北美移民访问朋友和亲戚的旅游医学考虑因素
Nina Bacaner1, Bill Stauffer, David R Boulware
1Community University Health Care Center, Department of Internal Medicine, University of Minnesota, Minneapolis, USA.
JAMA
|June 17, 2004
概括
访问朋友和亲戚的移民 (VFRs) 在国际旅行的速度很高,并面临疾病和死亡的风险增加. 改善旅行前护理策略对于这个脆弱人群至关重要.
科学领域:
- 旅行 医学 旅行 医学
- 移民健康 移民健康
- 公共卫生 公共卫生
背景情况:
- 移民及其子女占国际旅行者的很大一部分,他们经常访问自己的祖国.
- 这些旅行者被称为访问朋友和亲戚 (VFRs),占国际旅行量不成比例的大部分.
研究的目的:
- 评估访问朋友和亲属 (VFRs) 的健康风险和旅行前护理需求.
- 确定对VFR进行足够的旅行前护理的障碍,并提出改善策略.
主要方法:
- 在多个数据库中进行了全面的文献搜索,包括MEDLINE,WHO,CDC和ISTM.
- 会议记录,摘要,美国人口普查局数据和旅行医学文本的证据被审查.
- 优先考虑的是最近的证据 (1996-2003年) 具体针对VFR旅行者.
主要成果:
- 视频飞行 (VFR) 显示出与旅行相关的疾病和死亡率过高.
- 由于患者和临床医生的障碍,健康信仰和不完整的疫苗接种,不充分的旅行前护理普遍存在.
- 由于先前存在的疾病和前往高风险地区,VFRs面临着对传染病和非传染病的高度易感性.
结论:
- 访问朋友和亲戚 (VFRs) 是旅游相关健康问题的高风险群体,需要有针对性的干预措施.
- 对于VFR的旅行前服务必须是可访问的,负担得起的,文化上有能力的,并且位于方便的位置.
- 医疗保健提供者需要更好地了解VFR风险,并获得最新的旅行健康信息,以提供最佳的护理.
相关概念视频
00:53Migration
8.1K
Migration is long-range, seasonal movement from one region or habitat to another. This common strategy, carried out by many different organisms around the world, is an adaptive response that typically corresponds to changes in an organism’s environment, like resource availability or climate. Migrations can involve huge groups of thousands of animals as well as single individuals traveling alone and can range from thousands of kilometers to just a few hundred meters.
8.1K
01:18Factors Affecting Illness
5.4K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
5.4K
01:30Radiological Investigation II: MRI and Ventilation Perfusion Scan
1.0K
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
1.0K
01:13Radiological Investigation III: Pulmonary Angiogram and PET Scan
722
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
722
01:14Imaging Studies I: CT and MRI
1.3K
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
1.3K
01:21Imaging Studies for Cardiovascular System IV: CMRI
541
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
541