Hovmandstraarup2421
could facilitate inappropriate use. Conclusion Inappropriate antibiotic use was high and influenced by out-of-pocket payment for healthcare, seeking healthcare outside health centers, pharmacies, and buying antibiotics in installments due to cost. To improve appropriate antibiotic use, there is the need for ministry of health and healthcare agencies in Ghana to enhance healthcare access and healthcare insurance, and to provide affordable antibiotics. Copyright © 2020 Afari-Asiedu, Oppong, Tostmann, Ali Abdulai, Boamah-Kaali, Gyaase, Agyei, Kinsman, Hulscher, Wertheim and Asante.Fine particulate matter emissions (PM2.5) from landscape biomass fires, both prescribed and wild, pose a significant public health risk, with smoke exposure seasonally impacting human populations through both highly concentrated local plumes, and more dispersed regional haze. A range of technologies now exist for mapping and modeling atmospheric particulate concentration, including low-cost mobile monitors, dispersion and chemical transport modeling, multi-spectral earth observation satellites, weather radar, as well as publicly available real-time data feeds from agencies providing information about fire activity on the ground. Ubiquitous smart phone availability also allows instant public reporting of both health symptoms and smoke exposure. We describe a web-based visual display interface, Air Quality Visualization (AQVx), developed to allow the overlaying, synchronization and comparison of a range of maps and data layers, in order to both assess the potential public health impact of landscape fire smoke plumes, and the accuracy of dispersion models. The system was trialed in the state of Victoria, in south-eastern Australia, within the domain of the AQFx chemical transport model, where large-scale annual prescribed burning operations (~11,000 km2 yr) are carried out, and where extreme wildfires frequently occur during the summer months. AQVx, coupled with the ARSmoke smart phone application, allowed managers to rapidly validate modeled smoke transport against satellite imagery, and identify potential exposure risks to populated areas. Copyright © 2020 Williamson and Lucani.Influenza A viruses are amongst the most challenging viruses that threaten both human and animal health. Constantly evolving and crossing species barrier, the emergence of novel zoonotic pathogens is one of the greatest challenges to global health security. During the last decade, considerable attention has been paid to influenza virus infections in dogs, as two canine H3N8 and H3N2 subtypes caused several outbreaks through the United States and Southern Asia, becoming endemic. Cats, even though less documented in the literature, still appear to be susceptible to many avian influenza infections. While influenza epidemics pose a threat to canine and feline health, the risks to humans are largely unknown. Here, we review most recent knowledge of the epidemiology of influenza A viruses in dogs and cats, existing evidences for the abilities of these species to host, sustain intraspecific transmission, and generate novel flu A lineages through genomic reassortment. Such enhanced understanding suggests a need to reinforce surveillance of the role played by companion animals-human interface, in light of the "One Health" concept and the potential emergence of novel zoonotic viruses. Copyright © 2020 Borland, Gracieux, Jones, Mallet and Yugueros-Marcos.Work-related stress is relatively common in modern society and is a major cause of sick-leave. Thus, effective stress reducing interventions are needed. This study examined the effects of mental training and mechanical massage, on employee's heart rate variability (HRV) and plasma cortisol at their workplaces. Moreover, it was investigated whether baseline systolic blood pressure (SBP) can explain differences in effectiveness of the intervention. ONO-7475 mouse Ninety-three participants from four workplaces were randomly assigned to one of the five programs (I) Mechanical massage and mental training combined, II) Mechanical massage, III) Mental training, IV) Pause, or V) Control. HRV and plasma cortisol were measured at baseline and after 4 and 8 weeks. SBP was measured at baseline. On the reduction of cortisol levels, a small effect of the mechanical massage program was found, whereas no effect was found for the other programs. None of the programs showed any effect on HRV. Nonetheless, when the level of systolic blood pressure was taken into account, some small beneficial effects on HRV and cortisol of mental training and the mechanical massage were found. This exploratory pilot-study provides useful information for future studies that aim to reduce stress among employees. Copyright © 2020 Van Dijk, Huizink, Müller, Uvnäs-Moberg, Ekström-Bergström and Handlin.Background The Centers for Disease Control and Prevention's Prevention Research Centers (PRC) Program supports community engagement and partnerships to translate health evidence into practice. Translation is dependent on the quality of partnerships. However, questions remain about the necessary characteristics to develop and maintain translation partnerships. Aim To identify the characteristics that influence community-university partnerships and examine alignment with the Knowledge to Action (K2A) Framework. Methods Final Progress Reports (N = 37) from PRCs funded from September 2009 to September 2014 were reviewed in 2016-2017 to determine eligibility. Eligible PRCs included those that translated an innovation following the applied research phase (2009-2014) of the PRC award (n = 12). The PRCs and the adopters (i.e., community organizations) were recruited and participated in qualitative interviews in 2017. Results Ten PRCs (83.3% response rate) and four adopters participated. Twelve codes (i.e., elements) were found that impacted partnerships along the translation continuum (e.g., adequate communication, technical assistance). Each element aligned with the K2A Framework at multiple steps within the translation phase. The intersection between the element and step in the translation phase is termed a "characteristic." Using interview data, fifty-two unique partnership characteristics for translation were found. Discussion and Conclusion The results suggest multiple characteristics that impact translation partnerships. The inclusion of these partnership characteristics in policies and practices that seek to move practice-based or research-based evidence into widespread use may impact the receptivity by partners and evidence uptake by communities. Using the K2A Framework to assess translation partnerships was helpful and could be considered in process evaluations to inform translation partnership improvement. Copyright © 2020 Young, Leeks, Bish, Mihas, Marcelin, Kline and Ulin.