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Effectiveness Of Four-Decontamination Techniques On Bacterial Growth On Cpr Manikins After Use In A Cpr Course, Rachel K. Katch, David C. Berry 2017 University of Connecticut - Storrs

Effectiveness Of Four-Decontamination Techniques On Bacterial Growth On Cpr Manikins After Use In A Cpr Course, Rachel K. Katch, David C. Berry

International Journal of First Aid Education

Context: The American Red Cross and American Heart Association are strong advocates of preventing disease transmission during cardiopulmonary resuscitation (CPR) training by promoting careful and consistent manikin decontamination. Because CPR is taught worldwide, identifying low-cost, efficient, and effective means of decontamination is imperative. Objective: Determine the degree of contamination on CPR manikins after routine use, and evaluate the efficacy of four disinfecting methods to reduce bacterial growth. Design: Descriptive laboratory. Setting: CPR class; microbiology laboratory. Subjects Forty-eight Actar 911™ CPR manikins (Armstrong Medical Industries, Lincolnshire, IL). Main Outcome Measure(s): Dependent variable was bacterial colony growth (count); independent variable was ...


Child Contact Management In High Tuberculosis Burden Countries: A Mixed-Methods Systematic Review, Daria Szkwarko, Yael Hirsch-Moverman, Lienki Du Plessis, Karen Du Preez, Catherine W. Carr, Anna M. Mandalakas 2017 University of Massachusetts Medical School

Child Contact Management In High Tuberculosis Burden Countries: A Mixed-Methods Systematic Review, Daria Szkwarko, Yael Hirsch-Moverman, Lienki Du Plessis, Karen Du Preez, Catherine W. Carr, Anna M. Mandalakas

Library Publications and Presentations

Tuberculosis (TB) remains a leading cause of morbidity and mortality worldwide. Considering the World Health Organization recommendation to implement child contact management (CCM) for TB, we conducted a mixed-methods systematic review to summarize CCM implementation, challenges, predictors, and recommendations. We searched the electronic databases of PubMed/MEDLINE, Scopus, and Web of Science for studies published between 1996-2017 that reported CCM data from high TB-burden countries. Protocol details for this systematic review were registered on PROSPERO: International prospective register of systematic reviews (#CRD42016038105). We formulated a search strategy to identify all available studies, published in English that specifically targeted a) population ...


Adaptation Of Community Health Worker-Delivered Behavioral Activation For Torture Survivors In Kurdistan, Iraq, J. F. Magidson, C. W. Lejuez, T. Kamal, E. J. Blevins, L. K. Murray, J. K. Bass, P. Bolton, Sherry L. Pagoto 2017 Harvard Medical School

Adaptation Of Community Health Worker-Delivered Behavioral Activation For Torture Survivors In Kurdistan, Iraq, J. F. Magidson, C. W. Lejuez, T. Kamal, E. J. Blevins, L. K. Murray, J. K. Bass, P. Bolton, Sherry L. Pagoto

Sherry L. Pagoto

BACKGROUND: Growing evidence supports the use of Western therapies for the treatment of depression, trauma, and stress delivered by community health workers (CHWs) in conflict-affected, resource-limited countries. A recent randomized controlled trial (Bolton et al. 2014a) supported the efficacy of two CHW-delivered interventions, cognitive processing therapy (CPT) and brief behavioral activation treatment for depression (BATD), for reducing depressive symptoms and functional impairment among torture survivors in the Kurdish region of Iraq. METHODS: This study describes the adaptation of the CHW-delivered BATD approach delivered in this trial (Bolton et al.2014a), informed by the Assessment-Decision-Administration-Production-Topical experts-Integration-Training-Testing (ADAPT-ITT) framework for intervention adaptation ...


Developing A Community-Based Screening And Referral Mechanism For Atrial Fibrillation In Low Resource Settings: “Smartphone Monitoring For Atrial Fibrillation In Real-Time – India (Smart-India)”, Apurv Soni, Nisha Fahey, Harshil Patel, Kandarp Talati, Anna Handorf, John A. Bostrom, Shyamsundar Raihatha, Ravi Shah, Sunil Karna, Robert J. Goldberg, Jeroan J. Allison, Ki Chon, Somashekhar M. Nimbalkar, David D. McManus 2017 University of Massachusetts Medical School

Developing A Community-Based Screening And Referral Mechanism For Atrial Fibrillation In Low Resource Settings: “Smartphone Monitoring For Atrial Fibrillation In Real-Time – India (Smart-India)”, Apurv Soni, Nisha Fahey, Harshil Patel, Kandarp Talati, Anna Handorf, John A. Bostrom, Shyamsundar Raihatha, Ravi Shah, Sunil Karna, Robert J. Goldberg, Jeroan J. Allison, Ki Chon, Somashekhar M. Nimbalkar, David D. Mcmanus

Jeroan J. Allison

BACKGROUND: Atrial fibrillation (AF), the world’s most common arrhythmia, often goes undetected and untreated in low-resource communities, including India. Moreover, AF is an important risk factor for stroke, which plagues an estimated 1.6 million Indians annually. As such, early detection of AF and management of high-risk patients is critically important to decrease stroke burden in individuals with AF.

OBJECTIVE: The objectives of this study are to evaluate the age- and sex-stratified epidemiology of AF in Anand District, Gujarat India; characterize the profile of individuals who are diagnosed with AF; and determine the performance of two mobile technologies for ...


Developing A Community-Based Screening And Referral Mechanism For Atrial Fibrillation In Low Resource Settings: “Smartphone Monitoring For Atrial Fibrillation In Real-Time – India (Smart-India)”, Apurv Soni, Nisha Fahey, Harshil Patel, Kandarp Talati, Anna Handorf, John A. Bostrom, Shyamsundar Raihatha, Ravi Shah, Sunil Karna, Robert J. Goldberg, Jeroan J. Allison, Ki Chon, Somashekhar M. Nimbalkar, David D. McManus 2017 University of Massachusetts Medical School

Developing A Community-Based Screening And Referral Mechanism For Atrial Fibrillation In Low Resource Settings: “Smartphone Monitoring For Atrial Fibrillation In Real-Time – India (Smart-India)”, Apurv Soni, Nisha Fahey, Harshil Patel, Kandarp Talati, Anna Handorf, John A. Bostrom, Shyamsundar Raihatha, Ravi Shah, Sunil Karna, Robert J. Goldberg, Jeroan J. Allison, Ki Chon, Somashekhar M. Nimbalkar, David D. Mcmanus

David D. McManus

BACKGROUND: Atrial fibrillation (AF), the world’s most common arrhythmia, often goes undetected and untreated in low-resource communities, including India. Moreover, AF is an important risk factor for stroke, which plagues an estimated 1.6 million Indians annually. As such, early detection of AF and management of high-risk patients is critically important to decrease stroke burden in individuals with AF.

OBJECTIVE: The objectives of this study are to evaluate the age- and sex-stratified epidemiology of AF in Anand District, Gujarat India; characterize the profile of individuals who are diagnosed with AF; and determine the performance of two mobile technologies for ...


Do Elections Matter For Private Sector Healthcare Management In Brazil.Pdf, Alecia McGregor, Carlos Eduardo Siqueira, Alan M. Zaslavsky, Robert J. Blendon 2017 Tufts University

Do Elections Matter For Private Sector Healthcare Management In Brazil.Pdf, Alecia Mcgregor, Carlos Eduardo Siqueira, Alan M. Zaslavsky, Robert J. Blendon

C. Eduardo Siqueira

Background: This study analyzed several political determinants of increased private-sector management in Brazilian
health care. In Brazil, the poor depend almost exclusively on the public Unified Health System (the SUS), which
remains severely underfunded. Given the overhead costs associated with privately contracted health services,
increased private management is one driver of higher expenditures in the system. Although left parties campaign
most vocally in support of greater public control of the SUS, the extent to which their stated positions translate
into health care policy remains untested.
Methods: Drawing on multiple publicly available data sources, we used linear regression to analyze how ...


Ultrasound-Guided Breast Biopsy In The Resource-Limited Setting: An Initial Experience In Rural Uganda, Christopher R. Stark, Kristen K. DeStigter, Alphonsus Matovu, Picho Alli Shadrack 2017 University of Vermont

Ultrasound-Guided Breast Biopsy In The Resource-Limited Setting: An Initial Experience In Rural Uganda, Christopher R. Stark, Kristen K. Destigter, Alphonsus Matovu, Picho Alli Shadrack

The Journal of Global Radiology

Purpose: To describe the methodology and initial experience behind creation of an ultrasoundguided percutaneous breast core biopsy program in rural Uganda.

Methods and Materials: Imaging the World Africa (ITWA) is the registered non-governmental organization division of Imaging the World (ITW), a not-for-profit organization whose primary aim is the integration of affordable high-quality ultrasound into rural health centers. In 2013, ITWA began the pilot phase of an IRB-approved breast care protocol at a rural health center in Uganda. As part of the protocol’s diagnostic arm, an ultrasound-guided percutaneous breast core biopsy training curriculum was implemented in tandem with creation of ...


Lung Ultrasound As A Diagnostic Tool For Radiographically-Confirmed Pneumonia In Low Resource Settings, L E. Ellington, R H. Gilman, M A. Chavez, F Pervaiz, J Marin-Concha, P Compen-Chang, S Riedel, S J. Rodriguez, C Gaydos, J Hardick, J M. Tielsch, M Steinhoff, J Benson, E A. May, D Figueroa-Quintanilla, W Checkley 2017 George Washington University

Lung Ultrasound As A Diagnostic Tool For Radiographically-Confirmed Pneumonia In Low Resource Settings, L E. Ellington, R H. Gilman, M A. Chavez, F Pervaiz, J Marin-Concha, P Compen-Chang, S Riedel, S J. Rodriguez, C Gaydos, J Hardick, J M. Tielsch, M Steinhoff, J Benson, E A. May, D Figueroa-Quintanilla, W Checkley

Global Health Faculty Publications

Background

Pneumonia is a leading cause of morbidity and mortality in children worldwide; however, its diagnosis can be challenging, especially in settings where skilled clinicians or standard imaging are unavailable. We sought to determine the diagnostic accuracy of lung ultrasound when compared to radiographically-confirmed clinical pediatric pneumonia.

Methods

Between January 2012 and September 2013, we consecutively enrolled children aged 2–59 months with primary respiratory complaints at the outpatient clinics, emergency department, and inpatient wards of the Instituto Nacional de Salud del Niño in Lima, Peru. All participants underwent clinical evaluation by a pediatrician and lung ultrasonography by one of ...


Demographic Profile And Treatment Outcomes Of 100 Women With Obstetric Fistula In Niger, Alison A. Heller 2017 University of Maryland at College Park, College Park, MD

Demographic Profile And Treatment Outcomes Of 100 Women With Obstetric Fistula In Niger, Alison A. Heller

Proceedings in Obstetrics and Gynecology

Introduction: Due to high fertility rates, low access to emergency obstetric care, and the poor quality of that care, obstetric fistula is relatively widespread in Niger.

Methods: Mixed-methods research was carried out over a total of eighteen months with 100 women with fistula at four fistula centers in Niger, three in the capital of Niamey and outside the city of Maradi.

Results: The one hundred women who made up the research sample reflect marked diversity in ethnicity, age, marital situation, parity, length of time living with fistula, and surgical history and outcomes. At the time of initial interviews women ranged ...


Intergenerational Living Between College Students And Senior Housing Residents: A Framework, Laura Allen 2017 Western Kentucky University

Intergenerational Living Between College Students And Senior Housing Residents: A Framework, Laura Allen

Honors College Capstone Experience/Thesis Projects

Ageism, the discrimination against persons of a certain age group, is one of the most important civil rights issues of the 21st century (Palmore, 2015). There are community-wide and personal strategies to combatting ageism. Homesharing and cohousing each offer concepts that can be utilized in intergenerational living because of their housing infrastructure. The relationship between college students and senior housing residents is unique because both groups are experiencing a season of life with common characteristics. This project aims to understand the relationship and tensions between stakeholders of existing intergenerational living programs to develop an implementation plan for a program at ...


Culturally Adaptive Storytelling Intervention Versus Didactic Intervention To Improve Hypertension Control In Vietnam: A Cluster-Randomized Controlled Feasibility Trial, Hoa L. Nguyen, Jeroan J. Allison, Duc A. Ha, German Chiriboga, Ha N. Ly, Hanh T. Tran, Cuong K. Nguyen, Diem M. Dang, Ngoc T. Phan, Nguyen C. Vu, Quang P. Nguyen, Robert J. Goldberg 2017 University of Massachusetts Medical School

Culturally Adaptive Storytelling Intervention Versus Didactic Intervention To Improve Hypertension Control In Vietnam: A Cluster-Randomized Controlled Feasibility Trial, Hoa L. Nguyen, Jeroan J. Allison, Duc A. Ha, German Chiriboga, Ha N. Ly, Hanh T. Tran, Cuong K. Nguyen, Diem M. Dang, Ngoc T. Phan, Nguyen C. Vu, Quang P. Nguyen, Robert J. Goldberg

Robert J. Goldberg

BACKGROUND: Vietnam is experiencing an epidemiologic transition with an increased prevalence of non-communicable diseases. Novel, large-scale, effective, and sustainable interventions to control hypertension in Vietnam are needed. We report the results of a cluster-randomized feasibility trial at 3 months follow-up conducted in Hung Yen province, Vietnam, designed to evaluate the feasibility and acceptability of two community-based interventions to improve hypertension control: a "storytelling" intervention, "We Talk about Our Hypertension," and a didactic intervention. METHODS: The storytelling intervention included stories about strategies for coping with hypertension, with patients speaking in their own words, and didactic content about the importance of healthy ...


Culturally Adaptive Storytelling Intervention Versus Didactic Intervention To Improve Hypertension Control In Vietnam: A Cluster-Randomized Controlled Feasibility Trial, Hoa L. Nguyen, Jeroan J. Allison, Duc A. Ha, German Chiriboga, Ha N. Ly, Hanh T. Tran, Cuong K. Nguyen, Diem M. Dang, Ngoc T. Phan, Nguyen C. Vu, Quang P. Nguyen, Robert J. Goldberg 2017 University of Massachusetts Medical School

Culturally Adaptive Storytelling Intervention Versus Didactic Intervention To Improve Hypertension Control In Vietnam: A Cluster-Randomized Controlled Feasibility Trial, Hoa L. Nguyen, Jeroan J. Allison, Duc A. Ha, German Chiriboga, Ha N. Ly, Hanh T. Tran, Cuong K. Nguyen, Diem M. Dang, Ngoc T. Phan, Nguyen C. Vu, Quang P. Nguyen, Robert J. Goldberg

Jeroan J. Allison

BACKGROUND: Vietnam is experiencing an epidemiologic transition with an increased prevalence of non-communicable diseases. Novel, large-scale, effective, and sustainable interventions to control hypertension in Vietnam are needed. We report the results of a cluster-randomized feasibility trial at 3 months follow-up conducted in Hung Yen province, Vietnam, designed to evaluate the feasibility and acceptability of two community-based interventions to improve hypertension control: a "storytelling" intervention, "We Talk about Our Hypertension," and a didactic intervention. METHODS: The storytelling intervention included stories about strategies for coping with hypertension, with patients speaking in their own words, and didactic content about the importance of healthy ...


Rock-Based Fisher Safety Promotion: A Decade On, Kevin Moran Ph.D. 2017 The University of Auckland

Rock-Based Fisher Safety Promotion: A Decade On, Kevin Moran Ph.D.

International Journal of Aquatic Research and Education

In the 10 years from 2006 - 2015, seven percent of all drowning fatalities in New Zealand were the consequence of land-based fishing activity (Water Safety New Zealand, 2015). In 2006, a collaborative campaign was launched in the Auckland, New Zealand entitled the West Coast Fisher Safety Project. This paper reports on the findings of annual surveys from 2006-2015 to determine what impact, if any, the safety promotion has had. The most emphatic change in fisher behavior in the intervening decade has been the more frequent self-reported use of lifejackets (2006, 4%; 2015, 40%), and a gradual shift in fisher awareness ...


Letter From The Editors, Jeffrey L. Pellegrino, Emily Oliver, Don Marentette 2017 Aultman College of Nursing & Health Sciences

Letter From The Editors, Jeffrey L. Pellegrino, Emily Oliver, Don Marentette

International Journal of First Aid Education

No abstract provided.


An Open Conversation With Traditional Birth Attendants In Rural Uganda: The Potential For Collaborative Care, Elizabeth D. Yuan, Anjuli R. Cherukuri, Renny Ssembatya, Magdalena R. Naylor, Kristen K. DeStigter 2017 University of Massachusetts Medical School

An Open Conversation With Traditional Birth Attendants In Rural Uganda: The Potential For Collaborative Care, Elizabeth D. Yuan, Anjuli R. Cherukuri, Renny Ssembatya, Magdalena R. Naylor, Kristen K. Destigter

The Journal of Global Radiology

Background: Imaging the World-Africa (ITWA) is a registered non-governmental organization aimed at distributing low-cost ultrasound services at health centres in rural Uganda. Yet, studies demonstrate that the majority of mothers continue to deliver with unregulated traditional birth attendants (TBAs) in their local villages. It has been suggested that the unregulated practices of TBAs has contributed to the high rate of maternal and fetal mortality. A greater understanding of the roles of TBAs in the management of pregnancy and delivery is needed.

Purpose: The purpose of this report is to provide the international community with a greater understanding of TBA practices ...


Response: Population Health Approaches To First Aid Training-- A Critical Need, Georges C. Benjamin 2017 American Public Health Association

Response: Population Health Approaches To First Aid Training-- A Critical Need, Georges C. Benjamin

International Journal of First Aid Education

NA


Response: Do We Believe In Fairy Tales?, Wiebe de Vries 2017 ACM Education

Response: Do We Believe In Fairy Tales?, Wiebe De Vries

International Journal of First Aid Education

No abstract provided.


Response To “A Call For Revolution In First Aid Education”, Dr. Paul Ho 2017 Hong Kong College of Emergency Medicine

Response To “A Call For Revolution In First Aid Education”, Dr. Paul Ho

International Journal of First Aid Education

No abstract provided.


A Call For Revolution In First Aid Education, Jeffrey L. Pellegrino, Emily Oliver, Aaron Orkin, Don Marentette, Paul Snobelen, Joanna Muise, Joe Mulligan, Emmy De Buck 2017 Aultman College of Nursing and Health Sciences

A Call For Revolution In First Aid Education, Jeffrey L. Pellegrino, Emily Oliver, Aaron Orkin, Don Marentette, Paul Snobelen, Joanna Muise, Joe Mulligan, Emmy De Buck

International Journal of First Aid Education

No abstract provided.


Aboriginal Urban Design For Health, Kate Clark, MPA, Kirby Broadnax, Antionette Carroll, Jonathan Cha, Naomi Doerner, Allie Kast, Matthew Kennedy, Michael Mendez, Pascale C. Annoual, Carrie Martin, Wendall Nicholas 2017 Jefferson College of Population Health

Aboriginal Urban Design For Health, Kate Clark, Mpa, Kirby Broadnax, Antionette Carroll, Jonathan Cha, Naomi Doerner, Allie Kast, Matthew Kennedy, Michael Mendez, Pascale C. Annoual, Carrie Martin, Wendall Nicholas

College of Population Health Lectures, Presentations, Workshops

Montreal’s Aboriginal population is growing rapidly, yet the community lacks a culturally safe and holistic health service center that is accessible to all Aboriginal people. On Friday, June 2, 2017 The Montreal Urban Aboriginal Health Centre (MUAHC) joined forces with Next City & Concordia University to co-create a 7-minute pitch for a $7,000 prize through the Vangaurd Conference Big Idea Challenge. An interdisciplinary team of 8 conference attendees worked with MUAHC leadership to design a short-term solution that would be a step in the right direction towards MUAHC’s goal to build a fully functioning and independent health center ...


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