang; Osamah Barasheed, Harunor Rashid, Robert Booy, Haitham El Bashir, Elizabeth Haworth, Iman Ridda, Edward C. Holmes, Dominic E. Dwyer, Jonathan Nguyen-Van-Tam, Ziad A. Memish, Leon Heron
      Abstract: Cost-effective interventions are needed to control the transmission of viral respiratory tract infections (RTIs) in mass gatherings. Facemasks are a promising preventive measure, however, previous studies on the efficacy of facemasks have been inconclusive. This study proposes a large-scale facemask trial during the Hajj pilgrimage in Saudi Arabia and presents this protocol to illustrate its feasibility and to promote both collaboration with other research groups and additional relevant studies.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-10-01
      DOI: 10.1016/j.jegh.2014.08.002
       
  • Work productivity among adults with varied Body Mass Index: Results from a
           Canadian population-based survey
    • Authors: Arnaldo Sanchez Bustillos; Kris Gregory Vargas, Raul Gomero-Cuadra
      Abstract: The relationship between Body Mass Index (BMI) and work productivity, including absenteeism and presenteeism remains unclear. The objective of this study was to examine work productivity among adults with varied BMI using population-based data.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-09-17
      DOI: 10.1016/j.jegh.2014.08.001
       
  • Epidemiology, clinical manifestations, and molecular typing of isolated
           from patients with typhoid fever in Lebanon
    • Authors: Souha S. Kanj; Zeina A. Kanafani, Marwa Shehab, Nisreen Sidani, Tania Baban, Kedak Baltajian, Ghenwa K. Dakdouki, Mohamad Zaatari, George F. Araj, Rima Hanna Wakim, Ghassan Dbaibo, Ghassan M. Matar
      Abstract: The objective of this study was to examine the epidemiology and the clinical manifestations of typhoid fever as well as the susceptibility and strain relatedness of Salmonella typhi isolates in Lebanon from 2006 to 2007. A total of 120 patients with typhoid fever were initially identified from various areas of the country based on positive culture results for S. typhi from blood, urine, stools, bone marrow and/or positive serology. Clinical, microbiological and molecular analysis was performed on cases with complete data available.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-09-10
      DOI: 10.1016/j.jegh.2014.07.003
       
  • Lebanese medical students’ intention to deliver smoking cessation
           advice
    • Authors: Hoda Jradi; Mary Ellen Wewers, Phyllis P. Pirie, Philip F. Binkley, Amy K. Ferketich
      Abstract: Objectives of this study were to examine the constructs of the Theory of Planned Behavior and determine how they predict Lebanese medical students’ behavioral intention to advise patients to quit smoking.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-09-06
      DOI: 10.1016/j.jegh.2014.05.003
       
  • Efficacy of prophylactic dexamethasone in prevention of postoperative
           nausea and vomiting
    • Authors: Leila Sekhavat; Robab Davar, Shekoufeh Behdad
      Abstract: Many trials have been conducted with regard to the relative benefits of prophylactic anti-emetic interventions given alone or in combination, yet the results remain unknown. This study reviewed the efficacy of a single prophylactic dose of dexamethasone on postoperative nausea or vomiting (PONV) after abdominal hysterectomy.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-09-04
      DOI: 10.1016/j.jegh.2014.07.004
       
  • Socioeconomic status and obesity: Causality of the association
    • Authors: Tomoyuki Kawada
      Abstract: Mowafi et al. reported that no significant association was observed between socioeconomic status (SES) and overweight/obesity in Cairo, Egypt, using education, household expenditures, household assets, subjective wealth, and father’s education as indicators of SES [1]. Meanwhile, Ramsay et al. presented data indicating that socioeconomic position (SEP) was not significantly related to the prevalence of metabolic syndrome (MetS) when adjusted according to behavioral factors [2], although it was mentioned that behavioral factors such as physical activity, smoking, and alcohol consumption were responsible for the relationship between SEP and MetS.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-09-02
      DOI: 10.1016/j.jegh.2014.07.005
       
  • Cardiovascular risk factors in semi-urban communities in southwest
           Nigeria: Patterns and prevalence
    • Authors: Rotimi Oluyombo; Michael A. Olamoyegun, Oluwasegun Olaifa, Sandra O. Iwuala, Oluwole A. Babatunde
      Abstract: Over 80% of cardiovascular deaths take place in low- and middle-income countries; most of these deaths are due to modifiable risk factors. The study aimed at estimating the prevalence and pattern of major cardiovascular risk factors in both men and women older than 18years.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-09-01
      DOI: 10.1016/j.jegh.2014.07.002
       
  • Use of footwear and foot condition among rural Ethiopian school children
    • Authors: Emi Watanabe; Colleen M. McBride, Abebayehu Tora, Desta A. Ayode, David Farrell, Gail Davey
      Abstract: To evaluate whether shoe-wearing affords foot protection among school children living in southern Ethiopia.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-08-23
      DOI: 10.1016/j.jegh.2014.06.001
       
  • A cross-sectional study of pediatric eye care perceptions in Ghana,
           Honduras, and India
    • Authors: Daryl Ramai; Ryan Elliott, Shoshanna Goldin, Tejas Pulisetty
      Abstract: Of the more than 1.4 million blind children worldwide, 75% live in developing countries. To reduce the prevalence of childhood blindness and associated diseases, attention is given to understanding the perceptions and level of awareness held by caregivers. This understanding can enable tailored health programs to reduce the global prevalence of blindness with increased efficiency. This study, which took place in Ghana, Honduras, and India, found that 95% of caregivers believed in the importance of eye exams for children, yet 66% of caregivers said that none of their children had ever received an eye exam.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-08-12
      DOI: 10.1016/j.jegh.2014.06.004
       
  • Occlusal characteristics and prevalence of associated dental anomalies in
           the primary dentition
    • Authors: Seema Lochib; K.R. Indushekar, Bhavna Gupta Saraf, Neha Sheoran, Divesh Sardana
      Abstract: Morphological variations in primary dentition are of great concern to a pediatric dentist as it may pose clinical problems like dental caries, delayed exfoliation and also anomalies in the permanent dentition, such as impaction of successors, supernumerary teeth, permanent double teeth or aplasia of teeth. The present study was conducted to investigate the presence of dental anomalies in the primary dentition of 1000 schoolchildren in the 3–5year-old age group in Faridabad.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-08-07
      DOI: 10.1016/j.jegh.2014.07.001
       
  • Point prevalence survey of antimicrobial utilization in a Canadian
           tertiary-care teaching hospital
    • Authors: Colin Lee; Sandra A.N. Walker, Nick Daneman, Marion Elligsen, Lesley Palmay, Bryan Coburn, Andrew Simor
      Abstract: Inappropriate antimicrobial use can promote antimicrobial resistance, which is associated with increased patient morbidity and mortality. Identifying the pattern of antimicrobial use can provide data from which targeted antimicrobial stewardship interventions can be made. The primary objective was to identify the prevalence of antimicrobial use at a tertiary care teaching hospital with both acute and long-term care patients.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-08-07
      DOI: 10.1016/j.jegh.2014.06.003
       
  • Tuberculosis screening among Bolivian sex workers and their children
    • Authors: Silvia S. Chiang; Jessica K. Paulus, Chi-Cheng Huang, P.K. Newby, Dora Castellón Quiroga, Renée Boynton-Jarrett, Lara Antkowiak
      Abstract: Bolivian sex workers were more likely than other employed women to report tuberculosis screening only if they reported HIV screening. Of all women with household tuberculosis exposure,
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-07-18
      DOI: 10.1016/j.jegh.2014.06.002
       
  • Terrorism-related trauma in Africa, an increasing problem
    • Authors: Maryam Alfa-Wali; Kaji Sritharan, Mira Mehes, Fizan Abdullah, Shahnawaz Rasheed
      Abstract: Global terrorist activities have increased significantly over the past decade. The impact of terrorism-related trauma on the health of individuals in low- and middle-income countries is under-reported. Trauma management in African countries in particular is uncoordinated, with little or no infrastructure to cater for emergency surgical needs. This article highlights the need for education, training and research to mitigate the problems related to terrorism and surgical public health.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-07-15
      DOI: 10.1016/j.jegh.2014.05.006
       
  • Validation of the Arabic version of the Epworth Sleepiness Scale
    • Authors: Anwar E. Ahmed; Abdulhamid Fatani, Abdullah Al-Harbi, Abdullah Al-Shimemeri, Yosra Z. Ali, Salim Baharoon, Hamdan Al-Jahdali
      Abstract: The Epworth Sleepiness Scale (ESS) is a questionnaire widely used in developed countries to measure daytime sleepiness and diagnose sleep disorders.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-07-01
      DOI: 10.1016/j.jegh.2014.04.004
       
  • Changes in hand hygiene compliance after a multimodal intervention among
           health-care workers from intensive care units in Southwestern Saudi Arabia
           
    • Authors: Ahmed A. Mahfouz; Ibrahim A. Al-Zaydani, Ali O. Abdelaziz, Mohammad N. El-Gamal, Abdullah M. Assiri
      Abstract: The aim of this study is to measure the degree of compliance with hand hygiene practices among health-care workers (HCWs) in intensive care facilities in Aseer Central Hospital, Abha, Saudi Arabia, before and after a multimodal intervention program based on WHO strategies. Data were collected by direct observation of HCWs while delivering routine care using standardized WHO method: “Five moments for hand hygiene approach”. Observations were conducted before (February–April 2011) and after (February–April 2013) the intervention by well-trained, infection-control practitioners during their routine visits.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-06-24
      DOI: 10.1016/j.jegh.2014.05.002
       
  • Adherence to medications and associated factors: A cross-sectional study
           among Palestinian hypertensive patients
    • Authors: Rowa’ Al-Ramahi
      Abstract: To assess adherence of Palestinian hypertensive patients to therapy and to investigate the effect of a range of demographic and psychosocial variables on medication adherence.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-06-21
      DOI: 10.1016/j.jegh.2014.05.005
       
  • Energy drink usage among university students in a Caribbean country:
           Patterns of use and adverse effects
    • Authors: Sandra D. Reid; Jonathan Ramsarran, Rachel Brathwaite, Sarika Lyman, Ariane Baker, D’Andra C. Cornish, Stefan Ganga, Zahrid Mohammed, Avinash T. Sookdeo, Cathrine K. Thapelo
      Abstract: There has been little inquiry addressing whether or not concerns about adverse effects of energy drink usage are relevant in the Caribbean. This survey investigated energy drink usage and adverse consequences among tertiary level students in Trinidad and Tobago.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-06-19
      DOI: 10.1016/j.jegh.2014.05.004
       
  • Awareness of pro-tobacco advertising and promotion and beliefs about
           tobacco use: Findings from the Tobacco Control Policy (TCP) India Pilot
           Survey
    • Authors: Maansi Bansal-Travers; Geoffrey T. Fong, Anne C.K. Quah, Genevieve Sansone, Mangesh S. Pednekar, Prakash C. Gupta, Dhirendra N. Sinha
      Abstract: Tobacco companies are utilizing similar strategies to advertise and promote their products in developing countries as they have used successfully for over 50years in developed countries. The present study describes how adult smokers, smokeless tobacco users, and non-users of tobacco from the Tobacco Control Project (TCP) India Pilot Survey, conducted in 2006, responded to questions regarding their perceptions and observations of pro-tobacco advertising and promotion and beliefs about tobacco use.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-06-16
      DOI: 10.1016/j.jegh.2014.05.001
       
  • Knowledge about tobacco smoking among medical students in Saudi Arabia:
           Findings from three medical schools
    • Authors: Hoda Jradi; Ali Al-Shehri
      Abstract: Tobacco smoking is the leading cause of preventable death worldwide. Educating and training medical students about tobacco dependence prevention and treatment will prepare them for the task of helping smokers quit. In Saudi Arabia, little is known about medical students’ knowledge on this topic.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-06-07
      DOI: 10.1016/j.jegh.2014.04.001
       
  • Change in the structures, dynamics and disease-related mortality rates of
           the population of Qatari nationals: 2007–2011
    • Authors: Mohamed H. Al-Thani; Eman Sadoun, Al-Anoud Al-Thani, Shamseldin A. Khalifa, Suzan Sayegh, Alaa Badawi
      Abstract: Developing effective public health policies and strategies for interventions necessitates an assessment of the structure, dynamics, disease rates and causes of death in a population. Lately, Qatar has undertaken development resurgence in health and economy that resulted in improving the standard of health services and health status of the entire Qatari population (i.e., Qatari nationals and non-Qatari residents). No study has attempted to evaluate the population structure/dynamics and recent changes in disease-related mortality rates among Qatari nationals.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-05-29
      DOI: 10.1016/j.jegh.2014.04.002
       
  • Prevalence and determinants of electrocardiographic abnormalities in
           African Americans with type 2 diabetes
    • Authors: Matthew B. Sellers; Jasmin Divers, Lingyi Lu, Jianzhao Xu, S. Carrie Smith, Donald W. Bowden, David Herrington, Barry I. Freedman, Elsayed Z. Soliman
      Abstract: Electrocardiographic (ECG) abnormalities are independently associated with poor outcomes in the general population. Their prevalence and determinants were assessed in the understudied African American population with type 2 diabetes.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-05-24
      DOI: 10.1016/j.jegh.2014.04.003
       
  • Evaluation of physical fitness and weight status among fisherwomen in
           relation to their occupational workload
    • Authors: Pallav Sengupta; Elzbieta Krajewska-Kulak
      Abstract: Fisherwomen contribute significantly to the coastal economy of Eastern India; however, data about their physical fitness and weight status are scant.
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-05-01
      DOI: 10.1016/j.jegh.2014.03.005
       
  • Investigation of an outbreak of bloody diarrhea complicated with hemolytic
           uremic syndrome
    • Authors: Otar Chokoshvili; Khatuna Lomashvili, Naile Malakmadze, Marika Geleishvil, Jonas Brant, Paata Imnadze, Nazibrola Chitadze, Lia Tevzadze, Gvantsa Chanturia, Tea Tevdoradze, Tengiz Tsertsvadze, Deborah Talkington, Rajal K Mody, Nancy Strockbine, Russell A Gerber, Edmond Maes, Thomas Rush
      Abstract: In July–August 2009, eight patients with bloody diarrhea complicated by hemolytic uremic syndrome (HUS) were admitted to hospitals in Tbilisi, Georgia. We started active surveillance in two regions for bloody diarrhea and post-diarrheal HUS. Of 25 case-patients who developed HUS, including the initial 8 cases, half were ⩾15years old, 67% were female and seven (28%) died. No common exposures were identified. Among 20 HUS case-patients tested, Shiga toxin was detected in the stools of 2 patients (one with elevated serum IgG titers to several Escherichia coli serogroups, including O111 and O104).
      Citation: Journal of Epidemiology and Global Health (2014)
      PubDate: 2014-05-01
      DOI: 10.1016/j.jegh.2014.03.004
       
 
 
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