Ohio Department of Health

About: Ohio Department of Health is a government organization based out in Columbus, Ohio, United States. It is known for research contribution in the topics: Population & Public health. The organization has 308 authors who have published 354 publications receiving 14493 citations.

Cat scratch disease

Abstract: SINCE the first report by Debre in 1950 of a syndrome of regional lymphadenopathy after a cat scratch, a number of publications reporting several hundred cases have firmly established cat scratch disease as a clinical entity. The role of the cat in the natural history of the disease is not clearly understood, but the available evidence suggests the cat acts as a vehicle of transmission of an infectious agent although its role as a reservoir of infection has not been completely ruled out. The usual method of transmission appears to be inoculation of the agent at the site of a cat scratch, but other possible methods of transmission such as inhalation of the agent are substantiated by the several reported cases with a history of contact with cats but with no definite history of a scratch. Daniels and MacMurray in 1954 reported an analysis of 160 cases, and in 1955 Kalter and associates summarized 250 cases which had come under their observation. Both of these reports gave excellent descriptions of the clinical features of the illness and this paper has drawn heavily upon their observations. The primary feature of the clinical syndrome of cat scratch disease is lymphadenopathy which is usually regional and restricted to the drainage area of the site of the inoculation. Involvement of the lymph nodes of the upper extremity after inoculation on the hand or arm is most frequently observed. Cervical or inguinal involvement is not uncommon and occasionally generalized lymphadenopathy has been reported. The nodes are usually quite large, ranging up to several centimeters in diameter.

Perceived social support and postpartum depression symptoms across geographical contexts: Findings from the 2016 Ohio Pregnancy Assessment survey.

Abstract: Background The purpose of this study was to examine the association between perceived social support and postpartum depression symptoms (PDS) and to understand how this association may differ for urban, suburban, rural Appalachian, and rural non-Appalachian women in Ohio. Methods Data were obtained via the 2016 Ohio Pregnancy Assessment Survey (n = 3382), a representative sample of postpartum women in Ohio. We conducted bivariate analyses to assess the associations between self-perceived social support and PDS, and covariates. Univariate and multivariate logistic regressions were conducted using a modified Poisson distribution to estimate the association between social support and PDS, adjusting for sociodemographic characteristics. We also examined geographical context as an independent predictor of PDS and as an effect modifier for the association between social support and PDS. Results 15.6% of survey respondents experienced PDS. Women with low levels of social support had slightly higher prevalence (aPR: 1.4, 95% CI: 1.0-2.1) of PDS compared to women with high social support. Geographic context was an independent predictor of PDS; women in rural Appalachia had significantly lower prevalence (aPR: 0.5, 95% CI: 0.2-0.9) of PDS compared to women in urban areas. We did not find that geographical context modified the relationship between social support and PDS (Wald P = .5). Conclusions Low social support was associated with increased PDS but did not reach statistical significance. Women living in rural Appalachia had a lower prevalence of PDS. Future studies should explore the reasons for lower rates of PDS in rural Appalachia.