Travelers with Additional Considerations

CDC Yellow Book 2020 ◽

10.1093/med/9780190928933.003.0005 ◽

2019 ◽

pp. 395-420

Author(s):

Gary W. Brunette ◽

Jeffrey B. Nemhauser

Keyword(s):

Immune Suppression ◽

Medical Condition ◽

Chronic Illnesses

Immunocompromised Travelers Camille Nelson Kotton, Andrew T. Kroger, David O. Freedman Travelers with Disabilities Cynthia F. Hinton, John Eichwald Travelers with Chronic Illnesses Deborah Nicolls Barbeau, Gail A. Rosselot, Sue Ann McDevitt Immunocompromised travelers make up 1%–2% of travelers seen in US travel clinics and pursue itineraries largely similar to those of immunocompetent travelers. The pretravel preparation of travelers with immune suppression due to any medical condition, drug, or treatment must take into consideration several issues:...

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Subgroup Characteristics of the Association between Volunteering and the Risk of Functional Disability Among Older Japanese People: The Tsurugaya Project.

10.21203/rs.3.rs-129031/v1 ◽

2020 ◽

Author(s):

Teiichiro Yamazaki ◽

Yumi Sugawara ◽

Toshimasa Sone ◽

Ichiro Tsuji

Keyword(s):

Functional Disability ◽

Medical Condition ◽

Community Dwelling ◽

Chronic Illnesses ◽

Vulnerable Groups ◽

Chronic Medical Condition ◽

Baseline Survey ◽

Term Care ◽

Subgroup Analyses ◽

Socio Demographic Factors

Abstract This prospective cohort study aimed to identify the subgroups of older people in which the association between volunteering and incident functional disability is most remarkable by conducting subgroup analyses of age, sex, chronic medical condition, and socio-demographic factors. Participants were 826 Japanese community-dwelling people aged ≥ 70 years who lived in Tsurugaya, Sendai. Volunteering status was assessed with a baseline survey conducted in 2003. Incident functional disability was defined as the first certification of Long-term Care Insurance until 2017. The Cox proportional hazard model was used to estimate the multivariate-adjusted hazard ratios (HR) with 95% confidence intervals (CI) for incident functional disability. Subgroup analyses were conducted according to sex, age, medical history, marital status, and educational level. The risk of incident functional disability was significantly lower in current volunteers (HR 0.70, 95% CI 0.51–0.96) than non-volunteers. This significant association was remarkable in several subgroups such as women, those aged 75 years or over, those living with chronic illnesses, those living without a spouse, and participants with higher educational levels. The association between volunteering and a decreased risk of incident functional disability was remarkable among vulnerable groups such as women, old-old, those living with chronic illnesses, and those living without a spouse.

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Clinical Features of COVID-19 Patients in Jordan: A Study of 508 Patients

The Open Respiratory Medicine Journal ◽

10.2174/1874306402115010028 ◽

2021 ◽

Vol 15 (1) ◽

pp. 28-34

Author(s):

Mahmoud Al-Balas ◽

Hasan I. Al-Balas ◽

Rami Alqassieh ◽

Hamzeh Al-Balas ◽

Almu'atasim Khamees ◽

...

Keyword(s):

Medical Condition ◽

Average Duration ◽

Chronic Illnesses ◽

Health Policies ◽

Rt Pcr ◽

General Weakness ◽

Wide Range ◽

Duration Of Hospitalization ◽

Diagnostic Panel ◽

Characteristic Features

Background: The symptoms of COVID-19 have a wide range of severity ranging from no symptoms at all to mild symptoms, such as fever, cough, sore throat, general weakness. Moreover, in some situations, patients may develop severe complications as pneumonia, and sepsis, leading to death. This study aims to investigate the characteristic features of COVID-19 patients based on their medical condition prior to COVID-19 diagnosis. Methods: A retrospective cohort study took place between the 1st of April 2020 and the 31st of June 2020 in Prince Hamzah Hospital, Jordan. Patients were diagnosed by the Real-Time Reverse Transcriptase (RT)–PCR Diagnostic Panel, either through screening or for those who developed symptoms. During this period, patients who tested positive for COVID 19 were admitted to the hospital regardless of their symptoms according to the local government health policies. A total of 508 Patients were involved and divided into two groups based on the presence or absence of chronic illnesses prior to COVID-19 diagnosis. Results: A total of 371 patients were medically free (220 males and 151 females). Among them, 153 patients were symptomatic (41.2%), with an average hospitalization of 18 days. Generalized malaise, dry cough, and fever were the most common reported symptoms (51%, 45.8%, and 41.8%, respectively). On the other hand, the total number of COVID-19 patients with predefined comorbidities was 137 (93 males and 44 females). Among them, 86 patients (62.8%) were symptomatic, with an average duration of admission of 19.3 days. Similar to medically free patients, dry cough, generalized malaise, and fever were the most commonly reported symptoms (50%, 43%, and 38.4%, respectively). There was a statistically significant correlation between the presence of chronic illnesses and the development of symptoms among COVID-19 patients (P = 0.0001). Conclusion: Dry cough, generalized malaise, and fever were the most commonly reported symptoms among our patients regardless of their medical condition. The average duration of hospitalization in medically free patients was less than patients with comorbidities, and it was less among asymptomatic compared to symptomatic patients. More than half of our COVID-19 patients were male and asymptomatic. A significant correlation between patients' medical condition and the possibility of developing symptoms in response to COVID-19 was identified.

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Dealing with Chronic Illness in Childhood

Pediatrics in Review ◽

10.1542/pir.6.3.67 ◽

1984 ◽

Vol 6 (3) ◽

pp. 67-73

Author(s):

Donald R. Swartz

Keyword(s):

Chronic Disease ◽

Chronic Illness ◽

Chronic Diseases ◽

Medical Condition ◽

Chronic Illnesses ◽

Her Family ◽

Healthy Development ◽

Children With Chronic Illnesses ◽

Mind Set ◽

Specific Medical Condition

Most pediatricians treat Children who are well or who, at worst, have an acute but Curable illness. Children with chronic illnesses don't fit. Our appointment schedules aren't structured to deal with them and they clash with our "health and normality" mind-set. Chronic diseases, incurable and possibly lethal, conflict with our need to heal, and the obvious pain and dismay of the parents is painful and dismaying to us as well. Practice might be more comfortable without them. Yet no group of patients can benefit more from the understanding of healthy development and knowledge of management of disease that are combined in today's pediatrician. The child with chronic illness is not just a case of a specific medical condition; he or she is also a child, with all of the development, psychosocial, and physical needs that are characteristic of children in general. This discussion will focus on the ways in which a child and his or her family may be affected by chronic disease, and what the responses of each to chronic disease are likely to be. The physician's responses will also be examined, as well as how the physician caring for a child with chronic illness can facilitate the adjustments and adaptations that will allow the child and his or her family to attain their greatest potential for a normal and fulfilling life.

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The Interaction of Pulmonary Physiology and Swallowing: A Juggling Act for the Physician and Speech-Language Pathologist

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd18.1.34 ◽

2009 ◽

Vol 18 (1) ◽

pp. 34-40

Author(s):

Karen J. Dikeman ◽

Marta S. Kazandjian ◽

Elbert Tun ◽

Panina Niyazova ◽

Tien-Tsai Tsai ◽

...

Keyword(s):

Health Care Providers ◽

Medical Condition ◽

Team Approach ◽

Care Providers ◽

Geriatric Population ◽

Pulmonary Physiology ◽

Speech Language Pathologist ◽

Ventilator Dependence ◽

Clinical Case Studies ◽

Single Disease Entity

Abstract Patients who are dependent upon tracheostomy and/or ventilator use present a particular challenge to health-care providers. The interaction of pulmonary physiology and deglutition is complex, as illustrated in the course of patients who are in the weaning process. Speech language pathologists (SLPs) should work closely with their physician colleagues to understand the influence of multiple medical co-morbidities on intervention. In traditional medicine, the clinician's objective is to connect a patient's many symptoms and complaints to a single disease entity. However, in caring for the ventilator dependent geriatric population, a symptom such as dysphagia typically results from the interplay of various, multi-organ symptoms, and conditions. This article strives to demonstrate the “juggling act” that the physician and SLP must balance between the patient's current medical condition, pulmonary dysfunction, and disordered swallowing. Clinical case studies illustrate the benefit of swallowing intervention on quality of life. While the care of patients with tracheostomy and ventilator dependence requires a team approach, with respiratory therapy and nursing vital members, this article emphasizes the roles of the SLP and physician.

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