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Conquering Hypertension In Vietnam-Solutions At Grassroots Level: Study Protocol Of A Cluster Randomized Controlled Trial, Duc A. Ha, Oanh T. Tran, Hoa L. Nguyen, German Chiriboga, Robert J. Goldberg, Van H. Phan, Cuc T. Nguyen, Giang H. Nguyen, Hien V. Pham, Thang T. Nguyen, Thanh T. Le, Jeroan J. Allison 2020 Ministry of Health

Conquering Hypertension In Vietnam-Solutions At Grassroots Level: Study Protocol Of A Cluster Randomized Controlled Trial, Duc A. Ha, Oanh T. Tran, Hoa L. Nguyen, German Chiriboga, Robert J. Goldberg, Van H. Phan, Cuc T. Nguyen, Giang H. Nguyen, Hien V. Pham, Thang T. Nguyen, Thanh T. Le, Jeroan J. Allison

Population and Quantitative Health Sciences Publications

BACKGROUND: Vietnam has been experiencing an epidemiologic transition to that of a lower-middle income country with an increasing prevalence of non-communicable diseases. The key risk factors for cardiovascular disease (CVD) are either on the rise or at alarming levels in Vietnam, particularly hypertension (HTN). Inasmuch, the burden of CVD will continue to increase in the Vietnamese population unless effective prevention and control measures are put in place. The objectives of the proposed project are to evaluate the implementation and effectiveness of two multi-faceted community and clinic-based strategies on the control of elevated blood pressure (BP) among adults in Vietnam via ...


Scales To Measure Motivation Among Community Health Workers, And Trust And Empowerment Among Their Clients: A Guide, Frontline Health Project 2020 Population Council

Scales To Measure Motivation Among Community Health Workers, And Trust And Empowerment Among Their Clients: A Guide, Frontline Health Project

Reproductive Health

This How-To Guide presents five multi-item scales to measure motivation among community health workers (CHWs), as well as clients' trust in CHWs, and empowerment within community health systems. The scales presented are intended for use in community health programs and in combination with other indicators in the CHW Performance Measurement Framework (published by the Frontline Health project in 2019) for routine data monitoring to improve quality and accountability in community health.


Age, Comorbidities, And Mortality Correlation In Covid-19 Patients: A Review, Vidyulata Salunkhe, Amr Aboelnasr, Parul Pahal, Nida Qadir, Simra Kiran, Balaji Sekaran, Omar Fahmy, Farah Daas, Syed Shah 2020 University of Louisville

Age, Comorbidities, And Mortality Correlation In Covid-19 Patients: A Review, Vidyulata Salunkhe, Amr Aboelnasr, Parul Pahal, Nida Qadir, Simra Kiran, Balaji Sekaran, Omar Fahmy, Farah Daas, Syed Shah

The University of Louisville Journal of Respiratory Infections

Background: The risk of death due to COVID-19 among hospitalized patients is known to be higher in older adults and those with underlying health conditions. Understanding the percentage of patients who are at increased risk of death due COVID-19 and how this varies between age groups will inform the healthcare community how to evaluate the risk of COVID-19, and better design healthcare and economic policies.

Methods: We conducted a literature search for studies published between December 2019 until May 16, 2020 in PubMed, Embase, and Cochrane (CENTRAL). Descriptive statistics were performed.

Results: We reviewed 14 studies of which 13 were ...


Examining Access To Sexual And Reproductive Health Care Services And Information For Young Women With Physical Motor Disabilities In Dakar, Senegal, Olivia Soule, Diatou Sonko 2020 University of Missouri-St. Louis

Examining Access To Sexual And Reproductive Health Care Services And Information For Young Women With Physical Motor Disabilities In Dakar, Senegal, Olivia Soule, Diatou Sonko

Undergraduate Research Symposium

Access to and use of sexual and reproductive health (SRH) services in Senegal remains low despite local and international interventions and campaigns to increase contraception use, increase knowledge regarding Sexually Transmitted Infections (STI), and increase access to reproductive health services. Among marginalized groups, such as people living with disabilities, access to and use of services and information are even lower, and there are gaps in research involving Senegalese people with disabilities and their access to and use of SRH services and information. This mixed-methods, community-based participatory research examines how Senegalese women navigate their sexual and reproductive health care. It seeks ...


Health Systems And Health Care Management Panel, Nitin Mohan 2020 Western University

Health Systems And Health Care Management Panel, Nitin Mohan

Africa-Western Collaborations Day 2020

8 graduate student/recent graduate presentations on varying topics of health systems and health care management. Moderated by Dr. Nitin Mohan. Reporting of panel done by current GHS students of the 2021 class. Abstracts can be found under "Africa-Western Collaborations Day 2020 Abstracts". Presenters as follows:

Gojjam Limenih, "What Are We Doing? Is Exporting Anti-Depressants the Answer to the Mental Health Needs of the Global South?"

Jean Pierre Ndayisenga et al., "Rwandan Nursing and Midwifery Faculty's Experiences of Applying Knowledge about Teaching Methodology to Practice in Academic and Clinical Settings with Students"

Mary Ndu, "A Literature Review of Barriers ...


Experiences Among Adults And Adolescents During The Covid-19 Pandemic From Four Locations Across Kenya—Study Description, Timothy Abuya, Karen Austrian, Adan Isaac, Beth Kangwana, Faith Mbushi, Eva Muluve, Daniel Mwanga, Thoai Ngo, Mercy Nzioki, Rhoune Ochako, Jessie Pinchoff, Ben Tidwell, John Wanyungu, Corinne White 2020 Population Council

Experiences Among Adults And Adolescents During The Covid-19 Pandemic From Four Locations Across Kenya—Study Description, Timothy Abuya, Karen Austrian, Adan Isaac, Beth Kangwana, Faith Mbushi, Eva Muluve, Daniel Mwanga, Thoai Ngo, Mercy Nzioki, Rhoune Ochako, Jessie Pinchoff, Ben Tidwell, John Wanyungu, Corinne White

Poverty, Gender, and Youth

To control the spread of coronavirus, the COVID-19 National Emergency Response Committee (NERC) in Kenya, chaired by the Ministry of Health (MOH), has implemented prevention and mitigation measures. To inform the Government of Kenya’s shorter- and longer-term response strategies, the Population Council COVID-19 study team utilizes rapid phone-based surveys to collect information on knowledge, attitudes, practices and needs among a longitudinal cohort of heads of household sampled from existing prospective cohort studies. The first was carried out across five Nairobi urban informal settlements; the baseline survey (n=2,009) was conducted March 30–31 with subsequent follow-up surveys conducted ...


How Effective Are African Health Systems? An Analysis Of Guinea, Liberia And Sierra Leone, Kale A. Adote 2020 La Salle University

How Effective Are African Health Systems? An Analysis Of Guinea, Liberia And Sierra Leone, Kale A. Adote

HON499 projects

While developed countries in the rest of the world have found themselves overwhelmed by the Covid-19 pandemic, in comparison, Africa has been minimally affected given that it has reported lower case counts since the start of the pandemic in March 2020. However, given the destructive potential of this pandemic, this raises the question: how prepared are health systems in Africa to face major outbreaks? To answer this question, this article explored the state of health systems and epidemic preparedness in African countries using Guinea, Liberia and Sierra Leone as case studies. Given that these three countries were epicentre countries during ...


Pulmonary Embolism Related To Covid-19 Quarantine, Eduardo J. Quinteros MD, Juan Bisonni MD 2020 Clinica Privada Mayo Bell Ville

Pulmonary Embolism Related To Covid-19 Quarantine, Eduardo J. Quinteros Md, Juan Bisonni Md

The University of Louisville Journal of Respiratory Infections

The mandatory quarantine imposed in response to the COVID-19 pandemic has been related to an increase in cases of thromboembolism in non-COVID-19 patients. Particularly in countries like Argentina where strict quarantine was mandated, individuals were far less likely to risk being outside or observing healthy practices that would maintain the exacerbation of diseases such as thromboembolism. We report the case of a patient with pulmonary thromboembolism without usual triggering causes during the quarantine period, related to a previously undiagnosed hypercoagulable condition.


Pediatric Refugee Health Care Delivery In The Community Setting: An Educational Workshop For Multidisciplinary Family-Centered Care During Resettlement, Umbereen S. Nehal, Satoko Kanahara, Mihoko Tanabe, Grace Hayner, Brett D. Nelson 2020 University of Massachusetts Medical School

Pediatric Refugee Health Care Delivery In The Community Setting: An Educational Workshop For Multidisciplinary Family-Centered Care During Resettlement, Umbereen S. Nehal, Satoko Kanahara, Mihoko Tanabe, Grace Hayner, Brett D. Nelson

Open Access Publications by UMMS Authors

Introduction: With 70.8 million people displaced worldwide, there is an increasing need for medical professionals to provide medical care to refugees. Insufficient training on refugee health poses a barrier to effective care delivery.

Methods: This workshop addressed common challenges in providing family-centered pediatric refugee care in community settings as well as barriers related to policy changes. Presentations covered prearrival experiences, medical screening, and trauma-based care. In small groups, participants discussed cases that featured medical, behavioral health, social, and cultural factors impacting the provision of family-centered pediatric care that was culturally respectful and included shared decision-making. After the breakout session ...


Congregate Care In The Time Of Covid-19: Proposed Best Practices From The Inside, Linda Bergthold, Margan Zajdowicz, Thaddeus R. Zajdowicz, Elli Hall, Kimberley A. Buckner, Ruth Carrico 2020 Health Policy Consultant (Retired)

Congregate Care In The Time Of Covid-19: Proposed Best Practices From The Inside, Linda Bergthold, Margan Zajdowicz, Thaddeus R. Zajdowicz, Elli Hall, Kimberley A. Buckner, Ruth Carrico

The University of Louisville Journal of Respiratory Infections

No abstract provided.


Impact Of Mass Distribution Of Long-Lasting Insecticidal Nets (Llins) In Mozambique, 2011 To 2025: Retrospective And Prospective Modelling Of Child Mortality And Lives Saved, Erica Wetzler, Jorge A. H. Arroz, Chulwoo Park, Marta Chande, Figueiredo Mussambala 2020 World Vision US

Impact Of Mass Distribution Of Long-Lasting Insecticidal Nets (Llins) In Mozambique, 2011 To 2025: Retrospective And Prospective Modelling Of Child Mortality And Lives Saved, Erica Wetzler, Jorge A. H. Arroz, Chulwoo Park, Marta Chande, Figueiredo Mussambala

Faculty Publications

No abstract provided.


Availability And Affordability Of Medicines And Cardiovascular Outcomes In 21 High-Income, Middle-Income And Low-Income Countries, Clara Kayei Chow, Tu Ngoc Nguyen, Simone Marschner, Rafael Diaz, Omar Rahman, Alvaro Avezum, Scott A. Lear, Koon Teo, Karen E. Yeates, Khawar Kazmi 2020 The University of Sydney, Sydney, New South Wales, Australia

Availability And Affordability Of Medicines And Cardiovascular Outcomes In 21 High-Income, Middle-Income And Low-Income Countries, Clara Kayei Chow, Tu Ngoc Nguyen, Simone Marschner, Rafael Diaz, Omar Rahman, Alvaro Avezum, Scott A. Lear, Koon Teo, Karen E. Yeates, Khawar Kazmi

Section of Cardiology

Objectives: We aimed to examine the relationship between access to medicine for cardiovascular disease (CVD) and major adverse cardiovascular events (MACEs) among people at high risk of CVD in high-income countries (HICs), upper and lower middle-income countries (UMICs, LMICs) and low-income countries (LICs) participating in the Prospective Urban Rural Epidemiology (PURE) study.
Methods: We defined high CVD risk as the presence of any of the following: hypertension, coronary artery disease, stroke, smoker, diabetes or age >55 years. Availability and affordability of blood pressure lowering drugs, antiplatelets and statins were obtained from pharmacies. Participants were categorised: group 1-all three drug types ...


Gender And Racial Disparity For Hospital Emergency Service Usage In Usa: A Quantitative Analysis For Various Age Groups During 2010–2017., Subhendra N. Sarkar, Anthony F. DeVito, Evans Lespinasse, Faisal Khosa 2020 CUNY New York City College of Technology

Gender And Racial Disparity For Hospital Emergency Service Usage In Usa: A Quantitative Analysis For Various Age Groups During 2010–2017., Subhendra N. Sarkar, Anthony F. Devito, Evans Lespinasse, Faisal Khosa

Publications and Research

Background: Annually emergency department (ED) services are utilized by more than 100 million Americans making ED usage trends important determinants of healthcare quality, outcomes and cost. Previous workers have demonstrated the existence of disparity in various healthcare services in USA although a comprehensive analysis has not been undertaken. Dahlgren and Whitehead rainbow model has offered insights for multiple factors of influence on an individual’s health and focuses on the relationships among these factors. The Commission on Social Determinants of Health (CSDH; WHO initiatives) suggests that the social and environmental factors are at the root of most of the inequalities ...


Frontline Health: Harmonizing Metrics, Advancing Evidence, Accelerating Policy—Project Overview Brief, Frontline Health Project 2020 Population Council

Frontline Health: Harmonizing Metrics, Advancing Evidence, Accelerating Policy—Project Overview Brief, Frontline Health Project

Reproductive Health

Despite decades of technological and medical progress globally, half the world’s population still lacks access to essential health care due to insufficient numbers and types of health workers, especially in remote settings. There is growing recognition that well-supported community health workers (CHWs) are essential for effective delivery of primary health care (PHC). Despite broad consensus on the importance of CHWs, few countries have successfully integrated them as part of PHC at scale, and many lack official statistics on the performance of CHW programs. USAID, UNICEF, and the Bill & Melinda Gates Foundation developed a Memorandum of Understanding to collaborate on ...


Burden Of Disease From Covid-19 And Its Acute And Chronic Complications: Reflections On Measurement (Dalys) And Prospects For The Brazilian Unified National Health System, Monica Rodrigues. Campos, Joyce Mendes de Andrade Schramm, Isabel Cristina Martins Emmerick, Jessica Muzy Rodrigues, Fernando Genovez de Avelar, Thiago Goes Pimentel 2020 Sergio Arouca National School of Public Health

Burden Of Disease From Covid-19 And Its Acute And Chronic Complications: Reflections On Measurement (Dalys) And Prospects For The Brazilian Unified National Health System, Monica Rodrigues. Campos, Joyce Mendes De Andrade Schramm, Isabel Cristina Martins Emmerick, Jessica Muzy Rodrigues, Fernando Genovez De Avelar, Thiago Goes Pimentel

Open Access Publications by UMMS Authors

COVID-19 is an acute infectious respiratory distress syndrome (ARDS) caused by the novel coronavirus SARS-CoV-2. The disease is highly communicable and produces mild to severe symptoms, generating a high demand for intensive care and thousands of deaths. In March 2020, COVID-19 was declared a pandemic and has already surpassed five million cases and 300,000 deaths in the world. The natural history of the disease has still not been fully established, hindering the elaboration of effective clinical protocols and preventive measures. Nevertheless, the disease requires a systemic approach, since there is evidence of acute and chronic complications, in addition to ...


Covid-19 Contact Tracing Apps: How They Notify Users Of Potential Exposure, William A. Mattingly 2020 University of Louisville

Covid-19 Contact Tracing Apps: How They Notify Users Of Potential Exposure, William A. Mattingly

The University of Louisville Journal of Respiratory Infections

No abstract provided.


Preeclampsia Knowledge Among Postpartum Women Treated For Preeclampsia And Eclampsia At Korle Bu Teaching Hospital In Accra, Ghana, Avina Joshi, Titus Beyuo, Samuel A. Oppong, Cheryl A. Moyer, Emma R. Lawrence 2020 University of Massachusetts Medical School

Preeclampsia Knowledge Among Postpartum Women Treated For Preeclampsia And Eclampsia At Korle Bu Teaching Hospital In Accra, Ghana, Avina Joshi, Titus Beyuo, Samuel A. Oppong, Cheryl A. Moyer, Emma R. Lawrence

Open Access Publications by UMMS Authors

BACKGROUND: Preeclampsia/eclampsia is a major cause of maternal morbidity and mortality worldwide, yet patients' perspectives about their diagnosis are not well understood. Our study examines patient knowledge among women with preeclampsia/eclampsia in a large urban hospital in Ghana.

METHODS: Postpartum women diagnosed with preeclampsia or eclampsia were asked to complete a survey 2-5 days after delivery that assessed demographic information, key obstetric factors, and questions regarding provider counseling. Provider counseling on diagnosis, causes, complications, and future health effects of preeclampsia/eclampsia was quantified on a 4-point scale ('Counseling Composite Score'). Participants also completed an objective knowledge assessment regarding ...


Considerations For A Covid-19 Research Data Warehouse In The Time Of Covid, William A. Mattingly 2020 University of Louisville

Considerations For A Covid-19 Research Data Warehouse In The Time Of Covid, William A. Mattingly

The University of Louisville Journal of Respiratory Infections

No abstract provided.


Three Decades Of Research: The Case For Comprehensive Sex Education, Eva Goldfarb, Lisa D. Lieberman 2020 Montclair State University

Three Decades Of Research: The Case For Comprehensive Sex Education, Eva Goldfarb, Lisa D. Lieberman

Department of Public Health Scholarship and Creative Works

Purpose

School-based sex education plays a vital role in the sexual health and well-being of young people. Little is known, however, about the effectiveness of efforts beyond pregnancy and sexually transmitted disease prevention. The authors conducted a systematic literature review of three decades of research on school-based programs to find evidence for the effectiveness of comprehensive sex education.

Methods

Researchers searched the ERIC, PsycINFO, and MEDLINE. The research team identified papers meeting the systematic literature review criteria. Of 8,058 relevant articles, 218 met specific review criteria. More than 80% focused solely on pregnancy and disease prevention and were excluded ...


Is Smaller Better? Vaccine Targeting Recombinant Receptor-Binding Domain Might Hold The Key For Mass Production Of Effective Prophylactics To Fight The Covid-19 Pandemic, Manish Muhuri, Guangping Gao 2020 University of Massachusetts Medical School

Is Smaller Better? Vaccine Targeting Recombinant Receptor-Binding Domain Might Hold The Key For Mass Production Of Effective Prophylactics To Fight The Covid-19 Pandemic, Manish Muhuri, Guangping Gao

COVID-19 Publications by UMMS Authors

A recent report by Yang et al. published in Nature reported a recombinant vaccine utilizing recombinant receptor-binding domain (RBD) of SARS-CoV-2 Spike Protein.This vaccine candidate successfully induced potent functional antibody responses in the immunized mice, rabbits, and non-human primates. The study highlights the critical role of the immunogenicity of the RBD domain upon SARS-CoV-2 infection and the alternate vaccine designs that could serve as effective prophylactics against the pandemic.


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