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1.
J Travel Med ; 2020 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-32010953

RESUMO

The incurred mental alteration of a traveler abroad should be an alarming signal for patient, for family and the local health care professionals alike. it is estimated that 11.3% of travelers experience some kind of psychiatric problem, with 2.5% suffering from severe psychosis and 1.2% requiring more than two months of therapy upon return from a trip abroad. Acute psychotic episode represent approximately one-fifth of travel-related psychiatric events. Yet, the travel related mental problems have been neglected topic till today. Now a good selection of literature is available to help the further researches. Besides describing the most relevant literature of travel related mental disturbances, authors present two key issues of dealing with psychiatric problems of traveler abroad: to identify the origin of the mental alteration and the process of the patient with psychiatric problems. Identifying the origin and the nature of the mental symptomps of traveler is often difficult because of the language barrier and among extraordinary circumstances. A simple 2 steps 3 branches algorythm could make the decision easier for the attending physician. Some of the brief psychotic disorder and organic origin mental disturbance can and often is treated in place. Some mental problem probably originated or triggered by the travel or a foreign environment itself. In these cases the full recovery will be expected if the triggering factor is eliminated. The solution is the early repatriation. The repatriation for psychiatric reasons is highly different from repatriation for other medical emergencies. Authors describes a proposal of a step-by-step action of repatriation of psychotic patient. By the help of this suggested protocol, the patient may successfully be taken home.

2.
Orv Hetil ; 160(43): 1706-1710, 2019 Oct.
Artigo em Húngaro | MEDLINE | ID: mdl-31630551

RESUMO

Introduction: The term "spam" is applied to unwanted commercial e-mails sent to all whose e-mail addresses have been acquired by the spammers. The number of undesirable e-mails is growing in the health-care related areas as well. The targets of health-care related spams are laymen, physicians and academic researchers alike. Method: On the basis of 12,986 unwanted letters received in one year, the authors concluded that percentage of health-related spam is the second most common spam (27%) in relation to all spam. Most of the spam (63%) aggressively promoted purchasing of various consumer goods, but health-related spam are far ahead of the rest. The collected data were grouped by year and topic and they are analyzed by simple descriptive statistics. Spam form of cyber attacks on health care issues were divided into two: spam what is jeopardized individuals' health (e.g. medical compounds without any curing effect, misleading statement on medical device, fraudulent panacea offers, and cheating cure methods, etc.) and onslaught on medical scientific activity (pseudo-scientific congress invitation, predator journal invitation etc.). Results: The topics of spams addressed to laymen are offered for perfect healing by strange treatments, cures (31%), panaceas (19%), lifestyle advice (19%), massage (16%), brand new health-care devices (4%) and drugs for sexual dysfunction (11%). The topics of spams addressed to physicians and researchers are deluged by pseudoscientific materials: invitation for articles to be sent to no-name/fake open-access journals (68%), invitation to participate at an obscure congress (27%) or newsletters on miscellanous medical topics (5%). Conclusion: The spams offer very often relief or solution to medical problems that the present-day medical practice cannot solve perfectly (oncological, musculo-sceletal, endocrin or metabolic problems). Understandably, the patients would hold on to fake hopes - and the authentic patient education and health promotion will be neglected. These unwanted messages practically cannot be unsubscribed, and - while the spam filters are far from perfection - the victim must go through the filtered spam-dustbin in order not to miss some real messages. Unfortunately no legal regulation (neither local, nor GDPR) can block or stop the spams. The spams are misleading the laymen and jeopardise the effects of professional and responsible health promotion and health education. Orv Hetil. 2019; 160(43): 1706-1710.


Assuntos
Segurança Computacional , Correio Eletrônico/normas , Educação em Saúde , Internet/normas , Médicos/psicologia , Registros Eletrônicos de Saúde , Promoção da Saúde , Humanos , Pesquisadores
3.
Pharmacy (Basel) ; 7(3)2019 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-31319539

RESUMO

To amass a body of knowledge for managing emergency situations in pharmacies, we surveyed the occurrence and nature of medical problems in Hungarian pharmacies. The occurrence of real or suspected emergencies in pharmacies was markedly different and varied from 1-52 per year, with five cases per year on average. The most frequent problems were bleeding (69%) and dizziness (55%), but other more serious problems (allergic reaction (32%), collapse (23%), and chest pain (25%)) also occurred. Sometimes more than one symptom was reported by a patient. People appear to consider pharmacies to be an appropriate site for receiving first aid for minor ailments, including common medical problems (e.g., fever (12%)). Unfortunately, the range of interventions was very limited because of local legal regulations and the lack of appropriate guidelines for emergencies in pharmacies. The most frequent interventions were wound treatment, control of bleeding (78%), alleviation of anxiety (68%), and providing patients with a glass of water (55%). Very often, more than one intervention was reported for the same case. Whereas 76.3% of pharmacists provided interventions only for adults, 21% of pharmacists provided interventions for all types of patients (adults, co-workers in pharmacies, and children). Pharmacists appeared to be reluctant to treat children, owing to the special issues related to pediatrics. This poor range of intervention should encourage responsible officials to develop guidelines for pharmacists to ensure pharmacists' familiarity with the appropriate interventions in emergency situations. Such knowledge could also provide a good basis for preparing pharmacists to perform vaccinations in the future. The pharmacists had a positive attitude toward providing first aid, and 88% of respondents requested more postgraduate education on medical first aid issues.

4.
J Relig Health ; 58(2): 566-571, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30604326

RESUMO

It appears that the El Camino pilgrimage route has become a long-distance trek and endurance test of the individual. The continuously increasing number of hikers demands more attention by travel medicine professionals. Analysis of the age groups of the pilgrims over recent years shows that the number of young pilgrims (< 30 years) is decreasing, but the number of middle-aged people (30-60 years) is slightly increasing, while the number of elderly people (> 60 years) is considerably increased. The leading cause of fatalities during the pilgrimage is ACS. The majority of the cardiac problems occur among the elderly people. The second most common cause of death is a traffic accident, and the third and fourth causes are a fatal exacerbation of the pilgrim's pre-existing disease and illnesses caused by the extreme temperature (hot and cold environment alike). The aforementioned data suggest that pre-travel advice should be an indispensable part of the preparation for the El Camino peregrination, especially for the patient with chronic disease and elderly people.

6.
Orv Hetil ; 159(38): 1535-1542, 2018 Sep.
Artigo em Húngaro | MEDLINE | ID: mdl-30227734

RESUMO

The Way of St. James (El Camino) is getting more and more popular. Analysis of the age groups of the pilgrims shows that the number of young pilgrims (30< years) is decreasing, but the number of middle-aged people (30-60 years) is slightly increasing, while the number of elderly people (>60 years) has considerably increased. The statistical data of the Pilgrims' office in Santiago de Compostela also display the continuous elevation in the number of the "pilgrims" who had completed the El Camino without any religious or spiritual reason. Therefore this pilgrim route became a long-distance trekking - in the point of view of travel medicine. The old age is a high risk for travellers moreover in this long distance trekking. Therefore pre-travel counselling would be vital for aged pilgrims. Unfortunately, a few articles have been published only on the medical problems of El Camino. Taking into consideration the possible health damages during the 800 km long "Camino", the author describes its health hazards. This study could be a useful guideline for pre-travel advice for El Camino pilgrims as only limited information can be gained from the Pilgrims' Reception Office (PRO) in Santiago de Compostela. Some information was collected from the relevant pages of the internet. Therefore the author could draw limited consequences from the statistical data. Yet, the analysis of the medical causes of the deceased pilgrims told more about the hazards of 'The Way'. Although the number of female and male pilgrims was equal in the statistical data, yet the mortality rate of the male pilgrims is much more higher than that of the female pilgrims (93-7%). The most frequent cause of death was acute coronary syndrome or its suspicion (40-34%). The second most frequent cause of death was road traffic accident (17,5-25%). The most vulnerable pilgrims are the cyclists in this respect. The exacerbation of any chronic disease was also different among the genders (3-25%) but homicide is a more frequent cause of death in the female group (2%-8%). The cause of death was exhaustion, stroke, hypothermia and drowning (because of the ritual bathing in the sea, after the route completed) as well. Orv Hetil. 2018; 159(38): 1535-1542.


Assuntos
Aconselhamento/estatística & dados numéricos , Aglomeração , Educação em Saúde/métodos , Viagem , Adulto , Idoso , Causas de Morte , Feminino , Humanos , Hungria , Masculino , Pessoa de Meia-Idade , Mortalidade , Espanha
7.
Orv Hetil ; 159(9): 357-362, 2018 Mar.
Artigo em Húngaro | MEDLINE | ID: mdl-29480045

RESUMO

INTRODUCTION: According to international surveys, over half of the travellers face some kind of health issue when travelling. The overwhelming majority of travel-related illnesses can be prevented with pre-travel medical consultations, but the syllabus and content of the consultation have to match the travel habits and culture of the given society. AIM: This publication explores the specificities and travel habits of Hungarian travellers. METHOD: One hundred participants of a travel exhibition completed a survey about their international travel. As the survey was not representative, the data could only be processed through simple statistical methods. However, since the exhibition was presumably attended by those wishing to travel, the conclusions drawn from the results are worth publishing, since no similar survey in Hungary has been published before. RESULTS: Based on the suitable classification of age groups in travel medicine, 11% of the participants were adolescents / young adults (aged 15-24), 81% adults (25-59) and 8% elderly (60-74). Twenty-eight percent of the participants travel multiple times a year, 40% yearly and 32% of them less frequently; 16% of the adults, 8% of the adolescents and 4% of the elderly age group travel multiple times a year. CONCLUSIONS: The travel destinations of Hungarian travellers have remained practically unchanged since a study was conducted 13 years ago: the vast majority (95%) travelled within Europe, 2% to the United States, and 11% of them elsewhere. Since Hungarians do not travel to endemic areas, only 5% consulted their general practitioners (GPs) prior to travelling, and 29% did when they had to be vaccinated. Forty-two percent of those wishing to travel never consult their GPs, even though 29% of them are aware of some chronic illness. Instead, 51% gather their health information from the internet and only 6% from their doctors. By the contradiction between the poor health status of the majority of Hungarian travellers and the negligence of seeking pre-travel advice, our survey clearly points out the importance of the propagation of doctor's advice before trips, even if the travellers visit exclusively non-endemic countries like the European Union. Orv Hetil. 2018; 159(9): 357-362.


Assuntos
Aconselhamento/estatística & dados numéricos , Educação em Saúde/métodos , Medicina de Viagem/métodos , Viagem/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Doença Crônica/prevenção & controle , Feminino , Clínicos Gerais/estatística & dados numéricos , Humanos , Hungria , Masculino , Pessoa de Meia-Idade , Encaminhamento e Consulta/estatística & dados numéricos , Adulto Jovem
9.
J Travel Med ; 24(5)2017 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-28931125

RESUMO

Background: Severe mental illness occurring abroad is a difficult situation for patients, their families, and for the local medical community. Patients with mental problem are doublely stigmatized due to their mental illness and because they are foreigners in an unfamiliar country. The appropriate treatment is often delayed, while patients are often dealt with in a manner that violates their human rights. Moreover, repatriation - which is vital in this case - is often delayed due to the lack of international protocols for the transportation and treatment of mentally ill travelers. Methods: Authors analyzed several factors related to acute mental health problems during travel: the etiology of symptoms, the appropriate treatment possibilities abroad, and medical evacuation and repatriation of the psychotic patient. The article presents a brief review of travel-related mental disorders, the epidemiology of mental health issues faced by travelers, and the significance of pre-travel advice for these patients. The first problem is to recognize (and redress) the particular challenges faced by a psychotic patient in a strange country. The second challenge is to prepare the patients, often in a poor psychiatric state, for medical evacuation by commercial aircraft. Another important question is the best way to take the patient through customs and security control. All of these, as yet unresolved, issues can make the mental patient virtually defenseless. Conclusions: Although timely repatriation of a mentally ill patient is vital and urgent, most travel insurance policies exclude treatment and repatriation costs incurred due to acute mental illness. The high cost of treatment and repatriation must be paid by the patient or their family, which could lead to severe financial strain or insolvency. Changing the approaches taken by the local mental health care community, police, airport security, and insurance companies remain a challenge for psychiatrists.


Assuntos
Transtornos Mentais/psicologia , Viagem , Humanos , Transtornos Mentais/prevenção & controle , Guias de Prática Clínica como Assunto
10.
Orv Hetil ; 158(16): 618-624, 2017 Apr.
Artigo em Húngaro | MEDLINE | ID: mdl-28415868

RESUMO

INTRODUCTION AND AIM: There are no high mountains or any advantageous circumstances for winter sports in Hungary, yet within the 10 million population there are about half a million people (the exact number is 550,000) who tend to go for skiing or snowboarding abroad. Authors compared the injury statistical data with results described in the international literature in order to develop conclusions about the differences in the injury patterns and frequency between the Hungarian ones' and those found in countries with plenty of winter sport possibilities. METHOD: Authors analysed the winter sport injury cases of an insurance company. All the injury happened abroad and the assistance provider of the insurance company has managed the patient treatment and repatriation. Three winter seasons (12 months) data was analysed from the point of view of injuries frequency at different body parts and areas. Due to the fact that only limited information was available a simple statistical method was applied. RESULTS: Of 222 cases 90.5% were ski-related injury and 8.6% were snowboard injury. As for the skiers, the upper limb injuries accounted for 21.9%, the truncal region for 24.4% and the lower limb for 55.8%. Among snowboarders the upper limb injuries accounted for 36.9%, the truncal region for 37% and the lower limb for 26.1%. The most frequent was the knee (36.8%), the wrist (12.4) and the shoulder (11.4) injury. Skier's thumb injury was only 1.5%. The most common snowboard injury was the wrist trauma (31.6%), the head/neck/face was accounted 15.8% of all the injuries. And the ankle was injured in 10.5% of all the cases. The head/neck and the knee injury often combined with injuries of some other body part. 29 patients (13%) had to be repatriated, the most frequent reason for the repatriation was the injury of the lower limb. CONCLUSIONS: The Hungarian sportsmen's injury patterns do not always follow data described in the international literature, but they correspond to data of countries with similar geographical situation. The injury rate of knee and of the shoulder displays same data, the injury rate of the wrist was more frequent than in the international data, and this is true both for skiers and the snowboarders. The Hungarians' injury of the truncal region (mainly the head) was more frequent, but on the other hand the general injury rate of other body parts proved to be a lower number. It seems that the frequent use of the protective equipment and the preventive measures applied by the Hungarians are mirrored in the lower injury figures. Orv. Hetil., 2017, 158(16), 618-624.


Assuntos
Acidentes/estatística & dados numéricos , Traumatismos em Atletas/classificação , Traumatismos em Atletas/epidemiologia , Esqui/lesões , Acidentes/tendências , Distribuição por Idade , Feminino , Humanos , Hungria/epidemiologia , Masculino
11.
Orv Hetil ; 156(20): 808-12, 2015 May 17.
Artigo em Húngaro | MEDLINE | ID: mdl-26038947

RESUMO

The number of international travels has been continuously increasing since World War II. Though the travelers' demand for safer ways of travelling appeared, only a handful of them sought pretravel advices. This is the reason why 50% of the travelers have to face some kind of medical problem during their journey. If they have travel insurance, the company's assistance team organizes, monitors and covers their abroad treatment. A doctor of the assistance team has to find her/his ways in various fields: not only a multidisciplinary medical knowledge is a must for a professional like this, but she/he needs to have a good grasp of the basic idea behind the insurance policy, too. Also, she/he should be familiar with the public health care systems of different countries and some legal knowledge is also needed. If the patients are unable to continue their trip, they must be repatriated. Making a decision about the repatriation's timing and modality requires interdisciplinary medical experience and the approach of a critical care/emergency doctor. Among further tasks for the assistance team's doctor one can find medical escort and on-spot medical visit for foreign patients. Both of these two aforementioned medical activities are highly different from - for example - a general practitioner's routine. That is the reason why an assistance doctor has to be familiar with the critical and emergency care. Organizing and monitoring medical treatment for a traveler abroad, providing medical escort, making decisions about repatriation and providing medical help for a foreign patient all fall within the competence of a new medical discipline, the assistance medicine. Creating a body of knowledge, collecting appropriate protocols and establishing postgraduate courses for assistance medicine diplomas are the tasks of the critical care and emergency medicine professionals.


Assuntos
Cuidados Críticos , Serviços Médicos de Emergência , Medicina de Emergência , Tratamento de Emergência , Necessidades e Demandas de Serviços de Saúde , Medicina Interna , Internacionalidade , Traumatologia , Viagem , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/terapia , Cuidados Críticos/métodos , Cuidados Críticos/normas , Cuidados Críticos/tendências , Serviços Médicos de Emergência/métodos , Serviços Médicos de Emergência/normas , Serviços Médicos de Emergência/tendências , Medicina de Emergência/métodos , Medicina de Emergência/normas , Medicina de Emergência/tendências , Tratamento de Emergência/métodos , Tratamento de Emergência/normas , Tratamento de Emergência/tendências , Humanos , Hungria/epidemiologia , Medicina Interna/métodos , Medicina Interna/normas , Medicina Interna/tendências , Toxicologia , Ferimentos e Lesões/epidemiologia , Ferimentos e Lesões/terapia
14.
Orv Hetil ; 154(9): 323-37, 2013 Mar 03.
Artigo em Húngaro | MEDLINE | ID: mdl-23434882

RESUMO

Flying is the most important way of travelling in the continually growing international tourism. Number of passengers and those with preexisting diseases, mainly with cardiopulmonary problems, is increasing over years. One of the main tasks of the pre-travel advice is to assess tolerance to hypoxia of the traveler, and specify the necessity, as well as the type and volume of supplementary oxygen therapy. It is indispensable to know the cabin-environment and impact of that on the travelers' health. Travel medicine specialist has to be aware of the examinations which provide information for the appropriate decision on the fit-to-fly condition of the patient. The physician who prepares the patient with chronic obstructive pulmonary disease for repatriation by regular flight and the escorting doctor have to be fully aware of the possibilities, modalities, advantages and contraindications of the on-board oxygen supply and therapy. In this review, the authors give a summary of literature data, outline the tools of in-flight oxygen therapy as well as discuss possibilities for the preflight assessment of patients' condition including blood gas parameters required for safe air travel, as recommended in international medical literature. The preparation process for repatriation of patients with chronic obstructive pulmonary disease is also discussed.


Assuntos
Medicina Aeroespacial , Hipóxia/terapia , Oxigenoterapia , Doença Pulmonar Obstrutiva Crônica/terapia , Medicina de Viagem , Viagem , Medicina Aeroespacial/métodos , Medicina Aeroespacial/normas , Medicina Aeroespacial/tendências , Aeronaves , Altitude , Doença Crônica , Desenho de Equipamento , Humanos , Umidade , Hipóxia/etiologia , Pneumopatias/terapia , Oxigênio/sangue , Oxigenoterapia/instrumentação , Oxigenoterapia/métodos , Doença Pulmonar Obstrutiva Crônica/sangue , Doença Pulmonar Obstrutiva Crônica/fisiopatologia , Medicina de Viagem/métodos , Medicina de Viagem/normas , Medicina de Viagem/tendências
15.
Orv Hetil ; 153(37): 1469-74, 2012 Sep 16.
Artigo em Húngaro | MEDLINE | ID: mdl-22961417

RESUMO

INTRODUCTION: During airport security check of passenger luggage, hazardous items and substances are prohibited to be taken into the restricted safety zone of the airport and the aircraft. Among equipment of the medical staff escorting the patient, there are several devices and materials which are considered hazardous for security reasons. However, medical equipment and substances are indispensable for treating patients during the flight. AIM: The aim of the author was to present his experience obtained with the use of an instrument developed for testing liquids, aerosols and gels for security reasons. METHOD: An instrument based on Raman spectroscopy was used for the identification of medical substances. RESULTS: The results confirmed that the instrument was able to recognize the tested medical substances. The non-destructive testing maintained sample integrity and asepsis. CONCLUSIONS: The data indicate that the instrument has a promising utility for the identification of medical substances. It seems important that during repatriation medical substances should be selected not only on the ground of their medical necessity, but their packaging should be also taken into consideration. It is necessary to perform more tests on different medical substances used in emergency care in order to make the database of medical substances stored in the library of instrument more complete.


Assuntos
Aeroportos , Substâncias Perigosas , Medidas de Segurança , Análise Espectral Raman , Viagem , Humanos , Assistência ao Paciente , Medidas de Segurança/normas , Transporte de Pacientes/normas
16.
Orv Hetil ; 153(35): 1380-4, 2012 Sep 02.
Artigo em Húngaro | MEDLINE | ID: mdl-22935430

RESUMO

The authorities guarantee the safety of passengers during air travel by strict ground security measures. All of these measures are restrictive and can affect the health status of both healthy and ill travelers. Patients who are in critical condition or confined to a stretcher and have to be repatriated by stretcher on a regular flight, must pass the airport security check as well. But the developers of security system should take into account the medical safety of patients during the procedure. The relevant medical principles are painfully missing not only in Hungary, but unfortunately also at most international airports. On the basis of principles reviewed in the present publication, an unambiguous, professionally reconciled regulation is necessary that would serve as a guideline for airport management and authorities, as well as for the involved medical personnel. Although setting principles into practice requires a different solution at each airport, yet, passenger safety and patient safety have to be harmonized as soon as possible.


Assuntos
Aeroportos , Continuidade da Assistência ao Paciente , Segurança do Paciente , Medidas de Segurança/normas , Viagem , Continuidade da Assistência ao Paciente/normas , Saúde Global , Guias como Assunto , Pessoal de Saúde/normas , Humanos , Hungria , Medidas de Segurança/tendências
17.
World Psychiatry ; 10(3): 237, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21991285
18.
Orv Hetil ; 152(4): 131-8, 2011 Jan 23.
Artigo em Húngaro | MEDLINE | ID: mdl-21224189

RESUMO

Authors analyse questions of medical evacuation of the psychotic patient from abroad to homeland. This task can be considered the most difficult problem for the attending physician and the escorting medical team as well. The main challenge is to recognise the psychotic patient in a foreign country with a different health-care system and to overcome the language barrier and the different cultural background. The second issue is to prepare the patients - who are usually in a poor condition - for the medical evacuation by commercial aircraft. Another important issue is to take the patient through the strict security control. All of these (partially unsolved) problems make the mentally ill patient defenceless. Although the repatriation of a mentally ill patient is vital and urgent, travel insurance policy mostly excludes to cover the cost of treatment and repatriation. The high cost of treatment and repatriation of the patient should be paid by the patient or the family, who are often in the position of insolvency. In this paper authors present the history of a patient and give a brief review on travel-related mental disorders, the epidemiology of mental alterations during travel as well as the problems of appropriate evacuation. Authors conclude that there is a need for a better approach of the airport authorities and insurance decision makers to the mentally ill patient travelling abroad.


Assuntos
Seguro Saúde/normas , Pessoas Mentalmente Doentes/psicologia , Transtornos Psicóticos/etiologia , Estresse Psicológico/etiologia , Viagem/economia , Viagem/psicologia , Adulto , Ansiedade/etiologia , Cognição , Transtornos Cognitivos/etiologia , Humanos , Masculino , Transtornos Fóbicos/complicações , Transtornos Psicóticos/tratamento farmacológico , Transtornos Psicóticos/psicologia , Transtornos Psicóticos/reabilitação , Estresse Psicológico/psicologia , Medicina de Viagem
19.
Orv Hetil ; 151(41): 1702-7, 2010 Oct 10.
Artigo em Húngaro | MEDLINE | ID: mdl-20880805

RESUMO

Due to the stiffening requirements of security measures at the airports, prevention of air-travel related illnesses have become more difficult. The backlash effects of restrictions (e.g. fluid and movement restrictions) can trigger or even improve pathophysiological processes. The most advanced security check methods, the full body scan, besides ethical and moral considerations, may induce yet unknown pathological processes. We face the similar problem with the traveller, who becomes ill or injured during the trip. In this case, repatriation is often required, which is usually accomplished by commercial airlines. If patient should be transported by stretcher, it is also available on regular flight, but in this case he/she must be accompanied by a medical professional. This solution raises much more security problem: not only the sick person and the medical team, but even their medical equipments and medicines have to be checked. Due to the lack of standardised regulations the security staff solves the problem by various attempts from emphatic approach till refusal. For these reasons, a clear and exact regulation is needed, which must be based upon medical experts' opinion, and should deal not only with the flight security but with the patient's security, as well. This regulation can cease the patients and their medical accompanied persons' to be defencelessness against local authorities and security services. The same is true for handicapped persons. Author suggests solutions for the problem, balancing between flight security and the patient's "sickurity".


Assuntos
Medicina Aeroespacial , Transporte de Pacientes , Viagem , Aeronaves , Humanos , Medidas de Segurança/tendências , Transporte de Pacientes/normas , Viagem/psicologia
20.
J Travel Med ; 17(3): 197-8, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20536890

RESUMO

Mass gathering is well known to concentrate and amplify the transmission of infectious respiratory diseases. Here we report a possible case of coinfection with influenza A/H1N1 and varicella in a young French traveler returning from a rock festival in Hungary. We report a cluster of influenza A/H1N1 cases at this festival.


Assuntos
Varicela/complicações , Surtos de Doenças , Vírus da Influenza A Subtipo H1N1/isolamento & purificação , Influenza Humana/complicações , Viagem , Aniversários e Eventos Especiais , Varicela/epidemiologia , França , Humanos , Hungria/epidemiologia , Influenza Humana/diagnóstico , Influenza Humana/epidemiologia , Masculino , Música , Adulto Jovem
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