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At least 55 records · Page 3Linked to original sources
PubMedDate not supplied

A summer vacation from diabetes: evidence from a clinical trial.

PURPOSE: This study examined the metabolic trend and factors associated with an unexpected rise in HbA1c levels during the summer, with a return to baseline when school resumed, in 40 intensively treated adolescents with type 1 diabetes. METHODS: Psychosocial data were collected using a variety of diabetes evaluation instruments. HbA1c was measured monthly. RESULTS: HbA1c values increased by a mean of .73% from May to July and decreased by a mean of .75% from August to October. Lack of consistency in summer routines compared with school days was associated with a worsening in metabolic control during the summer months. Other factors associated with the summer increase in HbA1c included lower guidance scores on the Diabetes Family Behavior Scale, and higher impact and worry scores on the Diabetes Quality of Life for Youth Scale. CONCLUSIONS: Interviews suggested that teenagers need to take a vacation from intensive diabetes care during the summer.

Adolescent↗
PubMed2004

A comparison of Web- with paper-based surveys of gay and bisexual men who vacationed in a gay resort community.

Internet Web page survey responses were compared with those collected using traditional paper-and-pencil strategies to assess relative inclusion of a geographically dispersed population and comparativeness in responses. Three hundred and seven gay or bisexual men who had vacationed in a particular gay community completed Web-based and 244 paper-and-pencil questionnaires. Each questionnaire contained the same wording and question order. More Internet respondents than paper reported bisexual identity, nonmetropolitan residence, greater numbers of nonmain male partners for unprotected anal intercourse, and alcohol use than did paper-and-pencil respondents. Few other differences were identified. Assessing the reach of survey distribution can add to our knowledge base of surveys fielded using the Internet. Similarly, examining the potential biases in modes of administering convenience surveys can assist researchers to select the survey data collection method most appropriate to their research goals and design studies to assess the effect of the methods that are used.

Bisexuality↗
PubMed1997

Mr. Gates's summer vacation: a centennial remembrance.

In 1897, Frederick T. Gates, a Baptist minister and adviser to John D. Rockefeller Sr., read the entire second edition of The Principles and Practice of Medicine by William Osler while on a summer vacation at Lake Liberty, New York. The book reinforced the low opinion Gates had of the efficacy of medicine but convinced him that medical science would be a wise investment for the Rockefeller fortune. The results of this investment included the Rockefeller Institute for Medical Research, the General Education Board, the Rockefeller Foundation, and the International Health Board. Gates sponsored Rockefeller funding of full-time clinical professorships, an idea that Osler opposed but that eventually became the prevailing model for medical departments at universities in the United States.

History, 19th Century↗
PubMedDate not supplied

Venice Hospital decision vacated. Key Enterprises of Delaware, Inc. v. Venice Hospital.

The United States Court of Appeals for the Eleventh Circuit recently ordered an en banc rehearing of its widely reported hospital downstream diversification antitrust case. The so-called Venice Hospital case had found antitrust liability in the operation of a durable medical equipment (DME) joint venture between a hospital and a DME vendor. The Eleventh Circuit, however, has vacated its prior decision and, pending its en banc opinion, reinstated the district court's decision that the defendants did not violate antitrust law.

Antitrust Laws↗
PubMedDate not supplied

A vacation cruise for COPD patients.

A nurse who helped arrange a four-day cruise for a group of "graduates" of a pulmonary rehabilitation program offers tips that could enable other groups of respiratory patients to enjoy a similar vacation.

Holidays↗
PubMed1999

[Tick-encephalitis after a vacation in Southern Germany].

A 38-year-old man was admitted with signs of meningoencephalitis. Tick-borne encephalitis was considered because the patient reported a tick bite during a vacation in South Germany and because of the biphasic course of the symptoms. Serology for tick-borne encephalitis was positive: this constituted the first reported positive serology outcome in the National Institute for Public Health and Environment in the Netherlands. Tick-borne encephalitis is an infection with a flavivirus transmitted by an infected tick, which is endemic in parts of Central and Eastern Europe. The neurological symptoms are meningitis, meningoencephalitis or meningoradiculomyelitis. In a small percentage of patients neurological symptoms persist. A reliable vaccine is available, but is not routinely recommended for tourists.

Adult↗
PubMed2000

Fulminant septic melioidosis after a vacation in Thailand.

Severe infection with Burkholderia pseudomallei (formerly Pseudomonas pseudomallei), the bacterium causing melioidosis, is a common cause of acquired septicaemia in south-east Asia and northern Australia. A few cases of infected travellers returning to European countries have been reported. Melioidosis is a tropical disease, the clinical presentation ranging from asymptomatic infection to fulminant sepsis. Predisposing conditions such as impaired cellular immunity, preexisting renal failure or diabetes mellitus seem to enhance the severity of the disease. For a definite diagnosis the bacterium has to be isolated. The antimicrobial treatment of choice is ceftazidime in combination with co-trimoxazole or doxycycline. Even with correct antibiotic treatment the mortality rate is high in cases of fulminant sepsis. We report a 29-year old man with Type I diabetes who acquired melioidosis during a vacation in Thailand. After returning to Austria he was admitted to the intensive care unit with multiple organ failure. Despite intensive care treatment the patient's infection proved lethal. Burkholderia pseudomallei was isolated from the blood and bronchoalveolar lavage.

Adult↗
PubMed1985

[A clinical report of norethisterone-3-oxime-acetate vacation pill].

This paper reported the clinical application of Norethisterone-Oxime-Acetate used as a "vacation" pill. The result indicated that pregnancy could be prevented in women who received this drug orally when they themselves or their husband came home on leave. A dose of 2 mg was administered for women on the 1st day when the couples live together, then followed by 1 mg daily successively and an additional pill was given on the morning next to the end of the leave. A high efficacy of 99.75% in terms of cycles proved in 604 women with 825 treated cycles of 604 women. The changes in menstrual cycles, the duration of menstrual bleeding and the amount of flow after treatment were very slight. The incidence of the intermenstrual bleeding and withdrawal bleeding were 2.16%. The author's observation showed that Norethisterone-oxime-Acetate is an active contraceptive pill and possesses the advantages of not only high efficacy, low side effect, but also convenience in use.

Contraception↗
PubMed2003

Converting unused vacation days to retiree medical benefits: a proposed partial solution to an emerging national crisis.

Costs for retiree medical benefits are spiraling upward. One way to help fund this area of compensation, with little or no additional financial burden to either employers or employees, could be using an employee benefit plan whereby each year's unused vacation days and sick days are transferred into an employee's tax-free account in a voluntary employee benefit association (VEBA) trust. On retirement, the account is used to purchase a (pre-Medicare) retiree medical plan, prescription drug benefit, a Medicare supplemental policy and/or simply make Medicare premium payments.

Aged↗
PubMedDate not supplied

[Risk of temporary inpatient admission of the aged during the vacation of care-providing family members].

104 chronically ill patients of an average age of 82.7 years were accommodated on geriatric wards of hospitals totaling 152 times during vacation, stay at a health resort, or illness of their attending relatives. On average, they stayed in hospital for 3 to 4 weeks. Main diagnoses were cerebrovascular circulatory disturbances or condition after insultus, chronic ischaemic heart disease, and tumor diseases. The morbidity rate during that stay was 9.2%, the mortality rate 6.8%. In 8 out of 10 cases the immediate cause of death was directly causally associated with the primary disease. Any severe nosocomial infections did not occur. The authors consider the risk of the temporary hospitalization of people in need of care for the temporary relief of their relatives, with regard to the patient's age and primary diseases, as justifiable.

Aged↗
PubMed1998

[Health examination of children from the Democratic Sahara Republic (North West Africa) on vacation in Spain].

OBJECTIVE: We present results of a global health evaluation of groups of children from the Democratic Sahara Republic who came to Spain for vacation. PATIENTS AND METHODS: Clinical and analytical tests of 242 Sahara children from refugee camps in Tindouf (Algeria) that were adopted temporarily by Spanish families between July 1993 and July 1997 are reported. We have used standard groups graphics from the World Health Organization. RESULTS: The results were as follows: sex, 53% girls; mean age, 11.1 +/- 1.6 years and age range, 7-16 years (mode 11). Sixty percent of the children had a weight lower than the 10th percentile and 28% less than the 3rd percentile. Fifty-one percent of the children had a height lower than the 10th percentile and 32% less than the 3rd percentile. The corporal mass was lower than the 10th percentile in 19% and less than the 3rd percentile in 8%. The mean hemoglobin was 12.7 +/- 1.2 gr/dl (17% Hb < 12), iron 66 +/- 32 micrograms/dl (23% Fe < 40), and ferritin 28 +/- 24 ngr/ml (26% Fe < 12). Between 1 and 3 intestinal parasites were found in 75% of the children. Isolated were: Entamoeba coli (38%), Blastocystis hominis (22%), Lamblia (18%), Endolimax nana (17%), Hymenolepis nana (11%), and Oxiuros (5%). Sixteen percent of the children had dental caries and 54% dental malocclusion. Ophthalmological problems were found in 28%, generally myopia. Mantoux > 9 mm was found in 5%. Other pathologies included: 5 kyphoscoliosis, 2 cardiopathies, 2 poliomyelitis sequels, 1 gastric ulcer, 1 epilepsy, 1 spherocytosis and 1 euthyroid goiter. Those with weight in p < 3 and/or functional murmur had Hb < 12 in 61% of the cases and Fe < 40 in 48%. CONCLUSIONS: Anamnesis is difficult because of ignorance of the pathological antecedents and date of birth. For physical exploration and collection of parasites they were extremely modest. Feeding and conditions of life would explain low weight and height percentiles, ferropenic anemia and intestinal parasite rates. It would be better to give anti-parasite drugs and systematic ferroprofilaxis as routine and perform blood tests only in those with weight p < 3.

Adolescent↗