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1.
MMWR Morb Mortal Wkly Rep ; 65(38): 1039-40, 2016 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-27685014

RESUMO

On April 15, 2016, local public health officials in Shelby County, Tennessee, were notified of a positive measles immunoglobulin M (IgM) test for a male aged 18 months (patient A). On April 18, 2016, a second positive measles IgM test was reported for a man aged 50 years (patient B). Both patients had rash onset on April 9, 2016. The Shelby County Health Department initiated an investigation, and confirmatory testing for measles virus on oropharyngeal swabs by polymerase chain reaction (PCR) at CDC was positive for both patients. On April 21, 2016, public health officials were notified of a third suspected measles case in a female aged 7 months (patient C) who had developed a rash on April 14; PCR testing was positive. Genotyping conducted at CDC identified genotype B3 measles virus in all three cases. Genotype B3 is known to be circulating globally and has previously been associated with imported cases in the United States (1).


Assuntos
Surtos de Doenças , Vírus do Sarampo/isolamento & purificação , Sarampo/diagnóstico , Sarampo/epidemiologia , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Imunoglobulina M/sangue , Lactente , Masculino , Sarampo/etiologia , Vírus do Sarampo/imunologia , Pessoa de Meia-Idade , Tennessee/epidemiologia , Adulto Jovem
2.
Clin Nurs Res ; 17(1): 20-31, 2008 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18184976

RESUMO

This exploratory study examines differences in health risk characteristics and perceived health by caregiver status in two groups of Black women, 37 informal caregivers and 20 noncaregivers, transitioning from welfare to work. Health risk characteristics were assessed with the Center for Epidemiologic Studies Depression Scale and Healthier People Network Health Risk Appraisal-Version 6. Body mass index (BMI) calculations were based on the standard Centers for Disease Control formula. Perceived health status was assessed using a single-item Cantril ladder. Results show no statistically significant between-group differences in perceived health status, depressive symptoms, frequency of lifestyle behaviors, or BMI. Clinically significant proportions of participants in both groups rated their health as poor or fair; reported mild to severe depressive symptoms; smoked cigarettes; did not perform monthly self-breast exams; were physically inactive, overweight, or obese; and consumed high-fat diets. Black women receiving welfare show increased risk for premature chronic health problems, which warrants development of effective community-based risk-reduction programs.


Assuntos
Atitude Frente a Saúde/etnologia , Negro ou Afro-Americano/etnologia , Cuidadores/psicologia , Nível de Saúde , Assistência Pública , Mulheres/psicologia , Adulto , Negro ou Afro-Americano/educação , Índice de Massa Corporal , Cuidadores/educação , Distribuição de Qui-Quadrado , Doença Crônica , Depressão/complicações , Depressão/etnologia , Feminino , Comportamentos Relacionados com a Saúde/etnologia , Inquéritos Epidemiológicos , Humanos , Estilo de Vida , Pesquisa Metodológica em Enfermagem , Medição de Risco , Fatores de Risco , Autoavaliação (Psicologia) , Fatores Socioeconômicos , Estatísticas não Paramétricas , Inquéritos e Questionários , Tennessee , Populações Vulneráveis , Mulheres/educação
3.
Clin Nurs Res ; 13(4): 289-308, 2004 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-15448281

RESUMO

This pilot study used a quasi-experimental pretest-posttest design to examine if participation in a chronic disease self-management program (CDSMP) improved self-efficacy, self-efficacy health, and self-management behaviors in an underserved, poor, rural population. The sample, recruited from two clinics in a south central state, consisted of 48 adults (59.70 +/- 11.22 years) and was 79.2% Caucasian (n = 38) and 20.8% (n = 10) African American. Trained lay leaders with chronic illnesses directed the interactive CDSMP based on Bandura's self-efficacy theory that included strategies for personal exercise program development, cognitive symptom management, problem solving, and communication skills. Program-specific paper-and-pencil instruments were completed prior to and immediately after completion of the 6-week program. Significant improvements (p <.10) in self-efficacy, self-efficacy health, and self-management behaviors occurred. Results underscore the need to evaluate intervention programs for specific populations and for a new paradigm that focuses on patient-provider partnerships that can improve health outcomes in underserved, poor, rural populations.


Assuntos
Educação de Pacientes como Assunto/organização & administração , Autocuidado , Autoeficácia , Grupos de Autoajuda/organização & administração , Adulto , Negro ou Afro-Americano/educação , Negro ou Afro-Americano/psicologia , Idoso , Idoso de 80 Anos ou mais , Atitude Frente a Saúde/etnologia , Doença Crônica/psicologia , Doença Crônica/reabilitação , Gerenciamento Clínico , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Nível de Saúde , Humanos , Masculino , Área Carente de Assistência Médica , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde , Projetos Piloto , Áreas de Pobreza , Avaliação de Programas e Projetos de Saúde , Saúde da População Rural , Autocuidado/métodos , Autocuidado/psicologia , Tennessee , População Branca/educação , População Branca/psicologia
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