MyMedR

Talaromyces marneffei infection is an AIDS-defining illness in South and Southeast Asia. Travel-related talaromycosis is being increasingly recognized in non-endemic areas too. It is a potentially fatal infection with rapid deterioration, if left untreated. Usage of Tzanck cytology smear for rapid diagnosis of T. marneffei is rarely described. In this case study, we report a man who presented with altered behaviour, headache, fever and cutaneous lesions. Tzanck smear test, skin biopsy and blood culture showed presence of T. marneffei. The cytomorphology findings of T. marneffei in Tzanck cytology smear were described. In conclusion, Tzanck smear is a simple and inexpensive test in establishing a rapid clinical diagnosis of talaromycosis before the culture is reported.

Matched MeSH terms: Travel*

Sexual violence associated with international travel

Flaherty GT, Khairy WMZBM, Holmes A

J Travel Med, 2023 Jun 23;30(4).

PMID: 36322169 DOI: 10.1093/jtm/taac131

Matched MeSH terms: Travel*

Fulltext Is there an association between article citations and altmetrics in travel medicine research?

Galickas D, Flaherty GT

J Travel Med, 2021 Dec 29;28(8).

PMID: 34414442 DOI: 10.1093/jtm/taab115

Matched MeSH terms: Travel; Travel Medicine*

When lightning strikes: reducing the risk of injury to high-altitude trekkers during thunderstorms

Flaherty GT, Daly J

J Travel Med, 2016 Jan;23(1).

PMID: 26792227 DOI: 10.1093/jtm/tav007

Matched MeSH terms: Travel*

Going viral: embracing the changing culture of social media in travel medicine

Flaherty GT, Walden LM

Travel Med Infect Dis, 2015 Mar-Apr;13(2):120-1.

PMID: 25812774 DOI: 10.1016/j.tmaid.2015.03.005

Matched MeSH terms: Travel Medicine*

Hotel fire safety for international travellers

Flaherty G, Hession M, Cuggy C

Travel Med Infect Dis, 2016 Sep-Oct;14(5):529-530.

PMID: 27238904 DOI: 10.1016/j.tmaid.2016.05.011

Matched MeSH terms: Travel*

The impact of the dimensions of environmental performance on firm performance in travel and tourism industry

Tan SH, Habibullah MS, Tan SK, Choon SW

J Environ Manage, 2017 Dec 01;203(Pt 1):603-611.

PMID: 28285804 DOI: 10.1016/j.jenvman.2017.02.029

This study investigates the impact of the aggregate and individual dimensions of environmental performance (EP) on financial performance (FP), based on a dataset covering the travel and tourism industry (airlines, casinos, hotels, and restaurants) across different economic regions over the period 2003-2014. The results reveal that EP positively affects the FP in the hotel industry when aggregate EP is used. When individual dimensions of EP are considered, resource reduction is found to positively (negatively) affect the performance in the hotel (airline) industry, while product innovation positively affects the performance in the restaurant industry. Hence, the trade-off effect seems to be dominant in the airline industry, and the 'heterogeneous resources and reputation-building' hypothesis is evident in both the hotel and restaurant industries. In addition, in general, the findings support the positive moderating effect of slack resources on the relationship between the individual dimensions of EP and FP in the travel and tourism industry, and, hence, are supportive of the slack resources hypothesis. These effects, however, vary depending on the travel and tourism industry under investigation.

Matched MeSH terms: Travel*

Avoiding the rough: travel health risks facing golf tourists

Flaherty G, Udoeyop I, Whooley P, Jones M

J Travel Med, 2017 05 01;24(3).

PMID: 28355618 DOI: 10.1093/jtm/taw100

Matched MeSH terms: Travel*

Changing landscape of digital communication in travel medicine

Kohl SE, Van Tilburg C, Flaherty GT

J Travel Med, 2019 Jan 01;26(1).

PMID: 30535106 DOI: 10.1093/jtm/tay145

Matched MeSH terms: Travel Medicine/trends*

Fulltext The emergence of cholera in multiple countries amidst current COVID-19 pandemic: Situation and implications for public health and travel medicine

Reda A, Sah R, Abdelaal A, Shrestha S, Rodriguez-Morales AJ

Travel Med Infect Dis, 2022;49:102423.

PMID: 35952967 DOI: 10.1016/j.tmaid.2022.102423

Matched MeSH terms: Travel; Travel Medicine

Fulltext Transport, Mobility and the Wellbeing of Older Adults: An Exploration of Private Chauffeuring and Companionship Services in Malaysia

Abdul Latiff AR, Mohd S

Int J Environ Res Public Health, 2023 Feb 03;20(3).

PMID: 36768086 DOI: 10.3390/ijerph20032720

As physical abilities and health decline with age, older adults tend to lose their driving abilities, which affects their mobility. As mobility is important to older adults' wellbeing, there is a need to explore alternative modes of transportation to increase their ability to actively participate in society. Hence, this paper aims to understand the characteristics of private chauffeuring and companionship services for older adults, and to assess their possible effects on older adults' wellbeing. We gathered the views of transport operators, government agencies, and city councils that offer private chauffeuring and companionship services for older adults. We frame the model of private chauffeuring and companionship services as alternative mobility for older adults and outline a conceptual framework for its possible effects on their wellbeing. The underlying mobility characteristics were availability, accessibility, safety, and affordability-all of which influence wellbeing. The study found that the private chauffeuring and companionship model for older adults includes an additional model of government-to-consumer services in addition to the existing peer-to-peer and business-to-consumer services. While the services are available, the services provided are not standardized, with different operators offering different services and prices, and limiting certain geographical areas. Transport operators perceived that the services they offer promote older adults' physical and mental health, improve their social participation in the community, and empower them in making their travel decisions. The findings of the paper provide insights for policy makers for future planning of alternative transportation for older adults to enhance their mobility.

Matched MeSH terms: Travel*

Fulltext Predicting the natural history of artificial intelligence in travel medicine

Flaherty GT, Piyaphanee W

J Travel Med, 2023 Feb 18;30(1).

PMID: 36208173 DOI: 10.1093/jtm/taac113

Matched MeSH terms: Travel Medicine*

Healthcare seeking during travel: an analysis by the GeoSentinel surveillance network of travel medicine providers

Piyaphanee W, Stoney RJ, Asgeirsson H, Appiah GD, Díaz-Menéndez M, Barnett ED, et al.

J Travel Med, 2023 May 18;30(3).

PMID: 36637429 DOI: 10.1093/jtm/taad002

BACKGROUND: International travellers may seek care abroad to address health problems that arise during their trip or plan healthcare outside their country of residence as medical tourists.

METHODS: Data were collected on travellers evaluated at GeoSentinel Network sites who reported healthcare during travel. Both unplanned and planned healthcare were analysed, including the reason and nature of healthcare sought, characteristics of the treatment provided and outcomes. Travellers that presented for rabies post-exposure prophylaxis were described elsewhere and were excluded from detailed analysis.

RESULTS: From May 2017 through June 2020, after excluding travellers obtaining rabies post-exposure prophylaxis (n= 415), 1093 travellers reported care for a medical or dental issue that was an unanticipated part of the travellers' planned itinerary (unplanned healthcare). Travellers who sought unplanned healthcare abroad had frequent diagnoses of acute diarrhoea, dengue, falciparum malaria and unspecified viral syndrome, and obtained care in 131 countries. Thirty-four (3%) reported subsequent deterioration and 230 (21%) reported no change in condition; a third (n = 405; 37%) had a pre-travel health encounter. Forty-one travellers had sufficient data on planned healthcare abroad for analysis. The most common destinations were the US, France, Dominican Republic, Belgium and Mexico. The top reasons for their planned healthcare abroad were unavailability of procedure at home (n = 9; 19%), expertise abroad (n = 9; 19%), lower cost (n = 8; 17%) and convenience (n = 7; 15%); a third (n = 13; 32%) reported cosmetic or surgical procedures. Early and late complications occurred in 14 (33%) and 4 (10%) travellers, respectively. Four travellers (10%) had a pre-travel health encounter.

CONCLUSIONS: International travellers encounter health problems during travel that often could be prevented by pre-travel consultation. Travellers obtaining planned healthcare abroad can experience negative health consequences associated with treatments abroad, for which pre-travel consultations could provide advice and potentially help to prevent complications.

Matched MeSH terms: Travel; Travel Medicine

Fulltext Role of geopolitical risk, currency fluctuation, and economic policy on tourist arrivals: temporal analysis of BRICS economies

Reivan-Ortiz GG, Cong PT, Wong WK, Ali A, Thu HTT, Akhter S

Environ Sci Pollut Res Int, 2023 Jul;30(32):78339-78352.

PMID: 37269525 DOI: 10.1007/s11356-023-27736-1

The tourism industry is vulnerable to a range of economic and political factors, which can have both short-term and long-term impacts on tourist arrivals. The study aims to investigate the temporal dynamics of these factors and their impact on tourist arrivals. The method employed is a panel data regression analysis, using data from BRICS economies over a period of 1980-2020. The dependent variable is the number of tourist arrivals, while the independent variables are geopolitical risk, currency fluctuation, and economic policy. Control variables such as GDP, exchange rate, and distance to major tourist destinations are also included. The results show that geopolitical risk and currency fluctuation have a significant negative impact on tourist arrivals, while economic policy has a positive impact. The study also finds that the impact of geopolitical risk is stronger in the short term, while the impact of economic policy is stronger in the long term. Additionally, the study shows that the effects of these factors on tourist arrivals vary across BRICS countries. The policy implications of this study suggest that BRICS economies need to develop proactive economic policies that promote stability and encourage investment in the tourism industry.

Matched MeSH terms: Travel*

Fulltext Experiences of early air travel with pneumothorax after anterior spinal surgery

Wong AYF, Foo CH, Wong CC, Ohn KM

BMJ Case Rep, 2021 Aug 19;14(8).

PMID: 34413041 DOI: 10.1136/bcr-2021-243771

Anterior thoracic or thoracolumbar spinal surgery by retropleural approach always carries a risk of pneumothorax as its consequence. Conventionally, the Aerospace Medicine Association and the British Thoracic Society recommend 2 weeks delay of air travel for a patient with resolved postoperative pneumothorax. They also label active pneumothorax as an absolute contraindication for commercial air travel. Such a delay always causes psychological and financial stress to patients and family who are far from home. Here, we report three patients with postoperative pneumothorax, who insisted on early air travel despite being informed of the possible consequences.

Matched MeSH terms: Air Travel*

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