Abstract:
BACKGROUND:International travel and use of modern information technology are expressions of modern life style. Seeking on-line travel health advice via E-mail for preventive (teleprevention) or diagnostic reasons may become increasingly popular among patients with financial resources and Internet access. This study was undertaken to compare the behavior of travel clinic or tropical medicine physicians and other providers of travel-related medical information services toward unsolicited E-mails from fictitious patients in pretravel and post-travel scenarios. We also wanted to test the potential of E-mail advice for preventive medicine (teleprevention), and to find out how the "Good Samaritan Law" is observed. METHODS:Two different E-mails were posted to E-mail addresses of 171 physicians (members of travel health and/or tropical medicine societies) and services offering advice on travel health issues identified by an AltaVista search. These E-mails, from two different fictitious travelers, were asking for advice regarding malaria prophylaxis in a pretravel scenario and describing symptoms suggesting acute malaria. RESULTS:Of the contacted addresses 43.3% and 49.7% respectively, replied to the pre- and post-travel E-mail. Of those suggesting antimalarial chemoprophylaxis in the pretravel scenario, 13.2% proposed inadequate regimens, and at least 3.5% of the post-travel replies were inappropriate. The "Good Samaritan Law" was observed by a significant number of physicians. CONCLUSION:Both patients and physicians have to be aware of the limitations of E-mail communication. Guidelines protecting physicians against legal and ethical consequences of this new communication technology are urgently needed.
journal_name
J Travel Medjournal_title
Journal of travel medicineauthors
Sing A,Salzman J,Sing Ddoi
10.2310/7060.2001.24423subject
Has Abstractpub_date
2001-05-01 00:00:00pages
109-12issue
3eissn
1195-1982issn
1708-8305journal_volume
8pub_type
杂志文章abstract::Background: There is a perceived increased health risk in senior visitors to malaria endemic countries. Methods: The authors sought to compare effectiveness and tolerability of malaria chemoprophylaxis in senior travelers (>=60 years) with those in younger travelers (20-59 years). The "Malpro 2" database consists of m...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1996.tb00750.x
更新日期:1996-12-01 00:00:00
abstract:BACKGROUND:Serologic testing in malaria has traditionally been done by immunofluorescence antibody testing (IFA), but the use of commercially available enzyme immunoassays (EIAs) has become more widespread. METHODS:We compared IFA with two commercial EIA kits, the Cellabs Pan Malaria CELISA and the Newmarket Malaria E...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2006.00087.x
更新日期:2007-03-01 00:00:00
abstract::Although delusional parasitosis is frequently diagnosed by travel medicine and infectious disease specialists, factitious illness/Munchausen syndrome is extremely rare. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2002.30179
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVE:To evaluate travel health knowledge, attitudes, and practices on vaccination and malaria prevention among Spanish travelers to the tropics. METHODS:A cross-sectional survey was carried out in the departure lounge of the two main Spanish international airports in the summer of 2004. A questionnaire was admini...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2007.00142.x
更新日期:2007-09-01 00:00:00
abstract:Background:Since the initial appearance in the 1980s, Enterobacteriaceae producing extended-spectrum β-lactamase (ESBL) have increased in prevalence and emerged as a major antimicrobial-resistant pathogen. The source of these antimicrobial-resistant bacteria in the developed world is an area of active investigation. M...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1093/jtm/taw102
更新日期:2017-04-01 00:00:00
abstract::A 34-year-old patient presented with giant, transient urticarial skin lesions and periorbital edema after a 3-month stay in DR Congo. Retrospective analysis of stored samples revealed that these signs were prodromal manifestations of acute hepatitis B infection. The hepatitis B infection was spontaneously cleared; the...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2011.00507.x
更新日期:2011-05-01 00:00:00
abstract::The object of the study was to determine the incidence rate of meningococcal disease in travelers originating in industrialized countries and visiting developing countries. Subjects were intercontinental travelers with meningococcal diseases acquired from 1986 to 1989. Health authorities in 108 countries were contacte...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1994.tb00548.x
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:In 1993 more than 1 million Swiss residents traveled to a tropical or subtropical country. Although most pretravel advice is given by general practitioners, a number of travelers also seek advice from pharmacists. Little is known about the quantity and quality of travel advice given or the sources of informa...
journal_title:Journal of travel medicine
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1708-8305.1999.tb00838.x
更新日期:1999-06-01 00:00:00
abstract:BACKGROUND:Infectious diarrhea is a common problem among travelers. Expert guidelines recommend the prompt use of antibiotics for self-treatment of moderate or severe travelers' diarrhea (TD). There is limited data on whether travelers follow these self-treatment guidelines. We evaluated the risk factors associated wit...
journal_title:Journal of travel medicine
pub_type: 杂志文章,多中心研究
doi:10.1111/jtm.12179
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:The prevalence of motion sickness approaches 100% on rough seas. Some previous studies have reported a strong association between location on a ship and the risk of motion sickness, whereas other studies found no association. This study was undertaken to determine if there is a statistical association betwee...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2000.00042
更新日期:2000-05-01 00:00:00
abstract::Alternative approaches to malaria chemoprophylaxis are discussed in light of the difficulties of executing clinical trials within limits of infection rates and ethics. ...
journal_title:Journal of travel medicine
pub_type: 社论
doi:10.1093/jtm/taw065
更新日期:2016-09-30 00:00:00
abstract::Increasing population mobility and increasing frequency and variety of sexually transmitted infections (STI) are closely linked around the globe. Although all mobile populations are at increased risk for acquiring STIs, international travelers are the focus of this review. Several aspects of travel such as opportunity...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1111/j.1708-8305.2006.00061.x
更新日期:2006-09-01 00:00:00
abstract:Background:Travel medicine needs are changing. New patterns of travel, including greater travel by individuals from emerging economies with different values in costs, risks and benefits, must be considered. This review aims to (1) highlight selected studies that have been published that address previously identified ga...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/tax001
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Due to their job nature, cross-border truck drivers working between Hong Kong and China are exposed to many health risks. The aim of this study was to find out the impact of their occupation on their psychological health and sexual dysfunction and to assess their sexual risk behaviors. METHODS:A cross-secti...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2006.00085.x
更新日期:2007-01-01 00:00:00
abstract:Background:While the worldwide endemicity of tick-borne encephalitis (TBE) has been increasing, a lack of awareness of the risks of this life-threatening disease may be leading to an underutilization of preventive measures among travellers to TBE-endemic regions. This study's objectives were to assess travellers' aware...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/tay063
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Dermatitis linearis is a skin condition that affects both local populations and travelers alike. Dermatitis linearis is caused by some beetles within the subtribe Paederina and manifests as painful lesions, blisters and intense itching. Though outbreaks are widespread, the condition as a whole still remains ...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1093/jtm/taw032
更新日期:2016-05-13 00:00:00
abstract:BACKGROUND:Thirteen clustered cases of American histoplasmosis, a deep mycosis caused by Histoplasma capsulatum and acquired through inhalation of airborne spores was reported. Twenty-five persons traveled in Martinique, French West Indies. Thirteen underwent trekking and passed through a mountain tunnel full of bats (...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2003.31755
更新日期:2003-03-01 00:00:00
abstract:BACKGROUND:Although human diploid cell vaccine (HDCV) has been available for over two decades and has a proven record of efficacy, it is very expensive to produce and can only be made in small quantities. METHODS:In this trial, we compared the safety and immunogenicity of a new, chromatographically purified rabies vac...
journal_title:Journal of travel medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2310/7060.2004.19001
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:Artemisinin-based combination therapy (ACT) is the global standard of care for uncomplicated falciparum malaria. First reports of ACT resistance came from western Cambodia and the Thailand-Cambodia border in 2002-2004. The subsequent emergence and expansion of Plasmodium falciparum strains resistant to the a...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1093/jtm/taz030
更新日期:2019-06-01 00:00:00
abstract::A questionnaire-based survey on the mortality of Dutch travelers abroad revealed that travel outside of Europe carried an increased mortality risk predominantly caused by fatal cardiovascular events and traffic accidents rather than fatal infections. Discussion of these items should receive a prominent place in our tr...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2010.00479.x
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Medical emergencies often occur on commercial airline flights, but valid data on their causes and consequences are rare. Therefore, it is unclear what emergency medical equipment is necessary. Although a minimum standard for medical equipment is defined in regulations, additional material is not standardized...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12138
更新日期:2014-09-01 00:00:00
abstract::In a marine envenomation, identification of the culprit organism can be difficult. In this case report, we present our method to identify snakelocks anemone (Anemonia viridis or formerly Anemonia sulcata) as the culprit of a severe toxic skin reaction. A. viridis is one of the most common anemones of the Mediterranean...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12223
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Prior to initiation of a program of registration, training, standards, and audit for yellow fever vaccination centers (YFVCs) in England, the National Travel Health Network and Centre (NaTHNaC) assessed the current practice and resource needs of these centers. METHODS:A questionnaire was sent to all YFVCs o...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2008.00217.x
更新日期:2008-09-01 00:00:00
abstract::Hepatitis E virus (HEV) is the main etiological agent for the enterically transmitted form of non-A, non-B hepatitis (ET-NANB), and is associated with epidemic and sporadic forms of the disease,1 mainly in some developing countries.2 In Argentina, no ET-NANB hepatitis epidemics have been described, and no epidemiologi...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1997.tb00788.x
更新日期:1997-06-01 00:00:00
abstract::Travel medicine practitioners, perhaps more so than medical practitioners working in other areas of medicine, require a constant flow of information to stay up-to-date, and provide best practice information and care to their patients. Many travel medicine providers are unaware of the popularity and potential of the Tw...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1093/jtm/taw002
更新日期:2016-03-16 00:00:00
abstract::Shigella bacteremias are uncommon in immune-competent adults. We report two cases of Shigella flexneri bacteremia that occurred in healthy young travelers, who recovered. Self-medication with loperamide and ibuprofen without antibiotics (case 1) and concomitant falciparum malaria (case 2) were the only co-morbidities ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2012.00627.x
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:Adventure travel necessarily places travelers at risk of environmental hazards. We assessed the burden of "environmental" hazards among a cohort of travelers and expatriates presenting to a large travel clinic in Nepal. METHODS:Data on travelers and expatriates seen at the Canadian International Water and E...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2007.00145.x
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:Scarce data are available on the occurrence of ailments and diseases in children during travel. We studied the characteristics and frequencies of ailments in children aged 0 to 18 years and their parents during traveling. METHODS:A prospective observational study on ailments reported by children and parents ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2011.00551.x
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:To assess the awareness of the mode of rabies transmission, travel-associated rabies risk, and adequate preventive measures among French travelers. METHODS:Three hundred travelers were administered a detailed questionnaire prior to pretravel advice, addressing their knowledge, attitudes, and practices (KAP) ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2008.00283.x
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:International travel can expose travellers to pathogens not commonly found in their countries of residence, like dengue virus. Travellers and the clinicians who advise and treat them have unique needs for understanding the geographic extent of risk for dengue. Specifically, they should assess the need for pr...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/taw062
更新日期:2016-09-13 00:00:00