Browsing by Subject "medical treatment"
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Item Clinical Internship with the Pediatric Clinic's Clinical Research at the Patient Care Center of the University of North Texas Health Science Center/Texas College of Osteopathic Medicine: Literature Review of Meningococcal Meningitis(2002-07-01) Puckett, Fredric Clark; Harold Sheedlo; Robin Newman; John FlingEpidemic meningococcal meningitis and meningococcemia disease is caused by the bacterial pathogen Neisseria meningitidis. Once infected with meningococci, onset of the disease is rapid with a high rate or morbidity and mortality. Without medical intervention the mortality rate is over 50%. Medical treatment is over 50%. Medical treatment of an outbreak of the disease with antibiotics can reduce the death rate to 10-15%. However, 10-20% of survivors will suffer from neurological damage that may include loss of hearing, paralysis or mental retardation. Recent concerns have been noted regarding the emergence of Neisseria meningitidis strains resistant to antibiotics. Vaccines have been developed in an effort to reduce epidemic outbreaks of meningococcal meningitis and meningococcemia. The first generation polysaccharide vaccines have shown to be safe and possess some degree of effectiveness but have shortcomings of limited length of immune protection and evidence of hyporesponsiveness to subsequent vaccinations. The second generation conjugated polysaccharide vaccines have been able to overcome these problems and show great promise in reducing the sale of epidemic meningococcal outbreaks with implementation of effective mass vaccination campaigns. In addition, reducing the number of infections will limit the exposure of Neisseria meningitidis to antibiotics and, in theory, slow the development of resistance to antibiotics.Item Language and Cultural Access Services for Healthcare of Latinos: A Study of Their Experiences in Dallas County(2006-04-04) Prieto, Juan; Coggin, Claudia; Gonzalez, Adela; Cipher, DaishaPrieto, Juan G., Language and Cultural Access Services for Healthcare of Latinos: A Study of Their Experiences in Dallas County. Master of Public Health (Community Health), April 4, 2006, pp 53, tables 5, bibliography, titles 29. The American healthcare system largely serves English-speakers, but 21 million Latinos in this country speak limited English. This cross-sectional study examines language laws and patient experiences in overcoming communication barriers. The study’s responses suggest lack of awareness of language access rights among Latinos and non-compliance with language laws by some public and private healthcare providers. Communication gaps can result in untreated or misdiagnosed illness, injury or death. However, life-threatening disparities experienced by Latinos could be alleviated if patients learned of their language rights through media campaigns. Medical treatment would drastically improve the hiring, training and supporting bilingual healthcare professionals; through the strengthening the enforcement of language services laws; and through the allocating funds for cultural and linguistic services in healthcare.