A5056027353- Childhood Cancer Survivors' Quality of Life
- COVID-19 and healthcare impacts
- Palliative Care and End-of-Life Issues
- Advances in Oncology and Radiotherapy
- Acute Lymphoblastic Leukemia research
- Global Cancer Incidence and Screening
- COVID-19 Clinical Research Studies
- Global Health and Surgery
- Sepsis Diagnosis and Treatment
- Health Systems, Economic Evaluations, Quality of Life
- COVID-19 and Mental Health
- Patient-Provider Communication in Healthcare
- Respiratory viral infections research
- Family and Patient Care in Intensive Care Units
- Interprofessional Education and Collaboration
- Child Nutrition and Water Access
- Nursing Diagnosis and Documentation
- Infection Control and Ventilation
- Emergency and Acute Care Studies
- Influenza Virus Research Studies
- Neutropenia and Cancer Infections
- Hematological disorders and diagnostics
- Ethics and Legal Issues in Pediatric Healthcare
- Bacterial Identification and Susceptibility Testing
- Child and Adolescent Health
Hôpital Saint-Jacques
2021-2024
University of Haiti
2020-2023
Universidad Metropolitana de Honduras
2022
Hospital de Especialidades
2022
St. Jude Children's Research Hospital
2021
Clinical and histopathologic diagnosis of pediatric mature B-cell lymphomas (eg, Burkitt lymphoma [BL]) must be accurate to select appropriate risk-based treatment. The Central American Pediatric Hematology-Oncology Association (AHOPCA) in 2000 implemented standardized, resource-adapted treatments for these lymphomas. We evaluated the concordance local diagnoses through central review, determined impact on therapy selection, described clinical characteristics outcomes patients with suggest...
ABSTRACT Background Information about pediatric lymphoblastic lymphoma (LLy) in low‐ and middle‐income countries is scarce. Thus, here we describe the clinical characteristics, treatment, outcome of a large cohort children adolescents with LLy Latin America. Methods A retrospective analysis was conducted patients treated at 10 institutions (2007–2017) that are members St. Jude Global Alliance. Results total 126 were included: 60 (47.6%) had T‐cell LLy, 49 (38.9%) precursor B‐cell 17 (13.5%)...
Latin American countries are improving childhood cancer care, showing strong commitment to implement the Global Initiative for Childhood Cancer, but there scant publications of situation at a continental level.
PURPOSE This study aimed to describe and assess the regional experience of a pediatric hematology/oncology fellowship program based in Guatemala. METHODS The Unidad Nacional de Oncología Pediátrica (UNOP) Guatemala City, Guatemala, is only hospital Central America dedicated exclusively childhood adolescent cancer. To address need for specialists, was launched 2003. UNOP comprises 3 years training. Although at UNOP, it also includes rotations locally internationally enhance clinical exposure....
In the face of unprecedented challenges because coronavirus disease 2019, interdisciplinary pediatric oncology teams have developed strategies to continue providing high-quality cancer care. This study explored factors contributing health care resilience as perceived by childhood providers in all resource level settings. qualitative consisted 19 focus groups conducted 16 countries 8 languages. Seven been previously defined important for resilient including: 1) situ practical experience, 2)...
Haiti is a low-income country with one of the lowest human development index rankings in world.Its childhood cancer services are provided by single hospital only dedicated paediatric oncology department country.Our objective was to assess cost and cost-effectiveness all types help prioritise investments support national control planning.All costing data were collected from year 2017 or 2018 records.Costs classified into 11 categories, proportion overall budget represented each calculated...
Abstract Background The International Society of Paediatric Oncology Global Mapping Program aims to describe the local pediatric oncology capacities. Here, we report data from Latin America. Methods A 10‐question survey was distributed among chairs services. Centers were classified according patient volume into high‐ (HVC; 100 or more new cases per year), medium‐ (MVC; 31–99 cases), and low‐volume centers (LVC; 30 less), respectively. National referral (NRC) identified. Results Total 307 in...
Historically, qualitative research has complemented quantitative biologic and epidemiologic studies to provide a more complete understanding of pandemics. The COVID-19 pandemic generated unique novel challenges for researchers, who have embraced creative solutions including virtual focus groups rapid analyses continue their work. We present our experience conducting multilingual global study healthcare resilience among teams pediatric oncology professionals during the pandemic. an in-depth...
The ongoing coronavirus 2019 disease (COVID-19) pandemic strained medical systems worldwide. We report on the impact pediatric oncology care in Latin American (LATAM) during its first year.Four cross-sectional surveys were electronically distributed among onco-hematologists April/June/October 2020, and April/2021 through Society of Pediatric Oncology (SLAOP) email list St Jude Global regional partners.Four hundred fifty-three from 20 countries responded to survey, with subsequent response...
Abstract Background Quality cancer care depends on interdisciplinary communication. This study explored the communication practices of clinicians, types healthcare services for which they engage in collaboration, and association between perceived quality care, as well job satisfaction. Methods We conducted a survey clinicians from centers Guatemala, Honduras, Panama, El Salvador, Haiti. The included 68 items including previously validated tools novel questions. Results Total 174 completed...
Background Interdisciplinary teamwork supports high‐quality cancer care and effective utilization of limited resources. This study purposed to examine the value, structure, process, effectiveness interdisciplinary (IDC) among pediatric oncology providers in low‐income middle‐income countries Central America Caribbean. Methods A cross‐sectional survey was disseminated at 5 centers participating Pediatric Hematology‐Oncology Association America. The included previously validated items novel...
Abstract Background The COVID‐19 pandemic altered healthcare systems globally, causing delays in care delivery and increased anxiety among patients families. This study examined how hospital stakeholders clinicians perceived the global impact of on children with cancer their Methods secondary analysis data from a qualitative consisting 19 focus groups conducted 8 languages throughout 16 countries. A codebook was developed novel codes derived inductively transcript review. In‐depth focused...
The ongoing COVID-19 pandemic strained medical systems worldwide. We report on the impact pediatric oncology care in Latin American (LATAM) during its first year. Four cross-sectional surveys were electronically distributed among onco-hematologist April/June/October 2020, and April/2021 through Society of Pediatric Oncology (SLAOP) email list St Jude Global regional partners. 453 onco-hematologists from 20 countries responded survey with subsequent response rates above 85%. More than 95%...
Abstract Background Children under 5 years of age bear the highest burden severe disease from respiratory illness. Surveillance viral infections in hospitalized children informs local and may assist identifying potential sources epidemics. In resource-limited countries, like Haiti, lack infrastructure, resources, oversight are barriers for such surveillance programs. Just before onset pandemic December 2019, we completed preparation to implement a program at Hôpital Saint Damien (HSD)....
Abstract Background Learning the burden and seasonality of respiratory viral infections in children resource-limited settings is critical for hospital infection care prevention national public health programs. We built a prospective surveillance program severe acute illness (SARI) hospitalized at Hôpital Saint Damien - Nos Petits Frères et Soeurs to gather local evidence support informed clinical policy decision-making. The COVID-19 pandemic erupted as we were launching our project,...
Abstract Background Survival of children with cancer goes hand-on-hand treatment and improvement infection care prevention (ICP). The Hispaniola Island project aims to improve the quality survival for in 3 pediatric units by implementing ICP programs these long-term plan absorbing such into structure hospital delivery process. We report 1-year outcomes establishing standards oncology units. Methods followed general steps health promotion when engaging new sites, which are: (1) planning...
Abstract Background In October 2018, the Hispaniola Project was initiated to build local expertise in infection care and prevention at three pediatric oncology units (POUs) Haiti Dominican Republic. Surveillance of healthcare-associated infections (HAI) a central aim. Severe prolonged neutropenia is frequent risk factor for patients. Among HAIs, bacteremia one most serious; requires timely isolation identification offending microorganism antimicrobial susceptibility. These diagnostic...
Abstract Background In late 2019, a novel coronavirus, SARS-CoV-2, was reported in China, which rapidly spread across the globe. The WHO declared pandemic of coronavirus disease (COVID-19) early 2020. March, both Dominican Republic and Haiti their first cases. three pediatric oncology units (POUs) that make up St. Jude Global Infectious Diseases Hispaniola Project began to see COVID-19 among patients Santo Domingo March Santiago Port-au-Prince June. We report experience managing...