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https://www.readbyqxmd.com/read/29676758/learning-from-water-treatment-and-hygiene-interventions-in-response-to-a-hepatitis-e-outbreak-in-an-open-setting-in-chad
#1
Alexander Spina, David Beversluis, Andrea Irwin, Alexandra Chen, Jean Noel Nassariman, Abdelkhadir Ahamat, Idriss Noh, Jan Oosterloo, Prince Alfani, Sibylle Sang, Annick Lenglet, Dawn Louise Taylor
In September 2016, Médecins Sans Frontières responded to a hepatitis E (HEV) outbreak in Chad by implementing water treatment and hygiene interventions. To evaluate the coverage and use of these interventions, we conducted a cross-sectional study in the community. Our results showed that 99% of households interviewed had received a hygiene kit from us, aimed at improving water handling practice and personal hygiene and almost all respondents had heard messages about preventing jaundice and handwashing. Acceptance of chlorination of drinking water was also very high, although at the time of interview, we were only able to measure a safe free residual chlorine level (free chlorine residual (FRC) ≥0...
April 2018: Journal of Water and Health
https://www.readbyqxmd.com/read/29666129/preventing-emergency-department-ed-visits-and-hospitalisations-of-older-adults-with-cognitive-impairment-compared-with-the-general-senior-population-what-do-we-know-about-avoidable-incidents-results-from-a-scoping-review
#2
Mireille Gagnon-Roy, Benyahia Hami, Mélissa Généreux, Nathalie Veillette, Marie-Josée Sirois, Mary Egan, Véronique Provencher
OBJECTIVES: Older cognitively impaired adults present a higher risk of hospitalisation and mortality following a visit to the emergency department (ED). Better understanding of avoidable incidents is needed to prevent them and the associated ED presentations in community-dwelling adults. This study aimed to synthetise the actual knowledge concerning these incidents leading this population to ED presentation, as well as possible preventive measures to reduce them. DESIGN: A scoping review was performed according to the Arksey and O'Malley framework...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29624584/the-impact-of-passive-case-detection-on-the-transmission-dynamics-of-gambiense-human-african-trypanosomiasis
#3
Francesco Checchi, Sebastian Funk, Daniel Chandramohan, François Chappuis, Daniel T Haydon
Gambiense Human African Trypanosomiasis (HAT), or sleeping sickness, is a vector-borne disease affecting largely rural populations in Western and Central Africa. The main method for detecting and treating cases of gambiense HAT are active screening through mobile teams and passive detection through self-referral of patients to dedicated treatment centres or hospitals. Strategies based on active case finding and treatment have drastically reduced the global incidence of the disease over recent decades. However, little is known about the coverage and transmission impact of passive case detection...
April 6, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29616643/m%C3%A3-decine-et-sant%C3%A3-tropicales-prospects
#4
J-J Morand
No abstract text is available yet for this article.
February 1, 2018: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/29588048/-communities-of-conditions-novel-methods-for-classifying-psychiatric-disorders
#5
EDITORIAL
David S Hong
In 1798, Philippe Pinel presented one of the first nosologies for psychiatric disorders, "Nosographie philosophique ou la méthode de l'analyse appliquée a la médecine."1 His emphasis on psychological and physical conditions as the basis of mental illness provided a distinct departure from prior reliance on such etiologies such as demonic possession. Establishing classification schema was a much more profound innovation than a simple academic reordering of psychiatric phenomena-under Pinel's leadership at the famed Pitié-Salpêtrière hospital, it also led to a radical reformation of clinical interventions, moving away from pseudoscientific practices toward psychologically based interventions...
April 2018: Journal of the American Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29581201/voices-from-low-income-and-middle-income-countries-a-systematic-review-protocol-of-primary-healthcare-interventions-within-public-health-systems-addressing-intimate-partner-violence-against-women
#6
Marcos Claudio Signorelli, Stav Hillel, Daniel Canavese de Oliveira, Beatriz Paulina Ayala Quintanilla, Kelsey Hegarty, Angela Taft
INTRODUCTION: Intimate partner violence (IPV) considerably harms the health, safety and well-being of women. In response, public health systems around the globe have been gradually implementing strategies. In particular, low-income and middle-income countries (LMIC) have been developing innovative interventions in primary healthcare (PHC) addressing the problem. This paper describes a protocol for a systematic review of studies addressing the impacts and outcomes of PHC centre interventions addressing IPV against women from LMIC...
March 25, 2018: BMJ Open
https://www.readbyqxmd.com/read/29565105/white-book-on-physical-and-rehabilitation-medicine-prm-in-europe-chapter-4-history-of-the-specialty-where-prm-comes-from
#7
(no author information available yet)
In the context of the White Book of Physical and Rehabilitation Medicine (PRM) in Europe, this paper deals with the history of the PRM medical specialty. The specialty evolved in different European countries, and sometimes also into the single countries, from different medical streams that finally joined. These included among others: balneology, gymnastic, use of physical agents (water, heat, cold, massage, joint manipulations, physical exercise, etc.). Another important role has been played by the increasing number of people experiencing or likely to experience disability due to improvement of medicine and consequent survivals from wars, accidents and/or big infective epidemics (like polio); these evolutions happened in strict relationship with other specialties like cardiology, neurology, orthopaedics, pneumology, rheumatology, traumatology, creating a knowledge transversal to all of them...
April 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29559211/tracheotomy-in-the-intensive-care-unit-guidelines-from-a-french-expert-panel-the-french-intensive-care-society-and-the-french-society-of-anaesthesia-and-intensive-care-medicine
#8
Jean-Louis Trouillet, Olivier Collange, Fouad Belafia, François Blot, Gilles Capellier, Eric Cesareo, Jean-Michel Constantin, Alexandre Demoule, Jean-Luc Diehl, Pierre-Grégoire Guinot, Franck Jegoux, Erwan L'Her, Charles-Edouard Luyt, Yazine Mahjoub, Julien Mayaux, Hervé Quintard, François Ravat, Sébastien Vergez, Julien Amour, Max Guillot
Tracheotomy is widely used in intensive care units, albeit with great disparities between medical teams in terms of frequency and modality. Indications and techniques are, however, associated with variable levels of evidence based on inhomogeneous or even contradictory literature. Our aim was to conduct a systematic analysis of the published data in order to provide guidelines. We present herein recommendations for the use of tracheotomy in adult critically ill patients developed using the grading of recommendations assessment, development and evaluation (GRADE) method...
March 17, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29550772/-he-who-helps-the-guilty-shares-the-crime-ingos-moral-narcissism-and-complicity-in-wrongdoing
#9
Pete Buth, Benoit de Gryse, Sean Healy, Vincent Hoedt, Tara Newell, Giovanni Pintaldi, Hernan Del Valle, Julian C Sheather, Sidney Wong
Humanitarian organisations often work alongside those responsible for serious wrongdoing. In these circumstances, accusations of moral complicity are sometimes levelled at decision makers. These accusations can carry a strong if unfocused moral charge and are frequently the source of significant moral unease. In this paper, we explore the meaning and usefulness of complicity and its relation to moral accountability. We also examine the impact of concerns about complicity on the motivation of humanitarian staff and the risk that complicity may lead to a retreat into moral narcissism...
March 17, 2018: Journal of Medical Ethics
https://www.readbyqxmd.com/read/29549171/inter-rater-and-intrarater-reliability-of-the-south-african-triage-scale-in-low-resource-settings-of-haiti-and-afghanistan
#10
Mohammed Dalwai, Katie Tayler-Smith, Michèle Twomey, Masood Nasim, Abdul Qayum Popal, Waliul Haq Haqdost, Olivia Gayraud, Sophia Cheréstal, Lee Wallis, Pola Valles
OBJECTIVE: The South African Triage Scale (SATS) has demonstrated good validity in the EDs of Médecins Sans Frontières (MSF)-supported sites in Afghanistan and Haiti; however, corresponding reliability in these settings has not yet been reported on. This study set out to assess the inter-rater and intrarater reliability of the SATS in four MSF-supported EDs in Afghanistan and Haiti (two trauma-only EDs and two mixed (including both medical and trauma cases) EDs). METHODS: Under classroom conditions between December 2013 and February 2014, ED nurses at each site assigned triage ratings to a set of context-specific vignettes (written case reports of ED patients)...
March 16, 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29547379/-message-du-pr%C3%A3-sident-faire-avancer-la-m%C3%A3-decine-familiale-rurale
#11
Tom Smith-Windsor
No abstract text is available yet for this article.
2018: Canadian Journal of Rural Medicine
https://www.readbyqxmd.com/read/29546588/tracheotomy-in-the-intensive-care-unit-guidelines-from-a-french-expert-panel
#12
REVIEW
Jean Louis Trouillet, Olivier Collange, Fouad Belafia, François Blot, Gilles Capellier, Eric Cesareo, Jean-Michel Constantin, Alexandre Demoule, Jean-Luc Diehl, Pierre-Grégoire Guinot, Franck Jegoux, Erwan L'Her, Charles-Edouard Luyt, Yazine Mahjoub, Julien Mayaux, Hervé Quintard, François Ravat, Sebastien Vergez, Julien Amour, Max Guillot
Tracheotomy is widely used in intensive care units, albeit with great disparities between medical teams in terms of frequency and modality. Indications and techniques are, however, associated with variable levels of evidence based on inhomogeneous or even contradictory literature. Our aim was to conduct a systematic analysis of the published data in order to provide guidelines. We present herein recommendations for the use of tracheotomy in adult critically ill patients developed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method...
March 15, 2018: Annals of Intensive Care
https://www.readbyqxmd.com/read/29511602/infectious-disease-risk-and-vaccination-in-northern-syria-after-5-years-of-civil-war-the-msf-experience
#13
Alan de Lima Pereira, Rosamund Southgate, Hikmet Ahmed, Penelope O'Connor, Vanessa Cramond, Annick Lenglet
Introduction: In 2015, following an influx of population into Kobanê in northern Syria, Médecins Sans Frontières (MSF) in collaboration with the Kobanê Health Administration (KHA) initiated primary healthcare activities. A vaccination coverage survey and vaccine-preventable disease (VPD) risk analysis were undertaken to clarify the VPD risk and vaccination needs. This was followed by a measles Supplementary Immunization Activity (SIA). We describe the methods and results used for this prioritisation activity around vaccination in Kobanê in 2015...
February 2, 2018: PLoS Currents
https://www.readbyqxmd.com/read/29502905/mapping-the-burden-of-cholera-in-sub-saharan-africa-and-implications-for-control-an-analysis-of-data-across-geographical-scales
#14
Justin Lessler, Sean M Moore, Francisco J Luquero, Heather S McKay, Rebecca Grais, Myriam Henkens, Martin Mengel, Jessica Dunoyer, Maurice M'bangombe, Elizabeth C Lee, Mamoudou Harouna Djingarey, Bertrand Sudre, Didier Bompangue, Robert S M Fraser, Abdinasir Abubakar, William Perea, Dominique Legros, Andrew S Azman
BACKGROUND: Cholera remains a persistent health problem in sub-Saharan Africa and worldwide. Cholera can be controlled through appropriate water and sanitation, or by oral cholera vaccination, which provides transient (∼3 years) protection, although vaccine supplies remain scarce. We aimed to map cholera burden in sub-Saharan Africa and assess how geographical targeting could lead to more efficient interventions. METHODS: We combined information on cholera incidence in sub-Saharan Africa (excluding Djibouti and Eritrea) from 2010 to 2016 from datasets from WHO, Médecins Sans Frontières, ProMED, ReliefWeb, ministries of health, and the scientific literature...
March 1, 2018: Lancet
https://www.readbyqxmd.com/read/29492926/theses-defended-at-tunis-faculty-of-medecine-from-2004-to-2005-scientific-become-and-predictive-factors-of-publications
#15
Hela Elloumi, Reem Bouarrouj, Ashraf Chadli Debbiche, Ali Mrabet, Chadli Dziri
INTRODUCTION: Several theses are supported, every year, in the Faculty of Medicine of Tunis but their scientific become is this day unknown. The most part of specialities have not bibliometric data. OBJECTIVES: This work had for objectives to study the still unknown future of theses of Tunis Faculty of Medecine during 2004-2005, in terms of publication in indexed reviews and to determine the predictive factors of their publication. METHODS: This was a descriptive bibliometric study of theses supported at the Tunis Faculty of Medicine between January 1st, 2004 and december 31st, 2005...
April 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29452942/early-safety-and-efficacy-of-the-combination-of-bedaquiline-and-delamanid-for-the-treatment-of-patients-with-drug-resistant-tuberculosis-in-armenia-india-and-south-africa-a-retrospective-cohort-study
#16
Gabriella Ferlazzo, Erika Mohr, Chinmay Laxmeshwar, Catherine Hewison, Jennifer Hughes, Sylvie Jonckheere, Naira Khachatryan, Virginia De Avezedo, Lusine Egazaryan, Amir Shroufi, Stobdan Kalon, Helen Cox, Jennifer Furin, Petros Isaakidis
BACKGROUND: Bedaquiline and delamanid have been approved for treatment of multidrug-resistant (MDR) tuberculosis in the past 5 years. Because of theoretical safety concerns, patients have been unable to access the two drugs in combination. Médecins Sans Frontières has supported the use of combination bedaquiline and delamanid for people with few treatment options since 2016. We describe early safety and efficacy of regimens containing the bedaquiline and delamanid combination in patients with drug-resistant tuberculosis in Yerevan, Armenia; Mumbai, India; and Khayelitsha, South Africa...
February 13, 2018: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/29425539/-quality-standards-for-ultrasonographic-assessment-of-peripheral-vascular-malformations-and-vascular-tumors-report-of-the-french-society-for-vascular-medicine-2018%C3%A2-update
#17
J P Laroche, S Blaise, F Becker, C Laaeng Massoni, M Nou-Howaldt, O Pichot, H Desmurs-Clavel, J Jeancolas, C Jurus, G Sarlon-Bartoli, V Soulier-Sotto, H Thiel, M A Sevestre-Pietri, J Maloizel-Delaunay, S Mestre-Godin
The quality standards of the French Society of Vascular Medicine for the ultrasonographic assessment of vascular malformations are based on the two following requirements: (1) technical know-how: mastering the use of ultrasound devices and the method of examination; (2) medical know-how: ability to adapt the methods and scope of the examination to its clinical indication and purpose, and to rationally analyze and interpret its results. AIMS OF THE QUALITY STANDARDS: To describe an optimal method of examination in relation to the clinical question and hypothesis...
February 2018: Journal de Médecine Vasculaire
https://www.readbyqxmd.com/read/29403111/implementation-research-reactive-mass-vaccination-with-single-dose-oral-cholera-vaccine-zambia
#18
Marc Poncin, Gideon Zulu, Caroline Voute, Eva Ferreras, Clara Mbwili Muleya, Kennedy Malama, Lorenzo Pezzoli, Jacob Mufunda, Hugues Robert, Florent Uzzeni, Francisco J Luquero, Elizabeth Chizema, Iza Ciglenecki
Objective: To describe the implementation and feasibility of an innovative mass vaccination strategy - based on single-dose oral cholera vaccine - to curb a cholera epidemic in a large urban setting. Method: In April 2016, in the early stages of a cholera outbreak in Lusaka, Zambia, the health ministry collaborated with Médecins Sans Frontières and the World Health Organization in organizing a mass vaccination campaign, based on single-dose oral cholera vaccine...
February 1, 2018: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/29387145/provision-of-emergency-obstetric-care-at-secondary-level-in-a-conflict-setting-in-a-rural-area-of-afghanistan-is-the-hospital-fulfilling-its-role
#19
Daphne Lagrou, Rony Zachariah, Karen Bissell, Catherine Van Overloop, Masood Nasim, Hamsaya Nikyar Wagma, Shafiqa Kakar, Séverine Caluwaerts, Eva De Plecker, Renzo Fricke, Rafael Van den Bergh
Background: Provision of Emergency Obstetric and Neonatal Care (EmONC) reduces maternal mortality and should include three components: Basic Emergency Obstetric and Neonatal Care (BEmONC) offered at primary care level, Comprehensive EmONC (CEmONC) at secondary level and a good referral system in-between. In a conflict-affected province of Afghanistan (Khost), we assessed the performance of an Médecins Sans Frontières (MSF) run CEmONC hospital without a primary care and referral system...
2018: Conflict and Health
https://www.readbyqxmd.com/read/29387144/hiv-associated-kaposi-s-sarcoma-in-maputo-mozambique-outcomes-in-a-specialized-treatment-center-2010-2015
#20
Vini Fardhdiani, Lucas Molfino, Ana Gabriela Zamudio, Rolanda Manuel, Gilda Luciano, Iza Ciglenecki, Barbara Rusch, Laurence Toutous Trellu, Matthew E Coldiron
Background: Kaposi's sarcoma (KS) is a common HIV-associated malignancy associated with disability, pain and poor outcomes. The cornerstone of its treatment is antiretroviral therapy, but advanced disease necessitates the addition of chemotherapy. In high-income settings, this often consists of liposomal anthracyclines, but in Mozambique, the first line includes conventional doxorubicin, bleomycin and vincristine, which is poorly-tolerated. Médecins Sans Frontières supports the Ministry of Health (MOH) in a specialized HIV and KS treatment center at the Centro de Referencia de Alto Maé in Maputo...
2018: Infectious Agents and Cancer
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