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Dr Nicky Longley
![travel medicine lshtm Photo of Dr Nicky Longley](https://www.uclh.nhs.uk/application/files/2116/0458/9520/NickyLongley.jpg)
- 020 3447 9761
- n. longley @nhs.net
- Hospital for Tropical Diseases
GMC/GDC number:
Professional background.
Consultant in infectious diseases and travel medicine at The Hospital for Tropical Diseases at UCLH.
Associate professor in travel medicine at London School of Hygiene and Tropical Medicine. Member of ; the faculty of Travel medicine RCPSG, the International Expert Committee for Travel Medicine and TAG for NaTHNaC. Trained in London, Uganda and South Africa . Runs the short course in travel medicine and teaches the travel medicine component of the DTM&H at LSHTM.
Specialties
- Infectious and Tropical Diseases
- Infection Inpatients
- Travel clinic services
- HTD Outpatient services
- RESPOND integrated refugee health service
Research interests
The immunosuppressed traveller, late stage HIV and cryptococcosis
Publications
Influenza vaccination and interruption of methotrexate in rheumatoid arthritis in the COVID-19 era: an ongoing dilemma: Lancet Rheumatology accepted for publication. The emerging spectrum of COVID-19 neurology: clinical, radiological and laboratory findings. Paterson RW, Brown RL, Benjamin L, Nortley R, Wiethoff S, Bharucha T, Jayaseelan DL, Kumar G, Raftopoulos RE, Zambreanu L, Vivekanandam V, Khoo A, Geraldes R, Chinthapalli K, Boyd E, Tuzlali H, Price G, Christofi G, Morrow J, McNamara P, McLoughlin B, Lim ST, Mehta PR, Levee V, Keddie S, Yong W, Trip SA, Foulkes AJM, Hotton G, Miller TD, Everitt AD, Carswell C, Davies NWS, Yoong M, Attwell D, Sreedharan J, Silber E, Schott JM, Chandratheva A, Perry RJ, Simister R, Checkley A, Longley N, Farmer SF, Carletti F, Houlihan C, Thom M, Lunn MP, Spillane J, Howard R, Vincent A, Werring DJ, Hoskote C, Jäger HR, Manji H, Zandi MS. Brain. 2020 Oct 1;143(10):3104-3120. doi: 10.1093/brain/awaa240. 2020 Jul 31;20(1):555. doi: 10.1186/s12879-020-05227-9. Determine TB-LAM point-of-care tuberculosis assay predicts poor outcomes in outpatients during their first year of antiretroviral therapy in South Africa Andrew D Kerkhoff 1 , Nicky Longley 2 3 4 , Nicola Kelly 5 , Anna Cross 5 , Monica Vogt 5 , Robin Wood 5 6 , Sabine Hermans 5 7 , Stephen D Lawn 5 6 , Thomas S Harrison 8 Affiliations PMID: 32736601 PMCID: PMC7393716 DOI: 10.1186/s12879-020-05227-9 Implementation and Operational Research: Evaluation of a Public-Sector, Provider-Initiated Cryptococcal Antigen Screening and Treatment Program, Western Cape, South Africa. Vallabhaneni S, Longley N, Smith M, Smith R, Osler M, Kelly N, Cross A, Boulle A, Meintjes G, Govender NP. J Acquir Immune Defic Syndr. 2016 Jun 1;72(2):e37-e42Cryptococcal Antigen Screening in Patients Initiating ART in South Africa: A Prospective Cohort Study
Longley N, Jarvis JN, Meintjes G, Boulle A, Cross A, Kelly N, Govender NP, Bekker LG, Wood R, Harrison TS. Clin Infect Dis. 2016 Mar 1;62(5):581-587AIDS-related mycoses: the way forward
Brown GD, Meintjes G, Kolls JK, Gray C, Horsnell W; Working Group from the EMBO-AIDS Related Mycoses Workshop, Trends Microbiol. 2014 Mar;22(3):107-9.Determinants of mortality in a combined cohort of 501 patients with HIV-associated Cryptococcal meningitis: implications for improving outcomes
Jarvis JN, Bicanic T, Loyse A, Namarika D, Jackson A, Nussbaum JC, Longley N, Muzoora C, Phulusa J, Taseera K, Kanyembe C, Wilson D, Hosseinipour MC, Brouwer AE, Limmathurotsakul D, White N, van der Horst C, Wood R, Meintjes G, Bradley J, Jaffar S, Harrison T. Clin Infect Dis. 2014 Mar;58(5):736-45Cryptococcal immune reconstitution inflammatory syndrome.
Longley N, Harrison TS, Jarvis JN. Curr Opin Infect Dis. 2013 Feb;26(1):26-34Cryptococcal antigen screening and preemptive therapy in patients initiating antiretroviral therapy in resource-limited settings: a proposed algorithm for clinical implementation
Jarvis JN, Govender N, Chiller T, Park B, Longley N, Meintjes G, Bekker LG, Wood R, Lawn SD, Harrison TS J Int Assoc Physicians AIDS Care (Chic). 2012 Nov-Dec;11(6):374-9Short course amphotericin B with high dose fluconazole for HIV-associated cryptococcal meningitis.
Muzoora CK, Kabanda T, Ortu G, Ssentamu J, Hearn P, Mwesigye J, Longley N, Jarvis JN, Jaffar S, Harrison TS. J Infect. 2012 Jan;64(1):76-81Evaluation of a novel point-of-care cryptococcal antigen test on serum, plasma, and urine from patients with HIV-associated cryptococcal meningitis.
Jarvis JN, Percival A, Bauman S, Pelfrey J, Meintjes G, Williams GN, Longley N, Harrison TS, Kozel TR. Clin Infect Dis. 2011 Nov;53(10):1019-23.Routine cryptococcal antigen screening for HIV-infected patients with low CD4+ T-lymphocyte counts: time to implement in South Africa?
Jarvis JN, Harrison TS, Govender N, Lawn SD, Longley N, Bicanic T, Maartens G, Venter F, Bekker LG, Wood R, Meintjes G. S Afr Med J. 2011 Apr;101(4):232-4.Severe Guillain-Barré syndrome following primary infection with varicella zoster virus in an adult.
Cresswell F, Eadie J, Longley N, Macallan D. Int J Infect Dis. 2010 Feb;14(2):e161-3.Independent association between rate of clearance of infection and clinical outcome of HIV-associated cryptococcal meningitis: analysis of a combined cohort of 262 patients.
Bicanic T, Muzoora C, Brouwer AE, Meintjes G, Longley N, Taseera K, Rebe K, Loyse A, Jarvis J, Bekker LG, Wood R, Limmathurotsakul D, Chierakul W, Stepniewska K, White NJ, Jaffar S, Harrison TS. Clin Infect Dis. 2009 Sep 1;49(5):702-9Dose response effect of high-dose fluconazole for HIV-associated cryptococcal meningitis in southwestern Uganda.
Longley N, Muzoora C, Taseera K, Mwesigye J, Rwebembera J, Chakera A, Wall E, Andia I, Jaffar S, Harrison TS. Clin Infect Dis. 2008 Dec 15;47(12):1556-61
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Travel Approval & Insurance
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RCPSG Postgraduate Diploma in Travel Medicine
This course has been designed in line with the Faculty of Travel Medicine’s publications 'Good Practice Guidance for Providing a Travel Health Service' and 'Recommendations for the Practice of Travel Medicine'
Reference form
Course Information
The aim of this course is to develop and support healthcare professionals in their role as travel medicine practitioners .
It offers an academic base that assists individuals to become autonomous and reflective practitioners in the delivery of travel medicine services. The course is delivered at postgraduate level and carries 120 credit points at SCQF Level 11.
The content and level of this course facilitates growth and development of cognitive, leadership and practical skills. This will enhance travel medicine practitioners’ practice, by enabling them to make sound judgements and apply best clinical practice or evidence-based theory to support their decision making. This will ultimately support client care, in situations prone to rapid change and subsequently, improve travellers’ health.
If you complete this course, you'll be eligible to join the College as a Member of the Faculty of Travel Medicine (MFTM). You'll also be able to continue your studies to master's level with a MSc Advanced Practice (Travel Medicine) from Glasgow Caledonian University. Details of each of these can be found below.
Course duration and intakes
This course consists of eight postgraduate modules delivered over a period of 12 months . The course will be delivered by specialists in travel medicine using a blended model of two residential elements and online interactive learning.
Students will be expected to attend and contribute to online educational and peer support platforms. Cohort three will begin in May 2025 with a residential week of learning.
The second residential is planned to take place in October 2025 . The residential weeks are mandatory, though we'll consider applications from students requesting online participation.
The Diploma fee is £4,395 and this will include Affiliate Membership of the Faculty of Travel Medicine and access to TRAVAX for the duration of the course.
Once accepted onto the course, a deposit of approximately 10% of the course fee will be due to hold your place. The remaining payment will be made over two further instalments, one due by your start date and the other due six months later. Dates will be provided upon enrolment.
Entry and Language Requirements
Applicants must be able to satisfy the general admission requirements of the Royal College of Physicians and Surgeons of Glasgow.
Academic Requirements
- Applicants must hold a UK bachelor’s degree with honours (2:1 or above) in medicine and surgery, nursing, dentistry, paramedic science or pharmacy or;
- Applicants must hold a UK postgraduate qualification in a health-related subject based on clinical experience or;
- Applicants must hold a bachelor’s degree with honours (2:1 or above) from a recognised international provider of higher education in medicine and surgery, nursing, dentistry, paramedic science or pharmacy or;
- Applicants must hold a postgraduate qualification in a health-related subject based on clinical experience from a recognised international provider of higher education or;
- Applicants must have a record of on-going professional development in their respective field if they don't hold a degree. This record must cover professional development with a significant clinical component from when the applicant began working in their field. This only applies to those who have been practicing without a degree since the year outlined in the table below.
Professional Requirements
- Applicants must hold professional registration with the governing body for their profession in the country which they're resident.
- Applicants must have professional experience in travel medicine practice or aspire to practice in travel medicine when they complete the Postgraduate Diploma in Travel Medicine.
English Language Requirements
Applicants with English as a second language will be assessed for suitability during the application process. English language requirements for this level of study include:
- Overall score 6.0
- No sub-test less than 5.5
- Reading: 17
- Listening: 17
- Speaking: 17
- Writing: 17
Membership of the Royal College of Physicians and Surgeons of Glasgow
Those who successfully complete this course will be eligible to join the College as a Member of the Faculty of Travel Medicine (MFTM) . Non-members starting this course will be offered complimentary Affiliate Membership for one year and access to TRAVAX while studying.
Progression to MSc Advanced Practice (Travel Medicine)
Upon successful completion of the Postgraduate Diploma in Travel Medicine, you'll be eligible to continue your studies to master's level with Glasgow Caledonian University.
You'll be awarded a MSc Advanced Practice (Travel Medicine) if you complete a 60-credit dissertation module over two trimesters in a six-month period. The dissertation would build on the work started in your Postgraduate Diploma. For more information or to sign up, go to the GCU MSc Advanced Practice page .
Module Overview
Epidemiology, Immunology and Travel Risk Assessment
![travel medicine lshtm Epidemiology, Immunology and Travel Risk Assessment](https://rcpsg.ac.uk/images/education/travel-medicine/epedemiology-immunology-travel-risk-assessment.jpg)
By the end of this module you will have knowledge and understanding of:
- Aspects of epidemiology in relation to the subject of travel medicine.
- Principles of immunology in relation to travel medicine.
- Critical evaluation of the principles underpinning a risk assessment.
- Current key principles of behaviour and the human factors that lead individuals to make decisions which impact their health when abroad.
Non Vector Borne Infections
![travel medicine lshtm Non Vector Borne Infections](https://rcpsg.ac.uk/images/education/travel-medicine/non-vector-borne-infections.jpg)
- The epidemiology, pathophysiology, clinical manifestations and impact of non vector borne infections.
- Effective strategies for prevention of non vector borne infections, including immunisations to maximise protection of at-risk populations.
- The relationship between travellers, host populations and non-vector borne infections and potential implications for travellers in the context of emerging infections.
- Communication of risk assessment and behaviour modification strategies in the preparation of overseas travel, in relation to non vector borne infections.
Vector Borne Infections
![travel medicine lshtm Vector Borne Infections](https://rcpsg.ac.uk/images/education/travel-medicine/vector-borne-infections.jpg)
- The various disease vectors and how they transmit infection.
- Epidemiology and health implications of vector-borne infections with particular emphasis on malaria and current control approaches to prevent these infections.
- Insect borne infection advice including bite prevention, vaccination where appropriate and in relation to malaria, chemoprophylaxis available and the factors affecting compliance with these measures.
- The principles of diagnosing and treating malaria and other vector borne illnesses and resources that support accurate clinical decision making in relation to prevention and treatment of malaria in travellers.
Environmental Factors and Travel
![travel medicine lshtm Environmental Factors and Travel](https://rcpsg.ac.uk/images/education/travel-medicine/enviromental-factors-and-travel.jpg)
- The principles of environmental conditions in the context of traveller’s health
- The environmental impact overseas travel has on host communities alongside the travel industry economy.
- Human pathophysiology and physiological effects of flying and the interventions that help prevent illness.
- Risk of trauma to travellers and strategies for prevention.
- Travel insurance and access to medical care overseas.
Research Methods
![travel medicine lshtm Research Methods](https://rcpsg.ac.uk/images/education/travel-medicine/research-methods.jpg)
- Research philosophy.
- Types of research and research approaches.
- The research process, including literature searches, research design and methodology.
- Data management and analyses.
The Complex Traveller - Pre and Post Travel
![travel medicine lshtm The Complex Traveller - Pre and Post Travel](https://rcpsg.ac.uk/images/education/travel-medicine/the-complex-traveller-pre-and-post-travel.jpg)
- Categories of travellers and the complex nature of their special travel requirements.
- Risk factors associated with different categories of travellers and strategies and mechanisms for advising them for overseas travel.
- Management of travellers returning with commonly presented infectious diseases.
Medical Conditions and Travel
![travel medicine lshtm Medical Conditions and Travel](https://rcpsg.ac.uk/images/education/travel-medicine/medical-conditions-and-travel.jpg)
- Medical conditions and the potential impact they could have on a traveller’s health.
- Complexities and implications relating to travellers with medical conditions, and current strategies used to prepare them for overseas travel.
Governance, Legal and Ethical Considerations
![travel medicine lshtm Governance, Legal and Ethical Considerations](https://rcpsg.ac.uk/images/education/travel-medicine/governane-legal-ethical-considerations.jpg)
- The legal implications and ethical aspects that may affect some travellers.
- Differences in legal structures, clinical governance and practice in relation to the delivery a travel medicine services.
RCPSG Postgraduate Diploma in Travel Medicine Application form RCPSG Postgraduate Diploma in Travel Medicine Reference form RCPSG Postgraduate Diploma in Travel Medicine FAQs
- Courses and Conferences
- Examinations
- Qualifications in Travel Medicine
- Good Practice Guidance for Providing a Travel Health Service
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New mpox strain: What is it and what does it mean for the UK?
Experts said the new strain is ‘associated with a more severe disease and higher mortality rates’.
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The first case of a new infectious strain of mpox has been detected in Europe after the World Health Organisation (WHO) declared outbreaks in Africa a global emergency.
Experts said the new strain is “associated with a more severe disease and higher mortality rates” than the one that caused the global mpox outbreak in 2022.
– But what is the new strain and what risk does it pose to the UK?
The new strain of mpox is known as clade 1b and it emerged in the Democratic Republic of the Congo (DRC) last year, according to WHO.
The disease is now rapidly spreading to neighbouring countries in Africa, mainly through sexual networks, WHO said, with one case confirmed in Europe.
– Where was the first European case detected?
Swedish health officials announced that there has been one confirmed case of clade 1b on Thursday.
The country’s public health agency said a patient sought healthcare in Stockholm and is understood to have been infected during a visit to Africa.
![travel medicine lshtm Congo Mpox](https://content.assets.pressassociation.io/AP/2024/08/15/a28431d770d948b0ad5df094368c583f.jpg?w=640)
– What do UK health officials say?
Before the case in Sweden was announced, and following the declaration of clade 1b as a global emergency by the WHO, the UK Health Security Agency (UKHSA) said it was on alert for any cases of the virus.
Officials said there are currently no cases in the UK and the risk to the population is low.
However, the UK is preparing for any potential cases by ensuring clinicians are aware of mpox and able to recognise cases promptly.
Rapid testing is also being made available, while protocols are being developed for the safe care of potential patients to prevent transmission.
– Why has the WHO declared a global emergency?
Mpox was first detected in humans in the DRC in 1970 and is considered endemic to countries in Central and West Africa.
However, WHO said the recent surge of cases in DRC and its spread to neighbouring countries constitutes a public health emergency of international concern (PHEIC) under the International Health Regulations (2005) on Wednesday.
According to WHO, mpox has been reported in DRC for more than 10 years, with the number of cases increasing steadily over the period.
So far in 2024, there have been more than 15,600 cases of mpox and 537 deaths, which the WHO said exceeds last year’s total.
There have also been 100 lab-confirmed cases of clade 1b in four countries neighbouring the DRC that have not reported mpox before: Burundi, Kenya, Rwanda and Uganda.
– Has this happened before?
Yes, it is the second time in two years the WHO has declared mpox a PHEIC.
The first was in 2022 after its rapid spread through sexual contact in countries that had not reported cases before.
The emergency was declared as over in May 2023 following a sustained decline in global cases.
– What do the experts say?
Dr Jonas Albarnaz, a research fellow specialising in pox viruses at the Pirbright Institute, said the case of clade 1b in Sweden “is concerning for two main reasons”.
“First, this is the first clade 1 mpox virus case outside Africa. This indicates that the extent of the international spread of clade 1 outbreak in DRC might be larger than we knew yesterday.
“And second, clade 1 mpox virus is associated with a more severe disease and higher mortality rates than the clade 2 virus responsible for the international mpox outbreak in 2022.”
Michael Marks, a professor of medicine at the London School of Hygiene and Tropical Medicine (LSHTM), said: “It’s clear that this is the largest outbreak of mpox reported from the region.
“It’s also the largest of the clade 1 mpox virus, which has traditionally been associated with a higher case fatality rate than clade 2, which caused the large global outbreak in 2022.”
![travel medicine lshtm An electron micrograph of monkeypox particles found within an infected cell (NIAID via AP)](https://content.assets.pressassociation.io/AP/2022/07/26/e4d10527afc54e488d16028448997075.jpg?w=640)
– How did the UK deal with the last outbreak?
Before the spring of 2022, cases in the UK were usually associated with travel to or from West or Central Africa.
However, in May of that year sustained transmission of the virus was identified in the UK, leading to a large outbreak mostly in men who are gay, bisexual or have sex with other men.
A vaccination programme was launched in the UK in the summer of 2022 and closed the following July.
According to the UKHSA, there were 3,732 confirmed and highly probable mpox cases reported in the UK up to December 31, 2022. In 2023 and up to July 31 this year, 286 cases were reported.
Of these, 269 were in England – with 116 patients presumed to have caught the virus in the UK and 82 outside of the country.
– What are the symptoms of mpox and how does it spread?
Mpox is passed on through close physical contact, including during sexual contact, kissing, cuddling or holding hands.
Symptoms include a high temperature, headache, muscle aches, backache, swollen glands, exhaustion, joint pain and a rash.
![travel medicine lshtm travel medicine lshtm](https://www.expressandstar.com/resizer/v2/455X7O2GFNDTFJ6QG7T7HMLX5M.jpg?auth=99fbc1ce030f1e57ce588c267b1cbcc4b4bcb186381b1dce1eea53427329bccd&width=300&height=225)
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The ‘Orgasm Gap’ Isn’t Going Away for Straight Women
A new study suggests they still have fewer orgasms during sex than men do, even with age and experience.
![travel medicine lshtm An illustration of two people hugging. One person has purple and orange stars and wavy lines across their body. The other person does not have the stars and wavy lines across their body.](https://static01.nyt.com/images/2024/08/13/well/05WELL-ORGASM-GAP/05WELL-ORGASM-GAP-articleLarge.jpg?quality=75&auto=webp&disable=upscale)
By Catherine Pearson
Sex researchers and therapists have long known that women in heterosexual relationships tend to have fewer orgasms than men do. A large new study suggests that this “orgasm gap” persists — and does not improve with age.
The Numbers
The research, published recently in the journal Sexual Medicine, found that across all ages, men of all sexual orientations reported higher orgasm rates during sex — from 70 to 85 percent — compared with 46 to 58 percent for women. Lesbian and bisexual women between ages 35 and 49 reported higher orgasm rates than their heterosexual counterparts.
The analysis included data from eight Singles in America surveys, which are funded and conducted by Match.com annually in collaboration with The Kinsey Institute, the sexuality and relationships research program at Indiana University. The sample included more than 24,000 single Americans between the ages of 18 and 100.
Researchers were especially interested in the question of whether orgasm rates vary by age. Amanda Gesselman, a research scientist with the Kinsey Institute and lead author on the study, said she thought the team might find evidence that the orgasm gap narrows as women develop confidence and learn what they like (and, perhaps, their partners develop skills to help pleasure them).
However, while older gay and bisexual men and lesbian women did have higher orgasm rates, “we really didn’t see evidence of closing the orgasm gap overall,” she said, adding that she hopes future studies will explore the age-orgasm connection further.
“We really, as a society, sort of prioritize men’s pleasure and undervalue women’s sexual pleasure,” Dr. Gesselman said. “And I think that contributes to consistent disparities.”
The Limitations
Emily Nagoski, a sex educator and author of the book “Come Together” — who did not work on the new study — said a limitation of the study was that the survey asked: “When having sexual intercourse in general, what percentage of the time do you usually have an orgasm?” But it did not provide a more specific definition of what “sexual intercourse” means.
Research shows the majority of women require some form of clitoral stimulation in order to orgasm. So if straight women defined “sexual intercourse” as vaginal penetration alone, it makes sense that there was a significant gap in orgasm rates, she said.
A more revealing question might be, “What percentage of the sex you have do you like?” Dr. Nagoski said. “Orgasm is not the measure of a sexual encounter. Pleasure is the measure of a sexual encounter.”
Ultimately, what matters is that people spend time figuring out what makes a satisfying sexual encounter for them — which often includes things like connection, trust and comfort, said Kristen Mark, professor at the Eli Coleman Institute for Sexual and Gender Health at the University of Minnesota.
“There are so many ways to experience sexual pleasure, so it’s important not to equate the orgasm gap to a pleasure gap,” she added.
Dr. Mark said that may be especially true later in life, when factors like the hormonal changes that occur during menopause, a partner’s erectile problems or other health challenges can make it difficult for women to reliably orgasm during sex — but they might still be enjoying the sex they are having.
What Progress Looks Like
At the same time that sex researchers and experts are calling for a more nuanced understanding of what makes sex “successful,” they express frustration at the fact that heterosexual women of all ages are still not having as many orgasms as their partners.
Laurie Mintz, a professor of psychology at the University of Florida and author of “Becoming Cliterate: Why Orgasm Equality Matters — and How to Get It,” said the study’s findings underscore the need for comprehensive sex education. But that’s not enough.
Women need to figure out what they find pleasurable, and then feel confident and comfortable communicating that to their partners, Dr. Mintz said. That requires an attitude that conveys “I deserve pleasure as much as my partner,” she added — and it also requires a partner who is receptive and open. Dr. Mintz acknowledged that both are easier said than done, calling the orgasm gap an “insidious” byproduct of patriarchal attitudes toward sex.
Women who are unable to orgasm, or who are simply not having sex that feels good, can talk to their general practitioner, Dr. Mark added — though she lamented that it tends to fall on patients, not medical professionals, to initiate conversations about sexual health. And she acknowledged that most doctors get little if any training in sexual health. Still, “it’s their job to meet you where you are and find you the resources you need,” Dr. Mark said. For instance, issues like dryness and pain during sex after menopause — which can make orgasms elusive — are treatable.
But she and other sexual health experts emphasized that there are larger issues at play. Among them, the lingering idea that women’s sexual pleasure is somehow secondary.
“It can be fixed,” Dr. Mintz said. “It’s going to take education, and empowerment, and acceptance of vibrators and lubricants, and using the word ‘clitoris’ — and all of that.”
Catherine Pearson is a Times reporter who writes about families and relationships. More about Catherine Pearson
What to Know About Your Sexual Health
Sexual health can be an important part of personal well-being. the information below can help you demystify this often misunderstood topic..
A new study suggests women in heterosexual relationships still have fewer orgasms during sex than men do, even with age and experience, creating an “orgasm gap.”
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More than half of men over 40 will experience some kind of erectile problem, and the prevalence increases with age (though men in their 20s and 30s can be affected, too). Here’s what to do about it .
Older daters are not getting adequate screening and protection from S.T.I.s. Here’s how to be a safer sexually active senior .
Any physical activity can improve your sexual health. But these five exercises are especially beneficial.
New regimens in development, including once-weekly pills and semiannual shots , could help control H.I.V. in hard-to-reach populations.
![travel medicine lshtm Cornell University](https://www.vet.cornell.edu/themes/custom/cornell_cvm/images/cornell_identity/cuseal_full_white.png)
Phone Numbers
Routine and emergency care.
Companion Animal Hospital in Ithaca, NY for cats, dogs, exotics, and wildlife
Equine and Nemo Farm Animal Hospitals in Ithaca, NY for horses and farm animals
Cornell Ruffian Equine Specialists, on Long Island for every horse
Ambulatory and Production Medicine for service on farms within 30 miles of Ithaca, NY
Animal Health Diagnostic Center New York State Veterinary Diagnostic Laboratory
General Information
Cornell University College of Veterinary Medicine Ithaca, New York 14853-6401
![travel medicine lshtm Cornell University](https://www.vet.cornell.edu/themes/custom/cornell_cvm/images/cvm/cuseal_full_red.png)
Cornell provides pet travel documentation amid changing U.S. requirements
![travel medicine lshtm Exterior shot of the community practice in June, with a flowery garden and blue sky](https://www.vet.cornell.edu/sites/default/files/styles/nodecontent_default/public/2024-08/SACP%20exterior%202024%20PC%20Carol%20Jennings-resize.jpg?itok=DXw3OI8L)
Veterinarians at the Cornell Small Animal Community Practice are poised and ready to help would-be traveling pet owners no matter the requirements. Photo: Carol Jennings/CVM
The Centers for Disease Control (CDC) backtracked last month on strict requirements about dogs returning from international travel. In May, they announced a new process with differing rules depending on the source country, and limited pet owners to using only airports with proper quarantine facilities.
Just two weeks before the Aug. 1 deadline, however, the CDC amended its policy to a fraction of the proposed requirements — apparently in response to strong outcry from the public, veterinary professionals and airlines, all voicing concern over the feasibility of meeting such comprehensive criteria. Now, dogs arriving in the U.S. from countries with a low risk of rabies, such as Canada and the European Union, only need to be at least six months old with a microchip, and owners can submit a single form and attest to the animal’s health upon arrival.
All animals, not only dogs, must be assessed before leaving or entering the country. This assessment takes the form of an international health certificate (IHC), a document that states an animal has recently been examined and meets all the criteria for travel to another country, which can only be provided by USDA-certified veterinarians.
Veterinarians at the Cornell Small Animal Community Practice are poised and ready to help would-be traveling pet owners no matter the requirements. Dr. Michelle Porter is one of three veterinarians at the community practice certified by the USDA.
“The number of certificates that we have done over the past five years has exponentially grown,” Porter said. “We used to do one every few months, but I can think of at least 16 that we have done in the past three months alone.”
Why the increase? “It is becoming more common for owners to travel with their pets instead of leaving them behind in a kennel or with a pet sitter,” Porter said.
Dr. Korana Stipetic visited the Cornell Small Animal Community Practice in July to certify her pets for an upcoming trip to Europe — four dogs and two cats will be making the journey with her. “This is the first time I have used the service, and it has been amazing,” Stipetic said. She said that while she doesn’t travel often, it was important to be able to bring the pets with her. “They are my family.”
![travel medicine lshtm A collage of Stipetic's four dogs and two cats](https://www.vet.cornell.edu/sites/default/files/styles/nodecontent_default/public/2024-08/Pet%20travel%20Stipetic%20pets.png?itok=abXleKAv)
Obtaining an IHC is not always easy and can take multiple visits to a veterinarian. Porter notes that nearly all countries require animals be microchipped and up to date on their rabies vaccine. Other countries require a rabies titer, a blood test that ensures the animal has mounted a good response to the vaccine. Still others have additional requirements, but in general each country’s criteria are unique.
Stipetic describes her visit to the Cornell Small Animal Community Practice as easy and smooth, even with six animals to certify. “I shared with them the special needs for some of my animals. I have several senior animals, and a few very frightened animals,” she said. “They guided me through the whole process, so that it was clear at each point what needed to happen, and my animals were taken care of in the way that made me feel that we were all safe, listened to and supported.”
Europe, where Stipetic will be traveling, has become stricter with their rabies vaccine standards in recent years. Veterinarians like Porter at the community practice keep abreast of evolving requirements, as Cornell has offered this service to its own community and the surrounding area for many years.
“Cornell has a very diverse population, with students and staff coming from all over the world,” Porter said. “A lot of international travel happens and so we need to be sure that there is an easy way for Cornellians to travel home with their pets.”
To ease the way for furry globetrotters, Porter advises that owners plan ahead. “We recommend starting the planning process between two and six months prior to travel, depending on location,” she said. Not every veterinary clinic has a UDSA-certified veterinarian, and in some places it can take weeks to get in for an initial consult and still more time for certain test results.
The CDC keeps its requirements up to date on its website . The USDA’s resource list for owners provides the requirements for each country, and pet owners can find a certified veterinarian on its database .
For now, Stipetic and her animals are ready for their trip. “The whole Cornell team — from the front desk, to students, techs and veterinarians — listened to our needs, met them and simply made it happen in a most gentle and kind way,” she said. “I am very grateful and still cannot believe how smoothly everything went!”
Written by Melanie Greaver Cordova
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Teaching dairy seminar, "veterinary medicine across the pond, not oceans apart" by dr. steven van winden, seminars in infection & immunity (vetmi 7120) -- dr. rebecca dubois, seminars in infection & immunity (vetmi 7120) -- dr. adam braunschweig, seminars in infection & immunity (vetmi 7120) -- dr. stavroula hatzios.
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Envenomations, intoxications and travel-related diseases: more common than you think what to do about scorpions.
Arizona Telemedicine Program and Southwest Telehealth Resource Center present:
When | Noon to 1 p.m., Aug. 21, 2024 Where | Virtual
REGISTER HERE TO JOIN VIRTUALLY
Event Description
The practice and delivery of health care is changing with an emphasis on improving quality, safety, efficiency and access to care. Telemedicine can help you achieve these goals! The Arizona Telemedicine Program and Southwest Telehealth Resource Center invite you to a free one-hour CME webinar on the implementation and practice of telemedicine.
Envenomations, intoxications and travel-related diseases: More common than you think! What to do
Join us again in our series on envenomations, intoxications and bites in the Southwest. This session will be about scorpions, and not the rock band type! These critters are not insects, but are arachnids and are very common here in our desert environment. As an opportunistic predator, they can pack a painful punch!
This webinar is made possible through funding provided by Health Resources and Services Administration, Office for the Advancement of Telehealth (U1U42527).
Presenter Details
Farshad "Mazda" Shirazi, MS, MD, PhD Medical Director of Arizona Poison and Drug Information Center Professor, Emergency Medicine, Pharmacology and Pharmacy Practice Director of Medical Toxicology Fellowship University of Arizona Read more
Facilitator Details
Stephen Klotz, MD Professor, Family and Community Medicine Medical Director, Arizona Telemedicine Program University of Arizona Read more
Outcome Objectives
- Describe the epidemiology of scorpion stings.
- List three clinical presentations of the presented venom and allergic reactions.
- Describe the treatment for symptoms from scorpion stings.
Accreditation Statement The University of Arizona College of Medicine – Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The University of Arizona College of Medicine – Tucson designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Relevant Financial Relationships Statement(s): University of Arizona College of Medicine – Tucson Office of Continuing Medical Education adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers or others are required to disclose all financial relationships with ineligible entities (commercial interests). The CME office reviewers have nothing to disclose. All relevant financial relationships have been mitigated prior to the commencement of the activity.
Audience: College of Health Sciences College of Medicine – Phoenix College of Medicine – Tucson College of Nursing Mel and Enid Zuckerman College of Public Health R. Ken Coit College of Pharmacy
Contacts: Melanie Esher, MAdm [email protected] 520-626-6103
LSHTM LSHTM Research Online
Providing travel medicine advice to visiting friends and relatives travellers: high risk and difficult to advise.
Copy to clipboard Copy Stauffer, WM ; Behrens, RH ; (2005) Providing travel medicine advice to visiting friends and relatives travellers: high risk and difficult to advise. Clinics in Family Practice, 7 (4) (4). pp. 717-729. ISSN 1522-5720 https://researchonline.lshtm.ac.uk/id/eprint/9379
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Teaching will be by staff from the Faculty of Infectious and Tropical Diseases at LSHTM, the Hospital for Tropical Diseases and the National Travel Health Network & Centre (NaTHNaC); and invited external, national and international speakers eminent in the fields of travel medicine, infectious diseases, epidemiology and immunology.
London School of Hygiene & Tropical Medicine The School is an internationally renowned centre for research and postgraduate education in public and global health, with 4,000 students and more than 1,000 staff working in over 100 countries. The School is highly ranked in a number of university league tables, including being named top in Europe for impact (Leiden Ranking, 2015) and the world's ...
Teaching will be by staf from the Faculty of Infectious and Tropical Diseases at LSHTM, the Hospital for Tropical Diseases and the National Travel Health Network & Centre (NaTHNaC); and invited external, national and international speakers eminent in the fields of travel medicine, infectious diseases, epidemiology and immunology.
Tis course aims to give participants an overview of all aspects of travel medicine. It provides the knowledge, conceptual frameworks and tools necessary to run an up-to-date, evidence-based travel medicine service and spark an interest in those who are new to the feld.
The London School of Hygiene & Tropical Medicine is a world leading centre for research and postgraduate education in public and global health.
The Professional Diploma in Tropical Medicine & Hygiene (DTM&H) is an intensive, three-month, full-time course in tropical medicine and public health for physicians. The course combines practical laboratory work, a series of lectures and seminars and some limited clinical experience designed to provide doctors with the clinical and factual ...
LSHTM Research Online About About Open Access Policies Accessibility Browse Browse by Year Browse by Faculty Browse by Research Centre ... Journal of travel medicine, 25 (suppl_). S16-S26.
The London School of Hygiene & Tropical Medicine ( LSHTM) is a public research university in Bloomsbury, central London, and a member institution of the University of London that specialises in public health and tropical medicine . The institution was founded in 1899 by Sir Patrick Manson, after a donation from the Indian Parsi philanthropist B ...
The London School of Hygiene & Tropical Medicine (LSHTM) is currently accepting applications for its Travel Medicine short course running 4-8 November 2024. This programme will provide you with the essential expertise, tools, and frameworks for evidence-based practice.
Associate professor in travel medicine at London School of Hygiene and Tropical Medicine. Member of ; the faculty of Travel medicine RCPSG, the International Expert Committee for Travel Medicine and TAG for NaTHNaC. Trained in London, Uganda and South Africa . Runs the short course in travel medicine and teaches the travel medicine component of the DTM&H at LSHTM.
The Diploma in Travel Health (DipTH) is awarded by LSTM as a Professional Diploma that aims to equip new experienced practitioners with knowledge, skills and competencies in travel health. The programme provides a platform for confident practice through interactive online learning, an opportunity for reflection, and continuing professional ...
Please use this form to request approvals and insurance for LSHTM related Travel. please contact the ServiceDesk Get Started Improving health worldwide London School of Hygiene & Tropical Medicine Keppel Street London WC1E 7HT
Our Travel Medicine short course is now open for 2019 applications. Designed for physicians, nurses and pharmacists who provide a pre-travel health service, or…
LSHTM's short courses provide opportunities to study specialised topics across a broad range of public and global health fields. From AMR to vaccines, travel medicine to clinical trials, and modelling to malaria, refresh your skills and join one of our short courses today.
LSHTM's short courses provide opportunities to study specialised topics across a broad range of public and global health fields. From AMR to vaccines, travel medicine to clinical trials, and modelling to malaria, refresh your skills and join one of our short courses today.
Utilising pneumococcal conjugate vaccines (PCVs) could save almost 700,000 children's lives between the time of their introduction to the year 2030, according to a new modelling study. This would be equivalent to the average number of babies born in the UK each year.The new study, by researchers from The London School of Hygiene & Tropical Medicine (LSHTM) and the National University of ...
The aim of this course is to develop and support healthcare professionals in their role as travel medicine practitioners. It offers an academic base that assists individuals to become autonomous and reflective practitioners in the delivery of travel medicine services.
Michael Marks, a professor of medicine at the London School of Hygiene and Tropical Medicine (LSHTM), said: "It's clear that this is the largest outbreak of mpox reported from the region ...
LSHTM's short courses provide opportunities to study specialised topics across a broad range of public and global health fields. From AMR to vaccines, travel medicine to clinical trials, and modelling to malaria, refresh your skills and join one of our short courses today.
The research, published recently in the journal Sexual Medicine, found that across all ages, men of all sexual orientations reported higher orgasm rates during sex — from 70 to 85 percent ...
Infectious Diseases Society of America; (2006) The practice of travel medicine: guidelines by the Infectious Diseases Society of America. Clin Infect Dis, 43 (12). pp. 1499-1539.
Latest advances in travel medicine. Copy to clipboard Copy Busonero, Federico ; Behrens, Ron H ; (2006) Latest advances in travel medicine.
The Centre for History in Public Health (CHiPH) at the London School of Hygiene & Tropical Medicine (LSHTM) would like to hear from mid-career researchers who want to apply for competitive personal awards from prestigious funders.. We are particularly keen to hear from historians working on global health or tropical medicine, or humanities researchers (including history, literature, law ...
"A lot of international travel happens and so we need to be sure that there is an easy way for Cornellians to travel home with their pets." To ease the way for furry globetrotters, Porter advises that owners plan ahead. "We recommend starting the planning process between two and six months prior to travel, depending on location," she said.
The University of Arizona College of Medicine - Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Arizona College of Medicine - Tucson designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™.
Add to Calendar 2024-09-11 12:15:00 2024-09-11 13:15:00 Transdisciplinary dialogues among global north-south epistemological traditions and approaches accounting for health inequities The goal of this interactive seminar is to provide a platform to begin revising theories, methodologies and interventions used in Public Health research and practice to account for health inequities according to ...
BACKGROUND: Travel-related diseases are important aspects of public health. The number of UK residents traveling abroad is increasing at a rate of 16% a year, thereby increasing e
Karelia is politically divided between Finland and Russia. The Republic of Karelia is a federal subject of Russia formed in 1991 from the Karelian ASSR. The Karelian Isthmus belongs to the Leningrad Oblast. The Finnish side consists of parts of the regions ( maakunta) of South Karelia, North Karelia and Kymenlaakso .
Copy Stauffer, WM; Behrens, RH; (2005) Providing travel medicine advice to visiting friends and relatives travellers: high risk and difficult to advise. Clinics in Family Practice, 7 (4) (4). pp. 717-729.
Petrozavodsk ( Russian: Петрозаводск; Karelian, Vepsian and Finnish: Petroskoi) [11] is the capital city of the Republic of Karelia, Russia, which stretches along the western shore of Lake Onega for some 27 kilometers (17 mi). The population of the city is 280,890 as of 2022.