Cave Vulgantem Morbum — Tuberculosis

1993 ◽  
Vol 33 (4) ◽  
pp. 345-348 ◽  
Author(s):  
J Christiansen ◽  
T D Koelmeyer

This study investigates the circumstances surrounding all cases of tuberculosis found at autopsy in Auckland during the period 1975–1992. Cases were placed in one of six categories according to the medical history and autopsy findings. Of the 34 cases in the study 22 were clinically undiagnosed prior to autopsy. Of these, six exhibited respiratory symptoms that should have led to a diagnosis and three reported unexplained chronic symptoms such as weight loss for which tuberculosis should at least have been considered. Only 10 cases were correctly diagnosed before death. The autopsy plays an important role in finding undiagnosed cases of tuberculosis, as patient contacts may then be followed up. The vital role of post-mortem examination in medical audit and public health is, once again, demonstrated.

Pharmacy ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 166 ◽  
Author(s):  
Nicola Luigi Bragazzi

Vaccines represent fundamental public health interventions aimed to counteract or, at least, partially mitigate the severe epidemiological and economic burden generated by communicable disorders, in terms of (i) outcome-related, (ii) behavior-related productivity gains, and (iii) community externalities in developed settings as well as in developing countries. Despite their importance, several parents choose not to immunize their children due to the rising phenomenon of anti-vaccination movements that divulge vaccine-related “fake news” and “post-modern, post-factual truths”. Vaccine hesitancy represents a threat that can seriously jeopardize the implementation and success of vaccination campaigns. Within this framework, from a public health perspective, community pharmacies can play a vital role in that pharmacists can: (i) act as immunizers (vaccine distributors, educators, facilitators and administrators), (ii) improve vaccine-related health literacy and vaccination coverage rates as well as (iii) remove barriers and obstacles to the access to healthcare settings offering immunization services and (iv) counteract vaccine hesitancy.


2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii422-iii422
Author(s):  
Lauren Hancock ◽  
Madhuri Kambhampati

Abstract Nursing teams play an integral role in the care of patients with brain tumors; however nurses do not often see themselves as essential contributors to translational research. Recent development of nurse-researcher relationships and involvement of the multidisciplinary team have led to successful biobanking strategies. Though there are challenges associated with fostering these relationships, their vital role has significantly enhanced participant recruitment and sample collection at one large urban Children’s Hospital. Researchers at the institution have established a biobank to collect samples from pediatric brain tumor patients at diagnosis, during therapy, and post mortem using conventional methods. However, a collaborative environment between nursing and research teams greatly enhanced the growth of the biobank. We have increased patient recruitment by more than 50% in the past four years and supported different types of specimen collection. Our success entails: 1) development of nurse-researcher relationships, 2) an efficient consent process, 3) streamlined sample collection, and 4) appreciation of the vital role of the nursing team in clinical data collection pertinent to molecular analysis. Additionally, the support of nursing is valuable during post mortem consents and provides emotional support to the family to fulfil their wish to donate. Nurses play a major role in coordination of the post-mortem donation process, and assist in the formation of partnerships within the community to promote this opportunity to families. As biobanking continues to be an important part of bench research, all institutions should recognize and support the vital role that nurses can have in enhancing this endeavor.


Author(s):  
Ronald W. Davis ◽  
Samual Kenzy ◽  
Erik H. Stauber

We have initiated a study of a disease that is usually fatal to domestic parakeets and canaries. We have called this syndrome “thin bird disease” for lack of a better name.Clinically, the disease is diagnosed after observing a bird that is thin, exhibits severe weight loss, lethargy, and ruffled feathers. Fecal smears of affected birds contain many very large, single-celled, rod-shaped bacteria measuring up to 1μm x 90μm.Post mortem examination of birds exhibiting external symptoms of the disease reveals an enlarged ventriculus (gizzard) that contains unmacerated seeds. A jelly-like mass is found in the ventriculus and pro-ventriculus of affected birds. This material contains bacteria morphologically identical to those found in fecal smears (Figs. 3, 4).Samples of ventriculus and pro-ventriculus from birds clinically diagnosed as diseased and normal were collected and processed for light microscopy, scanning and transmission electron microscopy. The specimens were fixed in half strength Karnovsky's fixative, post fixed in OsO4, and either embedded in plastic or critical point dried.


2021 ◽  
pp. 272-278
Author(s):  
Kelly W. Merriman ◽  
Ronda G. Broome ◽  
Giordana De Las Pozas ◽  
Lisa D. Landvogt ◽  
Ying Qi ◽  
...  

The cancer registrar reports accurate, complete, and timely abstracted cancer data to various healthcare agencies. The data are used for understanding the incidence of cancer, evaluating the effectiveness of public health efforts in the prevention of new cases and improving patient care outcomes and survival. There are increasing demands placed on registrars for additional data points with real-time submission to reporting agencies. To that end, registrars are increasing the use of informatics to meet the demand. The purpose of this article is the role of the registrar in the collection and reporting of critical cancer data and how registrars are currently using informatics to enhance their work. This article describes how informatics can be leveraged in the future and how registrars play a vital role in meeting the increasing demands placed on them to provide timely, meaningful, and accurate data for the cancer community.


2019 ◽  
Vol 12 (7) ◽  
pp. e231182
Author(s):  
Antonio Mirijello ◽  
Maria Maddalena D’Errico ◽  
Stefano Notarangelo ◽  
Salvatore De Cosmo

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