scholarly journals Vulgarly Called The Throat-Distemper: New Jersey’s Two-Century Struggle Against Diphtheria

2020 ◽  
Vol 6 (2) ◽  
pp. 56-84
Author(s):  
Sandra W. Moss

In 1740, minister and physician Jonathan Dickinson of Elizabethtown, New Jersey, published “Observations on that Terrible Disease Vulgarly Called the Throat-Distemper,” a short treatise on the diagnosis and treatment of epidemic diphtheria for the benefit of physicians in Boston. Dickinson’s pamphlet was a landmark in American colonial medical literature. It was New Jersey’s first—and last—important original contribution to the medical literature on diphtheria. For the next two centuries, New Jersey, with no medical colleges or prestigious teaching hospitals of its own, would import the medical knowledge and innovations necessary to control and finally eradicate the disease that cruelly killed thousands of New Jersey children in the two centuries following Dickinson’s report. This article examines the processes by which New Jersey practitioners and public health officers imported, processed, disseminated, and applied the lessons of the germ theory and immunology in their two-century quest to banish one of the great scourges of childhood.

PEDIATRICS ◽  
1952 ◽  
Vol 9 (2) ◽  
pp. 259-260

The Louis Lefkoe Memorial Foundation offers a prize of $500 for the most worth while original contribution to the medical knowledge of cerebral palsy. The paper is to be in the customary format for publication of medical literature. It may cover any aspect of the subject, such as pathogenesis, biochemical knowledge, pathology, diagnosis or treatment. The paper is to submitted to the trustees of the Foundation on or before Sept. 1, 1952. The prize is open to anyone who can contribute to the medical knowledge of the subject.


2020 ◽  
Author(s):  
Jing Liu ◽  
Hong Shan ◽  
Changli Tu ◽  
Meizhu Chen ◽  
Xiujuan Qu ◽  
...  

UNSTRUCTURED Background: Since December 2019, Coronavirus Disease 2019 (COVID-19) emerged in Wuhan city and rapidly spread throughout China. Facing this kind of public health emergency, an efficient, fast and group communication method is needed. Method: As a director of the department Pulmonary and Critical Care Medicine in a tertiary hospitals, which is the only designated one for diagnosis and treatment of COVID-19 in a medium-sized city, I analyzed and summarized the “group function” of WeChat (Weixin, micro-message) App in working about COVID-19. Results: By February 16, 2020, we have completed 1,526 citywide consultations and treatment of 322 inpatients, including 97 patients diagnosed with COVID-19, with the help of 12 WeChat groups by handy. The advantages of WeChat group are as follows: 1. Work efficiency can be improved greatly, saving labor costs. 2. Accurate and intuitive information can be gotten fast and timely, avoiding close contacting with COVID-19 patients. 3. Data and message in WeChat groups can be saved, arranged and reviewed at any time. Conclusions: The “group function” in WeChat App plays a greater role in the public health emergent work about management, diagnosis and treatment of COVID-19.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Marta Blanco ◽  
Pablo Suárez-Sanchez ◽  
Belén García ◽  
Jesús Nzang ◽  
Policarpo Ncogo ◽  
...  

Abstract Background In 2018, an estimated 228 million cases of malaria occurred worldwide. Countries are far from having achieved reasonable levels of national protocol compliance among health workers. Lack of awareness of treatment protocols and treatment resistance by prescribers threatens to undermine progress when it comes to reducing the prevalence of this disease. This study sought to evaluate the degree of knowledge and practices regarding malaria diagnosis and treatment amongst prescribers working at the public health facilities of Bata, Equatorial Guinea. Methods A cross-sectional survey was conducted in October-December 2017 amongst all public health professionals who attended patients under the age of 15 years, with suspected malaria in the Bata District of Equatorial Guinea. Practitioners were asked about their practices and knowledge of malaria and the National Malaria Treatment Guidelines. A bivariate analysis and a logistic regression model were used to determine factors associated with their knowledge. Results Among the 44 practitioners interviewed, 59.1% worked at a Health Centre and 40.9% at the District Hospital of Bata. Important differences in knowledge and practices between hospital and health centre workers were found. Clinical diagnosis was more frequently by practitioners at the health centres (p = 0.059), while microscopy confirmation was more frequent at regional hospital (100%). Intramuscular artemether was the anti-malarial most administrated at the health centres (50.0%), while artemether-lumefantrine was the treatment most used at the regional hospital (66.7%). Most practitioners working at public health facilities (63.6%) have a low level of knowledge regarding the National Malaria Treatment Guidelines. While knowledge regarding malaria, the National Malaria Treatment Guidelines and treatment resistances is low, it was higher amongst hospital workers than amongst practitioners at health centres. Conclusions It is essential to reinforce practitioners’ knowledge, treatment and diagnosis practices and use of the National Malaria Treatment Guidelines in order to improve malaria case management and disease control in the region. A specific malaria training programme ensuring ongoing updates training is necessary in order to ensure that greater experience does not entail obsolete knowledge and, consequently, inadequate diagnosis and treatment practices.


2007 ◽  
Vol 28 (7) ◽  
pp. 845-852 ◽  
Author(s):  
G. W. Coombs ◽  
H. Van Gessel ◽  
J. C. Pearson ◽  
M.-R. Godsell ◽  
F. G. O'Brien ◽  
...  

Objective.To describe the control of an outbreak of infection and colonization with the New York/Japan methicillin-resistantStaphylococcus aureus(MRSA) clone in multiple healthcare facilities, and to demonstrate the importance of making an MRSA management policy involving molecular typing of MRSA into a statewide public health responsibility.Setting.A range of healthcare facilities, including 2 metropolitan teaching hospitals and a regional hospital, as well as several community hospitals and long-term care facilities in a nonmetropolitan healthcare region.Interventions.A comprehensive, statewide MRSA epidemiological investigation and management policy.Results.In May 2005, there were 3 isolates referred to the Western Australian Gram-Positive Bacteria Typing and Research Unit that were identified as the New York/Japan MRSA clone, a pandemic MRSA clone with the ability to spread and replace existing clones in a region. Subsequent investigation identified 28 additional cases of infection and/or colonization dating from 2002 onward, including 1 involving a colonized healthcare worker (HCW) who had previously been hospitalized overseas. Of the 31 isolates detected, 25 were linked epidemiologically and via molecular typing to the isolate recovered from the colonized HCW. Four isolates appeared to have been introduced separately from overseas. Although the isolate from the single remaining case patient was genetically indistinct from the isolates that spread within Western Australia, no specific epidemiological link could be established. The application of standard outbreak management strategies reduced further spread.Conclusions.The elimination of the New/York Japan MRSA clone in a healthcare region demonstrates the importance of incorporating MRSA management policy into statewide public health programs. The mainstays of such programs should include a comprehensive and effective outbreak identification and management policy (including pre-employment screening of HCWs, where applicable) and MRSA clone identification by multilocus sequence typing.


Urban Studies ◽  
1992 ◽  
Vol 29 (1) ◽  
pp. 117-125 ◽  
Author(s):  
Michael Greenberg ◽  
Frank Popper ◽  
Bernadette West ◽  
Dona Schneider
Keyword(s):  
Land Use ◽  

2000 ◽  
Vol 15 (3) ◽  
pp. 25-27 ◽  
Author(s):  
Antony Nocera ◽  
Anne M. Newton

AbstractBogus doctors pose a threat to public health and safety, and they present a security threat at disaster and multi-casualty event sites. A “bogus doctor” is an individual who misrepresents him/herself as a registered medical practitioner by their demeanour, actions, dress, or surroundings, while not entitled to be on a register of medical practitioners. There are very few reports in the medical literature, but practitioners have encountered them at the site of a disaster or multi-casualty event. This paper examines the five cases identified in the literature. Secure systems that confirm a health professional's identity and qualifications are required to avoid unnecessary delays and to protect the victims and health professionals providing the care.


Author(s):  
S. P. Shpinyak ◽  
A. P. Barabash ◽  
Yu. A. Barabash

Purpose of study: to analyze the modern approaches to classification of large joints periprosthetic infection (PPI) and evaluate the results of revision surgical interventions in patients with deep PPI of the knee. Patients and methods. One hundred fifty three patients, 51 men and 102 women (mean age 57.3±12.4 years), with deep PPI were operated on. Treatment tactics was determined by the term after primary operation. In early PPI (n=31) sanitation interventions with implant preservation and in late PPI (n=122) – two step interventions with long period between the operations (over 4 weeks) were performed. Results. Follow up made up from 2 to 5 years. Sanitation interventions with implant preservation were successful in71% of patients. In group of patients with late PPI satisfactory results were achieved in 89.6% of cases. On the basis of the obtained data the variants of diagnosis and treatment tactics optimization as well as its adaptation to domestic public health system were proposed.


2013 ◽  
Vol 1 (1) ◽  
pp. 73-74
Author(s):  
Abu Syed Md Mosaddek ◽  
Md Zakirul Islam ◽  
Md Faizur Rahman ◽  
Habib S Chaudhury ◽  
Roksana Parvin ◽  
...  

DOI: http://dx.doi.org/10.3329/seajph.v1i1.13227South East Asia Journal of Public Health 2011:1:73-74


1992 ◽  
Vol 16 (6) ◽  
pp. 343-345
Author(s):  
Sean Kaliski

Academic medicine in South Africa was created largely by talented graduates who, having travelled overseas (especially to Britain) for postgraduate training, returned to teach in the newly established medical schools and teaching hospitals. However, over the past three decades fewer have decided to return. Consequently academic medicine generally is in decline. Hospital specialists are demoralised, and about 80% of those recently surveyed indicated that they intended leaving the public health service if the present imbalance between service commitments, research opportunities, and poor pay persists (Curtin, 1991). About 40% of graduating medical students emigrate, usually to avoid conscription. The continuing violence and political uncertainty within the country probably ensure that few will ever return.


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