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  • 1
    Online Resource
    Online Resource
    Weston Medical Publishing ; 2007
    In:  American Journal of Disaster Medicine Vol. 2, No. 1 ( 2007-01-01), p. 33-42
    In: American Journal of Disaster Medicine, Weston Medical Publishing, Vol. 2, No. 1 ( 2007-01-01), p. 33-42
    Abstract: With a documented increase in average global surface temperatures of 0.6ºC since 1975, Earth now appears to be warming due to a variety of climatic effects, most notably the cascading effects of greenhouse gas emissions resulting from human activities. There remains, however, no universal agreement on how rapidly, regionally, or asymmetrically the planet will warm or on the true impact of global warming on natural disasters and public health outcomes. Most reports to date of the public health impact of global warming have been anecdotal and retrospective in design and have focused on the increase in heat-stroke deaths following heat waves and on outbreaks of airborne and arthropod-borne diseases following tropical rains and flooding that resulted from fluctuations in ocean temperatures. The effects of global warming on rainfall and drought, tropical cyclone and tsunami activity, and tectonic and volcanic activity will have far-reaching public health effects not only on environmentally associated disease outbreaks but also on global food supplies and population movements. As a result of these and other recognized associations between climate change and public health consequences, many of which have been confounded by deficiencies in public health infrastructure and scientific debates over whether climate changes are spawned by atmospheric cycles or anthropogenic influences, the active responses to progressive climate change must include combinations of economic, environmental, legal, regulatory, and, most importantly, public health measures.
    Type of Medium: Online Resource
    ISSN: 1932-149X , 1932-149X
    Language: Unknown
    Publisher: Weston Medical Publishing
    Publication Date: 2007
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  • 2
    Online Resource
    Online Resource
    Informa UK Limited ; 2011
    In:  Prehospital Emergency Care Vol. 15, No. 1 ( 2011-01), p. 23-29
    In: Prehospital Emergency Care, Informa UK Limited, Vol. 15, No. 1 ( 2011-01), p. 23-29
    Type of Medium: Online Resource
    ISSN: 1090-3127 , 1545-0066
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2011
    detail.hit.zdb_id: 2053948-4
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  • 3
    Online Resource
    Online Resource
    American Medical Association (AMA) ; 2008
    In:  Archives of Internal Medicine Vol. 168, No. 18 ( 2008-10-13), p. 1984-
    In: Archives of Internal Medicine, American Medical Association (AMA), Vol. 168, No. 18 ( 2008-10-13), p. 1984-
    Type of Medium: Online Resource
    ISSN: 0003-9926
    RVK:
    Language: English
    Publisher: American Medical Association (AMA)
    Publication Date: 2008
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  • 4
    Online Resource
    Online Resource
    Weston Medical Publishing ; 2007
    In:  American Journal of Disaster Medicine Vol. 2, No. 5 ( 2007-09-01), p. 257-269
    In: American Journal of Disaster Medicine, Weston Medical Publishing, Vol. 2, No. 5 ( 2007-09-01), p. 257-269
    Abstract: Insect bites and stings, often complicated by allergic reactions or skin infections with community-acquired pathogens, are common sources of morbidity following hurricanes and flooding disasters. The hymenopterids are the most commonly stinging arthropods to cause allergic reactions, and include bees, wasps, and ants. To assess the evolving epidemiology of hymenopteridinflicted injuries, and the impact of hurricanes and flooding disasters on hymenopterid-inflicted injuries in the United States, an epidemiological analysis of the scientific literature on hymenopterid stings and allergic sting reactions was conducted by MEDLINE search, 1966-2006. The increasing incidence of hymenopteridinflicted injuries following hurricanes and flooding disasters was described. Common immunological reactions to hymenopterid-inflicted injuries were stratified by clinical severity and outcome. Current recommendations for management, prevention, and prophylaxis of hymenopterid-inflicted injuries were presented. Hymenopterid stings and allergic reactions remain common indications for emergency department visits, especially following hurricanes and flooding disasters. Unrecognized anaphylactic reactions to hymenopterid stings remain significant causes of unanticipated deaths outdoors in young people. Disaster planners and managers are obliged to alert regional healthcare providers of the increased risks of hymenopteridinflicted injuries following flooding disasters and to assure that emergency drug formularies are properly stocked to treat hymenopterid-inflicted injuries.
    Type of Medium: Online Resource
    ISSN: 1932-149X , 1932-149X
    Language: Unknown
    Publisher: Weston Medical Publishing
    Publication Date: 2007
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  • 5
    Online Resource
    Online Resource
    Informa UK Limited ; 2003
    In:  Journal of Nutritional & Environmental Medicine Vol. 13, No. 3 ( 2003-09), p. 169-184
    In: Journal of Nutritional & Environmental Medicine, Informa UK Limited, Vol. 13, No. 3 ( 2003-09), p. 169-184
    Type of Medium: Online Resource
    ISSN: 1359-0847 , 1364-6907
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2003
    detail.hit.zdb_id: 2001273-1
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  • 6
    Online Resource
    Online Resource
    Weston Medical Publishing ; 2014
    In:  American Journal of Disaster Medicine Vol. 9, No. 3 ( 2014-07-01), p. 161-169
    In: American Journal of Disaster Medicine, Weston Medical Publishing, Vol. 9, No. 3 ( 2014-07-01), p. 161-169
    Abstract: Objectives: Given the loss of laboratory infrastructure following flooding disasters, the objectives of this review were (1) to describe current practices in the treatment of aquatic injuries and infections in nondisaster scenarios; (2) to describe how lessons learned from the management of superficial and invasive infections in survivors of the 2004 Indian Ocean tsunami could improve current management practices; (3) to stratify waterborne infections by causative agents and preferred saline levels; and (4) to recommend initial wound and empiric antibiotic management strategies for specific aquatic infections.Design: Retrospective systematic review.Setting: Not applicable.Participants: References were selected to provide clinicians with a broader knowledge of causative aquatic pathogens and their antimicrobial susceptibilities.Interventions: Internet search engines were queried with key words to identify salient case reports, retrospective series, observational studies, and additional references on wound and antimicrobial management from Southeast Asian and other countries providing intensive care to tsunami survivors and from other similar series on the management of flooding and near-drowning victims.Main outcome measures: Identify causative pathogens of aquatic infections and their antimicrobial susceptibilities in flooding disaster victims and recommend effective arsenals of empiric antimicrobial therapies.Results: The causative pathogens of wound and systemic infections in near-drowning and tsunami survivors ranged from typical human skin and enteric contaminants to aquatic organisms and soil contaminants, including fungi. There was an early predominance of polymicrobial Gram-negative causative organisms in wound infections, Unanticipated, delayed mycobacterial and fungal infections occurred frequently, even after traumatic wounds healed.Conclusions: Clinicians who care for victims of flooding disasters and near-drowning can apply lessons learned from the management of tsunami survivors to selecting initial antimicrobials for empiric therapy of aquatic injuries based on their sources and distributions of aquatic exposures.
    Type of Medium: Online Resource
    ISSN: 1932-149X , 1932-149X
    Language: Unknown
    Publisher: Weston Medical Publishing
    Publication Date: 2014
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