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Full-Text Articles in Medicine and Health Sciences

Global Travepinet: A National Consortium Of Clinics Providing Care To International Travelers--Analysis Of Demographic Characteristics, Travel Destinations, And Pretravel Healthcare Of High-Risk Us International Travelers, Regina Larocque, Sowmya Rao, Jennifer Lee, Vernon Ansdell, Johnnie Yates, Brian Schwartz, Mark Knouse, John Cahill, Stefan Hagmann, Joseph Vinetz, Bradley Connor, Jeffery Goad, Alawode Oladele, Salvador Alvarez, William Stauffer, Patricia Walker, Phyllis Kozarsky, Carlos Franco-Parades, Roberta Dismukes, Jessica Rosen, Noreen Hynes, Frederique Jacquerioz, Susan Mclellan, Devon Hale, Theresa Sofarelli, David Schoenfield, Nina Marano, Gary Brunette, Emily Jentes, Ernad Yanni, Mark Sotir, Edward Ryan Jan 2015

Global Travepinet: A National Consortium Of Clinics Providing Care To International Travelers--Analysis Of Demographic Characteristics, Travel Destinations, And Pretravel Healthcare Of High-Risk Us International Travelers, Regina Larocque, Sowmya Rao, Jennifer Lee, Vernon Ansdell, Johnnie Yates, Brian Schwartz, Mark Knouse, John Cahill, Stefan Hagmann, Joseph Vinetz, Bradley Connor, Jeffery Goad, Alawode Oladele, Salvador Alvarez, William Stauffer, Patricia Walker, Phyllis Kozarsky, Carlos Franco-Parades, Roberta Dismukes, Jessica Rosen, Noreen Hynes, Frederique Jacquerioz, Susan Mclellan, Devon Hale, Theresa Sofarelli, David Schoenfield, Nina Marano, Gary Brunette, Emily Jentes, Ernad Yanni, Mark Sotir, Edward Ryan

Jeff Goad

Background. International travel poses a risk of destination-specific illness and may contribute to the global spread of infectious diseases. Despite this, little is known about the health characteristics and pretravel healthcare of US international travelers, particularly those at higher risk of travel-associated illness. Methods. We formed a national consortium (Global TravEpiNet) of 18 US clinics registered to administer yellow fever vaccination. We collected data regarding demographic and health characteristics, destinations, purpose of travel, and pretravel healthcare from 13235 international travelers who sought pretravel consultation at these sites from January 2009 through January 2011. Results. The destinations and itineraries of Global …


Isoniazid Completion Rates For Latent Tuberculosis Infection Among College Students Managed By A Community Pharmacist, Karl Hess, Jeffery Goad, Joanne Wu, Kathleen Johnson Jan 2015

Isoniazid Completion Rates For Latent Tuberculosis Infection Among College Students Managed By A Community Pharmacist, Karl Hess, Jeffery Goad, Joanne Wu, Kathleen Johnson

Jeff Goad

Objective: The authors' objective was to document 9-month and previously recommended 6-month treatment completion rates for latent tuberculosis infection (LTBI) in a pharmacist-managed LTBI clinic in a community pharmacy oil a college Campus. and to describe patient characteristics. Participants: Participants were university Students diagnosed with LTBI. Methods: The authors conducted a retrospective review, of pharmacy records from 2000 to 2006. Main outcome measures included 6-month and 9-month LTBI treatment completion rates, total isoniazid (INH) tablets taken. characteristics of completers versus noncompleters. average time to treatment completion, and reported adverse drug events. Results: The 9-month completion rate was 59%, and the …


The Anti-Vaccine Movement – A Pharmacist’S View, Jeffery Goad, Melissa Durham Jan 2015

The Anti-Vaccine Movement – A Pharmacist’S View, Jeffery Goad, Melissa Durham

Jeff Goad

Goad and Durham discuss the anti-vaccine movement from a pharmacist's perspective, and explore the pharmacist's role in immunizations and the impact of pharmacist-patient communication on vaccinations.


Accuracy Of Electrocardiogram Reading By Family Practice Residents, Denise Sur, Lily Kaye, Michael Mikus, Jeffery Goad, Anthony Morena Jan 2015

Accuracy Of Electrocardiogram Reading By Family Practice Residents, Denise Sur, Lily Kaye, Michael Mikus, Jeffery Goad, Anthony Morena

Jeff Goad

Objectives: This study evaluated the electrocardiogram (EKG) reading skills of family practice residents. Methods: A multicenter study was carried out to evaluate the accuracy of EKG reading in the family practice setting. Based on the frequency and potential for clinical significance, we chose 18 common findings on 10 EKGs for evaluation. The EKGs were then distributed to residents at six family practice residencies. Residents were given one point for the identification of each correct EKG finding and scored based on the number correct over a total of 18. Results: Sixty-one residents (20 first year 23 second year; and 18 third …


Vaccine-Preventable Diseases In Travelers, Edith Mirzaian, Jeffery Goad, Ani Amloian, Fady Makar Jan 2015

Vaccine-Preventable Diseases In Travelers, Edith Mirzaian, Jeffery Goad, Ani Amloian, Fady Makar

Jeff Goad

Travel to the developing world is increasing among those from developed countries, placing them at risk for vaccine preventable and non-vaccine preventable diseases. From 2007-2011, the GeoSentinel Network reported 737 returned travelers with a vaccine preventable disease. While it is essential that clinicians use vaccines when available for a disease of risk, they should also be aware that the vast majority of diseases acquired by travelers are non-vaccine preventable. The vaccine preventable diseases can be divided into routine travel vaccines, special travel vaccines and routine vaccines used for travel. The routine travel vaccines include Hepatitis A and B, typhoid; special …


Vaccinations Administered During Off-Clinic Hours At A National Community Pharmacy: Implications For Increasing Patient Access And Convenience, Jeffery Goad, Michael Taitel, Leonard Fensterheim, Adam Cannon Jan 2015

Vaccinations Administered During Off-Clinic Hours At A National Community Pharmacy: Implications For Increasing Patient Access And Convenience, Jeffery Goad, Michael Taitel, Leonard Fensterheim, Adam Cannon

Jeff Goad

PURPOSE Approximately 50,000 adults die annually from vaccine-preventable diseases in the United States. Most traditional vaccine providers (eg, physician offices) administer vaccinations during standard clinic hours, but community pharmacies offer expanded hours that allow patients to be vaccinated at convenient times. We analyzed the types of vaccines administered and patient populations vaccinated during off-clinic hours in a national community pharmacy, and their implications for vaccination access and convenience. METHODS We retrospectively reviewed data for all vaccinations given at the Walgreens pharmacy chain between August 2011 and July 2012. The time of vaccination was categorized as occurring during traditional hours (9:00 …


Non-Prescription And Household Substances Of Abuse, J. Mallari, L. Nguyen, Jeffery Goad Jan 2015

Non-Prescription And Household Substances Of Abuse, J. Mallari, L. Nguyen, Jeffery Goad

Jeff Goad

"Reasons for abuse of [household products and over-the-counter (OTC) medications] can vary widely depending on the type of product used. Because these items can be readily found in pharmacies and stores, it is important for pharmacists to become familiar with the signs and symptoms of abuse, and street names by which these agents are known (see Table 1). Pharmacists, especially in the community setting, may be able to identify patterns of abuse since they are in contact with patients more frequently than other healthcare providers."


Reversible Nonthrombocytopenic Palpable Purpura Associated With Metoclopramide, Jeffery Goad Jan 2015

Reversible Nonthrombocytopenic Palpable Purpura Associated With Metoclopramide, Jeffery Goad

Jeff Goad

OBJECTIVE: To report a case of reversible nonthrombocytopenic palpable purpura associated with metoclopramide. CASE SUMMARY: A 72-year-old white man was admitted for worsening palpable purpura over a two-day period. Two days prior to admission, metoclopramide 10 mg orally three times per day was started for a gastrointestinal condition. Upon admission, all drugs were continued except metoclopramide. Over the next two days, the purpura began to resolve. Platelet count was within normal limits on admission and the patient developed no serious consequences because of the purpura. DISCUSSION: According to the literature, reversible nonthrombocytopenic palpable purpura has not been previously reported with …