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C Campese

Publications and source records attributed to C Campese.

8 recordsLinked to original sources
PubMed2004

[Epidemiology of tuberculosis in Ile-de-France in 2001].

INTRODUCTION: The incidence of tuberculosis in France is stable at around 10 per 100,000 per year since 1997. However in the Ile-de-France (which includes Paris and its suburbs) high population density, social deprivation and large numbers of immigrants result in the region providing more than half of the total number of cases notified in France. METHODS: Retrospective analysis using data from the mandatory notification forms of patients diagnosed in 2001. RESULTS: The incidence of tuberculosis in 2001 was 27.2 cases per 100,000 in the Ile-de-France region and 48.4 per 100,000 in the Paris area. The incidence was particularly high amongst young immigrants, especially those from Sub-Saharian countries. Pulmonary tuberculosis was the most commonly observed disease form (72% of cases). HIV infection was documented in 7.5% of subjects. Local tuberculosis control services were asked to intervene in only 30% of overall cases, and in only 50% of pulmonary cases living in crowded housing. CONCLUSION: More resource is needed for the surveillance of tuberculosis and the implementation of public health initiatives in the Ile-de-France to strengthen the fight against tuberculosis.

Adolescent↗
PubMed2004

Clusters of travel associated legionnaires' disease in France, September 2001- August 2003.

Clusters of travel associated legionnaires' disease warrant urgent attention, and are detected by the French national surveillance system and the European network EWGLINET. Between September 2001 and August 2003, 37 clusters were identified in French tourist accommodation: 27 hotels and 10 campsites. The number of clinical cases per cluster was as follows: 30 clusters of 2 cases (81%), 6 clusters of 3 cases (16%) and one cluster of 4 cases (3%), a total of 82 cases. The local health authorities performed environmental investigations for 36 of the 37 clusters. Among the 36 clusters investigated, water samples were collected for 35. At 16 (46%) sites, Legionella pneumophila was found at a level of more than 103 cfu/litre. In all of the accommodation where risk assessment was found to be inadequate- control measures were implemented immediately. Six hotels were closed immediately following cluster alerts. Comparison of clinical and environmental isolates by pulsed field gel electrophoresis (PFGE) was possible in 3 clusters and identical genomic profiles of the isolates were found in all. During this two year period of surveillance, we found that on many sites there has been a risk of exposure to Legionella. This reinforces the importance of the European surveillance network and the timely notifications of all the cases to EWGLINET.

Disease Notification↗
PubMed2003

Sporadic cases of community acquired legionnaires' disease: an ecological study to identify new sources of contamination.

STUDY OBJECTIVE: To explore the relation between incidence of sporadic and community acquired legionnaires' disease and exposure to potentially contaminated industrial aerosols. DESIGN: Geographical ecological approach using the postcode as the statistical unit. A multivariate Poisson regression model was used to model the relation between exposure to industrial aerosols and legionnaires' disease. SETTING: Metropolitan France. MAIN RESULTS: More than 1000 sources of industrial exposure (aerosol and plume of smoke) were identified in 42 French departments. After adjusting for confounding factors, there was a statistically increased incidence of legionnaires' disease in postcodes with plume of smoke in comparison with postcodes without (RR=1.45, 95% CI=1.12 to 1.87), and in postcodes with more than one aerosol in comparison with postcodes without (RR=1.37, 95% CI=1.04 to 1.79). CONCLUSION: These findings highlight that any industrial systems generating water aerosols should be regarded as potential sources of contamination for legionnaires' disease.

Aerosols↗
PubMed2002

Notified cases of legionnaires disease in France in 2001.

In 2001, 807 cases of Legionnaires' disease were reported to the Institut de veille sanitaire (French national public health centre). The incidence of the disease was 1.35 cases per 100,000 inhabitants, compared to a mean European incidence of 0,6 per 100,000. The median age was 59 years [16-97], the group aged more than 80 being the most affected. The sex ratio M/W was 3.1. The outcome of the disease was known in 69% of all cases, the case fatality ratio rating 19.9%. Among the contributing factors found in 558 cases, 11% had a cancer or blood disease, 12% received an immunosuppressant treatment, 10% were diabetic and 40% were smokers. In 2001, 13% (105/807) cases stayed in a hospital or a clinic during the incubation period, compared to 20% in 2000, and 11% were travel-associated.

Adolescent↗
PubMed2000

Preparation, experience, and aftermath of hurricane Floyd.

In September 1999, Hurricane Floyd threatened the southeastern coast of the United States, causing the largest peacetime evacuation in history. The hurricane moved onto land when it curved northward and slammed into southeastern North Carolina near Wilmington and Cape Fear. This region already had experienced three hurricanes in recent years and had been brushed by Hurricane Dennis one month earlier. This article describes actions taken by the New Hanover Regional Medical Center surgical services department in Wilmington, NC, to prepare for and weather the storm. The aftermath and cleanup also are discussed.

Disaster Planning↗
PubMed1996

Development and implementation of a pain management program.

Perioperative nurses at St Mary's Health Care System, Inc (St Mary's), in Athens, Ga, recognized that some of their postoperative patients did not have an acceptable level of pain control. Based on the Agency for Health Care Policy and Research acute pain management guidelines, they developed and implemented a pain management program. This quality improvement program led to a multidisciplinary effort to maintain each postoperative patient's pain at a level acceptable to that individual. Using a pain level scale, patients are taught to self-report their levels of pain so that medication can be administered appropriately and on a timely basis. A quality improvement team is studying compiled data and anticipates making recommendations about best practices with regard to medication utilization. In September 1995, St Mary's underwent a mock Joint Commission on Accreditation of Healthcare Organizations survey. The surveyors were impressed with the quality and content of the pain management program. Suggestions for other facilities that wish to establish pain management programs are included.

Adaptation, Psychological↗
PubMed1996

Effectiveness of the current enamel-dentinal adhesives: a new methodology for its evaluation.

Two Class II boxes of standardized dimensions were prepared in each of 10 extracted third molar teeth. The dentinal adhesives Syntac, Gluma 2000, Scotchbond MP, and All-bond 2 were applied to five boxes each. All the boxes were restored with the same photopolymerizing resin composite. The microleakage of each restoration was measured in the permeability cell. The physiologic solution able to seep between the walls of the cavity and resin composite was measured and the flux of the liquid over time was calculated. All-Bond 2 was the only adhesive found, in some specimens, to make the dentin completely impermeable and to form an extremely precise seal between the resin complete material and the underlying dentinal surface. The flux values for all four adhesives were significantly different; Syntac allowed the greatest amount of microleakage. However, these in vitro results should not be considered absolute values.

Analysis of Variance↗