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2014

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Volume 51, Number 37: April 30, 2014, University Of North Dakota Apr 2014

Volume 51, Number 37: April 30, 2014, University Of North Dakota

University Letter Archive

No abstract provided.


Performance Of The Oraquick Hcv Rapid Antibody Test For Screening Exposed Patients In A Hepatitis C Outbreak Investigation, Fengxiang Gao, Elizabeth A. Talbot, Carol H. Loring, Jill J. Power, Jodie Dionne-Odom Apr 2014

Performance Of The Oraquick Hcv Rapid Antibody Test For Screening Exposed Patients In A Hepatitis C Outbreak Investigation, Fengxiang Gao, Elizabeth A. Talbot, Carol H. Loring, Jill J. Power, Jodie Dionne-Odom

Dartmouth Scholarship

During a nosocomial hepatitis C outbreak, emergency public clinics employed the OraQuick HCV rapid antibody test on site, and all results were verified by a standard enzyme immunoassay (EIA). Of 1,157 persons, 1,149 (99.3%) exhibited concordant results between the two tests (16 positive, 1,133 negative). The sensitivity, specificity, positive predictive value, and negative predictive value were 94.1%, 99.5%, 72.7%, and 99.9%, respectively. OraQuick performed well as a screening test during an outbreak investigation and could be integrated into future hepatitis C virus (HCV) outbreak testing algorithms.


Benzathine Penicillin G For The Prevention Of Rheumatic Fever And Rheumatic Heart Disease In The Developing World: A Global Survey Of The Quality And Quantity Of Supply, Stephen B. Marko Apr 2014

Benzathine Penicillin G For The Prevention Of Rheumatic Fever And Rheumatic Heart Disease In The Developing World: A Global Survey Of The Quality And Quantity Of Supply, Stephen B. Marko

Master's Theses

No abstract provided.


Cultural Competency In The Medical Workplace: A Look At Outpatient Clinic Nurses At A Children's Hospital In New England, Evelyn S. Callahan Apr 2014

Cultural Competency In The Medical Workplace: A Look At Outpatient Clinic Nurses At A Children's Hospital In New England, Evelyn S. Callahan

Honors Scholar Theses

This paper analyzes the current state of progress toward cultural competency in the medical workplace, specifically in the hospital setting. It compares the current writing on the topic to research done at a large New England children’s hospital. The nurses are all individuals who work in an out patient setting so they often see the same patients regularly for longer periods of time. This differs from the in-patient or floor nurses who only spend limited time with a constantly changing population of patients. The research involved one-on-one interviews and a focus group with nurses at the hospital. The focus group …


Galapagos Mosquitoes As Avian Disease Vectors, Daniel Anthony Hartman Apr 2014

Galapagos Mosquitoes As Avian Disease Vectors, Daniel Anthony Hartman

Theses

An avian malaria parasite of the genus Plasmodium has been detected consistently in the Galapagos Penguin (Speniscus mendiculus) in recent years. Subsequent screening of passerines has revealed more PCR positive birds, with most of them sampled on the southern coasts of Isabela and Santa Cruz islands. We sampled the two zoophilic mosquito species (Aedes taeniorhynchus and Culex quinquefasciatus) using both CDC light traps and CDC gravid traps along an altitudinal gradient from the southern coasts of these islands to the highlands to investigate whether mosquitoes occur at all elevations, and whether there may be mosquito-free refugia at higher elevation zones …


Precautionary Labelling Of Foods For Allergen Content: Are We Ready For A Global Framework?, Katrina J. Allen, Paul J. Turner, Ruby Pawankar, Steve Taylor, Scott Sicherer, Gideon Lack, Nelson Rosario, Motohiro Ebisawa, Gary Wong, E. N. Clare Mills, Kirsten Beyer, Alessandro Fiocchi, Hugh A. Sampson Apr 2014

Precautionary Labelling Of Foods For Allergen Content: Are We Ready For A Global Framework?, Katrina J. Allen, Paul J. Turner, Ruby Pawankar, Steve Taylor, Scott Sicherer, Gideon Lack, Nelson Rosario, Motohiro Ebisawa, Gary Wong, E. N. Clare Mills, Kirsten Beyer, Alessandro Fiocchi, Hugh A. Sampson

Department of Food Science and Technology: Faculty Publications

Food allergy appears to be on the rise with the current mainstay of treatment centred on allergen avoidance. Mandatory allergen labelling has improved the safety of food for allergic consumers. However an additional form of voluntary labelling (termed precautionary allergen labelling) has evolved on a wide range of packaged goods, in a bid by manufacturers to minimise risk to customers, and the negative impact on business that might result from exposure to trace amounts of food allergen present during cross-contamination during production. This has resulted in near ubiquitous utilisation of a multitude of different precautionary allergen labels with subsequent confusion …


Protecting The Environment By Addressing Market Failure In Intellectual Property Law: Why Compulsory Licensing Of Green Technologies Might Make Sense In The United States Institutional Religious Exemptions: A Balancing Approach, Adam Gunderson Apr 2014

Protecting The Environment By Addressing Market Failure In Intellectual Property Law: Why Compulsory Licensing Of Green Technologies Might Make Sense In The United States Institutional Religious Exemptions: A Balancing Approach, Adam Gunderson

BYU Law Review

No abstract provided.


Suppression Of Basophil Histamine-Release And Other Ige-Dependent Responses In Childhood Schistosoma Mansoni Hookworm Co-Infection, Angela Pinot De Moira, Colin M. Fitzsimmons, Frances M. Jones, Shona Wilson, Pierre Cahen, Edridah Tukahebwa, Harriet Mpairwe, Joseph K. Mwatha, Jeffrey M. Bethony, Per S. Skov, Narcis B. Kabatereine, David W. Dunne Apr 2014

Suppression Of Basophil Histamine-Release And Other Ige-Dependent Responses In Childhood Schistosoma Mansoni Hookworm Co-Infection, Angela Pinot De Moira, Colin M. Fitzsimmons, Frances M. Jones, Shona Wilson, Pierre Cahen, Edridah Tukahebwa, Harriet Mpairwe, Joseph K. Mwatha, Jeffrey M. Bethony, Per S. Skov, Narcis B. Kabatereine, David W. Dunne

Microbiology, Immunology, and Tropical Medicine Faculty Publications

Background. The poor correlation between allergen-specific-IgE (asIgE) and clinical signs of allergy in helminth infected populations suggests that helminth infections could protect against allergy by uncoupling asIgE from its effector mechanisms. We investigated this hypothesis in Ugandan schoolchildren coinfected with Schistosoma mansoni and hookworm.

Methods. Skin prick test (SPT) sensitivity to house dust mite allergen (HDM) and current wheeze were assessed pre-anthelmintic treatment. Non-specific (anti-IgE), helminth-specific and HDM-allergen-specific basophil histamine release (HR), plus helminth- and HDM-specific IgE and IgG4 responses were measured pre- and post-treatment.

Results. Non-specific- and helminth-specific-HR, and associations between helminth-specific-IgE and helminth-specific-HR increased post-treatment. Hookworm infection appeared …


A Retrospective Study Of Operating Room Utilization And Efficiency In A Pediatric Dental Residency Program, Brian Burke Apr 2014

A Retrospective Study Of Operating Room Utilization And Efficiency In A Pediatric Dental Residency Program, Brian Burke

Theses and Dissertations

Purpose: The purpose was to assess and understand operating room (OR) utilization and efficiency in a pediatric dental residency program. Methods: A retrospective study was performed using chart extraction from 778 patients completed by both pediatric dentistry faculty (n=7) and residents (n=17) in an ambulatory care setting over a 32 month period (between July 2010 and March 2013). Patterns in OR usage time were determined by documenting various timing metrics (start and stop times for anesthesia, start and stop times for the dental procedure, times for throat pack in and out), noting patient information (age and ASA patient classification status), …


April 29, 2014 Ereporter, University Of Alabama At Birmingham Apr 2014

April 29, 2014 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.


Avirulent Strains Of Toxoplasma Gondii Infect Macrophages By Active Invasion From The Phagosome, Yanlin Zhao, Andrew H. Marple, David J. P. Ferguson, David J. Bzik, George S. Yap Apr 2014

Avirulent Strains Of Toxoplasma Gondii Infect Macrophages By Active Invasion From The Phagosome, Yanlin Zhao, Andrew H. Marple, David J. P. Ferguson, David J. Bzik, George S. Yap

Dartmouth Scholarship

Unlike most intracellular pathogens that gain access into host cells through endocytic pathways, Toxoplasma gondii initiates infection at the cell surface by active penetration through a moving junction and subsequent formation of a parasitophorous vacuole. Here, we describe a noncanonical pathway for T. gondii infection of macrophages, in which parasites are initially internalized through phagocytosis, and then actively invade from within a phagosomal compartment to form a parasitophorous vacuole. This phagosome to vacuole invasion (PTVI) pathway may represent an intermediary link between the endocytic and the penetrative routes for host cell entry by intracellular pathogens. The PTVI pathway is preferentially …


Intersecting Oppressions And Mass Incarceration: Male Opportunity Over The Life Course, Paige Vaughn Apr 2014

Intersecting Oppressions And Mass Incarceration: Male Opportunity Over The Life Course, Paige Vaughn

Undergraduate Library Research Awards

No abstract provided.


Pappas Among First Academics To Conduct Clinical Research At Nih, Reporter Staff Apr 2014

Pappas Among First Academics To Conduct Clinical Research At Nih, Reporter Staff

Browse All News

No abstract provided.


The Collegian (2014-04-28), Cleiri Quezada Apr 2014

The Collegian (2014-04-28), Cleiri Quezada

UTB/TSC Archives - The Collegian [Newspaper]

Vol. 66, No. 28


Dynamic Social Support Networks Of Younger Black Men Who Have Sex With Men With New Hiv Infection, Dexter R. Voisin Apr 2014

Dynamic Social Support Networks Of Younger Black Men Who Have Sex With Men With New Hiv Infection, Dexter R. Voisin

Faculty Scholarship

Rising rates of HIV infection among younger black men who have sex with men (YBMSM) in the USA have generated a public health emergency. Living with HIV requires deep and persistent social support often available only from close confidants. Enlisting endogenous support network members into the care of HIV-infected YBMSM may help shape sustainable supportive environments, leading to long-term improvements in mental and HIV-specific health outcomes. The present study examined trends in support network change over time after new HIV diagnoses among 14 YBMSM. Participants completed a social network survey that utilized sociograms to record support confidants (SCs) preceding HIV …


Health Reform Implementation: Update And Implications For Kentucky, Glen P. Mays Apr 2014

Health Reform Implementation: Update And Implications For Kentucky, Glen P. Mays

Health Management and Policy Presentations

This talk reviews the progress of health reform implementation in Kentucky with a focus on opportunities for aligning systems for medical care, public health, and social support delivery to improve population health.


Genome-Wide Mycobacterium Tuberculosis Variation (Gmtv) Database: A New Tool For Integrating Sequence Variations And Epidemiology, Ekaterina N. Chernyaeva, Marina V. Shulgina, Mikhail Rotkevich, Pavel Dobrynin, Serguei Simonov, Egor A. Shitikov, Dmitry S. Ischenko, Irina Y. Karpova, Elena S. Kostryukova, Elena N. Ilina, Vadim M. Govorun, Vyacheslav Y. Zhuravlev, Olga A. Manicheva, Peter K. Yablonsky, Yulia D. Isaeva, Elena Y. Nosova, Igor V. Mokrousov, Anna A. Vyazovaya, Olga V. Narvskaya, Alla L. Lapidus, Stephen J. O'Brien Apr 2014

Genome-Wide Mycobacterium Tuberculosis Variation (Gmtv) Database: A New Tool For Integrating Sequence Variations And Epidemiology, Ekaterina N. Chernyaeva, Marina V. Shulgina, Mikhail Rotkevich, Pavel Dobrynin, Serguei Simonov, Egor A. Shitikov, Dmitry S. Ischenko, Irina Y. Karpova, Elena S. Kostryukova, Elena N. Ilina, Vadim M. Govorun, Vyacheslav Y. Zhuravlev, Olga A. Manicheva, Peter K. Yablonsky, Yulia D. Isaeva, Elena Y. Nosova, Igor V. Mokrousov, Anna A. Vyazovaya, Olga V. Narvskaya, Alla L. Lapidus, Stephen J. O'Brien

Biology Faculty Articles

Background

Tuberculosis (TB) poses a worldwide threat due to advancing multidrug-resistant strains and deadly co-infections with Human immunodeficiency virus. Today large amounts of Mycobacterium tuberculosis whole genome sequencing data are being assessed broadly and yet there exists no comprehensive online resource that connects M. tuberculosis genome variants with geographic origin, with drug resistance or with clinical outcome.

Description

Here we describe a broadly inclusive unifying Genome-wide Mycobacterium tuberculosis Variation (GMTV) database, (http://mtb.dobzhanskycenter.org) that catalogues genome variations of M. tuberculosis strains collected across Russia. GMTV contains a broad spectrum of data derived from different sources and related to M. …


A Dna Microarray-Based Assay To Detect Dual Infection With Two Dengue Virus Serotypes, Alvaro Diaz-Badillo, María De Lourdes Muñoz, Gerardo Pérez-Ramírez, Victor Altuzar, Juan Burgueño, Julio G. Mendoza-Alvarez, Jorge P. Martínez-Muñoz, Alejandro Cisneros, Joel Navarrete-Espinosa, Feliciano Sanchez-Sinencio Apr 2014

A Dna Microarray-Based Assay To Detect Dual Infection With Two Dengue Virus Serotypes, Alvaro Diaz-Badillo, María De Lourdes Muñoz, Gerardo Pérez-Ramírez, Victor Altuzar, Juan Burgueño, Julio G. Mendoza-Alvarez, Jorge P. Martínez-Muñoz, Alejandro Cisneros, Joel Navarrete-Espinosa, Feliciano Sanchez-Sinencio

School of Medicine Publications

Here; we have described and tested a microarray based-method for the screening of dengue virus (DENV) serotypes. This DNA microarray assay is specific and sensitive and can detect dual infections with two dengue virus serotypes and single-serotype infections. Other methodologies may underestimate samples containing more than one serotype. This technology can be used to discriminate between the four DENV serotypes. Single-stranded DNA targets were covalently attached to glass slides and hybridised with specific labelled probes. DENV isolates and dengue samples were used to evaluate microarray performance. Our results demonstrate that the probes hybridized specifically to DENV serotypes; with no detection …


The Promise Of Healthcare Reform In Transforming Services For Jail Detainees, Maureen Mcdonnell, Laura Brookes, Arthur J. Lurigio Apr 2014

The Promise Of Healthcare Reform In Transforming Services For Jail Detainees, Maureen Mcdonnell, Laura Brookes, Arthur J. Lurigio

Psychology: Faculty Publications and Other Works

Chronic behavioral health conditions, such as psychiatric and substance use disorders, affect at least half of all arrestees, with two-thirds suffering from at least one chronic medical disorder. These conditions contribute to their criminal behaviors and propensities to recycle through the criminal justice system (Binswanger et al. Journal of Urban Health 89:183-190, 2012). Despite their limited resources, jails have nonetheless become de facto settings for the delivery of healthcare services. With the passage of the Affordable Care Act (ACA) of 2010, jail releasees will become eligible for government-subsidized healthcare coverage in 2014. The widespread availability of integrated healthcare services for …


Implications Of Climate Change On The Distribution Of The Tick Vector Ixodes Scapularis And Risk For Lyme Disease In The Texas-Mexico Transboundary Region, Teresa Patricia Feria-Arroyo, Ivan Castro-Arellano, Guadalupe Gordillo Pérez, Ana L. Cavazos, Margarita Vargas-Sandoval, Abha Grover, Javier Torres, Raul F. Medina, Adalberto A. Pérez De León, Maria Dolores Esteve-Gassent Apr 2014

Implications Of Climate Change On The Distribution Of The Tick Vector Ixodes Scapularis And Risk For Lyme Disease In The Texas-Mexico Transboundary Region, Teresa Patricia Feria-Arroyo, Ivan Castro-Arellano, Guadalupe Gordillo Pérez, Ana L. Cavazos, Margarita Vargas-Sandoval, Abha Grover, Javier Torres, Raul F. Medina, Adalberto A. Pérez De León, Maria Dolores Esteve-Gassent

School of Integrative Biological & Chemical Sciences (Formerly Dept. of Biology)

Background: Disease risk maps are important tools that help ascertain the likelihood of exposure to specific infectious agents. Understanding how climate change may affect the suitability of habitats for ticks will improve the accuracy of risk maps of tick-borne pathogen transmission in humans and domestic animal populations. Lyme disease (LD) is the most prevalent arthropod borne disease in the US and Europe. The bacterium Borrelia burgdorferi causes LD and it is transmitted to humans and other mammalian hosts through the bite of infected Ixodes ticks. LD risk maps in the transboundary region between the U.S. and Mexico are lacking. Moreover, …


Environmental Cleaning In The Emergency Department, Jenny Vang Apr 2014

Environmental Cleaning In The Emergency Department, Jenny Vang

Celebrating Scholarship & Creativity Day (2011-2017)

Emergency Departments (ED) have protocols in place for cleaning rooms vacated by patients in order to reduce the spread of infection. What is the health care staff’s responsibility to ensure these protocols are being updated and implemented as part of infection control? The principle objective of this project is to re-educate healthcare staff on the importance of the environmental cleaning policy in the ED to decrease transmission of multi-drug resistant organisms (MDRO). Secondary objectives include a review of the literature to provide evidence on the most effective disinfectant wipe to reduce MDROs, and best methods for evaluating cleanliness. Data will …


Ursinus College Celebration Of Student Achievement (Cosa) Schedule Of Events, 2014, Office Of Academic Affairs Apr 2014

Ursinus College Celebration Of Student Achievement (Cosa) Schedule Of Events, 2014, Office Of Academic Affairs

Celebration of Student Achievement Schedules

This schedule details the performances, panels, talks and poster presentations held on the ninth annual Ursinus College CoSA day.


Unifying Systems For Population Health: Infrastructure, Incentives & Evidence For Collective Action, Glen P. Mays Apr 2014

Unifying Systems For Population Health: Infrastructure, Incentives & Evidence For Collective Action, Glen P. Mays

Health Management and Policy Presentations

This presentation, part of the SBM Presidential Symposium on Aligning Family, Clinical, and Community Systems, reviews the collective action problems that are commonly encountered in implementing multi-sector population health improvement strategies, and examines research on ways of using public health strategies and infrastructure to overcome these problems.


A Mixed Ecologic-Cohort Comparison Of Physical Activity & Weight Among Young Adults From Five Populations Of African Origin, Amy Luke, Pascal Bovet, Jacob Plange-Rhule, Terrence E. Forrester, Estelle V. Lambert, Dale A. Schoeller, Lara R. Dugas, Ramon A. Durazo-Arvizu, David A. Shoham, Guichan Cao, Soren Brage, Ulf Ekelund, Richard S. Cooper Apr 2014

A Mixed Ecologic-Cohort Comparison Of Physical Activity & Weight Among Young Adults From Five Populations Of African Origin, Amy Luke, Pascal Bovet, Jacob Plange-Rhule, Terrence E. Forrester, Estelle V. Lambert, Dale A. Schoeller, Lara R. Dugas, Ramon A. Durazo-Arvizu, David A. Shoham, Guichan Cao, Soren Brage, Ulf Ekelund, Richard S. Cooper

Faculty Publications

Background: Examination of patterns and intensity of physical activity (PA) across cultures where obesity prevalence varies widely provides insight into one aspect of the ongoing epidemiologic transition. The primary hypothesis being addressed is whether low levels of PA are associated with excess weight and adiposity. Methods. We recruited young adults from five countries (500 per country, 2500 total, ages 25-45 years), spanning the range of obesity prevalence. Men and women were recruited from a suburb of Chicago, Illinois, USA; urban Jamaica; rural Ghana; peri-urban South Africa; and the Seychelles. PA was measured using accelerometry and expressed as minutes per day …


Limited Brain Metabolism Changes Differentiate Between The Progression And Clearance Of Rabies Virus., Keith Schutsky, Carla Portocarrero, D Craig Hooper, Bernhard Dietzschold, Milosz Faber Apr 2014

Limited Brain Metabolism Changes Differentiate Between The Progression And Clearance Of Rabies Virus., Keith Schutsky, Carla Portocarrero, D Craig Hooper, Bernhard Dietzschold, Milosz Faber

Department of Microbiology and Immunology Faculty Papers

Central nervous system (CNS) metabolic profiles were examined from rabies virus (RABV)-infected mice that were either mock-treated or received post-exposure treatment (PET) with a single dose of the live recombinant RABV vaccine TriGAS. CNS tissue harvested from mock-treated mice at middle and late stage infection revealed numerous changes in energy metabolites, neurotransmitters and stress hormones that correlated with replication levels of viral RNA. Although the large majority of these metabolic changes were completely absent in the brains of TriGAS-treated mice most likely due to the strong reduction in virus spread, TriGAS treatment resulted in the up-regulation of the expression of …


Vaccination Perceptions Of School Employees In A Rural School District, Jennifer Orton, Dr. Beth Luthy Apr 2014

Vaccination Perceptions Of School Employees In A Rural School District, Jennifer Orton, Dr. Beth Luthy

Journal of Undergraduate Research

Comparing the pre-vaccine rates to the 2010 rates, vaccine preventable diseases have decreased by 98% or greater for diseases such as smallpox, diphtheria, measles, mumps, and rubella (American Academy of Microbiology [AAM], 2010). High vaccination rates are required to maintain low disease prevalence, and all 50 states have legislated mandates with childhood vaccination requirements before enrolling in public schools in an effort to maintain high vaccination rates (Centers for Disease Control and Prevention [CDC], 2011). Conversely, adult vaccination rates are low and many adults are unsure of their vaccination status (Johnson, Nichol, & Lipczynski, 2008) or are not completely vaccinated …


The Grizzly, April 24, 2014, Dave Muoio, Larissa Coyne, Caroline Sandberg, Deana Harley, Evan Hill, Caitlin Tillson, Rachel Brown, Shawn Hartigan, Olivia Z. Schultz, Jonathan Vander Lugt, Sydney Rotman, Austin Fox Apr 2014

The Grizzly, April 24, 2014, Dave Muoio, Larissa Coyne, Caroline Sandberg, Deana Harley, Evan Hill, Caitlin Tillson, Rachel Brown, Shawn Hartigan, Olivia Z. Schultz, Jonathan Vander Lugt, Sydney Rotman, Austin Fox

Ursinus College Grizzly Newspaper, 1978 to Present

Ursinus Conducts First Ever ISGP Conference on Pandemic Preparedness • Library Staff Planning for Big Changes • First Schellhase Ursinus Essay Prize Announced on CoSa Day • Annual Charity Art Fair to Support Camp Cranium • Political Activists to Speak at Graduation • Senior Fellows Help to Shape the Incoming Freshman Class • Alumni Weekend to be Held on Campus • Opinion: Parents Influence our Political Beliefs; Fight to Preserve Net Neutrality in the US • Balancing Act for the Ages: Senior Bryn O'Neill • Opinion: MLB Must Move on From Steroid Era • Men's Lacrosse Stays Alive, Baseball Splits …


Fungal And Bacterial Infection Mitigation With Antibiotic And Antifungal Loaded Biopolymer Sponges, Ashley Cox Parker Apr 2014

Fungal And Bacterial Infection Mitigation With Antibiotic And Antifungal Loaded Biopolymer Sponges, Ashley Cox Parker

Electronic Theses and Dissertations Archive

Musculoskeletal injuries are some of the most prevalent injuries in both civilian and military populations and their infections can be difficult to treat, often resulting in multiple surgeries and increased costs. In both previous and recent military operations, extremity injuries have been the most common battlefield injuries and many involve complex, open fractures. These extremity injuries are especially susceptible to multiple pathogenic, and sometimes drug resistant, bacteria and fungi. Fungal infections have recently become increasingly problematic in both military and civilian populations and have significantly higher amputation rates than those from bacterial infections. Many of these bacterial and fungal strains …


V. 81, Issue 20, April 23, 2014 Apr 2014

V. 81, Issue 20, April 23, 2014

Archway (1946-2020)

No abstract provided.


Adverse Health Effects Of Intestinal Parasitic Infections In Rural Peruvian Clinic Patients, Jonathan M. Stofer Apr 2014

Adverse Health Effects Of Intestinal Parasitic Infections In Rural Peruvian Clinic Patients, Jonathan M. Stofer

Master of Public Health Program Student Publications

Intestinal Parasitic Infections (IPIs) pose a significant global health concern. IPIs annually contribute to 3.5 billion infections and 450 million illnesses worldwide. In hyperendemic countries, IPIs pose a significant economic and health burden, especially in rural areas. IPIs have many routes of transmission and cause a wide range of symptoms associated largely with poor health, impeded growth, and worsening of secondary infections. Such diseases are widespread in poor communities living in the Peruvian Amazon. This study aims to describe common chief complaints, diagnoses, treatments, as well as behaviors and practices associated with IPIs presenting in clinic patients. As part of …