Nocturnal glucose control with an artificial pancreas at a diabetes camp. (49/65)


Medical services of a multicultural summer camp event: experiences from the 22nd World Scout Jamboree, Sweden 2011. (50/65)


Residential summer camp: a new venue for nutrition education and physical activity promotion. (51/65)


Exposure of children with cystic fibrosis to environmental tobacco smoke. (52/65)

BACKGROUND: In children, passive exposure to environmental tobacco smoke has been associated with growth suppression and an increased frequency of respiratory tract infections. On the assumption that this association would be more pronounced in children with chronic pulmonary disease, we examined the growth, nutritional status, lung function, and clinical condition of children with cystic fibrosis in relation to their exposure to environmental tobacco smoke. METHODS: We studied 43 children (age, 6 to 11 years) on entry to a summer camp and then again after two weeks in this smoke-free environment. Twenty-four of the children (56 percent) came from homes with smokers. RESULTS: There appeared to be a dose-dependent relation between the estimate of smoke exposure (cigarettes smoked per day in the home) and overall severity of disease, as assessed by the age-adjusted rate of hospital admissions (r = 0.58), peak expiratory flow rate (r = -0.39), and measures of growth and nutrition, including weight percentile (r = -0.37), height percentile (r = -0.44), midarm circumference (r = -0.42), and triceps skin-fold thickness (r = -0.31). These effects were most evident in the girls. When only the 24 children from homes with smokers were analyzed, however, the dose-dependent relation was present only for the number of hospital admissions and for height. Among the children with good lung function (n = 21) or with normal weight for height (n = 27) at the start of camp, those who had been exposed to tobacco smoke gained significantly more weight during the two weeks of camp than did the children from smoke-free homes. CONCLUSIONS: These data suggest that passive exposure to tobacco smoke adversely affects the growth and health of children with cystic fibrosis, although the possibility cannot be ruled out that social, economic, or other factors determined both the smoking status of the household and the nutritional status of the children.  (+info)

Campers' diarrhea outbreak traced to water-sewage link. (53/65)

From June through September 1979, diarrheal illness occurred in an estimated 1,850 persons who had camped at a private campground in Arizona. Illness occurred more frequently among campers at that campground than among those in the adjacent State park (P less than 0.0001). The same well served both the private and the State campgrounds as the source of drinking water, but that water was distributed to the two campgrounds through separate lines. Illness was significantly associated with drinking water at the campsite (P less than 0.0001), drinking larger quantities of campsite water (P less than 0.001), and camping on the southwest side of the campground (P less than 0.001). Samples of the water collected from the system during January through June contained no coliform bacteria. However, all those samples had been collected from the State park only. Of the 11 water samples submitted for bacteriological analyses during the summer, 3 had high levels of bacteria. Excavation of the water system uncovered a direct cross connection between the potable water system and a sewage-effluent irrigation system. This outbreak calls attention to the importance of designing, maintaining, and monitoring potable water systems properly, especially those proximate to wastewater re-use systems.  (+info)

Risk factors for endemic giardiasis. (54/65)

In a mail survey, 171 Hitchcock Clinic patients with giardiasis were compared with an age- and sex-matched control group of 684 clinic patients with respect to potential risk factors. Households with shallow well or surface water sources had an odds ratio (OR) for giardiasis of 2.1 (95% confidence interval (95%CI) 1.3-3.2) compared with households with drilled well or municipal water supply. Other observed risks include family member in day care program (OR 2.2 95%CI 1.3-3.7) and family member with diagnosed giardiasis (OR 17, 95%CI 7.4-37). Previously reported risks such as travel out of country (OR 3.2, 95%CI 1.5-7.2) and camping (OR 1.7, 95%CI 0.9-3.2) were also observed. Virtually no giardiasis risk was observed associated with report of dog or barnyard animal proximity. Control for confounding and adjustment for recall and non-response bias does not materially alter the risk estimates. We suggest that shallow well or surface household water source is an important and previously unrecognized giardiasis risk factor.  (+info)

Experience of children with sickle cell anemia in a regular summer camp. (55/65)

The Sickle Cell Program of the Queens Hospital Center Affiliation of the Long Island Jewish-Hillside Medical Center arranged for a group of children from the hospital Sickle Cell Clinic to spend one week during the summer of 1978 in a sleepaway camp for healthy children. This paper analyzes the results of the experience.  (+info)

Remission phase in childhood diabetes--an investigation of summer campers in Japan. (56/65)

There are various reports on the remission phase related to insulin response, C-peptide response, demand for exogenous insulin, and incidence and duration of remission etc. Recently, the incidence of remission was reported to be 60% in Europe and America, but these data applied to partial and complete remission. In Japan, we have no generally accepted definition of complete and/or partial remission. In order to investigate remission in childhood diabetes, we sent questionnaires to the consulting doctors of 19 local summer camps for Japanese diabetic children in 1981. In this study, the incidence of complete remission was 4.5% in boys and 2.7% in girls. The incidence of remission including partial remission was 19.6%. The age of remission varied from 2 to 17 years. The mean period between diagnosis and the start of remission was 4.4 months. The mean duration of remission was 16.5 months in boys and 10. 1 months in girls, and the maximum duration was 55 months. The main factor leading to remission was strict control of diabetes with insulin immediately following the onset of diabetes mellitus.  (+info)