scholarly journals A Case Series: Describing the Coronavirus Pandemic Response in Small Naval OCONUS Military Treatment Facilities

2021 ◽  
Vol 186 (Supplement_2) ◽  
pp. 61-67
Author(s):  
Emily R Latimer ◽  
Christopher A Parker ◽  
Pauline A Swiger
Keyword(s):  
United States ◽  
Case Series ◽  
The United States ◽  
Staff Protection ◽  
Treatment Facilities ◽  
Pandemic Response ◽  
Future Work ◽  
Military Treatment Facilities ◽  
Communication Methods ◽  
Prolonged Stress

ABSTRACT Introduction The European SARS-CoV-2 (COVID-19) outbreak threatened military beneficiaries receiving care outside of the United States. Military treatment facilities located outside the United States were the first to respond to the pandemic, requiring immediate action to establish novel protocols. The purpose of this case series is to describe challenges, solutions, and future recommendations during a pandemic response at three small naval military treatment facilities located outside the continental United States (OCONUS). Results The analysis and discussion reviews challenges in information processing, communication methods and patterns, process changes, actions for staff protection, and change fatigue experienced during this time. Conclusions Recommendations for future work include filling the gaps in the evidence for a prolonged pandemic response and crisis management, such as the current SARS-CoV-2 pandemic, including best practices to communicate, maintain staff resilience, and manage or mitigate associated prolonged stress and uncertainty.

Clinical Characteristics of Patients Diagnosed with Strongyloidiasis in a United States Urban Outpatient Dermatology Department: A Case Series

2017 ◽  
Vol 1 (3) ◽  
pp. 156-160
Author(s):  
Jacqueline Watchmaker ◽  
Sean Legler ◽  
Dianne De Leon ◽  
Vanessa Pascoe ◽  
Robert Stavert
Keyword(s):  
United States ◽  
Case Series ◽  
The United States ◽  
Screening Tools ◽  
Dermatology Department ◽  
Cutaneous Manifestations ◽  
Serologic Testing ◽  
Patient Reported ◽  
History Of ◽  
Endemic Areas

Background: Although considered a tropical disease, strongyloidiasis may be encountered in non-endemic regions, primarily amongst immigrants and travelers from endemic areas.  Chronic strongyloides infection may be under-detected owing to its non-specific cutaneous presentation and the low sensitivity of commonly used screening tools. Methods: 18 consecutive patients with serologic evidence of strongyloides infestation who presented to a single urban, academic dermatology clinic between September 2013 and October 2016 were retrospectively included.  Patient age, sex, country of origin, strongyloides serology titer, absolute eosinophil count, presenting cutaneous manifestations, and patient reported subjective outcome of pruritus after treatment were obtained via chart review.  Results: Of the 18 patients, all had non-specific pruritic dermatoses, 36% had documented eosinophila and none were originally from the United States. A majority reported subjective improvement in their symptoms after treatment. Conclusion:  Strongyloides infection and serologic testing should be considered in patients living in non-endemic regions presenting with pruritic dermatoses and with a history of exposure to an endemic area.Key Points:Chronic strongyloidiasis can be encountered in non-endemic areas and clinical manifestations are variableEosinophilia was not a reliable indicator of chronic infection in this case series Dermatologists should consider serologic testing for strongyloidiasis in patients with a history of exposure and unexplained pruritus

Social policy as an integral component of pandemic response: Learning from COVID-19 in Brazil, Germany, India and the United States

2021 ◽  
pp. 1-14
Author(s):  
Scott L. Greer ◽  
Holly Jarman ◽  
Michelle Falkenbach ◽  
Elize Massard da Fonseca ◽  
Minakshi Raj ◽  
...  
Keyword(s):  
United States ◽  
Social Policy ◽  
The United States ◽  
Response Learning ◽  
Integral Component ◽  
Pandemic Response

22. Characteristics of Adolescent-Serving Addiction Treatment Facilities in the United States

2020 ◽  
Vol 66 (2) ◽  
pp. S12
Author(s):  
Rachel Alinsky ◽  
Scott Hadland ◽  
Pamela Matson ◽  
Magdalena Cerda ◽  
Brendan Saloner
Keyword(s):  
United States ◽  
Addiction Treatment ◽  
The United States ◽  
Treatment Facilities

The HIV Pandemic Prevention Efforts Can Inform the COVID-19 Pandemic Response in the United States

2021 ◽  
Vol 111 (4) ◽  
pp. 564-567
Author(s):  
Maria A. Carrasco ◽  
Kaitlyn Atkins ◽  
Ruth Young ◽  
Joseph G. Rosen ◽  
Suzanne M. Grieb ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Pandemic Response

scholarly journals Emergency Management Missing from the Pandemic?

2020 ◽  
Vol 18 (7) ◽  
pp. 149-150
Author(s):  
Attila J. Hertelendy, PhD ◽  
William L. Waugh, Jr., PhD
Keyword(s):  
United States ◽  
Emergency Management ◽  
Task Force ◽  
Medical Personnel ◽  
The United States ◽  
First Year ◽  
Protective Equipment ◽  
Protective Measures ◽  
White House ◽  
Pandemic Response

The change in presidential administrations in the United States promises new approaches to deal with the COVID-19 pandemic. The first year of the pandemic response in the United States has been characterized by a lack of national leadership. Moreover, the message from the White House Coronavirus Task Force has been muddled at best. There have been great inconsistencies in how the States have chosen to address spreading infections and increased stress on individual Americans who are trying to protect themselves and their families. The same pattern can be found with the distribution of vaccines and management of vaccinations. Politics has often conflicted with public health concerns. The States have been left to provide personal protective equipment (PPE) to medical personnel and first responders and to formulate their own guidance for protective measures.

scholarly journals Planetarium commute accessibility in the United States of America

2021 ◽  
Author(s):  
Alexander A. Kaurov ◽  
Vyacheslav Bazhenov ◽  
Mark SubbaRao
Keyword(s):  
United States ◽  
United States Of America ◽  
Science Communication ◽  
The United States ◽  
Census Bureau ◽  
Global Pandemic ◽  
Commute Time ◽  
Pandemic Response ◽  
Zip Code ◽  
The U.S

The COVID-19 global pandemic unprecedently disturbed the education system in the United States and lead to the closure of all planetariums that were providing immersive science communication. This situation motivates us to examine how accessible the planetarium facilities were before the pandemic. We investigate the most important socioeconomic and geographical factors that affect the planetarium accessibility using the U.S. Census Bureau data and the commute time to the nearest planetarium for each ZIP Code Tabulated Area. We show the magnitude of the effect of permanent closure of a fraction of planetariums. Our study can be informative for strategizing the pandemic response.

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