The Returned
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As showrunner Carlton Cuse showed aptly on Lost, he's a pro at conjuring an eerie atmosphere. The scenes in which the newly returned walk through their changed town and try to come home are genuinely, compellingly horrifying in the best tradition of terror: It doesn't just creep you out, it makes you wonder what you'd do in the same situation. How would you act if your daughter suddenly came back from the dead? And how surprised would she be coming home to find the marriage of her parents (Tandi Wright and Mark Pellegrino, both outstanding) broken up and her twin sister years older?
The history of vaccinations and malaria prophylaxis should be reviewed when evaluating an ill returned traveler. Fewer than half of US travelers to developing countries seek pretravel medical advice and may not have received vaccines or taken antimalarial drugs. Although adherence to malaria prophylaxis does not rule out the possibility of malaria, it reduces the risk and increases the likelihood of an alternative diagnosis. Fever and a rash in a traveler without measles vaccination would raise concern about measles. The most common vaccine-preventable diseases among returned travelers seeking care at a GeoSentinel clinic between 1997 and 2010 included typhoid fever, hepatitis A, hepatitis B, and influenza. More than half of these patients with vaccine-preventable diseases were hospitalized.
Respiratory complaints are frequent among returned travelers and are typically associated with common respiratory viruses (see Chapter 2, Respiratory Infections). Influenza is the most common vaccine-preventable disease associated with international travel. Emerging respiratory infections such as Middle East respiratory syndrome (MERS) and H7N9 avian influenza from China should be in the differential diagnosis if the travel history is appropriate and respiratory symptoms do not have a clear alternative diagnosis. In these suspected cases, local public health authorities and CDC should be alerted immediately. See relevant sections in Chapter 4 for more information on these emerging infections, and Table 11-04 for a list of febrile respiratory illnesses among travelers.
Patient returned 1 month previously from a 2-week holiday in Thailand. Two days prior to presentation, he developed fever, headache, and rash. On further questioning, he reported having unprotected sexual intercourse during his holiday. Diagnosis: secondary syphilis.
Recent findings: The epidemiology of imported parasitic infections is changing and clinicians are treating increasing numbers of returned travelers with parasitic infections in the CNS with which they are not familiar.
Among the returned is Simon (Pierre Perrier), a handsome, brooding young man who died 10 years prior on his wedding day. Simon comes back to life only to find his former fiancée having moved on and engaged to another man.
If a check or electronic check payment posted to your student account is returned by the bank because of insufficient funds, closed account, invalid account number, or other reason(s), the returned check payment amount, plus a $25 returned check fee, will be charged back to your student account. You will receive an e-mail notice regarding the returned check.
Just because those who have returned look and act like they did before their deaths and not like traditional horror characters, that doesn't mean that everything is fine. There are the emotional aspects of it; how to restart a life when everyone else has moved on? Further, some of the returned turn out to be really, really bad. So while a parent may be overjoyed to have their daughter return to them, but elsewhere, a murderer also stalks the streets once more. Additionally, there are signs that there's now an instability to the surroundings. Electricity flutters, pipes back up and burst, and wounds from the dead appear on the living.
The series gives a backstory to each returned person at the start of every episode, focusing on each one in kind, and doubling back on certain characters as the show progresses. The stories all begin to intertwine in the small town of Squamish, British Columbia, as the reality of the supernatural occurrence spreads, and more people begin to reappear. From there, the horror really starts to set in.
Nationally representative household survey data from the China Labor-force Dynamics Survey 2012 (CLDS) were used to analyze the association between the migration status and the health status of internal migrants in China. Migration status of the respondents was measured by hukou status and migration experience and all respondents were divided into four groups: returned population, migrant population, urban residents, and rural residents. Health status of respondents was measured by self-reported physical and psychological health.
Migration experience was associated with the physical health of the returned population. The physical health of the returned population was worse than the migrant population and was distinguished by age and sex. The physical health status of migrant population was significantly better than rural residents, but not significantly better than urban residents. However, the association between migration status and psychological health was not statistically significant. Besides migration status, the socioeconomic status (SES) had a positive correlation with both physical and psychological health status, while occupational hazards exerted negative influence.
Hypotheses 1 and 2 have already been proved by a number of studies [12], but few studies have been done to compare the health status (both physical and psychological) of returned migrants and migrant populations in the international investigations to test hypothesis 3. Due to the difficulty in tracing international migrants, this paper mainly aims to test hypothesis 3 by analysing the association between migration status and health status of internal migrants. Hypothesis 1 is also tested and discussed in this research.
Why did the two data sources generate such completely different findings? One possible explanation is that the sick or unhealthy migrants, who are treated and recorded in medical and public health facilities, are rarely sampled by the household and working place investigations. The sick or unhealthy migrants have returned to their hometown [10], which may cause the reporting bias or over-estimation of the health status of internal migrants in China. Of course, the reasons migrants return to their hometown are diverse and complicated, such as taking care of the family, giving birth, farming or working [15, 16]. Based on the previous study and hypothesis 3, however, we infer that health status is a very important contributing factor to the decision to return in the migrant population [10].
Some research has reported worse psychological health status of migrants compared with urban residents [18], but the others argue that the psychological health status of different migrant groups varies depending on the group [19]. But there has been little obvious evidence indicating the psychological health status of migrants that have returned to their hometowns.
As psychological health is closely related to physical health [20], we could assume that the retuned migrants are of worse psychological status than the un-returned migrants. Using data from a nation-wide representative survey in China, this paper aims to test hypothesis 1 and 3 of the Healthy Migrant Effect on both the physical and psychological health of internal migrants.
Using the migrant population as reference group, the psychological health of the returned population is not distinguished from the migrant population in the five models. This finding did not support hypothesis 3. Nor did the psychological health distinguish between the migrant population and rural residents, or between the migrant population and urban residents, which meant hypothesis 1 was not tenable with regard to psychological health. The results indicated that migration status was not associated with psychological health status.
When we used the urban residents as reference group, the results showed no difference of the psychological health among the urban residents, returned population and rural residents in five models (Table 3).
The relationship between migration and health is complicated. Healthy migrant effect is suitable for Chinese internal migration. According to the analysis, the physical health of the returned population was worse than the migrant population. The hypothesis that the sick or unhealthy migrant populations return to their hometown can be supported by their self-evaluated physical health status. The physical health status of migrants is significantly better than rural residents, but not significantly better than urban residents. This finding partly supported hypothesis 1. The analysis of psychological health showed that there did not exist significant association between migration status and psychological health. This research makes a preliminary explanation for the fact that the physical health status of the returned population is worse than the migrant population. The migrant population, however, does not necessarily have better physical health than the urban residents.
The association of migration and heath proved by the nation-wide survey data have very strong policy implications. First of all, the outflow of healthy rural residents and the inflow of the unhealthy returned population imposed extra costs on the New Cooperative Medical Scheme (NCMS) [30]. The increased number of the unhealthy population may further burden or even bankrupt the fund. To cope with the risk, it requires the central government to fully consider the comprehensive health condition of the insured, and adjust the capitation subsidy policy by the health requirements of the enrolees by NCMS.
Second, effective policy interventions should be taken to prevent the possible damages to the health of the migrant population. Since exposure to occupational hazards exerts significant influence on the physical and psychological health of the returned population. Very strict regulation should be made to improve the workplace environment and increase occupational protection. Third, since the geographical accessibility is of significant influence on health status, it is therefore necessary to further promote the development of primary health care facilities. 59ce067264
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