708 research outputs found
Does public subsidy of the cost of malaria chemoprophylaxis reduce imported malaria? A comparative policy analysis.
No full textBACKGROUND: Chemoprophylaxis is recommended for at-risk travellers visiting malaria endemic regions. The majority of travellers with imported malaria have not used this, and travellers visiting friends and relatives have the largest burden of malaria and the lowest compliance to chemoprophylaxis. In 1995, the UK's Department of Health (DH) implemented a policy to make travellers fully responsible for the cost when purchasing chemoprophylaxis. This policy was not implemented in three Primary Care Trusts (PCTs) in London due to concern about the potential increase of imported malaria in their residents, and they maintained the public subsidy. An impact evaluation of the policy change was undertaken to determine if the continued subsidy reduced the incidence of imported malaria in one of the boroughs where the subsidy was maintained when compared to a borough where no subsidy was provided. METHODS: Between 2007 and 2010 prescriptions for malaria chemoprophylaxis were collected from pharmacy records and PCTs, and all cases of imported malaria reported from the tertiary hospital in each of the two boroughs were compared. RESULTS: The dispensed chemoprophylaxis prescriptions were nearly 8.8 times higher in Lambeth (where subsidized drugs were provided), than in Hackney. A Poisson model revealed significantly fewer reports of imported malaria per capita were made in Lambeth compared to Hackney (p = 0.042). CONCLUSIONS: The difference in malaria reports between the boroughs only just reached statistical significance, despite the considerable difference in chemoprophylaxis prescribing between the boroughs. Some travellers may not consider using chemoprophylaxis, irrespective of the cost. Regular evaluations of the recent policy changes in areas where malaria is subsidized will be important
Malaria knowledge and utilization of chemoprophylaxis in the UK population and in UK passengers departing to malaria-endemic areas.
No full textBACKGROUND: The burden of imported malaria is predominantly in travellers visiting friends and relatives (VFR) in sub-Saharan Africa. The failure of this group to use chemoprophylaxis is recognized as the most important risk factor for the high incidence of disease. Understanding the reasons for failure to follow national recommendations may relate to knowledge, risk perception, cost, and peer pressure. Research into these variables is critical to understand and change practices in this group and this study was designed to explore whether knowledge, risk perception and prophylaxis use differs between travellers' to various destinations and the rest of the UK population. METHODS: Two face-to-face questionnaire surveys were conducted to collect information on demographics, malaria knowledge, source, and quality of pre-travel advice, past travel experience and perceived malaria threat. One was an IPSOS survey of individuals representative of the UK population. The other was a departure lounge survey (Civil Aviation Authority (CAA)) of passengers departing to malarious regions detailing destinations and use of chemoprophylaxis. RESULTS: Around a quarter of the 1,991 UK population surveyed had previously travelled to a malarious area. Five-hundred departing passengers were interviewed, of which 80% travelled for leisure (56% VFR's) and 42% were travelling to West Africa. Malaria knowledge among the UK population (score 58.6) was significantly lower than that of individuals who had previously travelled or were travelling (63.8 and 70.7 respectively). Malaria knowledge was similar in individuals who had and had not sought pre-travel advice and travellers using and not using chemoprophylaxis for their journey. Leisure travellers to Ghana and Nigeria were predominantly VFRs (74%), whilst 66% of travellers to Kenya were tourists. Despite similar high knowledge scores and perceived (>90%) threat of the lethality of malaria in the three groups, chemoprophylaxis use in Nigerians (50%) was substantially lower than in passengers departing to Kenya (78%) and Ghana (82%). More frequent annual return visits were made to Nigeria (72%) than to Ghana (38%) or Kenya (23%). CONCLUSION: Travellers had more malaria knowledge than the non-travelled UK population. Malaria knowledge, perceived threat, travel experience, and quality of pre-travel advice appear unrelated to the use of chemoprophylaxis in passengers. Reducing malaria in VFR travellers will require strategies other than improving malaria knowledge and enhancing malaria risk awareness
Mond van het Haringvliet
No full textEr is onderzoek gedaan naar de sedimentbeweging ten gevolge van golven en getijstromen voor de mond van het Haringvliet. Het vooronderzoek is alleen gedaan door A Zwols; "Een onderzoek naar de invloed van golven op de mond van het Haringenvliet". Behrens heeft ook een eigen vooronderzoek gedaan over spiraalstromen, maar deze is los upgeload bij de repository.Hydraulic EngineeringCivil Engineering and Geoscience
Malaria clusters among illegal Chinese immigrants to Europe through Africa.
No full textBetween November 2002 and March 2003, 17 cases of malaria (1 fatal) were observed in illegal Chinese immigrants who traveled to Italy through Africa. A further cluster of 12 was reported in August, 2002. Several immigrants traveled by air, making the risk of introducing sudden acute respiratory syndrome a possibility should such illegal immigrations continue
Writing Now, Reading Now: Peter Behrens
No full textPeter Behrens's novel "The Law of Dreams" won the Governor-General's Award, Canada's most prestigious book prize. He's the author of a second novel, "The O'Briens," and the story collection "Nightdriving." His fiction and nonfiction have appeared in The Atlantic Monthly, Tin House, Brick, Best Canadian Stories and many anthologies. He is the Fall 2013 Wichita State Visiting Distinguished Fiction Writer
Author Correction: the BrainLat project, a multimodal neuroimaging dataset of neurodegeneration from underrepresented backgrounds
No full textIn this article the author name Maria Isabel Behrens was incorrectly written as Maria Isabel Beherens. The original article has been corrected.Versión Publicad
How Camouflage Works: the Dazzling Past and Future of Natural and Military Camouflage [poster, 2017]
No full textAlt Text: Poster with foreground image of a woman holding a parasol wearing black and white striped clothing. Additional images of a brown moth and a ship painted in black and white stripes. A blue text block with white and yellow letters below the images.
Transcription: A richly illustrated talk by author, designer and UNI professor. Roy R. Behrens. 2:00 pm Sunday, May 21, 2017. How Camouflage Works. The Dazzling Past and Future of Natural and Military Camouflage. Lewis and Clark Interpretive Center. 900 Larsen Park Road. Sioux City, IA. Exit 149 off I-29. Admission and programs are free. Program content is suitable for all ages. http://www.siouxcitylcic.com/.
Description: A poster announcing a presentation on camouflage, both natural and military, given by Roy R Behrens in Sioux City in May 2017.https://scholarworks.uni.edu/behrens_posters/1160/thumbnail.jp
Malaria prophylaxis policy for travellers from Europe to the Indian Subcontinent.
No full textAnalysis of malaria imported into eight European countries from the Indian Sub-continent (ISC) (India, Pakistan, Bangladesh and Sri Lanka) led to a consensus statement on the use of chemoprophylaxis within TropNetEurop. The proportion of cases from the ISC in 2004 ranged from 1.4%-4.6% of total imported cases. Plasmodium falciparum cases reported from the eight countries was only 23 (13% of all cases from the region). Total malaria reports between 1999-2004 fell from 317 to 180. The risk of malaria in UK residents visiting the region was > 1 case per 1,000 years exposed. The group recommended non-selective prescribing of chemoprophylaxis for visitors to India, Pakistan, Bangladesh and Sri Lanka should be dropped
Frank Lloyd Wright and Mason City [poster 08, 2017]
No full textAlt Text: Poster with a headshot of Frank Lloyd Wright in the background with an gray netting design on the right side of the head and shoulders. Tan image of four rows of beads in a half circle. Text in white letters.
Transcription: Frank Lloyd Wright. Mason City and Book Design. A 60-minute slide talk by Prof. Roy R. Behrens author of Frank Lloyd Wright and Mason City: Architectural Heart of the Prairie. Mason City Public Library. 6:00 pm, Tuesday, April 11, 2017. In the Mason City Room. Free and Open to the Public. National Library Week.
Description: Poster announcing a presentation by Roy R. Behrens on Frank Lloyd Wright, Mason City and book design on April 11, 2017.https://scholarworks.uni.edu/behrens_posters/1145/thumbnail.jp
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