A5049900932- Emergency and Acute Care Studies
- Particle Detector Development and Performance
- Trauma and Emergency Care Studies
- Particle physics theoretical and experimental studies
- Disaster Response and Management
- Intimate Partner and Family Violence
- Global Maternal and Child Health
- Dark Matter and Cosmic Phenomena
- HIV/AIDS Research and Interventions
- Migration, Health and Trauma
- Gender, Security, and Conflict
- HIV, Drug Use, Sexual Risk
- Cardiac Arrest and Resuscitation
- Magnesium in Health and Disease
- Adolescent Sexual and Reproductive Health
- Sex work and related issues
- High-Energy Particle Collisions Research
- Cardiac, Anesthesia and Surgical Outcomes
- Neutrino Physics Research
- Global Health and Surgery
- Viral Infections and Outbreaks Research
- Food Security and Health in Diverse Populations
- Grief, Bereavement, and Mental Health
- Injury Epidemiology and Prevention
- Healthcare Policy and Management
Partners In Health
2015-2025
Brigham and Women's Hospital
2015-2025
Harvard University
2015-2025
Lemuel Shattuck Hospital
2017-2023
Desmond Tutu HIV Foundation
2023
University of Cape Town
2023
Columbia University Irving Medical Center
2020
North Shore Medical Center
2020
Dana-Farber/Harvard Cancer Center
2015-2017
Harvard Global Health Institute
2016
This White Paper has been formally accepted for support by the International Federation Emergency Medicine (IFEM) and World of Intensive Critical Care (WFICC), put forth a multi-specialty group intensivists emergency medicine providers from low- low-middle-income countries (LMICs) high-income (HiCs) with aim 1) defining current state caring critically ill in low-resource settings (LRS) within LMICs 2) highlighting policy options recommendations improving system-level delivery early critical...
Advanced cardiovascular life support (ACLS) for cardiac arrest is a cornerstone of emergency care and yet remains poorly studied in low- middle-income countries. We characterised the clinical epidemiology outcomes ACLS an ED central Haiti, lower country with nascent system. conducted prospective observational study adult paediatric patients who suffered academic hospital Haiti from January 2019 to August 2020. Patients were identified prospectively at time care. Data on demographics,...
Amyotrophic lateral sclerosis (ALS) is mainly a sporadic neurodegenerative disorder characterized by loss of cortical and spinal motoneurons. Some familial ALS cases (FALS) have been linked to dominant mutations in the gene encoding Cu/Zn superoxide dismutase (SOD1). Transgenic mice overexpressing mutated form human SOD1 with Gly93Ala substitution develop progressive muscle wasting paralysis as result motoneuron die at 5 6 months. We investigated effects neurotrophic factor delivery this...
Little is known about the factors that encourage or discourage refugees to test for HIV, access and adhere HIV care. In non-refugee populations, social support has been shown influence testing utilisation of services. The present study enrolled HIV-infected on anti-retroviral therapy (ART) in Uganda, who participated qualitative interviews testing, treatment, adherence. Interviews were analysed themes four types support: emotional, informational, instrumental, appraisal support. A total 61...
As global emergency care grows, practical and effective performance measures are needed to ensure high quality care. Our objective was systematically catalog classify metrics that have been used measure the of in resource-limited settings.We searched MEDLINE, Embase, CINAHL, gray literature using standardized terms. The references included articles were also reviewed. Two researchers screened titles abstracts for relevance; full text then reviewed by three researchers. A structured data...
Abstract Background Recent initiatives by international health and humanitarian aid organizations have focused increased attention on making HIV testing services more widely available to vulnerable populations. To realize potential benefits from new services, they must be utilized. This research addresses the question of how utilization might encouraged for refugees displaced conflict, make better use existing resources. Methods Open-ended interviews were conducted with HIV-infected (N=73)...
Assess mental health outcomes among women raising children from sexual violence-related pregnancies (SVRPs) in eastern Democratic Republic of Congo and stigma toward acceptance their children.Participants were recruited using respondent-driven sampling.Bukavu, 2012.757 adult SVRPs interviewed. A woman aged 18 older was eligible for the study if she self-identified as a violence survivor since start conflict (∼1996), conceived an SVRP, delivered liveborn child currently child. ineligible SVRP...
Abstract Gender inequity is pervasive in medicine, including emergency medicine (EM), and well documented workforce representation, leadership, financial compensation, resource allocation. The reasons for gender inequities academic EM, are multifactorial include disadvantageous institutional parental, family, promotion policies; workplace environment culture; implicit biases; a paucity of women physician leader role models, mentors, sponsors. To address some the challenges career advancement...
This paper documents the availability, enrollment, premiums, and cost sharing for high-deductible health plans that are offered with a reimbursement arrangement (HRA) or savings account (HSA)-qualified plans. Almost 4 percent of employers offer benefits one these arrangements in 2005, covering about 2.4 million workers. Deductibles, as expected, relatively high, averaging dollar 1,870 single coverage 3,686 family an HRA 1,901 4,070 HSA-qualified One three offering plan is do not contribute...
Sexual violence is prevalent in eastern Democratic Republic of Congo (DRC) and has potentially devastating psychosocial consequences. Previous studies have reported on sexual its impact the mental health survivors, but there are few conducted among women with violence-related pregnancies (SVRPs). Women SVRPs may be at greater risk complex outcomes, including social stigmatization. This study aimed to describe outcomes this subgroup survivors order inform future interventions. A mixed methods...
Following the contested national elections in 2007, violence occurred throughout Kenya. The objective of this study was to assess prevalence, characteristics, and health consequences 2007-2008 election-related violence.A cross-sectional, national, population-based cluster survey 956 Kenyan adults aged ≥ 18 years conducted Kenya September 2011 utilizing a two-stage 90 x 10 sample design structured interviews questionnaires. Prevalence all forms surrounding 2007 election period, symptoms major...
Sexual violence has been prevalent throughout the armed conflict in eastern Democratic Republic of Congo (DRC). Research on sexual violence-related pregnancies (SVRPs) and pregnancy termination DRC, a context with high prevalence violence, maternal mortality, restrictive abortion laws, is scant but crucial to improving overall health women DRC. Understanding women's perceptions experiences related an SVRP, particular this context, critical for developing effective, targeted programming....
Facing the Shortage of IV Fluids Emergency departments are substantial consumers fluids, so in face worsened U.S. saline shortage, a hospital ED team developed an oral rehydration protocol for patients with mild dehydration that has since been adopted hospital-wide.
Treating critical illness in resource-limited settings during disease outbreaks is feasible and can save lives. Lack of trained healthcare workers a major barrier to COVID-19 response. There an urgent need train manage COVID-19. The World Health Organization International Committee the Red Cross's Basic Emergency Care course could provide framework cross-train personnel for care while strengthening essential health services.We conducted prospective cohort study evaluating from emergency...
The global burden of critical illness falls disproportionately outside high-income countries. Despite younger patient populations with similar or lower disease severity, outcomes are poor A lack data limits attempts to understand and address the drivers care countries.We aim characterize organization, available resources, service capacity public sector units in Malawi identify barriers improving care.We conducted a secondary analysis Emergency Critical Care Survey, cross-sectional study...
Successive sampling (SS)-population size estimation (PSE) is a technique used to estimate the sizes of hidden populations using data collected in respondentdriven (RDS) surveys.We assess past estimations and use new from an RDS survey calculate PSE.In 2012, 852 adult women South Kivu Province, Democratic Republic Congo, who self-identified as survivors sexual violence, resulting pregnancy, since start war (in 1996) were sampled RDS.We imputed visibility, enrollment order, prior estimates for...
Sexual violence is prevalent in eastern Democratic Republic of Congo (DRC), and has resulted sexual violence-related pregnancies (SVRPs). Despite restrictive laws, women may seek to terminate SVRPs; however, there are limited data on termination SVRPs. A mixed methods study was conducted 2012 Bukavu, DRC. Adult who self-reported an SVRP that were recruited using respondent-driven sampling (RDS). Trained female interviewers verbally administered a quantitative survey all participants...
Data on emergency and critical care (ECC) capacity in low-income countries (LICs) are needed to improve outcomes make progress towards realizing the goal of Universal Health Coverage.We developed a novel research instrument assess public sector ECC service readiness LICs. From January 20th February 18th, 2020 we administered at all four central hospitals simple random sample nine 24 district Malawi, landlocked predominantly rural LIC 19·1 million people Southern Africa. The contained...
Since armed conflict began in 1996, widespread sexual violence eastern Democratic Republic of Congo has resulted many violence-related pregnancies (SVRPs). However, there are limited data on the relationships between mothers and their children from violence. This study aimed to evaluate nature determinants these maternal-child relationships.
Sexual violence is prevalent in conflict-affected settings and may result sexual violence-related pregnancies (SVRPs). There are limited data on how women with SVRPs make decisions about pregnancy continuation or termination, especially contexts restricted access to comprehensive reproductive health services. A qualitative study was conducted Bukavu, Democratic Republic of the Congo (DRC) as part a larger mixed methods 2012. Utilizing respondent-driven sampling (RDS), adult who self-reported...
Although substantial advances have been made in global health delivery, particularly within prevention and treatment of infectious diseases, including HIV/AIDS malaria, under-5 mortality, vaccine-preventable illness, gaps continue to exist universal coverage, especially with regard management non-communicable surgical disease, trauma.1Vasan A Ellner Lawn SD et al.Integrated care as a means improve primary delivery for adults adolescents the developing world: critical analysis Integrated...