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Healthcare, Volume 6, Issue 2

June 2018 - 42 articles

Cover Story: Lyme disease is a tick-borne infection caused by the spirochete Borrelia burgdorferi. A previous study from Tulane University showed that the Lyme spirochete could survive antibiotic therapy in monkeys. In the present study, researchers examined culture samples from twelve human patients who had positive antibody tests for Lyme disease and persistent symptoms despite prior or current antibiotic treatment. All twelve patients had positive cultures for Borrelia burgdorferi, even if they were currently taking antibiotics. The presence of live spirochetes in symptomatic Lyme disease patients supports the role of ongoing infection, despite antibiotic therapy in these patients. View this paper
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Articles (42)

  • Review
  • Open Access
46 Citations
27,664 Views
14 Pages

Thoracic outlet syndrome (TOS) describes a group of disorders that are due to a dynamic compression of blood vessels or nerves, between the clavicle and first rib or cervical vertebral nerve roots. Individuals with TOS typically experience upper limb...

  • Article
  • Open Access
7 Citations
8,810 Views
16 Pages

A Community Study of Borrelia burgdorferi Antibodies among Individuals with Prior Lyme Disease in Endemic Areas

  • Barbara Strobino,
  • Katja Steinhagen,
  • Wolfgang Meyer,
  • Thomas Scheper,
  • Sandra Saschenbrecker,
  • Wolfgang Schlumberger,
  • Winfried Stöcker,
  • Andrea Gaito and
  • Brian A. Fallon

The objective was to examine the prevalence of Borrelia antibodies among symptomatic individuals with recent and past Lyme disease in endemic communities using standard assays and novel assays employing next-generation antigenic substrates. Single- a...

  • Article
  • Open Access
49 Citations
37,337 Views
8 Pages

Impact of Nurse Practitioner Practice Regulations on Rural Population Health Outcomes

  • Judith Ortiz,
  • Richard Hofler,
  • Angeline Bushy,
  • Yi-ling Lin,
  • Ahmad Khanijahani and
  • Andrea Bitney

Background: For decades, U.S. rural areas have experienced shortages of primary care providers. Nurse practitioners (NPs) are helping to reduce that shortage. However, NP scope of practice regulations vary from state-to-state ranging from autonomous...

  • Article
  • Open Access
7 Citations
6,818 Views
9 Pages

The USA is steadily moving towards a health system that emphasizes ‘wellness’ over ‘sickness’ care. An effective wellness program utilizes a ‘population health’ approach that ensures that all patients who seek care from a health system receive the se...

  • Article
  • Open Access
17 Citations
5,591 Views
12 Pages

Little is known about pain and pain treatment among people with intellectual disabilities (IDs). We aimed to describe pain and pain medications among older people with ID compared to the general population. Data on diagnoses and prescriptions were co...

  • Article
  • Open Access
30 Citations
12,086 Views
12 Pages

Conversations about Death and Dying with Older People: An Ethnographic Study in Nursing Homes

  • Åsa Alftberg,
  • Gerd Ahlström,
  • Per Nilsen,
  • Lina Behm,
  • Anna Sandgren,
  • Eva Benzein,
  • Birgitta Wallerstedt and
  • Birgit H. Rasmussen

Nursing homes are often places where older persons “come to die.” Despite this, death and dying are seldom articulated or talked about. The aim of this study was to explore assistant nurses’ experiences of conversations about death...

  • Article
  • Open Access
19 Citations
12,171 Views
20 Pages

Serving in the military leads to mental diseases, such as post-traumatic stress disorder (PTSD), for a percentage of soldiers globally. The number of veterans with PTSD is increasing and, although medication and psychological treatments are offered,...

  • Feature Paper
  • Article
  • Open Access
5 Citations
4,965 Views
15 Pages

In recent years, there has been an increasing focus on the need to integrate formal knowledge with clinical experience in the pre-clinical years since the initial years of medical education play an important role in shaping the attitudes of medical s...

  • Feature Paper
  • Article
  • Open Access
83 Citations
12,997 Views
13 Pages

Background: Living above the poverty line reduces the risk of physical illnesses, including childhood asthma (CA). Minorities’ Diminished Return theory, however, suggests that the protective effects of socioeconomic status (SES) on health are w...

  • Article
  • Open Access
8 Citations
4,958 Views
10 Pages

Impact of Standardized Prenatal Clinical Training for Traditional Birth Attendants in Rural Guatemala

  • Sasha Hernandez,
  • Jessica Oliveira,
  • Leah Jones,
  • Juan Chumil and
  • Taraneh Shirazian

In low-and-middle-income countries (LMICs), traditional birth attendant (TBA) training programs are increasing, yet reports are limited on how those programs affect the prenatal clinical abilities of trained TBAs. This study aims to assess the impact...

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Healthcare - ISSN 2227-9032