Adventure Doc: Global Health and Medical Intelligence Reports https://adventuredoc.net/ Your source for Global Health and Medical Intelligence Thu, 02 Apr 2020 02:52:06 +0000 en-US hourly 1 https://i0.wp.com/adventuredoc.net/wp-content/uploads/2020/03/cropped-ad-square-logo-2020-512x512-1-1.png?fit=32%2C32&ssl=1 Adventure Doc: Global Health and Medical Intelligence Reports https://adventuredoc.net/ 32 32 2007368 Death Rates, Predictions and Herd Immunity https://adventuredoc.net/2020/03/31/death-rates-predictions-and-herd-immunity/ https://adventuredoc.net/2020/03/31/death-rates-predictions-and-herd-immunity/?noamp=mobile#comments Tue, 31 Mar 2020 22:30:47 +0000 http://adventuredoc.net/?p=1865 The idea of how and when our COVID19 pandemic will end is a big concern. A vaccine is at least a year away. There does not appear to be any “magic bullet” medicines at present. There are some promising studies underway but those take time. Time is something our healthcare systems do not have as […]

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]]> https://adventuredoc.net/2020/03/31/death-rates-predictions-and-herd-immunity/feed/ 3 1865 Chloroquine Myths and Facts in a Time of COVID-19 https://adventuredoc.net/2020/03/25/chloroquine-myths-and-facts-in-a-time-of-covid-19/ https://adventuredoc.net/2020/03/25/chloroquine-myths-and-facts-in-a-time-of-covid-19/?noamp=mobile#comments Wed, 25 Mar 2020 17:40:03 +0000 http://adventuredoc.net/?p=1862 There is a lot of hope and expectation being laid at the feet of chloroquine for use in SARS-CoV-2 and COVID19. This article will attempt to aggregate current understandings and information, examine a few trials that have been published already and look ahead at current research.   Chloroquine (CQ) Background[i] To understand chloroquine, we must […]

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]]> https://adventuredoc.net/2020/03/25/chloroquine-myths-and-facts-in-a-time-of-covid-19/feed/ 2 1862 COVID19, the UK and Herd Immunity https://adventuredoc.net/2020/03/16/covid19-the-uk-and-herd-immunity/ https://adventuredoc.net/2020/03/16/covid19-the-uk-and-herd-immunity/?noamp=mobile#respond Mon, 16 Mar 2020 17:55:44 +0000 http://adventuredoc.net/?p=1850 Exploring the UK's thoughts and actions on their COVID19 response and social distancing creating herd immunity

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]]> https://adventuredoc.net/2020/03/16/covid19-the-uk-and-herd-immunity/feed/ 0 1850 COVID19 Infection Control https://adventuredoc.net/2020/03/09/covid19-infection-control/ https://adventuredoc.net/2020/03/09/covid19-infection-control/?noamp=mobile#respond Mon, 09 Mar 2020 23:17:25 +0000 http://adventuredoc.net/?p=1778 COVID 19 Infection Control and Prevention The best way to prevent the virus is to avoid being exposed[1] Stay away from sick people Avoid touching your eyes, noes and mouth Cover your cough and sneezes, throw tissues into the trash Clean frequently touched surfaces (door knobs, counter tops, banisters) with a common household cleaning spray […]

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]]> https://adventuredoc.net/2020/03/09/covid19-infection-control/feed/ 0 1778 COVID19 Emerging Treatment https://adventuredoc.net/2020/03/09/covid19-emerging-treatment/ https://adventuredoc.net/2020/03/09/covid19-emerging-treatment/?noamp=mobile#respond Mon, 09 Mar 2020 22:52:38 +0000 http://adventuredoc.net/?p=1780 COVID19 Emerging Treatments Chloroquine[1] Antimalarial and autoimmune medicine Commonly found as an oral tablet Antiviral properties and immunomodulating effects Currently in FDA phase 3 study [2] 400mg by mouth, daily for 5 days One study appears to advocate a 1gm loading dose followed by 500mg BiD[3] There are questions on duration of treatment with this […]

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]]> https://adventuredoc.net/2020/03/09/covid19-emerging-treatment/feed/ 0 1780 COVID19 Clinical Aspects https://adventuredoc.net/2020/03/09/covid19-clinical-aspects/ https://adventuredoc.net/2020/03/09/covid19-clinical-aspects/?noamp=mobile#respond Mon, 09 Mar 2020 22:35:05 +0000 http://adventuredoc.net/?p=1774 Clinical Aspects of COVID19 Summary The name of the virus is “SARS-CoV-2 and the disease caused by it is COVID-19 From the Coronavirus family and related to MERS-CoV and SARS CoV Frequently reported signs and symptoms include fever (83–98%), cough (46%–82%), myalgia or fatigue (11–44%), and shortness of breath (31%) at illness onset[1] Spread via […]

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]]> https://adventuredoc.net/2020/03/09/covid19-clinical-aspects/feed/ 0 1774 Epinephrine datasets https://adventuredoc.net/2020/02/11/epinephrine-datasets/ https://adventuredoc.net/2020/02/11/epinephrine-datasets/?noamp=mobile#respond Tue, 11 Feb 2020 17:33:09 +0000 https://adventuredoc.net/?p=1745 The moment someone’s heart stops, they’re legally dead.  Whether they stay dead or can be quickly revived, depends largely on the immediate medical care and medications they receive.  Prior research has shown the most common medication used in cardiac arrest, Epinephrine, is helpful in restarting the heart but it’s uncertain if it’s equally helpful in […]

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]]> https://adventuredoc.net/2020/02/11/epinephrine-datasets/feed/ 0 1745 Zika virus linked with pregnancy problems in Brazil https://adventuredoc.net/2015/12/23/zina-virus-linked-with-pregnancy-problems-in-brazil/ https://adventuredoc.net/2015/12/23/zina-virus-linked-with-pregnancy-problems-in-brazil/?noamp=mobile#respond Wed, 23 Dec 2015 15:39:52 +0000 http://adventuredoc.net/2015/12/23/zina-virus-linked-with-pregnancy-problems-in-brazil/ New concern for Zika virus causing microcephaly is emerging from Brazil. This condition has a profound effect on infants causing developmental delays and even early death due to smaller than average head size. The government of Brazil has advised caution with becoming pregnant until more knowledge is gained. There has been a surge in new […]

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]]> https://adventuredoc.net/2015/12/23/zina-virus-linked-with-pregnancy-problems-in-brazil/feed/ 0 1743 Polio in Ukraine https://adventuredoc.net/2015/12/03/polio-in-ukraine/ https://adventuredoc.net/2015/12/03/polio-in-ukraine/?noamp=mobile#respond Thu, 03 Dec 2015 05:22:26 +0000 http://adventuredoc.net/2015/12/03/polio-in-ukraine/ A dramatic example of under-penetration of vaccines into the community combined with vaccine associated illness: Read This: “Ukraine’s Crazy Polio Outbreak” http://www.thedailybeast.com/articles/2015/12/02/ukraine-s-crazy-polio-outbreak.html?via=ios

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]]> https://adventuredoc.net/2015/12/03/polio-in-ukraine/feed/ 0 1742 Chlorine, Halogens and Water Purification Involving Protozoa Cysts https://adventuredoc.net/2015/11/30/chlorine-halogens-and-water-purification-involving-protozoa-cysts/ https://adventuredoc.net/2015/11/30/chlorine-halogens-and-water-purification-involving-protozoa-cysts/?noamp=mobile#respond Mon, 30 Nov 2015 01:35:33 +0000 http://adventuredoc.net/?p=1723 A wonderful opportunity recently emerged that offered a chance to review and improve my knowledge on using chlorine for water purification. Specifically, looking at the ability for chlorine to have efficacy on protozoa cysts. This discussion will assume some prior knowledge that will be briefly reviewed before moving forward. It is important to note that […]

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]]> https://adventuredoc.net/2015/11/30/chlorine-halogens-and-water-purification-involving-protozoa-cysts/feed/ 0 1723 Surgical instrument cleaning in austere environments  https://adventuredoc.net/2015/11/29/surgical-instrument-cleaning-in-austere-environments/ https://adventuredoc.net/2015/11/29/surgical-instrument-cleaning-in-austere-environments/?noamp=mobile#respond Sun, 29 Nov 2015 03:26:18 +0000 http://adventuredoc.net/2015/11/29/surgical-instrument-cleaning-in-austere-environments/ An interesting study on cleaning surgical instruments in austere environs: http://www.wemjournal.org/article/S1080-6032(15)00146-5/abstract?elsca1=etoc&elsca2=email&elsca3=1080-6032_201512_26_4_&elsca4=Sports%20Medicine%7CPublic%20Health%7CEmergency%20Medicine#/article/S1080-6032(15)00146-5/fulltext?mobileUi=1

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]]> https://adventuredoc.net/2015/11/29/surgical-instrument-cleaning-in-austere-environments/feed/ 0 1722 Zika virus in Columbia  https://adventuredoc.net/2015/11/06/zika-virus-in-columbia/ https://adventuredoc.net/2015/11/06/zika-virus-in-columbia/?noamp=mobile#respond Fri, 06 Nov 2015 22:14:01 +0000 http://adventuredoc.net/2015/11/06/zika-virus-in-columbia/ The Zika virus has been found and transmitted in Columbia. Here is a nice link to the details and a primer on the virus.  http://wwwnc.cdc.gov/travel/notices/watch/zika-virus-colombia

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]]> https://adventuredoc.net/2015/11/06/zika-virus-in-columbia/feed/ 0 1721 Pain management cards https://adventuredoc.net/2015/11/05/pain-management-cards/ https://adventuredoc.net/2015/11/05/pain-management-cards/?noamp=mobile#respond Thu, 05 Nov 2015 22:25:16 +0000 http://adventuredoc.net/2015/11/05/pain-management-cards/ Academic Life in Emergency Medicine has some really cool cards looking at pain management. Not only are they well laid out but there are a lot of options out there besides “2 of dilaudid”. http://www.aliem.com/pv-card-initial-pain-medication-options/            

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]]> https://adventuredoc.net/2015/11/05/pain-management-cards/feed/ 0 1713 Ten skills for expedition doctors https://adventuredoc.net/2015/11/05/ten-skills-for-expedition-doctors/ https://adventuredoc.net/2015/11/05/ten-skills-for-expedition-doctors/?noamp=mobile#respond Thu, 05 Nov 2015 22:08:25 +0000 http://adventuredoc.net/2015/11/05/ten-skills-for-expedition-doctors/ Ten skills for expedition doctors is a terrific article from an experienced expedition doc. Covering basic skills from splints to eye exams and the all-important respiratory rate, this is required reading. http://www.theadventuremedic.com/features/top-ten-skills-master-expedition-medic/

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]]> https://adventuredoc.net/2015/11/05/ten-skills-for-expedition-doctors/feed/ 0 1712 Cancer from tapeworms https://adventuredoc.net/2015/11/05/cancer-from-tapeworms/ https://adventuredoc.net/2015/11/05/cancer-from-tapeworms/?noamp=mobile#respond Thu, 05 Nov 2015 15:06:14 +0000 http://adventuredoc.net/2015/11/05/cancer-from-tapeworms/ An interesting look at cancer spread from an intestinal tapeworm in an HIV positive Colombian man. https://www.washingtonpost.com/news/to-your-health/wp/2015/11/04/cdc-details-bizarre-unsettling-case-of-41-year-old-man-infected-with-cancer-cells-from-tapeworm/

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]]> https://adventuredoc.net/2015/11/05/cancer-from-tapeworms/feed/ 0 1711 Hemorrhagic fever in Sudan https://adventuredoc.net/2015/11/02/hemorrhagic-fever-in-sudan/ https://adventuredoc.net/2015/11/02/hemorrhagic-fever-in-sudan/?noamp=mobile#respond Mon, 02 Nov 2015 15:48:11 +0000 http://adventuredoc.net/2015/11/02/hemorrhagic-fever-in-sudan/ Hemorrhagic fever as yet undiagnosed in Sudan- https://www.dabangasudan.org/en/all-news/article/health-minister-recognises-haemorrhagic-fever-in-darfur And Pro-Med’s report can be read here: http://www.promedmail.org/post/3760440 Obviously, concern for Ebola spread is paramount. Diagnosis and then mitigating this illness are chief goals and given history in the region, public health resources will be stressed.

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]]> https://adventuredoc.net/2015/11/02/hemorrhagic-fever-in-sudan/feed/ 0 1709 Estrogen like drug for hemorrhage control https://adventuredoc.net/2015/10/26/estrogen-like-drug-for-hemorrhage-control/ https://adventuredoc.net/2015/10/26/estrogen-like-drug-for-hemorrhage-control/?noamp=mobile#respond Mon, 26 Oct 2015 09:28:46 +0000 http://adventuredoc.net/2015/10/26/estrogen-like-drug-for-hemorrhage-control/ Estrogen like drug in hemorrhage control starts trials in Alabama. http://www.uab.edu/news/innovation/item/6624-uab-to-start-first-human-trials-of-drug-to-prevent-death-due-to-severe-blood-loss

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]]> https://adventuredoc.net/2015/10/26/estrogen-like-drug-for-hemorrhage-control/feed/ 0 1708 Ebola is back and it may have never left https://adventuredoc.net/2015/10/17/ebola-is-back-and-it-may-have-never-left/ https://adventuredoc.net/2015/10/17/ebola-is-back-and-it-may-have-never-left/?noamp=mobile#respond Sat, 17 Oct 2015 19:36:15 +0000 http://adventuredoc.net/2015/10/17/ebola-is-back-and-it-may-have-never-left/ Some interesting new developments on Ebola virus and its ability to persist in human tissue for much longer than previously thought. http://www.npr.org/sections/goatsandsoda/2015/10/17/448380921/so-it-turns-out-theres-a-lot-we-dont-know-about-ebola I am also happy to see Dr. Bausch leading this investigation as he is a former professor of mine and an all-around smart guy! 

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]]> https://adventuredoc.net/2015/10/17/ebola-is-back-and-it-may-have-never-left/feed/ 0 1706 Emerging infectious disease seminar https://adventuredoc.net/2015/10/14/emerging-infectious-disease-seminar/ https://adventuredoc.net/2015/10/14/emerging-infectious-disease-seminar/?noamp=mobile#respond Wed, 14 Oct 2015 13:31:19 +0000 http://adventuredoc.net/2015/10/14/emerging-infectious-disease-seminar/ This might be interesting… https://www.facebook.com/phegov/posts/1068959236477597

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]]> https://adventuredoc.net/2015/10/14/emerging-infectious-disease-seminar/feed/ 0 1705 Nobel prize winners https://adventuredoc.net/2015/10/06/nobel-prize-winners/ https://adventuredoc.net/2015/10/06/nobel-prize-winners/?noamp=mobile#respond Tue, 06 Oct 2015 04:26:52 +0000 http://adventuredoc.net/2015/10/06/nobel-prize-winners/ Who and why these doctors won the Nobel Prize for medicine. http://www.buzzfeed.com/virginiahughes/2015-nobel-prize-medicine

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]]> https://adventuredoc.net/2015/10/06/nobel-prize-winners/feed/ 0 1704 Lung ultrasound for pneumonia  https://adventuredoc.net/2015/10/03/lung-ultrasound-for-pneumonia/ https://adventuredoc.net/2015/10/03/lung-ultrasound-for-pneumonia/?noamp=mobile#respond Sat, 03 Oct 2015 18:15:05 +0000 http://adventuredoc.net/2015/10/03/lung-ultrasound-for-pneumonia/ Lung ultrasound for paediatric pneumonia… http://m.pediatrics.aappublications.org/content/early/2015/03/11/peds.2014-2833

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]]> https://adventuredoc.net/2015/10/03/lung-ultrasound-for-pneumonia/feed/ 0 1701 ISIS and Chemical Weapons-Review of NBC agents https://adventuredoc.net/2015/09/12/isis-and-chemical-weapons-review-of-nbc-agents/ https://adventuredoc.net/2015/09/12/isis-and-chemical-weapons-review-of-nbc-agents/?noamp=mobile#respond Sat, 12 Sep 2015 21:05:20 +0000 http://adventuredoc.net/?p=1696 Recent reports of ISIS using chemical weapons have been emerging from multiple sources. The main chemical threats mentioned are “mustard agents”. The use of chemicals or biological agents in war in not new. The first use of these types of agents was in April 1915 by the Germans who used sulfur mustard in Ypres, Belgium. These agents […]

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]]> https://adventuredoc.net/2015/09/12/isis-and-chemical-weapons-review-of-nbc-agents/feed/ 0 1696 Dengue fever and Yemen Outbreaks September 2015 https://adventuredoc.net/2015/09/12/dengue-fever-and-yemen-outbreaks-september-2015/ https://adventuredoc.net/2015/09/12/dengue-fever-and-yemen-outbreaks-september-2015/?noamp=mobile#respond Sat, 12 Sep 2015 20:15:36 +0000 http://adventuredoc.net/?p=1684 A recent increase in dengue fever activity has become an serious outbreak concern in Yemen. A country that has been suffering from civil unrest and conflict, collapsed medical infrastructure and is now suffering from “an extreme spike” in dengue fever cases according to the World Health Organization (WHO) in August, 2015 means that the only winners […]

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]]> https://adventuredoc.net/2015/09/12/dengue-fever-and-yemen-outbreaks-september-2015/feed/ 0 1684 Social vulnerability and Ebola https://adventuredoc.net/2015/09/10/social-vulnerability-and-ebola/ https://adventuredoc.net/2015/09/10/social-vulnerability-and-ebola/?noamp=mobile#respond Thu, 10 Sep 2015 15:25:23 +0000 http://adventuredoc.net/2015/09/10/social-vulnerability-and-ebola/ An interesting look at using determinates of social vulnerability to map potential Ebola effects and outbreaks: MNT : Ebola virus disease in Liberia  http://www.medicalnewstoday.com/releases/299345.php

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]]> https://adventuredoc.net/2015/09/10/social-vulnerability-and-ebola/feed/ 0 1676 Counterfeit medicine in Africa https://adventuredoc.net/2015/09/09/counterfeit-medicine-in-africa/ https://adventuredoc.net/2015/09/09/counterfeit-medicine-in-africa/?noamp=mobile#respond Wed, 09 Sep 2015 21:47:27 +0000 http://adventuredoc.net/2015/09/09/counterfeit-medicine-in-africa/ Counterfeit medicine is nothing new but a recent study showed just how much of a risk there was in Sub-Saharan Africa.  Common chronic disease medicines such as statins and blood pressure medicines were shown to have over 16% with inadequate amounts of the active ingredient. Travelers are encouraged to buy from reputable sources or simply […]

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]]> https://adventuredoc.net/2015/09/09/counterfeit-medicine-in-africa/feed/ 0 1675