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https://www.readbyqxmd.com/read/29143889/beyond-pathologizing-harm-understanding-ptsd-in-the-context-of-war-experience
#1
Patricia Benner, Jodi Halpern, Deborah R Gordon, Catherine Long Popell, Patricia W Kelley
An alternative to objectifying approaches to understanding Post-traumatic Stress Disorder (PTSD) grounded in hermeneutic phenomenology is presented. Nurses who provided care for soldiers injured in the Iraq and Afghanistan wars, and sixty-seven wounded male servicemen in the rehabilitation phase of their recovery were interviewed. PTSD is the one major psychiatric diagnosis where social causation is established, yet PTSD is predominantly viewed in terms of the usual neuro-physiological causal models with traumatic social events viewed as pathogens with dose related effects...
November 16, 2017: Journal of Medical Humanities
https://www.readbyqxmd.com/read/29141719/chloroquine-primaquine-versus-chloroquine-alone-to-treat-vivax-malaria-in-afghanistan-an-open-randomized-superiority-trial
#2
Ghulam Rahim Awab, Mallika Imwong, Germana Bancone, Atthanee Jeeyapant, Nicholas P J Day, Nicholas J White, Charles J Woodrow
Afghanistan's national guidelines recommend primaquine (PQ) for radical treatment of Plasmodium vivax malaria, but this is rarely implemented because of concerns over potential hemolysis in patients who have G6PD deficiency. Between August 2009 and February 2014, we conducted an open-label, randomized controlled trial of chloroquine (CQ) alone versus chloroquine plus primaquine (0.25 mg base/kg/day for 14 days) (CQ+PQ) in patients aged 6 months and older with microscopy confirmed P. vivax infection. In the CQ+PQ group, G6PD deficiency was excluded by fluorescent spot testing...
October 30, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29138737/diabetes-mellitus-among-adults-in-herat-afghanistan-a-cross-sectional-study
#3
Khwaja Mir Islam Saeed
Introduction: Diabetes is reaching epidemic levels in Afghanistan. This study identifies the risk factors associated with diabetes in Herat City, Afghanistan, and explores the prevalence of previously undiagnosed diabetes. Methods: A cross-sectional study was conducted using multistage cluster sampling by adopting the World Health Organization's (WHO) STEPwise approach to Surveillance (STEPS). We enrolled 1129 participants aged 25-70 years between May and June of 2015 (47...
2017: Central Asian Journal of Global Health
https://www.readbyqxmd.com/read/29138735/social-determinants-of-maternal-health-in-afghanistan-a-review
#4
Said Ahmad Maisam Najafizada, Ivy Lynn Bourgeault, Ronald Labonté
Introduction: Afghanistan has a high maternal mortality rate of 400 per 100,000 live births. Although direct causes of maternal morbidity and mortality in Afghanistan include hemorrhage, obstructed labor, infection, high blood pressure, and unsafe abortion, the high burden of diseases responsible for maternal mortality arises in large part due to social determinants of health. The focus of this literature review is to examine the impact of various social determinants of health on maternal health in Afghanistan, filling an important gap in the existing literature...
2017: Central Asian Journal of Global Health
https://www.readbyqxmd.com/read/29137467/evaluation-of-serum-copper-level-in-naswar-smokeless-tobacco-addicts-using-flame-atomic-absorption-spectroscopy
#5
Asmat Ullah, Abad Khan, Zafar Iqbal, Ismail Khan
BACKGROUND: Substance abuse and its consequences are a matter of great concern in South-East Asian countries, especially Pakistan and Afghanistan. Due to contamination of Naswar with copper, or by any other physiological mechanism, there is a great chance of copper poisoning in addicts. Keeping in view the literature, there is no comparative study on serum copper levels (SCuL) in Naswar addicts. Therefore, it is very important to evaluate SCuL in this population. METHODS: The current study was performed in September 2016 where a total of 75 volunteers (selected from villages near the University of Peshawar, Pakistan) were grouped as Naswar addicts (n = 45) and the control group (n = 30)...
October 2017: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/29132596/air-medical-evacuated-battle-injuries-french-army-2001-to-2014-in-afghanistan
#6
Jimmy Robert, Jean-Pierre Tourtier, Vicky Vitalis, Sébastien Coste, Wanda Gaspard, Cyprien Bourrilhon
OBJECTIVE: The purpose of strategic air medical evacuation (STRAT AE) is to enable the continuity of care and repatriation of wounded soldiers. Between 2001 and 2014, STRAT AEs have been implemented many times over the course of the military engagement in Afghanistan. The purpose of this work was to study the nature of the pathologies and the medicalization of patients most seriously wounded during the PAMIR Operation (Afghanistan). METHODS: This was an epidemiological study conducted retrospectively from January 1, 2001, to December 31, 2014, of the STRAT AEs with the air medical team from the Afghan operating room to France...
November 2017: Air Medical Journal
https://www.readbyqxmd.com/read/29131993/the-structure-of-co-occurring-ptsd-and-depression-symptoms-in-a-cohort-of-marines-pre-and-post-deployment
#7
J Ben Barnes, Adele M Hayes, Ateka A Contractor, William P Nash, Brett T Litz
Symptoms of posttraumatic stress disorder (PTSD) and major depressive disorder are the most frequently co-occurring problems following potentially traumatic events. It is unclear whether these comorbidities represent two correlated but distinct disorders or a common post-event response. We sought to inform this question by examining the distinctiveness of PTSD and depression symptoms at four cross-sectional time points, using data from a parent prospective longitudinal study of 858 Marines evaluated before deployment and approximately 1, 5, and 8 months after returning from the Afghanistan war...
November 2, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/29129527/identification-of-measles-virus-genotype-b3-associated-with-outbreaks-in-islamabad-pakistan-2013-2015
#8
Syed Sohail Zahoor Zaidi, Abdul Hameed, Muhammad Suleman Rana, Muhammad Masroor Alam, Massab Umair, Uzma Bashir Aamir, Maqbool Hussain, Salmaan Sharif, Shahzad Shaukat, Mehar Angez, Adnan Khurshid
BACKGROUND: Measles virus infection remains a significant cause of childhood mortality and morbidity despite continued global efforts and the availability of a safe and effective vaccine. Molecular analysis of indigenous measles viruses could provide critical information on outbreak linkages and transmission pathways that can aid the implementation of appropriate control programs in Pakistan. METHODS: Blood samples and throat swabs were collected from subjects suspected with measles in Islamabad, Pakistan from 2013 to 2015...
November 9, 2017: Journal of Infection and Public Health
https://www.readbyqxmd.com/read/29126430/lack-of-chronic-neuroinflammation-in-the-absence-of-focal-hemorrhage-in-a-rat-model-of-low-energy-blast-induced-tbi
#9
Miguel A Gama Sosa, Rita De Gasperi, Georgina S Perez Garcia, Heidi Sosa, Courtney Searcy, Danielle Vargas, Pierce L Janssen, Gissel M Perez, Anna E Tschiffely, William G Janssen, Richard M McCarron, Patrick R Hof, Fatemeh G Haghighi, Stephen T Ahlers, Gregory A Elder
Blast-related traumatic brain injury (TBI) has been a common cause of injury in the recent conflicts in Iraq and Afghanistan. Blast waves can damage blood vessels, neurons, and glial cells within the brain. Acutely, depending on the blast energy, blast wave duration, and number of exposures, blast waves disrupt the blood-brain barrier, triggering microglial activation and neuroinflammation. Recently, there has been much interest in the role that ongoing neuroinflammation may play in the chronic effects of TBI...
November 10, 2017: Acta Neuropathologica Communications
https://www.readbyqxmd.com/read/29107346/potential-impact-and-cost-effectiveness-of-rotavirus-vaccination-in-afghanistan
#10
Palwasha Anwari, Frederic Debellut, Clint Pecenka, Sardar M Parwiz, Andrew Clark, Devin Groman, Najibullah Safi
INTRODUCTION: Despite progress made in child survival in the past 20 years, 5.9 million children under five years died in 2015, with 9% of these deaths due to diarrhea. Rotavirus is responsible for more than a third of diarrhea deaths. In 2013, rotavirus was estimated to cause 215,000 deaths among children under five years, including 89,000 in Asia. As of April 2017, 92 countries worldwide have introduced rotavirus vaccination in their national immunization program. Afghanistan has applied for Gavi support to introduce rotavirus vaccination nationally...
October 26, 2017: Vaccine
https://www.readbyqxmd.com/read/29100696/long-term-trend-and-correlation-between-vegetation-greenness-and-climate-variables-in-asia-based-on-satellite-data
#11
Munkhnasan Lamchin, Woo-Kyun Lee, Seong Woo Jeon, Sonam Wangyel Wang, Chul Hee Lim, Cholho Song, Minjun Sung
Satellite data has been used to ascertain trends and correlations between climate change and vegetation greenness in Asia. Our study utilized 33-year (1982-2014) AVHRR-GIMMS (Advanced Very High Resolution Radiometer - Global Inventory Modelling and Mapping Studies) NDVI3g and CRU TS (Climatic Research Unit Time Series) climate variable (temperature, rainfall, and potential evapotranspiration) time series. First, we estimated the overall trends for vegetation greenness, climate variables and analyzed trends during summer (April to October), winter (November to March), and the entire year...
October 31, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29096162/violence-against-children-in-afghanistan-concerns-and-opportunities-for-positive-change
#12
Patrick O'Leary, Cate M Cameron, Ali Lakhani, Jodie M Osborne, Luana de Souza, Kristen Hope, Mohammad S Naimi, Hassan Khan, Qazi S Jawad, Sabir Majidi
Violence against children (VAC) in Afghanistan is a serious issue in the context of many decades of conflict and poverty. To date, limited studies have explored the extent of VAC in Afghanistan and the settings where VAC takes place. To understand (i) the extent of VAC, (ii) settings where VAC takes place, (iii) parental forms of VAC and (iv) regional differences, an interview administered cross-sectional survey was employed among a community sample of 145 children and 104 parents living within Kabul, Torkham, and Jalalabad...
October 30, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29095544/predictive-validity-and-correlates-of-self-assessed-resilience-among-u-s-army-soldiers
#13
Laura Campbell-Sills, Ronald C Kessler, Robert J Ursano, Xiaoying Sun, Charles T Taylor, Steven G Heeringa, Matthew K Nock, Nancy A Sampson, Sonia Jain, Murray B Stein
BACKGROUND: Self-assessment of resilience could prove valuable to military and other organizations whose personnel confront foreseen stressors. We evaluated the validity of self-assessed resilience among U.S. Army soldiers, including whether predeployment perceived resilience predicted postdeployment emotional disorder. METHODS: Resilience was assessed via self-administered questionnaire among new soldiers reporting for basic training (N = 35,807) and experienced soldiers preparing to deploy to Afghanistan (N = 8,558)...
November 2, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/29082838/meaning-making-in-wartime-bereavement-lessons-learned-from-bereaved-parents-and-siblings
#14
Christina Harrington
Wartime deaths are traumatic and leave many grieving families in their wake. Yet, the unique, nuanced bereavement needs and experiences of those who remain are largely unknown. This Canadian, qualitative study examined the bereavement experiences of family of origin, bereaved during the mission to Afghanistan. The findings provide rich data on the predominant ways in which family members found and made meaning following the death and the ways in which military culture influenced the meanings made.
December 2017: Omega
https://www.readbyqxmd.com/read/29078189/status-of-indoor-air-pollution-iap-through-particulate-matter-pm-emissions-and-associated-health-concerns-in-south-asia
#15
REVIEW
Muhammad Junaid, Jabir Hussain Syed, Naeem Akhtar Abbasi, Muhammad Zaffar Hashmi, Riffat Naseem Malik, De-Sheng Pei
Exposure to particulate emissions poses a variety of public health concerns worldwide, specifically in developing countries. This review summarized the documented studies on indoor particulate matter (PM) emissions and their major health concerns in South Asia. Reviewed literature illustrated the alarming levels of indoor air pollution (IAP) in India, Pakistan, Nepal, and Bangladesh, while Sri Lanka and Bhutan are confronted with relatively lower levels, albeit not safe. To our knowledge, data on this issue are absent from Afghanistan and Maldives...
October 17, 2017: Chemosphere
https://www.readbyqxmd.com/read/29078001/coping-strategies-as-moderators-of-the-association-between-combat-exposure-and-posttraumatic-stress-disorder-symptoms
#16
Thomas W Britt, Amy B Adler, Gargi Sawhney, Paul D Bliese
The present research examined selected coping strategies as moderators of the relationship between combat exposure and posttraumatic stress disorder (PTSD) symptoms among service members who were deployed to Iraq (N = 2,023) and Afghanistan (N = 1,023). A three-factor model of coping was confirmed for both military operations: positive emotion-focused, self-blame, and prayer/spirituality. Positive emotion-focused coping was inversely associated with PTSD symptoms (r = -.14) and buffered service members from the negative effects of combat exposure in both Iraq (r(2) = ...
October 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/29071337/evaluation-of-military-use-of-tranexamic-acid-and-associated-thromboembolic-events
#17
Luke R Johnston, Carlos J Rodriguez, Eric A Elster, Matthew J Bradley
Importance: Since publication of the CRASH-2 and MATTERs studies, the US military has included tranexamic acid (TXA) in clinical practice guidelines. While TXA was shown to decrease mortality in trauma patients requiring massive transfusion, improper administration and increased risk of venous thromboembolism remain a concern. Objective: To determine the appropriateness of TXA administration by US military medical personnel based on current Joint Trauma System clinical practice guidelines and to determine if TXA administration is associated with venous thromboembolism...
October 25, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29068096/challenges-on-the-way-of-nursing-administration-at-public-hospitals-in-kabul-afghanistan
#18
Wais Mohammad Qarani, Rafat Jan, Khwaja Mir Islam Saeed, Laila Khymani
PURPOSE: The purpose of this study was to determine the challenges faced by the nursing administration at public hospitals in Kabul, Afghanistan. METHODS: A cross-sectional study design was used to recruit 86 nursing managers and head nurses from 17 public hospitals in Kabul. The participants rated the frequency of 13 challenges that hinder their performance. RESULTS: There were 14 nursing managers and 72 head nurses in the study. Almost 80% of the participants were male with the majority falling in the 35-44 year age bracket...
October 25, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/29067429/association-of-prehospital-blood-product-transfusion-during-medical-evacuation-of-combat-casualties-in-afghanistan-with-acute-and-30-day-survival
#19
Stacy A Shackelford, Deborah J Del Junco, Nicole Powell-Dunford, Edward L Mazuchowski, Jeffrey T Howard, Russ S Kotwal, Jennifer Gurney, Frank K Butler, Kirby Gross, Zsolt T Stockinger
Importance: Prehospital blood product transfusion in trauma care remains controversial due to poor-quality evidence and cost. Sequential expansion of blood transfusion capability after 2012 to deployed military medical evacuation (MEDEVAC) units enabled a concurrent cohort study to focus on the timing as well as the location of the initial transfusion. Objective: To examine the association of prehospital transfusion and time to initial transfusion with injury survival...
October 24, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29055895/the-pattern-of-paediatric-blast-injury-in-afghanistan
#20
Daniel C Thompson, R J Crooks, J C Clasper, A Lupu, S A Stapley, D J Cloke
INTRODUCTION: Between 2009 and 2015, 3746 children died, and 7904 were injured as a result of armed conflict within Afghanistan. Improvised explosive devices (IEDs) and explosive remnants of war accounted for 29% of child casualties in 2015. The aim of this study was to review the burden of paediatric blast injuries admitted to Camp Bastion, Afghanistan, and to investigate the hypothesis that children suffer proportionally more head injuries than adults. METHOD: A retrospective analysis was undertaken of prospectively collected data derived from the UK Joint Theatre Trauma Registry of ambulant paediatric (aged 2-15 years) admissions with blast injuries at the Role 3 Field Hospital, Camp Bastion from June 2006 to March 2013...
October 21, 2017: Journal of the Royal Army Medical Corps
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