scholarly journals Outbreak of COVID-19 among vaccinated and unvaccinated homeless shelter residents — Sonoma County, California, July 2021

2021 ◽  
Author(s):  
Aleksandr Bukatko ◽  
Mark N. Lobato ◽  
Emily Mosites ◽  
Cameron Stainken ◽  
Katheryn Reihl ◽  
...  
Keyword(s):  
Medical Condition ◽  
Health Department ◽  
Mitigation Measures ◽  
Limited Resources ◽  
Homeless Shelter ◽  
Whole Genome ◽  
Test Results ◽  
Sonoma County ◽  
County Health Department ◽  
Underlying Medical Condition

AbstractIn July 2021, the Sonoma County Health Department was alerted to three cases of COVID-19 among residents of a homeless shelter in Santa Rosa, California. Among 153 shelter residents, 83 (54%) were fully vaccinated; 71 (86%) vaccinated residents had received the Janssen COVID-19 vaccine and 12 (14%) received an mRNA (Pfizer BioNTech or Moderna) COVID-19 vaccine. Within 1 month, 116 shelter residents (76%) received positive SARS-CoV-2 test results, including 66 fully vaccinated residents and 50 not fully vaccinated. 9 fully vaccinated and 1 unvaccinated were hospitalized for COVID-19. All hospitalized cases had at least one underlying medical condition. Two deaths occurred, one in a vaccinated resident and one in a non-vaccinated resident. Specimens from 52 residents underwent whole genome sequencing; all were identified as SARS-CoV-2, Delta Variant AY.13 lineage. Additional mitigation measures are needed in medically vulnerable congregate setting where limited resources make individual quarantine and isolation not feasible.

scholarly journals Scalable PP-1 block cipher

2010 ◽  
Vol 20 (2) ◽  
pp. 401-411 ◽  
Author(s):  
Krzysztof Bucholc ◽  
Krzysztof Chmiel ◽  
Anna Grocholewska-Czuryło ◽  
Ewa Idzikowska ◽  
Izabela Janicka-Lipska ◽  
...  
Keyword(s):  
Error Detection ◽  
Processing Speed ◽  
Block Cipher ◽  
Limited Resources ◽  
Concurrent Error Detection ◽  
Test Results ◽  
Speed Test ◽  
Fast Arithmetic ◽  
Key Scheduling

Scalable PP-1 block cipherA totally involutional, highly scalable PP-1 cipher is proposed, evaluated and discussed. Having very low memory requirements and using only simple and fast arithmetic operations, the cipher is aimed at platforms with limited resources, e.g., smartcards. At the core of the cipher's processing is a carefully designed S-box. The paper discusses in detail all aspects of PP-1 cipher design including S-box construction, permutation and round key scheduling. The quality of the PP-1 cipher is also evaluated with respect to linear cryptanalysis and other attacks. PP-1's concurrent error detection is also discussed. Some processing speed test results are given and compared with those of other ciphers.

Dysphagia in Persons With Communication Disorders

2018 ◽  
pp. 158-183
Author(s):  
Gayathri Krishnan ◽  
S. P. Goswami
Keyword(s):  
Quality Of Life ◽  
Pharmacological Treatment ◽  
Medical Condition ◽  
Signs And Symptoms ◽  
Communication Disorders ◽  
Central Control ◽  
Transient Phase ◽  
Nutrition And Hydration ◽  
Underlying Medical Condition

Dysphagia (swallowing disorders) is any difficulty in swallowing that interferes with safe and adequate intake of nutrition and hydration requirements in an individual. It may present itself as a symptom of another underlying medical condition or as a consequence of surgical and pharmacological treatment. While in few, dysphagia resolves itself as a transient phase; in the rest, dysphagia demands immediate treatment. It may be seen as an associated dysfunction in persons with communication disorders (PsWCD) as speech and swallowing functions share many neuro-musculo-skeletal structures at the oral, pharyngeal, and laryngeal level along with their central control processes. This chapter aims at introducing the readers to the signs and symptoms of dysphagia in PsWCD. This is expected to guide the team of professionals working with PsWCDin identification and making appropriate referrals to the concerned professional for effective intervention. This further can accelerate the progress and prognosis of PsWCD towards improved health, development, and quality of life.

scholarly journals 1653. Strong Partnership and Effective Communication Between a Tertiary Hospital and a County Health Department Were Critical in Controlling a 2019 Measles Outbreak in Southeast Michigan (SEM)

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S604-S605
Author(s):  
Trini Mathew ◽  
Paul Johnson ◽  
Diane Kamerer ◽  
Amber Jones ◽  
Jeffrey Ditkoff ◽  
...  
Keyword(s):  
Index Case ◽  
Beaumont Hospital ◽  
Health Department ◽  
Healthcare Personnel ◽  
Infectious Period ◽  
Local Health ◽  
Initial Report ◽  
Oakland County ◽  
County Health Department ◽  
Airborne Disease

Abstract Background Measles, declared eliminated in the US 2000, is a reemerging vaccine-preventable airborne disease. The 2019 case count (704 as of April 30, 2019) has surpassed the number of 2014 cases (667), the highest since 1994. Many healthcare personnel (HCP) have not seen a case of measles, and this lack of clinical experience may contribute to missed or delayed diagnoses leading to its spread. We describe the processes and measures implemented at Beaumont Hospital, Royal Oak (B-RO) Michigan in collaboration with the Oakland County Health Department (OCHD) to prevent secondary spread during an outbreak. Methods Soon after the initial report of the index case in Oakland County in March, the B-RO epidemiology team connected with OCHD. As both exposed and suspected cases were expected to seek care at B-RO, a one-page informational document was sent to B-RO providers. This document detailed isolation precautions and testing methods, post-exposure prophylaxis (PEP), and contact information. During subsequent days, as measles cases increased, frequent calls between B-RO and OCHD addressed numerous issues, including: media notifications, contact of exposed persons, vaccine and immunoglobulin supply for PEP, safe referral of cases to the EC, and the process of measles specimen submission for testing. As needed, these communications occurred after business hours and during weekends. Serologic testing to confirm measles immunity was ramped up. Results As of April 30, 41 cases have been confirmed in MI associated with the index case. OCHD facilitated the exposure control for 40 patients, of which 6 came to B-RO during their infectious period (Figure 1). To date, there have been no secondary cases developing in B-RO patients, HCPs or visitors, which may be related to successful engineering controls, appropriate protective equipment, mandatory measles immunity confirmation as condition of Beaumont employment since the late 1980s, institution of furlough procedures, PEP for hospitalized patients, and widespread communications with patients, visitors and HCPs (Figure 2). Conclusion During an outbreak, close healthcare facility and local health department collaboration is essential in rapidly limiting an airborne disease outbreak. Disclosures All authors: No reported disclosures.

scholarly journals Medical mimics: Differential diagnostic considerations for psychiatric symptoms

2016 ◽  
Vol 6 (6) ◽  
pp. 289-296 ◽  
Author(s):  
Jerry McKee ◽  
Nancy Brahm
Keyword(s):  
Psychiatric Symptoms ◽  
Age Of Onset ◽  
Medical Condition ◽  
Clinical Situation ◽  
Symptom Presentation ◽  
Psychiatric Symptomatology ◽  
Statistical Manual ◽  
Diagnostic Categories ◽  
Diagnostic And Statistical Manual ◽  
Underlying Medical Condition

Abstract Patients with underlying medical disease can present to the health care system with psychiatric symptoms predominating. Identification of an underlying medical condition masquerading as a psychiatric disorder can be challenging for clinicians, especially in patients with an existing psychiatric condition. The term medical mimic or secondary psychosis has been used to describe this clinical situation. Diagnostic categories from The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, that may encompass medical mimics include substance-induced disorders, which includes medications, and unspecified mental disorder due to another medical condition in situations where the clinician may lack needed information for a complete diagnosis. At this time, there is no single diagnostic test or procedure available to differentiate primary versus secondary psychosis on the basis of psychopathology presentation alone. When considering a diagnosis, clinicians should evaluate for the presence of atypical features uncharacteristic of the psychiatric symptoms observed; this may include changes in functionality and/or age of onset and symptom presentation severity. The purpose of this work is to provide a structured clinical framework for evaluation for medical mimics, identify groups considered to be at highest risk for medical mimics, and present common syndromic features suggestive of a medical mimic. Selected case scenarios are used to illustrate key concepts for evaluating and assessing a patient presenting with acute psychiatric symptomatology to improve judgment in ruling out potential medical causality.

The Florida Department of Health and the Florida Association of County Health Department Business Administrators

2004 ◽  
Vol 10 (5) ◽  
pp. 413-420 ◽  
Author(s):  
Michael J. Napier ◽  
Phillip Street ◽  
Robin Wright ◽  
James Michael Kouba ◽  
Christina Ciereck ◽  
...  
Keyword(s):  
Health Department ◽  
Department Of Health ◽  
Florida Department ◽  
Business Administrators ◽  
County Health Department
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