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1.
Disaster Med Public Health Prep ; 17: e366, 2023 03 23.
Artigo em Inglês | MEDLINE | ID: mdl-36950876

RESUMO

OBJECTIVES: The objective of this study was to assess recovery of Aransas County, Texas households 2 years after Category 4 Hurricane Harvey made landfall. METHODS: A 2-stage cluster sampling method used to conduct a Community Assessment for Public Health Emergency Response (CASPER) on May 3 - 4 and May 18 - 19, 2019. A household-based survey was administered through face-to-face interviews, selected through systematic random sampling using weighted analysis of the county population. Field teams collected 175 surveys (83.3% completion rate). RESULTS: Approximately 57% households experienced repairable damage, 23% had destroyed homes, and 19% had minimal damage. 38% stated having 'no need,' 18% needed financial assistance, 16% needed household repairs, and over 8% had behavioral health needs. 17% experiencing a behavioral health concern were seeking services. Of the 35% of households who did not seek services, 14% felt there was no need, and 4% were not aware of the resources available. CONCLUSIONS: Households reported high levels of preparedness, but gaps remain in evacuation intention and behavioral health care access. CASPERs are effective in assessing long-term recovery of communities impacted by major disasters.


Assuntos
Tempestades Ciclônicas , Desastres , Humanos , Saúde Pública/métodos , Texas , Avaliação das Necessidades
2.
Disaster Med Public Health Prep ; 14(1): 49-55, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31221233

RESUMO

OBJECTIVES: Hurricane Harvey left a path of destruction in its wake, resulting in over 100 deaths and damaging critical infrastructure. During a disaster, public health surveillance is necessary to track emerging illnesses and injuries, identify at-risk populations, and assess the effectiveness of response efforts. The Centers for Disease Control and Prevention (CDC) and American Red Cross collaborate on shelter surveillance to monitor the health of the sheltered population and help guide response efforts. METHODS: We analyzed data collected from 24 Red Cross shelters between August 25, 2017, and September 14, 2017. We described the aggregate morbidity data collected during Harvey compared with previous hurricanes (Gustav, Ike, and Sandy). RESULTS: Over one-third (38%) of reasons for visit were for health care maintenance; 33% for acute illnesses, which includes respiratory conditions, gastrointestinal symptoms, and pain; 19% for exacerbation of chronic disease; 7% for mental health; and 4% for injury. The Red Cross treated 41% of clients within the shelters; however, reporting of disposition was often missed. These results are comparable to previous hurricanes. CONCLUSION: The capacity of Red Cross shelter staff to address the acute health needs of shelter residents is a critical resource for local public health agencies overwhelmed by the disaster. However, there remains room for improvement because reporting remained inconsistent.


Assuntos
Tempestades Ciclônicas/estatística & dados numéricos , Planejamento em Desastres/estatística & dados numéricos , Abrigo de Emergência/estatística & dados numéricos , Vigilância da População/métodos , Planejamento em Desastres/métodos , Planejamento em Desastres/tendências , Humanos , Cruz Vermelha/organização & administração , Texas/epidemiologia
3.
Vector Borne Zoonotic Dis ; 7(3): 315-23, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17760514

RESUMO

Oliveros virus (OLV) is an arenavirus hosted by the sigmodontine rodent, Necromys benefactus, in central Argentina. We report a 3-year longitudinal field study of the dynamics of OLV infection in host populations from 15 localities in two provinces on the central Argentine pampa. There was an overall 3-year period immunofluorescent antibody prevalence of 25% in the host population, and infected hosts were found throughout the study area. Spill-over infection into common sympatric species was rare. Infection dynamics exhibited many of the patterns seen for other rodent-borne arenaviruses and hantaviruses, but had some unique characteristics. Host population density was highest in autumn and lowest in spring, while antibody prevalence was highest in spring and lowest in autumn. Virus transmission was horizontal: infection was strongly associated with age, reaching 45% prevalence in the oldest individuals, and prevalence of infection was equal among male and female hosts. Infection may have been associated with scars, which were also approximately equally distributed among male and female Necromys.


Assuntos
Infecções por Arenaviridae/veterinária , Arenavirus/fisiologia , Doenças dos Roedores/epidemiologia , Doenças dos Roedores/virologia , Sigmodontinae/virologia , Fatores Etários , Animais , Anticorpos Antivirais/sangue , Antígenos Virais/metabolismo , Infecções por Arenaviridae/epidemiologia , Infecções por Arenaviridae/virologia , Arenavirus/isolamento & purificação , Argentina/epidemiologia , Cicatriz/epidemiologia , Cicatriz/veterinária , Feminino , Incidência , Estudos Longitudinais , Masculino , Densidade Demográfica , Prevalência , Estações do Ano
4.
Psychopharmacology (Berl) ; 169(1): 108-14, 2003 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-12721779

RESUMO

RATIONALE: Previous studies have shown that GIRK2 channel function is enhanced by ethanol and that GIRK2 null mutant mice are less sensitive to some of ethanol's effects, including anxiolysis, habituated locomotor stimulation, and acute handling-induced convulsions than wild types. Under some conditions, GIRK2 knockout mice consume more ethanol than wild types, but it is unclear whether they do so because they are more sensitive to ethanol's rewarding effects or less sensitive to its aversive effects. OBJECTIVE: To further assess the role of GIRK2 in ethanol action, GIRK2 null mutant and wild type mice were tested in conditioning models that measure the motivational effects of ethanol. METHOD: In a conditioned taste aversion (CTA) procedure, knockout and wild type mice were given ethanol (0.0, 2.0, 2.5, or 3.5 g/kg, IP) following 1-h access to saccharin every 48 h over a 10 day period. In a conditioned place preference (CPP) procedure, knockout and wild type mice were given ethanol (2.0 or 3.0 g/kg, IP) paired with one stimulus (grid or hole floor) and saline paired with the other. After four 5-min trials with each stimulus, a 60-min choice test was done. RESULTS: The results demonstrated a genotypic difference in both paradigms. In CTA, there was no difference between genotypes at 0.0 or 3.5 g/kg ethanol, but at the 2.0 and 2.5 g/kg doses, wild types developed a stronger aversion to saccharin than knockouts. In CPP, wild types developed place preference, but knockouts did not. CONCLUSIONS: These studies show that GIRK2 deletion reduced ethanol's impact in tasks that are commonly used to index the drug's rewarding and aversive effects. These findings could reflect either a learning/memory deficit or decreased sensitivity to ethanol's motivational effects in null mutant mice. The latter interpretation is more consistent with previous data showing that knockout mice consume higher doses of ethanol than wild type mice.


Assuntos
Aprendizagem da Esquiva/efeitos dos fármacos , Condicionamento Psicológico/efeitos dos fármacos , Etanol/farmacologia , Canais de Potássio Corretores do Fluxo de Internalização , Canais de Potássio/genética , Paladar/efeitos dos fármacos , Animais , Comportamento Animal/efeitos dos fármacos , Etanol/administração & dosagem , Canais de Potássio Corretores do Fluxo de Internalização Acoplados a Proteínas G , Genótipo , Camundongos , Camundongos Knockout , Motivação , Recompensa
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