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https://www.readbyqxmd.com/read/28345472/politics-and-palliative-care-sierra-leone
#1
Dion Smyth
Dion Smyth's review of palliative nursing on the internet.
March 16, 2017: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/28332182/status-update-on-women-s-reproductive-health-care-and-obstetrics-gynecology-postgraduate-training-in-post-ebola-sierra-leone
#2
Rachel Chan Seay, A P Koroma, Jenell Coleman, Clark T Johnson, Emmanuel A Ugwa, Jean Anderson
Academic partnerships can help to expand the women's reproductive healthcare workforce and improve maternal mortality.(1) In-country postgraduate and continuing medical education opportunities are key to training and retaining specialized physicians. The present report describes a developing academic partnership to build capacity in Sierra Leone following the Ebola virus disease epidemic. This article is protected by copyright. All rights reserved.
March 23, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28329226/risk-in-the-red-zone-outcomes-for-children-admitted-to-ebola-holding-units-in-sierra-leone-without-ebola-virus-disease
#3
F Fitzgerald, K Wing, A Naveed, M Gbessay, J C G Ross, F Checchi, D Youkee, M B Jalloh, D Baion, A Mustapha, H Jah, S Lako, S Oza, S Boufkhed, R Feury, J Bielicki, E Williamson, D M Gibb, N Klein, F Sahr, S Yeung
We collected data on 1054 children admitted to Ebola Holding Units in Sierra Leone and describe outcomes of 697/1054 children testing negative for Ebola virus disease (EVD) and accompanying caregivers. Case-fatality was 9%; 3/630(0.5%) children discharged testing negative were readmitted EVD-positive. Nosocomial EVD transmission risk may be lower than feared.
March 18, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28322693/influence-of-referral-pathway-on-ebola-virus-disease-case-fatality-rate-and-effect-of-survival-selection-bias
#4
Frauke Rudolf, Mads Damkjær, Suzanne Lunding, Kenn Dornonville de la Cour, Alyssa Young, Tim Brooks, Tom Sesay, Alex P Salam, Sharmistha Mishra, Merete Storgaard
Case-fatality rates in Ebola treatment centers (ETCs) varied widely during the Ebola virus disease (EVD) outbreak in West Africa. We assessed the influence of referral pathway on ETC case-fatality rates with a retrospective cohort of 126 patients treated at the Mathaska ETC in Port Loko, Sierra Leone. The patients consisted of persons who had confirmed EVD when transferred to the ETC or who had been diagnosed onsite. The case-fatality rate for transferred patients was 46% versus 67% for patients diagnosed onsite (p = 0...
April 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/28303239/epidemiology-of-ebola-virus-disease-in-the-western-area-region-of-sierra-leone-2014-2015
#5
Margaret Lamunu, Olushayo Oluseun Olu, James Bangura, Zabulon Yoti, Thomas Takpau Samba, David Kabba Kargbo, Foday Mohamed Dafae, Muhammad Ali Raja, Noah Sempira, Michael Lyazi Ivan, Aarti Sing, Fredson Kurti-George, Negusu Worku, Pamela Mitula, Louisa Ganda, Robert Samupindi, Roland Conteh, Kande-Bure Kamara, Beatrice Muraguri, Michael Kposowa, Joseph Charles, Malimbo Mugaga, Christopher Dye, Anshu Banerjee, Pierre Formenty, Brima Kargbo, Raymond Bruce Aylward
INTRODUCTION: Western Area (WA) of Sierra Leone including the capital, Freetown, experienced an unprecedented outbreak of Ebola from 2014 to 2015. At the onset of the epidemic, there was little information about the epidemiology, transmission dynamics, and risk factors in urban settings as previous outbreaks were limited to rural/semi-rural settings. This study, therefore, aimed to describe the epidemiology of the outbreak and the factors which had most impact on the transmission of the epidemic and whether there were different drivers from those previously described in rural settings...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28298724/variability-of-chlorophyll-a-concentration-in-the-gulf-of-guinea-and-its-relation-to-physical-oceanographic-variables
#6
Karen Nieto, Frédéric Mélin
The Gulf of Guinea represents a wide tract of the African coast with complex and rich coastal ecosystems undergoing various pressures. The seasonal variations of chlorophyll-a concentration (Chla) along the Gulf of Guinea (GoG) and their relations with physical oceanographic variables were analyzed using satellite observations covering the period 2002-2012. The effects of sea surface temperature (SST), sea level anomalies (SLA), winds, geostrophic currents, eddy kinetic energy (EKE), mesoscale eddies and fronts were considered on a monthly time scale...
February 2017: Progress in Oceanography
https://www.readbyqxmd.com/read/28283148/there-s-no-app-for-that-assessing-the-impact-of-mhealth-on-the-supervision-motivation-engagement-and-satisfaction-of-community-health-workers-in-sierra-leone
#7
Frédérique Vallières, Eilish McAuliffe, Bianca van Bavel, Patrick J Wall, Augustine Trye
BACKGROUND: The unprecedented access to mobile phones in resource-poor settings has seen the emergence of mobile-health (mHealth) applications specific for low- and middle-income contexts. One such application is the Mobile Technology for Community Health Suite (MOTECH Suite). Given the importance of community health worker (CHW) perceptions of a health program toward its successful implementation, this study explores whether the introduction of an mHealth application, as a human resource management tool, is associated with changes in CHW perceived supervision, motivation, work engagement, and job satisfaction over time...
September 2016: Annals of Global Health
https://www.readbyqxmd.com/read/28278013/improving-postnatal-check-ups-for-mothers-in-west-africa-a-multilevel-analysis
#8
Bola Lukman Solanke, Emmanuel O Amoo, Adenike Esther Idowu
This study examined multilevel factors related to postnatal check-ups for mothers in selected West African countries. The study analyzed data from Demographic and Health Surveys (DHS) for five West African countries: Sierra Leone (2013), Cote d'Ivoire (2012), Guinea (2012), Niger (2012) and Liberia (2013). The weighted sample sizes were 2125 (Cote d'Ivoire), 2908 (Guinea), 1905 (Liberia), 5660 (Niger) and 3754 (Sierra Leone). The outcome variable was maternal postnatal check-ups. The explanatory variables were community and individual/household characteristics...
February 7, 2017: Women & Health
https://www.readbyqxmd.com/read/28277271/change-over-time-in-parents-beliefs-about-and-reported-use-of-corporal-punishment-in-eight-countries-with-and-without-legal-bans
#9
Jennifer E Lansford, Claudia Cappa, Diane L Putnick, Marc H Bornstein, Kirby Deater-Deckard, Robert H Bradley
Stopping violence against children is prioritized in goal 16 of the Sustainable Development Goals adopted by the United Nations General Assembly in 2015. All forms of child corporal punishment have been outlawed in 50 countries as of October 2016. Using data from 56,371 caregivers in eight countries that participated in UNICEF's Multiple Indicator Cluster Survey, we examined change from Time 1 (2005-6) to Time 2 (2008-13) in national rates of corporal punishment of 2- to 14-year-old children and in caregivers' beliefs regarding the necessity of using corporal punishment...
October 27, 2016: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28264832/retrospective-review-of-surgical-availability-and-readiness-in-8-african-countries
#10
D A Spiegel, B Droti, P Relan, S Hobson, M N Cherian, K O'Neill
OBJECTIVES: The purpose of this study was to assess surgical availability and readiness in 8 African countries using the WHO's Service Availability and Readiness Assessment (SARA) tool. SETTING: We analysed data for surgical services, including basic and comprehensive surgery, comprehensive obstetric care, blood transfusion, and infection prevention, obtained from the WHO's SARA surveys in Sierra Leone, Uganda, Mauritania, Benin, Zambia, Burkina Faso, Democratic Republic of Congo and Togo...
March 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28263987/inferring-epidemiological-parameters-from-phylogenies-using-regression-abc-a-comparative-study
#11
Emma Saulnier, Olivier Gascuel, Samuel Alizon
Inferring epidemiological parameters such as the R0 from time-scaled phylogenies is a timely challenge. Most current approaches rely on likelihood functions, which raise specific issues that range from computing these functions to finding their maxima numerically. Here, we present a new regression-based Approximate Bayesian Computation (ABC) approach, which we base on a large variety of summary statistics intended to capture the information contained in the phylogeny and its corresponding lineage-through-time plot...
March 2017: PLoS Computational Biology
https://www.readbyqxmd.com/read/28258817/characteristics-and-survival-of-patients-with-ebola-virus-infection-malaria-or-both-in-sierra-leone-a-retrospective-cohort-study
#12
Matthew Waxman, Adam R Aluisio, Soham Rege, Adam C Levine
BACKGROUND: The 2014-15 Ebola virus disease (EVD) epidemic strained health systems in west Africa already overburdened with other diseases, including malaria. Because EVD and malaria can be difficult to distinguish clinically, and rapid testing was not available in many Ebola Treatment Units (ETUs), guidelines recommended empirical malaria treatment. Little is known, however, about the prevalence and characteristics of patients entering an ETU who were infected with malaria parasites, either alone or concurrently with Ebola virus...
February 28, 2017: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/28257418/epidemiology-of-pediatric-surgical-needs-in-low-income-countries
#13
Elissa K Butler, Tu M Tran, Neeraja Nagarajan, Joseph Canner, Anthony T Fuller, Adam Kushner, Michael M Haglund, Emily R Smith
OBJECTIVE: According to recent estimates, at least 11% of the total global burden of disease is attributable to surgically-treatable diseases. In children, the burden is even more striking with up to 85% of children in low-income and middle-income countries (LMIC) having a surgically-treatable condition by age 15. Using population data from four countries, we estimated pediatric surgical needs amongst children residing in LMICs. METHODS: A cluster randomized cross-sectional countrywide household survey (Surgeons OverSeas Assessment of Surgical Need) was done in four countries (Rwanda, Sierra Leone, Nepal and Uganda) and included demographics, a verbal head to toe examination, and questions on access to care...
2017: PloS One
https://www.readbyqxmd.com/read/28256310/asymptomatic-infection-and-unrecognised-ebola-virus-disease-in-ebola-affected-households-in-sierra-leone-a-cross-sectional-study-using-a-new-non-invasive-assay-for-antibodies-to-ebola-virus
#14
Judith R Glynn, Hilary Bower, Sembia Johnson, Catherine F Houlihan, Carla Montesano, Janet T Scott, Malcolm G Semple, Mohammed S Bangura, Alie Joshua Kamara, Osman Kamara, Saidu H Mansaray, Daniel Sesay, Cecilia Turay, Steven Dicks, Raoul E Guetiya Wadoum, Vittorio Colizzi, Francesco Checchi, Dhan Samuel, Richard S Tedder
BACKGROUND: The frequency of asymptomatic infection with Ebola virus is unclear: previous estimates vary and there is no standard test. Asymptomatic infection with Ebola virus could contribute to population immunity, reducing spread. If people with asymptomatic infection are infectious it could explain re-emergences of Ebola virus disease (EVD) without known contact. METHODS: We validated a new oral fluid anti-glycoprotein IgG capture assay among survivors from Kerry Town Ebola Treatment Centre and controls from communities unaffected by EVD in Sierra Leone...
February 27, 2017: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/28231242/predicting-ebola-infection-a-malaria-sensitive-triage-score-for-ebola-virus-disease
#15
Mary-Anne Hartley, Alyssa Young, Anh-Minh Tran, Harry Henry Okoni-Williams, Mohamed Suma, Brooke Mancuso, Ahmed Al-Dikhari, Mohamed Faouzi
BACKGROUND: The non-specific symptoms of Ebola Virus Disease (EVD) pose a major problem to triage and isolation efforts at Ebola Treatment Centres (ETCs). Under the current triage protocol, half the patients allocated to high-risk "probable" wards were EVD(-): a misclassification speculated to predispose nosocomial EVD infection. A better understanding of the statistical relevance of individual triage symptoms is essential in resource-poor settings where rapid, laboratory-confirmed diagnostics are often unavailable...
February 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28215187/experiences-of-ebola-survivors-causes-of-distress-and-sources-of-resilience
#16
Patricia M Schwerdtle, Veronique De Clerck, Virginia Plummer
Introduction An appreciation of the experience of Ebola survivors is critical for community engagement and an effective outbreak response. Few qualitative, descriptive studies have been conducted to date that concentrate on the voices of Ebola survivors. Problem This study aimed to explore the experiences of Ebola survivors following the West African epidemic of 2014. METHOD: An interpretive, qualitative design was selected using semi-structured interviews as the method of data collection...
February 20, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28207047/maternal-and-newborn-care-practices-in-sierra-leone-a-mixed-methods-study-of-four-underserved-districts
#17
Alyssa Sharkey, Aisha Yansaneh, Peter Soulaiman Bangura, Augustin Kabano, Eoghan Brady, Fatu Yumkella, Theresa Diaz
No abstract text is available yet for this article.
March 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28187629/review-of-the-genus-i-lanchnophorus-i-hemiptera-heteroptera-rhyparochromidae-with-description-of-three-new-species-and-other-nomenclatural-changes
#18
Petr Kment, Attilio Carapezza, Zdeněk Jindra, Előd Kondorosy
The generic name Lanchnophorus Reuter, 1887, deemed for a long time to be unavailable as incorrect original spelling of Lachnophorus (in fact Lachnophorus Distant, 1903 is an unjustified emendation of the former), is restored as a valid name of the genus. Lachnesthus Bergroth, 1915, syn. nov. (new name for the preoccupied Lachnophorus Distant, 1903) is considered junior synonym of Lanchnophorus. The following nomenclatural changes are proposed: Lanchnophorus flavus (Scudder, 1971) comb. nov. = Lachnesthus chinai Scudder, nomen nudum; Lanchnophorus guttulatus Reuter, 1887, comb...
January 25, 2017: Zootaxa
https://www.readbyqxmd.com/read/28168989/pediatric-surgical-capacity-in-africa-current-status-and-future-needs
#19
Asra Toobaie, Sherif Emil, Doruk Ozgediz, Sanjay Krishnaswami, Dan Poenaru
BACKGROUND: African pediatric surgery (PS) faces multiple challenges. Information regarding existing resources is limited. We surveyed African pediatric surgeons to determine available resources and clinical, educational, and collaborative needs. METHODS: Members of the Pan-African Pediatric Surgical Association (PAPSA) and the Global Pediatric Surgery Network (GPSN) completed a structured email survey covering PS providers, facilities, resources, workload, education/training, disease patterns, and collaboration priorities...
January 29, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28167603/at-home-with-mastomys-and-rattus-human-rodent-interactions-and-potential-for-primary-transmission-of-lassa-virus-in-domestic-spaces
#20
Jesse Bonwitt, Almudena Mari Sáez, Joseph Lamin, Rashid Ansumana, Michael Dawson, Jacob Buanie, Joyce Lamin, Diana Sondufu, Matthias Borchert, Foday Sahr, Elisabeth Fichet-Calvet, Hannah Brown
The multimammate mouse (Mastomys natalensis) is the reservoir for Lassa virus (LASV). Zoonotic transmission occurs when humans are directly or indirectly exposed to fluids of the multimammate mouse, such as urine, saliva, and blood. Housing characteristics and domestic organization affect rodent density in and around households and villages, and are likely to be a risk factor for Lassa fever in humans where the reservoir exists. We use semi-structured interviews (N = 51), a quantitative survey (N = 429), direct observations, and a rodent ecology study to provide new insights into how the organization of domestic spaces brings together humans and rodents and creates pathways for infection in rural settlements in Bo District, Sierra Leone...
February 6, 2017: American Journal of Tropical Medicine and Hygiene
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