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https://www.readbyqxmd.com/read/28521751/an-integrated-intervention-to-reduce-intimate-partner-violence-and-psychological-distress-with-refugees-in-low-resource-settings-study-protocol-for-the-nguvu-cluster-randomized-trial
#1
Wietse A Tol, M Claire Greene, Samuel Likindikoki, Lusia Misinzo, Peter Ventevogel, Ann G Bonz, Judith K Bass, Jessie K K Mbwambo
BACKGROUND: Intimate partner violence (IPV) is a critical public health and human rights concern globally, including for refugee women in low-resource settings. Little is known about effective interventions for this population. IPV and psychological distress have a bi-directional relationship, indicating the potential benefit of a structured psychological component as part of efforts to reduce IPV for women currently in violent relationships. METHODS: This protocol describes a cluster randomized controlled trial aimed at evaluating an 8-session integrated psychological and advocacy intervention (Nguvu) with female adult survivors of past-year IPV displaying moderate to severe psychological distress...
May 18, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28503357/how-bad-is-it-usefulness-of-the-7eed-model-for-scoring-severity-and-level-of-need-in-complex-emergencies
#2
Anneli Eriksson, Martin Gerdin, Richard Garfield, Thorkild Tylleskar, Johan von Schreeb
BACKGROUND: Humanitarian assistance is designated to save lives and alleviate suffering among people affected by disasters. In 2014, close to 25 billion USD was allocated to humanitarian assistance, more than 80% of it from governmental donors and EU institutions. Most of these funds are devoted to Complex Emergencies (CE). It is widely accepted that the needs of the affected population should be the main determinant for resource allocations of humanitarian funding. However, to date no common, systematic, and transparent system for needs-based allocations exists...
June 28, 2016: PLoS Currents
https://www.readbyqxmd.com/read/28501359/the-ebola-epidemic-in-liberia-and-managing-the-dead-a-future-role-for-humanitarian-forensic-action
#3
Stephen Cordner, Heinrich Bouwer, Morris Tidball-Binz
With some of their economies, communities and health systems weakened by decades of war and poor governance, it was no accident that an epidemic of Ebola virus disease broke out in west Africa. Being spread in part by contact with body fluids of those who had died from the disease, funerary rites and the way dead bodies were managed were important modes of transmission. The Liberian Red Cross, supported by the International Federation of Red Cross and Red Crescent Societies and the International Committee of the Red Cross, undertook the challenging task of managing the dead bodies in Monrovia during the epidemic...
April 25, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28500924/caregiver-parenting-and-gender-attitudes-associations-with-violence-against-adolescent-girls-in-south-kivu-democratic-republic-of-congo
#4
Kathryn L Falb, Khudejha Asghar, Betsy Laird, Sophie Tanner, Elizabeth Graybill, Pamela Mallinga, Lindsay Stark
Violence against adolescent girls occurs at alarmingly high rates in conflict-affected settings, in part due to their increased vulnerability from their age and gender. However, humanitarian programming efforts have historically focused either on child abuse prevention or intimate partner violence prevention and have not fully addressed the specific needs of adolescent girls, including engagement of caregivers to reduce risk of violence against adolescent girls. Thus, the objectives of this analysis are to examine the whether gendered and parental attitudes of caregivers in South Kivu, Democratic Republic of Congo (DRC) were associated with their adolescent girls' experiences of violence and girls' attitudes towards IPV...
May 10, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28497699/humanitarian-space-and-well-being-effectiveness-of-training-on-a-psychosocial-intervention-for-host-community-refugee-interaction
#5
Zeina Chemali, Christina P C Borba, Kelsey Johnson, Rebecca S Hock, Lindsey Parnarouskis, David C Henderson, Gregory L Fricchione
Social and fieldworkers face enormous challenges in assisting millions of Syrian refugees in Lebanon since the Syrian war in 2011. We sought to assess the feasibility and acceptability of an adapted version of the SMART-3RP (Stress Management Relaxation Response Resilience Training) training to address the emotional and physical burden on the humanitarian field. Data were collected using the Symptom Checklist-90 (SCL-90), blood pressure, pulse and a brief qualitative survey at months 0, 3, 6 and 9. We compared mean SCL-90 scores and physiological measures from these time points and subjected qualitative data to a thematic analysis...
May 12, 2017: Medicine, Conflict, and Survival
https://www.readbyqxmd.com/read/28493767/nursing-a-critically-ill-tetanus-patient-in-an-intensive-care-unit-in-zambia
#6
Chris Carter, Sue Viveash
The global incidence of tetanus has been gradually reducing. Improvements in vaccination and health education programmes and the World Health Organization campaign to eradicate maternal and neonatal tetanus have all resulted in fewer presentations globally. Unfortunately, tetanus mortality remains a significant problem for many developing countries, owing to inadequate vaccination programmes or to conflict or humanitarian disasters during which vaccination programmes are stopped or there is sporadic cover. This case study explores the care of a tetanus patient in an intensive care unit in Zambia, a lower-middle-income country in sub-Saharan Africa...
May 11, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28493271/alcohol-and-substance-use-in-humanitarian-and-postconflict-situations
#7
REVIEW
Fahmy B Hanna
A wide range of substance use problems are prevalent in a variety of humanitarian settings. The Inter Agency Standing Committee (IASC) guidelines on mental health and psychosocial support during emergencies highlights that during humanitarian and post conflict situations, substance use is associated with problems including gender-based violence, organized crime and the serious neglect of children. Although substance use is a public health issue in humanitarian settings it has always been a neglected area of public health with very limited information available in both published and grey literature on this matter...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28478770/disaster-metrics-a-comprehensive-framework-for-disaster-evaluation-typologies
#8
Diana F Wong, Caroline Spencer, Lee Boyd, Frederick Skip Burkle, Frank Archer
Introduction The frequency of disasters is increasing around the world with more people being at risk. There is a moral imperative to improve the way in which disaster evaluations are undertaken and reported with the aim of reducing preventable mortality and morbidity in future events. Disasters are complex events and undertaking disaster evaluations is a specialized area of study at an international level. Hypothesis/Problem While some frameworks have been developed to support consistent disaster research and evaluation, they lack validation, consistent terminology, and standards for reporting across the different phases of a disaster...
May 8, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28474823/global-emergency-medicine-a-review-of-the-literature-from-2016
#9
Torben K Becker, Bhakti Hansoti, Susan Bartels, Alison Schroth Hayward, Braden J Hexom, Kevin M Lunney, Regan H Marsh, Maxwell Osei-Ampofo, Indi Trehan, Julia Chang, Adam C Levine
OBJECTIVES: The Global Emergency Medicine Literature Review (GEMLR) conducts an annual search of peer-reviewed and gray literature relevant to global emergency medicine (EM) to identify, review, and disseminate the most important new research in this field to a global audience of academics and clinical practitioners. METHODS: This year 13,890 articles written in four languages were identified by our search. These articles were distributed among 20 reviewers for initial screening based on their relevance to the field of global EM...
May 5, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28471616/more-than-three-years-of-medical-humanitarian-aid-to-the-syrian-people
#10
Salman Zarka
No abstract text is available yet for this article.
October 2016: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28471615/extending-a-helping-hand-a-comparison-of-israel-defense-forces-medical-corps-humanitarian-aid-field-hospitals
#11
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/28469988/polio-in-syria-problem-still-not-solved
#12
Ahmad Al-Moujahed, Fares Alahdab, Heba Abolaban, Leo Beletsky
The reappearance of polio in Syria in mid-2013, 18 years after it was eliminated from the country, manifests the public health catastrophe brought on by the civil war. Among the lessons learned, this outbreak emphasizes the importance of increasing the international financial and logistical support for vaccine and immunization efforts, especially in countries suffering from conflicts. The lack of access to polio accredited laboratory or outright lack of laboratories in settings of conflict should be recognized allowing international surveillance to be strengthened by supplementing the laboratory definition with the clinical definition...
April 2017: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/28460286/transgenerational-trauma-in-a-post-conflict-setting-effects-on-offspring-ptss-ptsd-and-offspring-vulnerability-in-cambodian-families
#13
Sebastian Burchert, Nadine Stammel, Christine Knaevelsrud
We assessed transgenerational effects of maternal traumatic exposure, posttraumatic stress symptoms and posttraumatic stress disorder on trauma-related symptoms in Cambodian offspring born after the genocidal Khmer Rouge Regime. We conducted a randomized cross-sectional study. N=378 mothers from 4 provinces of the country and one of each of their grown-up children were interviewed. Lifetime traumatic exposure was determined using a context-adapted event list. Present posttraumatic stress symptoms and a potential posttraumatic stress disorder were assessed using the civilian version of the Posttraumatic Stress Disorder Checklist...
April 21, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28457320/surgical-and-trauma-care-in-low-and-middle-income-countries-a-review-of-capacity-assessments
#14
REVIEW
Kevin J Blair, Lorenzo Paladino, Pamela L Shaw, Michael B Shapiro, Benedict C Nwomeh, Mamta Swaroop
BACKGROUND: Surgical and trauma capacity assessments help guide resource allocation and plan interventions to improve care for the injured in low- and middle-income countries (LMICs). To forge expert consensus on conducting these assessments, we undertook a systematic review of studies using five tools: (1) World Health Organization's (WHO) Guidelines for Essential Trauma Care, (2) WHO's Tool for Situational Analysis to Assess Emergency and Essential Surgical Care, (3) Personnel, Infrastructure, Procedures, Equipment, and Supplies tool, (4) Harvard Humanitarian Initiative tool, and (5) Emergency and Critical Care tool...
April 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28453993/sexual-violence-interventions-considerations-for-humanitarian-settings
#15
David Wells
Sexual and gender based violence may result in a range of destructive consequences to the individual, their family and the wider community. Addressing such violence and its immediate aftermath in circumstances of civil turmoil requires a timely, planned and coordinated multidisciplinary response. Such interventions need to be cognisant of, and address a range of challenges which might include economic barriers, religious and cultural divides, a dearth of respect for human rights and limited access or capacity of medical, policing and legal services...
April 14, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28452150/the-moral-sense-of-humanitarian-actors-an-empirical-exploration
#16
Anaïs Rességuier
This paper examines humanitarianism's moral positioning above private and political interests to save lives and alleviate suffering. It does not aim to assess the legitimacy of this stance, but rather to probe the way in which humanitarian actors relate to this moral dimension in their everyday work. It investigates empirically humanitarian ethics from the perspective of humanitarian actors, drawing on interviews conducted in Beirut, Lebanon, in 2014. As it is exploratory, three key conceptual innovations were required...
April 28, 2017: Disasters
https://www.readbyqxmd.com/read/28452127/from-disaster-to-development-a-systematic-review-of-community-driven-humanitarian-logistics
#17
Jennifer Bealt, S Afshin Mansouri
A plethora of untapped resources exist within disaster-affected communities that can be used to address relief and development concerns. A systematic review of the literature relating to community participation in humanitarian logistics activities revealed that communities are able to form ad hoc networks that have the ability to meet a wide range of disaster management needs. These structures, characterised as Collaborative Aid Networks (CANs), have demonstrated efficient logistical capabilities exclusive of humanitarian organisations...
April 28, 2017: Disasters
https://www.readbyqxmd.com/read/28451440/microbiological-screenings-for-infection-control-in-unaccompanied-minor-refugees-the-german-armed-forces-medical-service-s-experience
#18
Winfried Maaßen, Dorothea Wiemer, Claudia Frey, Christina Kreuzberg, Egbert Tannich, Rebecca Hinz, Andreas Wille, Andreas Fritsch, Ralf Matthias Hagen, Hagen Frickmann
BACKGROUND: The German Military Medical Service contributed to the medical screening of unaccompanied minor refugees (UMRs) coming to Germany in 2014 and 2015. In this study, a broad range of diagnostic procedures was applied to identify microorganisms with clinical or public health significance. Previously, those tests had only been used to screen soldiers returning from tropical deployments. This instance is the first time the approach has been studied in a humanitarian context. METHODS: The offered screenings included blood cell counts, hepatitis B serology and microscopy of the stool to look for protozoa and worm eggs as well as PCR from stool samples targeting pathogenic bacteria, protozoa and helminths...
2017: Military Medical Research
https://www.readbyqxmd.com/read/28446973/bronchoscopic-valves-for-prolonged-air-leak-current-status-and-technique
#19
REVIEW
Amit K Mahajan, Sandeep J Khandhar
Unidirectional airway valves are devices used for the treatment of persistent air leaks (PALs) secondary to alveolar-pleural fistulas (APF) or bronchopleural fistulas (BPFs). These valves were originally developed as a non-surgical alternative to lung volume reduction surgery (LVRS) for patients with chronic obstructive pulmonary disease (COPD). Randomized trials investigating the use of valves for bronchoscopic LVRS did not lead to the Federal Drug Administration (FDA) approval, but stemming from these studies a Humanitarian Device Exemption (HDE) was granted to Spiration intrabronchial valves (IBVs) for the treatment of PALs...
March 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28441974/evaluating-effectiveness-and-cost-effectiveness-of-a-group-psychological-intervention-using-cognitive-behavioural-strategies-for-women-with-common-mental-disorders-in-conflict-affected-rural-pakistan-study-protocol-for-a-randomised-controlled-trial
#20
Anna Chiumento, Syed Usman Hamdani, Muhammad Naseem Khan, Katie Dawson, Richard A Bryant, Marit Sijbrandij, Huma Nazir, Parveen Akhtar, Aqsa Masood, Duolao Wang, Mark van Ommeren, Atif Rahman
BACKGROUND: The impact of humanitarian disasters upon mental health is well recognised. The evidence for psychological interventions for mental health is mounting, but few interventions have been rigorously tested in humanitarian settings. To be sustainable in humanitarian settings interventions need to be short, simple, deliverable by nonspecialists under supervision, and adopt a transdiagnostic approach where an array of mental health outcomes are addressed simultaneously. These elements have been incorporated into the newly developed WHO Problem Management Plus (PM+) Group intervention...
April 26, 2017: Trials
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