Browsing by Subject "allergies"
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Item All-cause and CVD-specific mortality associated with allergic rhinitis and allergic asthma: a retrospective cohort study(2014-08-01) Gandhi, Subi; Felini, Martha; El-Faramawi, Mohammed; Aryal, SubhashAsthma has allergic and non-allergic forms. Asthma has been associated with all-cause mortality and CVD-specific mortality, but the role of allergic asthma on these outcomes is unknown. Additionally, allergic rhinitis and its concomitant role with allergic asthma have not been explored for these two specific outcomes. The present study utilized NHANES III and NHANES III-linked mortality files to study the risk of all-cause and CVD-specific mortality due to allergic rhinitis and allergic asthma, independently and concurrently. Unlike previously conducted studies, this is the first cohort study that uniquely focused on allergic forms of rhinitis and asthma using a representative sample of the general US population. Men and women of all racial/ethnic backgrounds (≥40 years) whose mortality was ascertained via National Death Index were included in this study. Hazard ratios (HRs) and corresponding 95% confidence intervals (CIs) were calculated for those with self-reported allergic conditions only, as well as for those that self-reported the allergic conditions and underwent skin testing, for all-cause and CVD-specific mortality. The combined effect for all-cause mortality {HR: 1.23 (95%CI: 0.91, 1.29)} and CVD-specific mortality {HR: 1.66 (95%CI: 0.85, 3.25)} was observed among those that self-reported allergic rhinitis and allergic asthma concurrently. However, results were null among skin test completers only. Based on our findings health practitioners should assess both the conditions simultaneously for better management of these symptoms to reduce the burden of all-cause and CVD-specific mortality.Item Health Risk Associated with Microbial Contamination in Healthcare Facilities(2007-07-01) Palmer, Eboni D.; Larranaga, Michael; Gratton, Terry; Ramphal, LilyPalmer, Eboni D., Health Risk Associated with Microbial Contamination in Healthcare Facilities. Master of Public Health (Occupational Health Practice), July 2007, 96 pp., 20 tables, 8 illustrations, bibliography, 140 titles. This study developed a model assessing the risk associated with indoor microbial contamination in health care facilities. A semi-quantitative model resulting in numerical scores was used to describe the severity of risk associated with given levels of contamination. The hospital used in this study had problems with water intrusion. There were 99 locations from 3 air handler unit (AHU) service area locations examined. The final results produced a health risk rating for all three AHUs of medium risk. There is an increased risk of adverse health outcomes due to exposure from environmental microbial contamination. Immunocompromised patients and patients with allergies are not protected from the risk of developing a nosocomial infection or allergic reaction. Remediation of the contaminated areas must be performed in order to reduce the risk.