Epileptic heart: A clinical syndromic approach

Epilepsia ◽  
2021 ◽  
Author(s):  
Richard L. Verrier ◽  
Trudy D. Pang ◽  
Bruce D. Nearing ◽  
Steven C. Schachter
Keyword(s):  
Syndromic Approach

scholarly journals Estimating the cost and effectiveness of different STI management strategies for sex workers in Madagascar

2002 ◽  
Author(s):  
Keyword(s):  
Sex Workers ◽  
Urban Areas ◽  
Management Practices ◽  
Assessment Tool ◽  
Management Strategies ◽  
Public Health Problem ◽  
Sexually Transmitted ◽  
Medical Visits ◽  
Syndromic Approach ◽  
The Cost

In Madagascar, the prevalence of sexually transmitted infections (STIs) is a serious public health problem, particularly among sex workers. A Horizons study conducted in 2000 found approximately two-thirds of female sex workers had an STI, although few were infected with HIV. Since the link between STIs and transmission of HIV has been well established, affordable strategies to manage STIs among sex workers need to be developed. Study investigators also assessed STI management practices in health facilities in two urban areas of Madagascar. Health practitioners were using a syndromic approach, which may be appropriate for managing certain STIs in the general population but is less appropriate for sex workers who may have multiple, often asymptomatic infections. Diagnosing STIs with laboratory tests would make medical visits prohibitively expensive. Researchers developed a risk profile for various STIs based on characteristics of women that present with each STI, such as age, number of partners, symptoms. The investigators hypothesized that a risk assessment tool using these profiles would result in more appropriate and effective STI treatment for sex workers. This summary presents a cost-effectiveness analysis of different strategies to manage STIs among sex workers in Madagascar.

scholarly journals Value of the syndromic approach for the diagnosis of an imported case of cholera

2020 ◽  
Vol 78 (2) ◽  
pp. 181-186
Author(s):  
Sophie Chalmin ◽  
Nathalie Lièvre ◽  
Caroline Mérillon ◽  
Emilie Gallienne ◽  
Vivien Leroux ◽  
...  
Keyword(s):  
Imported Case ◽  
Syndromic Approach

scholarly journals Prevalence of Reproductive Tract Infections/Sexually Transmitted Infections among Rural Married Women – A Community Based Study Using Syndromic Approach

Healthline ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 72-81
Author(s):  
Anita Punia ◽  
Jyoti Yadav ◽  
Babita ◽  
Sanjay Kumar Jha ◽  
Sanjeet Singh ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexually Transmitted Infections ◽  
Rural Areas ◽  
Reproductive Tract ◽  
Married Women ◽  
Reproductive Tract Infections ◽  
Community Based ◽  
Sexually Transmitted ◽  
Syndromic Approach ◽  
Tract Infections

Introduction: Reproductive Tract Infections (RTIs) and Sexually transmitted infections (STIs) continue to be a major public health problem and affecting women's health. Objectives: To estimate the prevalence of RTIs/STIs among married women aged 18-49 years in rural areas and to determine the factors associated with these conditions. Method: A community-based cross-sectional study was carried out among 308 eligible married women aged 18-49 years in rural areas in District Sonipat, Haryana using the WHO-Syndromic Approach for diagnosis of RTIs/STIs. Results: The mean age of study subjects in our study was 32.1 years (SD = ± 8.3 years) with a range from 18 to 49 years. The overall RTIs/STIs prevalence was 49.3%. The most frequent symptom was vaginal discharge (55.3%) followed by pain during micturition (34.2%), dyspareunia (26.9%), pain lower abdomen (24.3%) and vulval itching (16.4%). RTI/STI symptoms were found significantly more among women who had history of any chronic disease, who had irregular menstrual cycles, used cloths as sanitary pads and among those whose husbands were substance users. Conclusions: This study revealed a high prevalence (49.3%) of RTIs/STIs. Awareness about symptoms of RTIs, menstrual and personnel hygiene, raising literacy level of women, drive against use of addictive substances etc. by husbands is needed for control and prevention of RTIs. Primary health care services in respect of reproductive health should be strengthened and raising awareness among women about reproductive health issues through suitable communication strategies in order to bring about a positive behavior change for effective control of STIs.

scholarly journals KNOWLEDGE OF NURSES ON SYNDROMIC MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS IN PUBLIC FACILITIES

2020 ◽  
Vol 5 (5) ◽  
pp. 1
Author(s):  
Maina Eva Mumbi ◽  
Mwangi John Hiuhu ◽  
Njuguna Felix Tharao ◽  
Maingi Nancy Nyambura
Keyword(s):  
Public Health ◽  
Data Collection ◽  
Sexually Transmitted Infections ◽  
Health Facilities ◽  
Unique Contribution ◽  
Data Collection Tool ◽  
Syndromic Management ◽  
Sexually Transmitted ◽  
Public Health Facilities ◽  
Syndromic Approach

Purpose: The main purpose of this study is to assess the knowledge of nurses on syndromic management of STIs in public health facilities within Kirinyaga west Sub County. Methodology: The study utilized descriptive cross-sectional study design, with a target population of 70 nurses working in 16 Kirinyaga west public health facilities. The dependent variable was applying syndromic approach management of sexually transmitted infections, independent variables as knowledge and practices. The study utilized purposive sampling technique to determine the sample size of 49 nurses. The study employed the use of a questionnaire as a data collection tool and check list. A pretest of the data collection tool was conducted at Karatina sub county hospital MCH/FP Findings The study findings showed that 90% of the respondents had general knowledge of what syndromic approach is though 38% were not able to identify the common STIs syndromes and 39% couldn’t correctly identify the STIs that present a genital ulcer. 45% depended on laboratory investigations to diagnose and manage STIs, while 74% had not undergone any training or CME in the last 2 years on syndromic management of STIs and 96%reported that the health facilities they were stationed did not have readily available WHO/NASCOP 2015 guidelines. The respondents did not apply the syndromic approach in managing STIs and that, knowledge and practice on syndromic management of STIs among nurses in Kirinyaga west Sub County is low at 41%. Unique contribution to theory, practice and policy: There is need for more awareness through capacity building among health workers managing sexually transmitted infections in the communities and therefore the study recommends county Governments to organize for trainings and CMEs on STIs/syndromic approach and identify an STIs management focal person in public health facilities.

scholarly journals The overlap between bronchiectasis and chronic airway diseases: state of the art and future directions

2018 ◽  
Vol 52 (3) ◽  
pp. 1800328 ◽  
Author(s):  
Eva Polverino ◽  
Katerina Dimakou ◽  
John Hurst ◽  
Miguel-Angel Martinez-Garcia ◽  
Marc Miravitlles ◽  
...  
Keyword(s):  
Respiratory Infections ◽  
Upper Airway ◽  
Airway Disease ◽  
Chronic Obstructive ◽  
Future Directions ◽  
Obstructive Pulmonary Disease ◽  
Airway Diseases ◽  
Recurrent Respiratory Infections ◽  
Sputum Production ◽  
Syndromic Approach

Bronchiectasis is a clinical and radiological diagnosis associated with cough, sputum production and recurrent respiratory infections. The clinical presentation inevitably overlaps with other respiratory disorders such as asthma and chronic obstructive pulmonary disease (COPD). In addition, 4–72% of patients with severe COPD are found to have radiological bronchiectasis on computed tomography, with similar frequencies (20–30%) now being reported in cohorts with severe or uncontrolled asthma. Co-diagnosis of bronchiectasis with another airway disease is associated with increased lung inflammation, frequent exacerbations, worse lung function and higher mortality. In addition, many patients with all three disorders have chronic rhinosinusitis and upper airway disease, resulting in a complex “mixed airway” phenotype.The management of asthma, bronchiectasis, COPD and upper airway diseases has traditionally been outlined in separate guidelines for each individual disorder. Recognition that the majority of patients have one or more overlapping pathologies requires that we re-evaluate how we treat airway disease. The concept of treatable traits promotes a holistic, pathophysiology-based approach to treatment rather than a syndromic approach and may be more appropriate for patients with overlapping features.Here, we review the current clinical definition, diagnosis, management and future directions for the overlap between bronchiectasis and other airway diseases.

Syndromic Approach to Neuroinfectious Diseases

2021 ◽  
pp. 989-995
Author(s):  
Shivram Kumar ◽  
Kelly D. Flemming
Keyword(s):  
Infectious Disease ◽  
Cerebrospinal Fluid ◽  
Nervous System ◽  
Blood Cell ◽  
Infectious Agent ◽  
General Overview ◽  
Clinical Syndromes ◽  
Autoimmune Conditions ◽  
Syndromic Approach ◽  
Protozoan Infections

A general approach to clinical syndromes associated with infection of the nervous system can be useful when an infectious agent is suspected. This chapter provides a general overview of clinical syndromes of neurologic infectious disease. Subsequent chapters review bacterial, viral, fungal, and protozoan infections and prion disorders. Meningitis refers to inflammation of the leptomeninges caused by either infectious or noninfectious processes. It is associated with an increased white blood cell count in the cerebrospinal fluid. Infectious agents may be bacteria, viruses, or fungi. Noninfectious causes include autoimmune conditions, malignancies, and medications.

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