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https://www.readbyqxmd.com/read/28525510/zika-virus-obstetric-and-pediatric-anesthesia-considerations
#1
Jacqueline L Tutiven, Benjamin T Pruden, James S Banks, Mario Stevenson, David J Birnbach
As of November 2016, the Florida Department of Health (FDH) and the Centers for Disease Control and Prevention have confirmed more than 4000 travel-related Zika virus (ZIKV) infections in the United States with >700 of those in Florida. There have been 139 cases of locally acquired infection, all occurring in Miami, Florida. Within the US territories (eg, Puerto Rico, US Virgin Islands), >30,000 cases of ZIKV infection have been reported. The projected number of individuals at risk for ZIKV infection in the Caribbean and Latin America approximates 5 million...
June 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28511722/use-of-rapid-ascertainment-process-for-institutional-deaths-rapid-to-identify-pregnancy-related-deaths-in-tertiary-care-obstetric-hospitals-in-three-departments-in-haiti
#2
Andrew T Boyd, Erin N Hulland, Reynold Grand'Pierre, Floris Nesi, Patrice Honoré, Reginald Jean-Louis, Endang Handzel
BACKGROUND: Accurate assessment of maternal deaths is difficult in countries lacking standardized data sources for their review. As a first step to investigate suspected maternal deaths, WHO suggests surveillance of "pregnancy-related deaths", defined as deaths of women while pregnant or within 42 days of termination of pregnancy, irrespective of cause. Rapid Ascertainment Process for Institutional Deaths (RAPID), a surveillance tool, retrospectively identifies pregnancy-related deaths occurring in health facilities that may be missed by routine surveillance to assess gaps in reporting these deaths...
May 16, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28508717/expanding-the-haitian-rehabilitation-workforce-employment-situation-and-perceptions-of-graduates-from-three-rehabilitation-technician-training-programs
#3
Nancy Descôteaux, Valérie Chagnon, Xin Di Dong, Eric Ellemo, Alessandra Hamelin, Evans Juste, Xavier Laplante, Allison Miron, Philippe Morency, Katherine Samuel, David Charles, Matthew Hunt
PURPOSE: This article examines the employment situation and perceptions of graduates from three rehabilitation technician (RT) programs in Haiti. METHODS: In this mixed method study, 74 of 93 recent graduates completed a questionnaire, and 20 graduates participated in an in-depth qualitative interview. We analyzed survey results using descriptive statistics. We used a qualitative description approach and analyzed the interviews using constant comparative techniques...
February 25, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28497097/a-randomized-controlled-pilot-study-of-educational-techniques-in-teaching-basic-arthroscopic-skills-in-a-low-income-country
#4
Abhiram R Bhashyam, Catherine Logan, Heather J Roberts, Rameez A Qudsi, Jacky Fils, George S M Dyer
BACKGROUND: Little is known about how to introduce complex technologies like arthroscopy into low-income countries. Thus, we compared low- versus high-resource intensive methods of teaching basic arthroscopic skills in a randomized controlled trial in Haiti. METHODS: Forty-eight Haitian orthopaedic surgeons and residents attending an orthopaedic conference in Haiti were block randomized to receive instruction through a composite video (Control) or a composite video plus hands-on teaching with an expert visiting surgeon (Intervention)...
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28493859/recommendations-of-the-advisory-committee-on-immunization-practices-for-use-of-cholera-vaccine
#5
Karen K Wong, Erin Burdette, Barbara E Mahon, Eric D Mintz, Edward T Ryan, Arthur L Reingold
Cholera, caused by infection with toxigenic Vibrio cholerae bacteria of serogroup O1 (>99% of global cases) or O139, is characterized by watery diarrhea that can be severe and rapidly fatal without prompt rehydration. Cholera is endemic in approximately 60 countries and causes epidemics as well. Globally, cholera results in an estimated 2.9 million cases of disease and 95,000 deaths annually (1). Cholera is rare in the United States, and most U.S. cases occur among travelers to countries where cholera is endemic or epidemic...
May 12, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28489856/randomized-trial-of-stopping-or-continuing-art-among-postpartum-women-with-pre-art-cd4-%C3%A2-400-cells-mm3
#6
Judith S Currier, Paula Britto, Risa M Hoffman, Sean Brummel, Gaerolwe Masheto, Esau Joao, Breno Santos, Linda Aurpibul, Marcelo Losso, Marie F Pierre, Adriana Weinberg, Devasena Gnanashanmugam, Nahida Chakhtoura, Karin Klingman, Renee Browning, Anne Coletti, Lynne Mofenson, David Shapiro, Jose Pilotto
BACKGROUND: Health benefits of postpartum antiretroviral therapy (ART) for human immunodeficiency virus (HIV) positive women with high CD4+ T-counts have not been assessed in randomized trials. METHODS: Asymptomatic, HIV-positive, non-breastfeeding women with pre-ART CD4+ T-cell counts ≥ 400 cells/mm3 started on ART during pregnancy were randomized up to 42 days after delivery to continue or discontinue ART. Lopinavir/ritonavir plus tenofovir/emtricitabine was the preferred ART regimen...
2017: PloS One
https://www.readbyqxmd.com/read/28482905/availability-of-family-planning-services-and-quality-of-counseling-by-faith-based-organizations-a-three-country-comparative-analysis
#7
Janine Barden-O'Fallon
BACKGROUND: Faith-based organizations (FBOs) have a long history of providing health services in developing countries and are important contributors to healthcare systems. Support for the wellbeing of women, children, and families is evidenced through active participation in the field of family planning (FP). However, there is little quantitative evidence on the availability or quality of FP services by FBOs. METHODS: The descriptive analysis uses facility-level data collected through recent Service Provision Assessments in Malawi (2013-14), Kenya (2010), and Haiti (2012) to examine 11 indicators of FP service and method availability and nine indicators of comprehensive and quality counseling...
May 8, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28476105/case-of-disseminated-histoplasmosis-in-a-hiv-infected-patient-revealed-by-nasal-involvement-with-maxillary-osteolysis
#8
A C Lehur, M Zielinski, J Pluvy, V Grégoire, S Diamantis, A Bleibtreu, C Rioux, A Picard, D Vallois
BACKGROUND: Disseminated Histoplasmosis (DH) is a rare manifestation of Acquired Immune Deficiency Syndrome (AIDS) in European countries. Naso-maxillar osteolysis due to Histoplasma capsulatum var. capsulatum (Hcc) is unusual in endemic countries and has never been reported in European countries. Differential diagnoses such as malignant tumors, cocaine use, granulomatosis, vasculitis and infections are more frequently observed and could delay and/or bias the final diagnosis. CASE PRESENTATION: We report the case of an immunocompromised patient infected by Human Immunodeficiency Virus (HIV) with naso-maxillar histoplasmosis in a non-endemic country...
May 5, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28471615/extending-a-helping-hand-a-comparison-of-israel-defense-forces-medical-corps-humanitarian-aid-field-hospitals
#9
Yuval Glick, Erez N Baruch, Avishai M Tsur, Amy L Berg, Dror Yifrah, Avraham Yitzhak, David Dagan, Tarif Bader
BACKGROUND: During the past 6 years the Israel Defense Forces Medical Corps (IDF-MC) deployed three humanitarian delegation field hospitals (HDFHs) in disaster zones around the globe: Haiti (2010), the Philippines (2013), and Nepal (2015). OBJECTIVES: To compare the activity of these HDFHs and the characteristics of the patients they served. METHODS: This retrospective study was based on the HDFHs' operation logs and patients medical records...
October 2016: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28460156/genetic-and-phylogenic-characterisation-of-hepatitis-b-virus-in-the-eastern-part-of-the-democratic-republic-of-congo
#10
Tony Akilimali Shindano, Yves Horsmans, Benoit Mukadi Kabamba
Hepatitis B virus (HBV) genotypes show a distinctive geographical distribution worldwide and genotypes A, D and E are the most frequently found in Africa. There are only limited studies on HBV genotype distribution in Democratic Republic of Congo (DRC), all done in the western part showing a vast majority of genotype E. In our study, HBV strains from South Kivu, an eastern province of the DRC, were analysed. Sequencing of 41 serum samples from HBV infected patients revealed strains of genotype A in 40/41 (97...
April 29, 2017: Journal of Medical Virology
https://www.readbyqxmd.com/read/28437477/outcomes-after-antiretroviral-therapy-during-the-expansion-of-hiv-services-in-haiti
#11
Margaret L McNairy, Patrice Joseph, Michelle Unterbrink, Stanislas Galbaud, Jean-Edouard Mathon, Vanessa Rivera, Deanna Jannat-Khah, Lindsey Reif, Serena P Koenig, Jean Wysler Domercant, Warren Johnson, Daniel W Fitzgerald, Jean W Pape
BACKGROUND: We report patient outcomes after antiretroviral therapy (ART) initiation in a network of HIV facilities in Haiti, including temporal trends and differences across clinics, during the expansion of HIV services in the country. METHODS: We assessed outcomes at 12 months after ART initiation (baseline) using routinely collected data on adults (≥15 years) in 11 HIV facilities from July 2007-December 2013. Outcomes include death (ascertained from medical records), lost to follow-up (LTF) defined as no visit > 365 days from ART initiation, and retention defined as being alive and attending care ≥ 365 days from ART initiation...
2017: PloS One
https://www.readbyqxmd.com/read/28433846/factors-associated-with-postoperative-complications-in-hydrocephalic-infants-diagnosed-at-bernard-mevs-hospital-in-port-au-prince-haiti-from-2011-to-2013
#12
Floreine-Jemima Joseph, Joseph Bernard, Sylvio Augustin
OBJECTIVE: Complications worsen the prognosis of hydrocephalic children who undergo surgery. The main objective of this study was to determine factors associated with postoperative complications in Haitian hydrocephalic infants. METHODS: This is a cross-sectional study conducted on hydrocephalic infants diagnosed in a Haitian hospital from 2011 to 2013. Records were consulted to gather key variables that were evaluated in relation to the occurrence of postoperative complications...
April 19, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28410382/controlling-cholera-in-the-ouest-department-of-haiti-using-oral-vaccines
#13
Alexander Kirpich, Thomas A Weppelmann, Yang Yang, John Glenn Morris, Ira M Longini
Following the 2010 cholera outbreak in Haiti, a plan was initiated to provide massive improvements to the sanitation and drinking water infrastructure in order to eliminate cholera from the island of Hispaniola by 2023. Six years and a half billion dollars later, there is little evidence that any substantial improvements have been implemented; with increasing evidence that cholera has become endemic. Thus, it is time to explore strategies to control cholera in Haiti using oral cholera vaccines (OCVs). The potential effects of mass administration of OCVs on cholera transmission were assessed using dynamic compartment models fit to cholera incidence data from the Ouest Department of Haiti...
April 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28408671/complete-genome-sequences-of-chikungunya-viruses-isolated-from-plasma-specimens-collected-from-haitians-in-2014
#14
Sarah K White, J Glenn Morris, Maha A Elbadry, Valery Madsen Beau De Rochars, Bernard A Okech, John A Lednicky
Ten chikungunya virus isolates from human plasma collected in Haiti from May to August 2014, in the midst of a chikungunya fever outbreak, were fully sequenced. The resulting genomic sequences are nearly identical, and phylogenetic analyses indicate they belong to the Asian lineage of the virus.
April 13, 2017: Genome Announcements
https://www.readbyqxmd.com/read/28406405/risk-factors-of-cholera-transmission-in-rural-areas-in-haiti
#15
P Gazin, R Barrais, F Uwineza
Cholera, present in Haiti since October 2010, persisted in early 2014 in several places, each with its own particular epidemiological characteristics. The scarcity of fresh water probably contributed to the spread of the disease in some rural areas. Population gatherings in places without an access to either safe water or sanitation infrastructure were another factor. Outreach activities of hygiene promotion and improving access to chlorinated water had positive results. The disappearance of choléra in areas where effective preventive actions were conducted supports the conclusion that its transmission is predominantly interhuman, without the sustainable installation of the pathogenic Vibrio in the Haitian environment...
February 1, 2017: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/28402924/remote-tele-mentored-ultrasound-for-non-physician-learners-using-facetime-a-feasibility-study-in-a-low-income-country
#16
Thomas E Robertson, Andrea R Levine, Avelino C Verceles, Jessica A Buchner, James H Lantry, Alfred Papali, Marc T Zubrow, L Nathalie Colas, Marc E Augustin, Michael T McCurdy
PURPOSE: Ultrasound (US) is a burgeoning diagnostic tool and is often the only available imaging modality in low- and middle-income countries (LMICs). However, bedside providers often lack training to acquire or interpret US images. We conducted a study to determine if a remote tele-intensivist could mentor geographically removed LMIC providers to obtain quality and clinically useful US images. MATERIALS AND METHODS: Nine Haitian non-physician health care workers received a 20-minute training on basic US techniques...
April 7, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/28398661/experiences-of-violence-and-abuse-among-internally-displaced-adolescent-girls-following-a-natural-disaster
#17
Elizabeth Sloand, Cheryl Killion, Hossein Yarandi, Phyllis Sharps, Annie Lewis-O'connor, Mona Hassan, Faye Gary, Cesar Nicole Muller, Doris Campbell
AIM: To describe the physical, psychological and sexual violence among internally displaced adolescent girls following the 2010 Haiti earthquake and related risk factors, health concerns and cultural norms. BACKGROUND: Thousands of adolescents were displaced following the earthquake, leaving them vulnerable to abuse and violence. Displaced survivors are disproportionately vulnerable to violence after natural and man-made disasters. DESIGN: A descriptive-correlational design was used to: 1) describe the extent of violence, health risks and concerns in the displaced adolescent girls; and 2) identify correlations in the strength and magnitude of relationships between selected variables including demographics, risk factors and cultural tolerance of violence...
April 11, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28385121/use-of-bouillon-cubes-is-a-major-source-of-alleviating-iodine-deficiency-in-haiti
#18
Julia von Oettingen, Xuemei He, Eddy Jean-Baptiste, Kelly Altenor, Alan Farwell, Lewis E Braverman
No abstract text is available yet for this article.
May 9, 2017: Thyroid: Official Journal of the American Thyroid Association
https://www.readbyqxmd.com/read/28374428/ethical-considerations-of-triage-following-natural-disasters-the-idf-experience-in-haiti-as-a-case-study
#19
Efrat Ram-Tiktin
Natural disasters in populated areas may result in massive casualties and extensive destruction of infrastructure. Humanitarian aid delegations may have to cope with the complicated issue of patient prioritization under conditions of severe resource scarcity. A triage model, consisting of five principles, is proposed for the prioritization of patients, and it is argued that rational and reasonable agents would agree upon them. The Israel Defense Force's humanitarian mission to Haiti following the 2010 earthquake serves as a case study for the various considerations taken into account when designing the ethical-clinical policy of field hospitals...
April 3, 2017: Bioethics
https://www.readbyqxmd.com/read/28369062/t-cell-subtypes-and-reciprocal-inflammatory-mediator-expression-differentiate-p-falciparum-memory-recall-responses-in-asymptomatic-and-symptomatic-malaria-patients-in-southeastern-haiti
#20
Jason S Lehmann, Joseph J Campo, Micheline Cicéron, Christian P Raccurt, Jacques Boncy, Valery E M Beau De Rochars, Anthony P Cannella
Asymptomatic Plasmodium falciparum infection is responsible for maintaining malarial disease within human populations in low transmission countries such as Haiti. Investigating differential host immune responses to the parasite as a potential underlying mechanism could help provide insight into this highly complex phenomenon and possibly identify asymptomatic individuals. We performed a cross-sectional analysis of individuals who were diagnosed with malaria in Sud-Est, Haiti by comparing the cellular and humoral responses of both symptomatic and asymptomatic subjects...
2017: PloS One
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