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https://www.readbyqxmd.com/read/28508717/expanding-the-haitian-rehabilitation-workforce-employment-situation-and-perceptions-of-graduates-from-three-rehabilitation-technician-training-programs
#1
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
#2
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/28482905/availability-of-family-planning-services-and-quality-of-counseling-by-faith-based-organizations-a-three-country-comparative-analysis
#3
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/28471615/extending-a-helping-hand-a-comparison-of-israel-defense-forces-medical-corps-humanitarian-aid-field-hospitals
#4
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/28433846/factors-associated-with-postoperative-complications-in-hydrocephalic-infants-diagnosed-at-bernard-mevs-hospital-in-port-au-prince-haiti-from-2011-to-2013
#5
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/28419606/stratified-polygenic-risk-prediction-model-with-application-to-cagi-bipolar-disorder-sequencing-data
#6
Maggie Haitian Wang, Billy Chang, Rui Sun, Inchi Hu, Xiaoxuan Xia, William Ka Kei Wu, Ka Chun Chong, Benny Chung-Ying Zee
Genetic data consists of a wide range of marker types, including common, low frequency, and rare variants. Multiple genetic markers and their interactions play central roles in the heritability of complex disease. In this study, we propose an algorithm that uses a stratified variable selection design by genetic architectures and interaction effects, achieved by a data-set adaptive W-test. The polygenic sets in all strata were integrated to form a classification rule. The algorithm was applied to the Critical Assessment of Genome Interpretation 4 bipolar challenge sequencing data...
April 17, 2017: Human Mutation
https://www.readbyqxmd.com/read/28409054/sudden-increase-in-human-infection-with-avian-influenza-a-h7n9-virus-in-china-september-december-2016
#7
Lei Zhou, Ruiqi Ren, Lei Yang, Changjun Bao, Jiabing Wu, Dayan Wang, Chao Li, Nijuan Xiang, Yali Wang, Dan Li, Haitian Sui, Yuelong Shu, Zijian Feng, Qun Li, Daxin Ni
Since the first outbreak of avian influenza A(H7N9) virus in humans was identified in 2013, there have been five seasonal epidemics observed in China. An earlier start and a steep increase in the number of humans infected with H7N9 virus was observed between September and December 2016, raising great public concern in domestic and international societies. The epidemiological characteristics of the recently reported confirmed H7N9 cases were analysed. The results suggested that although more cases were reported recently, most cases in the fifth epidemic were still highly sporadically distributed without any epidemiology links; the main characteristics remained unchanged and the genetic characteristics of virus strains that were isolated in this epidemic remained similar to earlier epidemics...
January 2017: Western Pacific Surveillance and Response Journal: WPSAR
https://www.readbyqxmd.com/read/28408671/complete-genome-sequences-of-chikungunya-viruses-isolated-from-plasma-specimens-collected-from-haitians-in-2014
#8
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
#9
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
#10
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/28388007/aberrant-intracellular-metabolism-of-t-dm1-confers-t-dm1-resistance-in-her2-positive-gastric-cancer-cells
#11
Hongbin Wang, Wenqian Wang, Yongping Xu, Yong Yang, Xiaoyan Chen, Haitian Quan, Liguang Lou
T-DM1 (Kadcyla), an antibody-drug conjugate (ADC) consisting of HER2-targeted monoclonal antibody trastuzumab linked to anti-microtubule agent mertansine (DM1), has been approved for the treatment of HER2-positive metastatic breast cancer. To date, acquired resistance arises to be a major obstacle to T-DM1 treatment, and mechanisms remain incompletely understood. In the present study, we established a T-DM1-resistant N87-KR cell line from HER2-positive N87 gastric cancer cells to investigate mechanisms of acquired resistance and develop strategies for overcoming it...
April 7, 2017: Cancer Science
https://www.readbyqxmd.com/read/28367719/high-burden-of-mental-illness-and-low-utilization-of-care-among-school-going-youth-in-central-haiti-a-window-into-the-youth-mental-health-treatment-gap-in-a-low-income-country
#12
Eddy Eustache, Margaret E Gerbasi, Mary C Smith Fawzi, J Reginald Fils-Aimé, Jennifer Severe, Giuseppe J Raviola, Rupinder Legha, Sarah Darghouth, David J Grelotti, Tatiana Thérosmé, Ermaze L Pierre, Emmeline Affricot, Yoldie Alcindor, Anne E Becker
BACKGROUND: The mental health treatment gap for youth in low- and middle-income countries (LMICs) is substantial; strategies for redress are urgently needed to mitigate the serious health and social consequences of untreated mental illness in youth. AIMS: To estimate the burden of major depressive episode (MDE) and posttraumatic stress disorder (PTSD) as well as utilization of care among Haitian youth in order to describe the mental health treatment gap in a LMIC setting...
March 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28367718/formative-research-on-a-teacher-accompaniment-model-to-promote-youth-mental-health-in-haiti-relevance-to-mental-health-task-sharing-in-low-resource-school-settings
#13
Eddy Eustache, Margaret E Gerbasi, Jennifer Severe, J Reginald Fils-Aimé, Mary C Smith Fawzi, Giuseppe J Raviola, Sarah Darghouth, Kate Boyd, Tatiana Thérosmé, Rupinder Legha, Ermaze L Pierre, Emmeline Affricot, Yoldie Alcindor, David J Grelotti, Anne E Becker
BACKGROUND: Task-sharing with teachers to promote youth mental health is a promising but underdeveloped strategy in improving care access in low-income countries. AIMS: To assess feasibility, acceptability and utility of the teacher accompaniment phase of a school-based Teacher- Accompagnateur Pilot Study (TAPS) in Haiti. METHODS: We assigned student participants, aged 18-22 years ( n = 120), to teacher participants ( n = 22) within four Haitian schools; we instructed participants to arrange meetings with their assigned counterparts to discuss mental health treatment, academic skills, and/or well-being...
March 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28340166/complete-blood-count-reference-ranges-from-a-rural-haitian-ambulatory-care-clinic
#14
Robert F Downey
Background: At rural healthcare centers in developing countries, it is difficult to recruit healthy individuals for reference range studies. So, in this study, I evaluated complete blood count (CBC) data to determine reference ranges for a rural Haitian population. Methods: A convenience sample of laboratory records was reviewed to obtain CBC results for 157 adult patients with normal screening examination results. Central 95% reference ranges were determined for male and female subjects...
March 10, 2017: Laboratory Medicine
https://www.readbyqxmd.com/read/28337738/does-birth-under-registration-reduce-childhood-immunization-evidence-from-the-dominican-republic
#15
Steve Brito, Ana Corbacho, Rene Osorio
The consequences of lacking birth certificates remain largely unexplored in the economic literature. We intend to fill this knowledge gap studying the effect of lacking birth certificates on immunization of children in the Dominican Republic. This is an interesting country because a significant number of children of Haitian descent face the consequences of lacking proper documentation. We use the distance to the civil registry office and the mother's document of identification as instrumental variables of the child's birth certificate...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28334355/a-zoom-focus-algorithm-zfa-to-locate-the-optimal-testing-region-for-rare-variant-association-tests
#16
Maggie Haitian Wang, Haoyi Weng, Rui Sun, Jack Lee, William Ka Kei Wu, Ka Chun Chong, Benny Chung-Ying Zee
Motivation: Increasing amounts of whole exome or genome sequencing data present the challenge of analysing rare variants with extremely small minor allele frequencies. Various statistical tests have been proposed, which are specifically configured to increase power for rare variants by conducting the test within a certain bin, such as a gene or a pathway. However, a gene may contain from several to thousands of markers, and not all of them are related to the phenotype. Combining functional and non-functional variants in an arbitrary genomic region could impair the testing power...
March 11, 2017: Bioinformatics
https://www.readbyqxmd.com/read/28291386/occurrence-of-toxigenic-fungi-and-aflatoxin-potential-of-aspergillus-spp-strains-associated-with-subsistence-farmed-crops-in-haiti
#17
Junior Aristil, Giovanni Venturini, Alberto Spada
Subsistence farming and poor storage facilities favor toxigenic fungal contamination and mycotoxin accumulation in staple foods from tropical countries such as Haiti. The present preliminary study was designed to evaluate the occurrence of toxigenic fungi in Haitian foodstuffs to define the mycotoxin risk associated with Haitian crops. The objectives of this research were to determine the distribution of toxigenic fungi in the Haitian crops maize, moringa, and peanut seeds and to screen Aspergillus section Flavi (ASF) isolates for production of aflatoxins B1 and G1 in vitro...
March 14, 2017: Journal of Food Protection
https://www.readbyqxmd.com/read/28282947/disparity-in-retention-in-care-and-viral-suppression-for-black-caribbean-born-immigrants-living-with-hiv-in-florida
#18
Elena Cyrus, Christyl Dawson, Kristopher P Fennie, Diana M Sheehan, Daniel E Mauck, Mariana Sanchez, Lorene M Maddox, Mary Jo Trepka
(1) The study aim was to assess disparities in non-retention in HIV care and non-viral suppression among non-Hispanic Black Caribbean immigrants living with HIV in Florida. (2) We analyzed cases involving individuals, aged ≥13, who met CDC HIV case definition during 2000-2014. Chi square test was used to evaluate differences in non-retention and non-viral suppression by country of origin/race/ethnicity. Multilevel logistic regressions with three referent groups [US-born Blacks, Hispanics, and non-Hispanic Whites (NHWs)] were used to estimate adjusted odds ratios (aOR)...
March 9, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28282245/live-with-the-disease-like-you-used-to-before-you-knew-you-were-infected-a-qualitative-study-among-10-year-survivors-living-with-hiv-in-haiti
#19
Samuel Pierre, Vanessa Riviera, Circee Phara Jean, Marie Jude Jean Louis, Lindsey K Reif, Patrice Severe, Vanessa Rouzier, Warren D Johnson, Jean W Pape, Daniel W Fitzgerald, Margaret L McNairy, Carla Boutin-Foster
In 2003, the Haitian Study Group on Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), a nonprofit organization, began administering antiretroviral therapy (ART) to its patients. This practice transformed HIV from a fatal disease to a more manageable chronic condition. However, relatively few studies focus on the experiences of survivors. This study provided a unique opportunity to interview patients who survived at least 10 years after being treated with ART at GHESKIO. The goal of the study was to elicit from patients their perspectives on what enabled them to survive with AIDS...
March 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28264045/art-attrition-and-risk-factors-among-option-b-patients-in-haiti-a-retrospective-cohort-study
#20
Nancy Puttkammer, Jean Wysler Domerçant, Michelle Adler, Krista Yuhas, Martine Myrtil, Paul Young, Kesner François, Reynold Grand'Pierre, David Lowrance
OBJECTIVES: In October 2012, the Haitian Ministry of Health endorsed the "Option B+" strategy to eliminate mother-to-child transmission of HIV and achieve HIV epidemic control. The objective of this paper is to assess and identify risk factors for attrition from the national ART program among Option B+ patients in the 12 months after ART initiation. DESIGN: This retrospective cohort study included patients newly initiating ART from October 2012-August 2013 at 68 ART sites covering 45% of all newly enrolled ART patients in all regions of Haiti...
2017: PloS One
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