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Biomedical subjects

A L Walsh

Publications and source records attributed to A L Walsh.

42 records · Page 3Linked to original sources
PubMedDate not supplied

Community-acquired septicaemia in southern Viet Nam: the importance of multidrug-resistant Salmonella typhi.

In a prospective study conducted between mid 1993 and 1994, 437 adults and children were admitted with community-acquired septicaemia to an infectious diseases hospital in southern Viet Nam. Gram-negative aerobes accounted for 90% of isolates and were predominantly Salmonella typhi (67%), Sal. para-typhi A (3%), Escherichia coli (10%), and Klebsiella spp. (5%). Other Salmonella spp. (1%), Pseudomonas aeruginosa (1%), Neisseria meningitidis (0.5%) and Haemophilus influenzae (0.2%) were uncommon. Staphylococcus aureus (5.5%) and Streptococcus pneumoniae (2%) were the most common Gram-positive isolates. Patients with enteric fever were younger (median age 16 years, range 1-63) than the other patients (median age 43 years, range 1-88) (P < 0.001) and had a lower mortality rate (0.3% vs. 23%; relative risk 69.5, 95% confidence interval 9.5-507.8; P < 0.0001). Over 70% of the Sal. typhi isolated were multi-drug-resistant, and 4% were resistant to nalidixic acid. Multidrug-resistant Sal. typhi is a major cause of community-acquired septicaemia in Viet Nam.

Adolescent↗
PubMedDate not supplied

Three cases of bacteremia caused by Vibrio cholerae O1 in Blantyre, Malawi.

We report three fatal cases of bacteremia (two adults, one neonate) caused by Vibrio cholerae O1 (Ogawa), which occurred in the context of a community outbreak of cholera diarrhea in Blantyre, Malawi. Only four cases of invasive disease caused by V. cholerae O1 have previously been reported. We describe the clinical features associated with these rare cases and discuss their significance.

Aged↗
PubMedDate not supplied

"My secret life": the emergence of one gay man's authentic identity.

This qualitative study explores the life history of Bruce, a gay man, from the perspective of homophobia. Homophobia is the fear and hatred expressed toward gay men, lesbians, and bisexual women or men as well as persons suspected of being gay, lesbian, and bisexual. Homophobia may become internalized, creating a form of self-hatred derived from the negative stereotypes associated with homosexuality. Bruce's life was shaped by the homophobia of others and his own self-hatred, leading to isolation and a lack of a projected authentic identity. This article focuses on the affective meanings related to significant events in Bruce's life history and how they contributed to transformation in his life from victimic to agentic themes. It is important for occupational therapy practitioners to recognize the influence that homophobia and internalized homophobia have on therapeutic interventions.

Adult↗