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https://www.readbyqxmd.com/read/27917377/incident-management-systems-are-essential-for-effective-coordination-of-large-disease-outbreaks-perspectives-from-the-coordination-of-the-ebola-outbreak-response-in-sierra-leone
#1
Olushayo Oluseun Olu, Margaret Lamunu, Alexander Chimbaru, Ayotunde Adegboyega, Ishata Conteh, Ngoy Nsenga, Noah Sempiira, Kande-Bure Kamara, Foday Mohamed Dafae
BACKGROUND: Response to the 2014-2015 Ebola virus disease (EVD) outbreak in Sierra Leone overwhelmed the national capacity to contain it and necessitated a massive international response and strong coordination platform. Consequently, the Sierra Leone Government, with support of the international humanitarian community, established and implemented various models for national coordination of the outbreak. In this article, we review the strengths and limitations of the EVD outbreak response coordination systems in Sierra Leone and propose recommendations for improving coordination of similar outbreaks in the future...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27905982/the-use-of-a-lot-quality-assurance-sampling-methodology-to-assess-and-manage-primary-health-interventions-in-conflict-affected-west-darfur-sudan
#2
Kiemanh Pham, Emily Chambers Sharpe, William M Weiss, Alexander Vu
BACKGROUND: Organizations working in conflict-affected areas have a need to monitor and evaluate their programs, however this is often difficult due to the logistical challenges of conflict areas. Lot quality assurance sampling may be a suitable method of assessing programs in these situations. METHODS: We conducted a secondary data analysis of information collected during Medair's routine program management functions. Medair's service area in West Darfur, Sudan was divided into seven supervisory areas...
October 6, 2016: Population Health Metrics
https://www.readbyqxmd.com/read/27899794/the-impact-of-digital-technology-on-health-of-populations-affected-by-humanitarian-crises-recent-innovations-and-current-gaps
#3
Sandra Mesmar, Reem Talhouk, Chaza Akik, Patrick Olivier, Imad H Elhajj, Shady Elbassuoni, Sarah Armoush, Joumana Kalot, Madeline Balaam, Aline Germani, Hala Ghattas
Digital technology is increasingly used in humanitarian action and promises to improve the health and social well-being of populations affected by both acute and protracted crises. We set out to (1) review the current landscape of digital technologies used by humanitarian actors and affected populations, (2) examine their impact on health and well-being of affected populations, and (3) consider the opportunities for and challenges faced by users of these technologies. Through a systematic search of academic databases and reports, we identified 50 digital technologies used by humanitarian actors, and/or populations affected by crises...
November 2016: Journal of Public Health Policy
https://www.readbyqxmd.com/read/27871822/geroscience-addressing-the-mismatch-between-its-exciting-research-opportunities-its-economic-imperative-and-its-current-funding-crisis
#4
REVIEW
George M Martin
There is at present a huge disconnect between levels of funding for basic research on fundamental mechanisms of biological aging and, given demographic projections, the anticipated enormous social and economic impacts of a litany of chronic diseases for which aging is by far the major risk factor: One valuable approach, recently instigated by Felipe Sierra & colleagues at the US National Institute on Aging, is the development of a Geroscience Interest Group among virtually all of the NIH institutes. A complementary approach would be to seek major escalations of private funding...
November 18, 2016: Experimental Gerontology
https://www.readbyqxmd.com/read/27867136/pediatric-orthopedic-surgery-in-humanitarian-aid
#5
REVIEW
Jérôme Sales de Gauzy
Pediatric orthopedic surgery in humanitarian aid is conducted mainly in cooperation with emerging countries. Each mission is different, and depends on numerous parameters such as the country, the frequency of such missions, the pathologies encountered, the local structure and team, and the non-governmental organization (NGO) involved. Pathologies vary in etiology (tuberculosis, poliomyelitis) and severity. Each mission requires the presence of an experienced surgeon. Working conditions are often rudimentary...
November 17, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27863575/complicated-realities-mental-health-and-moral-incongruence-in-disaster-humanitarian-response
#6
REVIEW
Suzanne M Boswell
In the course of disaster/humanitarian response, providers are exposed to chaotic environments riddled with morally complex situations. This article disseminates research findings that highlight the impact of moral incongruence on responder mental health within the disaster/humanitarian setting by focusing on the theme "Everything was gray." The information is extracted from a larger, mixed methods study examining numerous variables considered within relevant literature to be influential in the occurrence of psychological distress among disaster/humanitarian responders...
December 2016: Nursing Clinics of North America
https://www.readbyqxmd.com/read/27863536/how-to-support-staff-deploying-on-overseas-humanitarian-work-a-qualitative-analysis-of-responder-views-about-the-2014-15-west-african-ebola-outbreak
#7
Gideon James Rubin, Sarah Harper, Paolo Diaz Williams, Sanna Öström, Samantha Bredbere, Richard Amlôt, Neil Greenberg
BACKGROUND: Responding to health crises overseas can be both rewarding and distressing for staff involved. OBJECTIVE: We interviewed UK staff involved in the 2014/15 Ebola response to identify experiences that positively or negatively affected them. METHOD: We conducted qualitative telephone interviews with 30 Public Health England (PHE) staff and 21 non-governmental organisation (NGO) staff who had deployed to West Africa. RESULTS: The main motivations for deploying were for moral reasons and personal development...
2016: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/27857655/microsurgery-without-borders-new-limits-for-reconstruction-of-post-burn-sequelae-in-the-humanitarian-setting
#8
I Tocco-Tussardi, B Presman, M Cherubino, C Garusi, F Bassetto
Post-burn contractures account for up to 50% of the workload of a plastic surgery team volunteering in developing nations. Best possible outcome most likely requires extensive surgery. However, extensive approaches such as microsurgery are generally discouraged in these settings. We report two successful cases of severe hand contractures reconstructed with free flaps on a surgical mission in Kenya. Microsurgery can be safely performed in the humanitarian setting by an integration of: personal skills; technical means; education of local personnel; follow-up services; and an effective network for communication...
March 31, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/27853854/-dissemination-of-psychotherapy-modules-for-traumatized-refugees-experience-gained-from-trauma-work-in-crisis-and-conflict-regions
#9
T Elbert, S Wilker, M Schauer, F Neuner
With each additional accumulative exposure to severe and traumatic stressors, the likelihood of developing mental health problems and physical diseases increases. Displaced individuals have usually experienced a number of serious threats to health due to organized violence in their home country or attacks during the flight. Frequently, domestic violence adds additional strain to the stressors experienced. The resulting impairments in psychosocial functioning reduce the resources needed for social adjustment and integration...
November 16, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27847361/functional-characterization-of-adaptive-mutations-during-the-west-african-ebola-virus-outbreak
#10
Erik Dietzel, Gordian Schudt, Verena Krähling, Mikhail Matrosovich, Stephan Becker
: The Ebola virus (EBOV) outbreak in West Africa started in December 2013, claimed more than 11,000 lives, threatened to destabilize a whole region and showed how easily health crises can turn into humanitarian disasters. EBOV genomic sequences of the West African outbreak revealed nonsynonymous mutations, which induced considerable public attention, but their role in virus spread and disease remains obscure. In this study we investigated the functional significance of three nonsynonymous mutations that emerged early during the West African EBOV outbreak...
November 9, 2016: Journal of Virology
https://www.readbyqxmd.com/read/27843547/fighting-poor-quality-medicines-in-low-and-middle-income-countries-the-importance-of-advocacy-and-pedagogy
#11
EDITORIAL
Raffaella Ravinetto, Daniel Vandenbergh, Cécile Macé, Corinne Pouget, Brigitte Renchon, Jean Rigal, Benedetta Schiavetti, Jean-Michel Caudron
The globalization of pharmaceutical production has not been accompanied by a strengthening and harmonization of the regulatory systems worldwide. Thus, the global market is characterized today by a situation of multiple standards, and patients in low- and middle-income countries are exposed to the risk of receiving poor-quality medicines. Among those who first raised the alarm on this problem, there were pioneering humanitarian groups, who were in a privileged position to witness the gap in quality of medicines between high-income countries and low- and middle-income countries...
2016: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/27842565/regional-anesthesia-for-painful-injuries-after-disasters-rapid-study-protocol-for-a-randomized-controlled-trial
#12
Adam C Levine, Carrie Teicher, Adam R Aluisio, Tess Wiskel, Pola Valles, Miguel Trelles, Justin Glavis-Bloom, Rebecca F Grais
BACKGROUND: Lower extremity trauma during earthquakes accounts for the largest burden of disaster-related injuries. Insufficient pain management is common in resource-limited disaster settings, and regional anesthesia (RA) may reduce pain in injured patients beyond current standards of care. To date, no controlled trials have been conducted to evaluate the use of RA for pain management in a disaster setting. METHODS/DESIGN: The Regional Anesthesia for Painful Injuries after Disasters (RAPID) study aims to evaluate whether regional anesthesia (RA), either with or without ultrasound (US) guidance, can reduce pain from earthquake-related lower limb injuries in a disaster setting...
November 14, 2016: Trials
https://www.readbyqxmd.com/read/27836828/the-cataract-situation-in-suriname-an-effective-intervention-programme-to-increase-the-cataract-surgical-rate-in-a-developing-country
#13
Jerrel C Pawiroredjo, Janna Minderhoud, Dennis R A Mans, Herman C I Themen, Anne-Marie T Bueno de Mesquita-Voigt, Michael R Siban, Cindy M Forster-Pawiroredjo, Annette C Moll, Ruth M A van Nispen, Hans Limburg
AIMS: To provide an overview of cataract data in Suriname and to describe and evaluate a programme to control cataract blindness in a developing country. DESIGN: Evaluation of hospital data and findings from a population-based cross-sectional survey. METHODS: The implementation of a new cataract surgical intervention programme was described and retrospectively evaluated by analysing the number of cataract operations and other related indicators at the Suriname Eye Centre (SEC) in the period 2006-2014...
November 11, 2016: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/27834766/humanitarian-cardiology-and-cardiac-surgery-in-sub-saharan-africa-can-we-reshape-the-model
#14
Endale Tefera, Berhanu Nega, Dejuma Yadeta, Yilkal Chanie
BACKGROUND: In recent decades, humanitarian cardiology and cardiac surgery have shifted toward sending short-term surgical and catheter missions to treat patients. Although this model has been shown to be effective in bringing cardiovascular care to the patients' environment, its effectiveness in creating sustainable service is questioned. This study reports the barriers to contribution of missions to effective skill transfer and possible improvements needed in the future, from the perspective of both the local and overseas teams...
November 2016: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/27825277/the-for-profit-sector-in-humanitarian-response-integrating-ethical-considerations-in-public-policy-decision-making
#15
Carmen Huckel Schneider, Joel Negin
The engagement of the for-profit private sector in health, social and humanitarian services has become a topic of keen interest. It is particularly contentious in those instances where for-profit organizations have become recipients of public funds, and where they become key decision-makers in terms of how, and to whom, services are provided. We put forward a framework for identifying and organizing the ethical questions to be considered when contracting government services to the for-profit sector, specifically in those areas that have traditionally remained in the public or not-for-profit spheres...
November 8, 2016: Medicine, Conflict, and Survival
https://www.readbyqxmd.com/read/27824879/three-steps-to-improve-management-of-noncommunicable-diseases-in-humanitarian-crises
#16
Kiran Jobanputra, Philippa Boulle, Bayard Roberts, Pablo Perel
Kiran Jobanputra and colleagues argue that better evidence, guidance, and tools are needed to improve the effectiveness and feasibility of noncommunicable disease care in humanitarian settings.
November 2016: PLoS Medicine
https://www.readbyqxmd.com/read/27809197/ethics-in-humanitarian-services-report-on-the-earthquake-in-nepal
#17
Ramesh P Aacharya, Sanjeeb Tiwari, Tirtha M Shrestha
The Nepal earthquake was one of the biggest natural calamities of the year 2015. This paper attempts to explore the ethical issues involved in the humanitarian services rendered during the crisis and thereafter. The four principles of biomedical ethics - autonomy, beneficence, non-maleficence, and justice - are discussed in relation to the relief activities immediately following the disaster and the subsequent long-term activities, such as rehabilitation, wherever applicable. The discussion touches upon public health components such as vulnerable populations, environmental ethics and justice for the future...
October 19, 2016: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/27804900/resource-activation-for-treating-post-traumatic-stress-disorder-co-morbid-symptoms-and-impaired-functioning-a-randomized-controlled-trial-in-cambodia
#18
C Steinert, P J Bumke, R L Hollekamp, A Larisch, F Leichsenring, H Mattheß, S Sek, U Sodemann, M Stingl, T Ret, H Vojtová, W Wöller, J Kruse
BACKGROUND: Mental health morbidity in post-conflict settings is high. Nevertheless, randomized controlled trials of psychotherapy on site are rare. Our aim was to integrate rigorous research procedures into a humanitarian programme and test the efficacy of resource activation (ROTATE) in treating post-traumatic stress disorder (PTSD), co-morbid symptoms and impaired functioning in Cambodia. METHOD: A total of 86 out-patients with PTSD were randomly assigned to five sessions of ROTATE (n = 53) or a 5-week waiting-list control (WLC) condition (n = 33)...
November 2, 2016: Psychological Medicine
https://www.readbyqxmd.com/read/27797692/effort-reward-imbalance-and-heavy-alcohol-consumption-among-humanitarian-aid-workers
#19
Liza Jachens, Jonathan Houdmont, Roslyn Thomas
OBJECTIVE: The purpose of the study was to explore the prevalence of heavy alcohol consumption and its association with stress-related working conditions-defined in terms of effort-reward imbalance (ERI)-among a large sample of humanitarian aid workers operating across four continents. Research has shown employee alcohol consumption has potential detrimental implications for health and work outcomes and is associated with exposure to work stressors. Research to identify links between stressful aspects of work and heavy alcohol consumption among humanitarian aid workers could usefully inform the design of sector-specific interventions concerned with the reduction of alcohol consumption...
November 2016: Journal of Studies on Alcohol and Drugs
https://www.readbyqxmd.com/read/27792169/integrated-computational-approach-for-virtual-hit-identification-against-ebola-viral-proteins-vp35-and-vp40
#20
Muhammad Usman Mirza, Nazia Ikram
The Ebola virus (EBOV) has been recognised for nearly 40 years, with the most recent EBOV outbreak being in West Africa, where it created a humanitarian crisis. Mortalities reported up to 30 March 2016 totalled 11,307. However, up until now, EBOV drugs have been far from achieving regulatory (FDA) approval. It is therefore essential to identify parent compounds that have the potential to be developed into effective drugs. Studies on Ebola viral proteins have shown that some can elicit an immunological response in mice, and these are now considered essential components of a vaccine designed to protect against Ebola haemorrhagic fever...
October 26, 2016: International Journal of Molecular Sciences
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