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1
Zanuso, Claire, François Roubaud, and Constance Torelli. "Le marché du travail en Haïti après le séisme : quelle place pour les jeunes ?" Autrepart 71, no. 3 (2014): 135. http://dx.doi.org/10.3917/autr.071.0135.
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Bellande, Alex. "Haïti dans le marché mondial du bois aux 19ème et 20ème siècles : Commerce et environnement." Journal of Haitian Studies 22, no. 1 (2016): 130–46. http://dx.doi.org/10.1353/jhs.2016.0030.
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Casella Jean-Baptiste, Meredith, Stephanie Louis, Christophe Millien, Erwine Dina Jeune, Ornella Sainterant, and Jean Paul Joseph. "Postpartum quality improvement strategy for increasing long-acting contraception uptake at a University Hospital in Haiti." BMJ Open Quality 7, no. 4 (October 2018): e000204. http://dx.doi.org/10.1136/bmjoq-2017-000204.
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To address the gap in the uptake of long-acting contraception (LAC) methods among high-risk postpartum women who fail to return for a family planning method at HôpitalUniversitaire de Mirebalais in the Central Plateau Department of Haiti, contraceptive implant trainings were held for providers on the Labour and Delivery, Post-Partum and Internal Medicine inpatient wards.A very high maternal mortality rate affects large numbers of women in Haiti; however, contraceptive use can reduce maternal mortality significantly. A quality improvement strategy to offer LAC methods to immediate postpartum women at a University Hospital in rural Haiti was initiated in March 2016. This new strategy produced an average improvement from 5% to 32% of women delivering at the hospital, accepting a long-acting method (including bilateral tubal ligations) by the end of the project and which has proved sustainable at an average of 20% to date.
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Cavallaro, Kathleen F., Jeannot Francois, Roody Jacques, Derline Mentor, Idrissa Yalcouye, Karen Wilkins, Nathan Mueller, Rebecca Turner, Aaron Wallace, and Rania A. Tohme. "Demonstration of the Use of Remote Temperature Monitoring Devices in Vaccine Refrigerators in Haiti." Public Health Reports 133, no. 1 (December 20, 2017): 39–44. http://dx.doi.org/10.1177/0033354917742119.
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After the 2010 earthquake, Haiti committed to introducing 4 new antigens into its routine immunization schedule, which required improving its cold chain (ie, temperature-controlled supply chain) and increasing vaccine storage capacity by installing new refrigerators. We tested the feasibility of using remote temperature monitoring devices (RTMDs) in Haiti in a sample of vaccine refrigerators fueled by solar panels, propane gas, or electricity. We analyzed data from 16 RTMDs monitoring 24 refrigerators in 15 sites from March through August 2014. Although 5 of the 16 RTMDs exhibited intermittent data gaps, we identified typical temperature patterns consistent with refrigerator door opening and closing, propane depletion, thermostat insufficiency, and overstocking. Actual start-up, annual maintenance, and annual electricity costs for using RTMDs were $686, $179, and $9 per refrigerator, respectively. In Haiti, RTMD use was feasible. RTMDs could be prioritized for use with existing refrigerators with high volumes of vaccines and new refrigerators to certify their functionality before use. Vaccine vial monitors could provide additional useful information about cumulative heat exposure and possible vaccine denaturation.
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Smallman-Raynor, Matthew, Andrew Cliff, and Anna Barford. "Geographical Perspectives on Epidemic Transmission of Cholera in Haiti, October 2010 Through March 2013." Annals of the Association of American Geographers 105, no. 4 (July 2015): 665–83. http://dx.doi.org/10.1080/00045608.2015.1050755.
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Brandt, Amelia J., Julio Pedroza, Silvia H. de Bortoli Cassiani, Samantha Brown, and Fernando A. Menezes da Silva. "Maternal health training priorities for nursing and allied professions in Haiti." Revista Panamericana de Salud Pública 44 (July 15, 2020): 1. http://dx.doi.org/10.26633/rpsp.2020.67.
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Objectives. This study summarizes the findings of a training needs and priority assessment completed in Haiti. Its objective is to describe the characteristics of nursing and allied professions providing first level maternal health care and identify training needs and priorities to inform planning of Human Resources for Health interventions. Methods. A cross-sectional survey was completed between October 2016 and March 2017 by the Pan American Health Organization/World Health Organization Haiti office in collaboration with national health authorities. Participants reached consensus to submit one finalized version of the survey. Data were collected on composition, capacities, and training needs and priorities of traditional birth attendants, community health workers, registered nurses, professional midwives, and auxiliary nurses. Results. Haiti relies heavily on community level workers including community health workers, auxiliary nurses, and traditional birth attendants. Traditional birth attendants attend the majority of Haiti’s births, despite having low education levels and not being regulated by the Ministry of Public Health and Population. All professional categories prioritize preventive capacities such as timely identification of complications, while none are trained to manage postpartum hemorrhage, preeclampsia, or eclampsia. Management of obstetric emergencies is a training priority for Haiti but is not part of the scope of work of the nursing and allied health professions included in this study. Conclusions. Community level health workers are key in providing preventive care and referral of complicated pregnancies, but lack of access to providers qualified to treat obstetric complications remains a challenge to reducing maternal mortality.
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Green, Rebekah, and Scott Miles. "Social Impacts of the 12 January 2010 Haiti Earthquake." Earthquake Spectra 27, no. 1_suppl1 (October 2011): 447–62. http://dx.doi.org/10.1193/1.3637746.
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The 12 January 2010 Haiti earthquake resulted in some of the most significant social impacts from an earthquake in recent decades. In early March, an Earthquake Engineering Research Institute (EERI) social impacts reconnaissance team documented broad impacts on shelter, livelihood opportunities, and service provision through direct observation, photo documentation, interviews, and a review of other sources. The earthquake left over half of the residential housing in Port-au-Prince heavily damaged; widespread fear that even undamaged structures were unsafe swelled the number of homeless to 1.3 million. The infrastructure damage and significant loss of life within the Haitian government and international aid agencies slowed the early response and reduced the already low levels of basic service provision. Continued research is needed on media portrayal, outcomes of injuries, sheltering decisions, social networks, and learning trajectories for Haiti's youth, among other areas.
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Williams, Holly Ann, Joanna Gaines, Molly Patrick, David Berendes, David Fitter, and Thomas Handzel. "Perceptions of Health Communication, Water Treatment and Sanitation in Artibonite Department, Haiti, March-April 2012." PLOS ONE 10, no. 11 (November 12, 2015): e0142778. http://dx.doi.org/10.1371/journal.pone.0142778.
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Kaihatu, Sheny Sandra, and Marietje Pesireron. "Adaptasi Beberapa Varietas Jagung pada Agroekosistem Lahan Kering di Maluku." Jurnal Penelitian Pertanian Tanaman Pangan 35, no. 2 (August 30, 2016): 141. http://dx.doi.org/10.21082/jpptp.v35n2.2016.p141-148.
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Maize has an important role in the national economy, but at some area, including in Maluku, the productivity is still low, below its potential productivity. The productivity of maize could be improved by planting high yielding and adaptive variety to the local environment. Study was conducted in the Haruru village, District Amahai, Central Maluku, from March to August 2012 aimed to identify maize varieties adaptive on dry land agro ecosystem. The study used randomized block design, replicated three times, where farmers’ fields were used as replications. The varieties tested were Srikandi Kuning, Gumarang, and Sukmaraga composites varieties. Bima-2 and Bima-2 (hybrid varieties) and Mutiara, Ungu Hati Putih, Merah, Orange Hati Putih, and Orange Hati Merah (local variety, obtained from farmers’ fields in the district of MTB). Fertilizers were drilled, 5-7 cm on the side of plant at a rate of 135 kg N, 90 kg P2O5, 60 kg K2O and 1-2 t manure/ha. Variables to be measured were percentage of surviving plants, age at 50% of male flowering, age at 50% of female flowering, plant height, ear height, cob length, cob weight, cob diameter, number of rows/ear, seed number per ear row, 100-seed weight, weight of dry grains, moisture content, and grain yield. Results showed that local varieties indicated a better growth, but grain yield were superior for the hybrid and the composite varieties. Bima-4 hybrid variety produced 10.31 t/ha dry grain, followed by Bima-2 hybrid and the composite varieties of Sukmaraga, Srikandi Kuning, and Gumarang, each was 8.70 t/ha, 7.97 t/ha, 7.60 t/ha and 7.26 t/ha, respectively. Local varieties Mutiara, Orange Hati Putih, Merah, Orange Hati Merah, and Ungu Hati Putih each yielded only 3.74 t/ha, 3.32 t/ha, 3.07 t/ha, 3.02 t/ha and 2.45 t/ha respectively.
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Sweet, James. "Research Note: New Perspectives on Kongo in Revolutionary Haiti." Americas 74, no. 1 (December 6, 2016): 83–97. http://dx.doi.org/10.1017/tam.2016.82.
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On February 26, 1794, Louis Narcisse Baudry des Lozières arrived at the port of Norfolk, Virginia, from Le Havre on the coast of France. His journey had not been an easy one. Shortly after leaving France, the ship carrying Baudry, his wife, their 13-year-old daughter, and a Norman servant girl was caught in a terrible storm. The family endured a harrowing four-month Atlantic crossing, but they had experienced far worse. Just two years earlier, Baudry had discovered his wife and daughter “wandering in the woods” of St. Domingue, after rebels had forced them to abandon their home in the early days of the Haitian Revolution. Baudry, a distinguished French military officer, had himself been wounded fighting the insurgents near Léogane, and the majority of the soldiers under his command had been slaughtered. Fearing for his life, Baudry fled the colony in March 1792. In Paris, he briefly reunited with his more famous brother-in-law, the lawyer and writer Médéric Louis Élie Moreau de Saint-Méry. However, both were soon forced into exile, and he eventually settled in Philadelphia. There, Baudry worked as a clerk, bookseller, and editor. He also used his exile as an opportunity to travel North America, spending time with his wife and in-laws in New Orleans. Eventually, Baudry presented himself as an expert on the natural history of the French colonies, delivering lectures to the American Philosophical Society in Philadelphia and publishing several articles on “scientific” topics.
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Beauchamp, Jude, Carole D. Mitnick, Hannah Gilbert, Fernet Leandre, Yoldine Talina Jean Noel, Walkens Desir, Christina Lively, and Joia Mukherjee. "Ambulatory Treatment for Multidrug-Resistant Tuberculosis in Rural Haiti: A Mixed-Methods Study of Social and Economic Factors Affecting Timely Diagnosis and Treatment Success." Global Journal of Health Science 13, no. 7 (June 18, 2021): 99. http://dx.doi.org/10.5539/gjhs.v13n7p99.
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BACKGROUND AND OBJECTIVES: Patients with MDR-TB in remote areas of Haiti face barriers that delay their ability to initiate and complete treatment. These barriers must be addressed to ensure successful decentralization of MDR-TB treatment. We conducted a mixed-methods study at two MDR-TB facilities in rural Haiti to identify factors that impact MDR-TB treatment initiation and documented treatment response after discharge from hospital.
METHODS: We enrolled patients who started MDR-TB treatment at two Zanmi Lasante MDR-TB facilities in Haiti between October 2015 and March 2016. We conducted interviews with patients at discharge to assess factors creating delay in treatment initiation; performed a longitudinal quantitative assessment of patient wellbeing at discharge and for four months after; and conducted a second interview with the same patients and family caregivers to identify obstacles to transition from hospital-based care to ambulatory treatment. Qualitative data were coded into six final conceptual categories representing patient experiences with TB treatment and care. We then explored how the patient experience during transition might affect the score obtained in the quantitative assessment.
RESULTS: We enrolled 17 MDR-TB patients and 16 family members. Four patients were identified as having poor clinical response after discharge, characterized by low BMI, low hemoglobin, compromised activities of daily life, food insecurity, depression and other treatment side effects. Patients with poor response also experienced limited social support and difficult living conditions.
Factors contributing to delayed treatment initiation were present at discharge and may compromise response. These include financial (lost wages, costly transportation) and logistical barriers to reaching highly centralized treatment facilities. The results highlight the barriers that MDR-TB patients in rural Haiti face to find and successfully complete lifesaving treatment.
CONCLUSION: Properly implemented decentralized care will help overcome geographical barriers. Strong nutritional, social and financial support are essential to support appropriate treatment for the disease.
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Yustiani, Nyoman Trisna, Mutmainnah ., and Mansyur Arif. "HUBUNGAN DERAJAT PERLEMAKAN HATI NON-ALKOHOLIK DENGAN AKTIVITAS AMINOTRANSFERASE SERUM." INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY 16, no. 1 (March 17, 2018): 26. http://dx.doi.org/10.24293/ijcpml.v16i1.1027.
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Fatty liver could be related to alcoholic or non-alcoholic. Mild to moderate elevation of serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) activities are the most laboratories test ordered in patient with non-alcoholic fatty liver. This studyhas purposed to know the relation of degree non-alcoholic fatty liver’s with aminotransferase serum activity. A cross-sectional studywas done in 38 patients with non-alcoholic fatty liver aged 30 to 60 years at Clinical Pathology Laboratory Installation and RadiologyDepartment Dr. Wahidin Sudirohusodo Hospital in Makassar from March to July, 2008. Patient made to criteria done some laboratorytest for AST and ALT examination. Data was analyzed using T-Test in SPSS for windows version 11,5. In this study we found that therewere a significant difference between non-alcoholic fatty liver degree with AST and ALT activity in cutt off 18 (p < 0,05). From this studywe could conclude that the activity of AST and ALT serum can be used to predict probability of non-alcoholic fatty liver.
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Sisson, Andrew J., Peter J. Wampler, Richard R. Rediske, and Azizur R. Molla. "An assessment of long-term biosand filter use and sustainability in the Artibonite Valley near Deschapelles, Haiti." Journal of Water, Sanitation and Hygiene for Development 3, no. 1 (March 1, 2013): 51–60. http://dx.doi.org/10.2166/washdev.2013.092.
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A non-randomized assessment of long-term biosand filter (BSF) use and sustainability in the Artibonite Valley near Deschapelles, Haiti was conducted during March, 2011. Of the 55 BSFs visited, 47% were no longer in use. Filter lifespan ranged from <1 year to systems still in use after 12 years. Interviews with BSF owners revealed problems related to intermittent filter use due to travel for employment or personal matters; broken or missing filter parts; and fears that the filter would not be effective against cholera. In addition, 17 BSF field studies were reviewed to identify common issues impacting usage. Culturally appropriate technologies and education materials explaining proper maintenance and operation are essential for improved filter performance and sustainability. For Haiti, education materials should be provided in Creole and French and should include, (1) diagrams and descriptions of how the BSF works, (2) how to troubleshoot common problems, (3) how to properly maintain filters, and (4) a contact in case of questions. Operational problems can be minimized by providing long-term technical support, periodic water quality monitoring, and maintenance assistance for filter users.
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Carpenter, Chris, Brittany Potts, Julia von Oettingen, Ric Bonnell, Michele Sainvil, Viviane Lorgeat, Mie Christine Mascary, et al. "Elevated Blood Lead Levels in Infants and Children in Haiti, 2015." Public Health Reports 134, no. 1 (November 14, 2018): 47–56. http://dx.doi.org/10.1177/0033354918807975.
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Objective: Few studies have reported blood lead levels (BLLs) in Haitian children, despite the known presence of lead from environmental factors such as soil, water, leaded paint and gasoline, improperly discarded batteries, and earthquakes. We sought to determine the prevalence of elevated blood lead levels (EBLLs) among healthy Haitian children. Methods: We enrolled children aged 9 months to 6 years from 3 geographic areas in Haiti (coastal, urban, and mountain) from March 1 through June 30, 2015. We obtained anthropometric measurements, household income, potential sources of lead exposure, and fingerstick BLLs from 273 children at 6 churches in Haiti. We considered a BLL ≥5 μg/dL to be elevated. Results: Of 273 children enrolled in the study, 95 were from the coastal area, 78 from the urban area, and 100 from the mountain area. The median BLL was 5.8 μg/dL, with higher levels in the mountain area than in the other areas ( P < .001). BLLs were elevated in 180 (65.9%) children. The prevalence of EBLL was significantly higher in the mountain area (82 of 100, 82.0%; P < .001) than in the urban area (42 of 78, 53.8%) and the coastal area (56 of 95, 58.9%; P < .001). Twenty-eight (10.3%) children had EBLLs ≥10 μg/dL and 3 (1.1%) children had EBLLs ≥20 μg/dL. Exposure to improperly discarded batteries ( P = .006) and living in the mountain area ( P < .001) were significant risk factors for EBLLs. Conclusions: More than half of Haitian children in our study had EBLLs. Public health interventions are warranted to protect children in Haiti against lead poisoning.
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Hennessey, Kelly A., Taina Dadaille Leger, Vanessa R. Rivera, Adias Marcelin, Margaret L. McNairy, Colette Guiteau, Jessy G. Devieux, et al. "Retention in Care among Patients with Early HIV Disease in Haiti." Journal of the International Association of Providers of AIDS Care (JIAPAC) 16, no. 6 (November 2017): 523–26. http://dx.doi.org/10.1177/2325957417742670.
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In September 2015, the World Health Organization updated their guidelines to recommend antiretroviral therapy (ART) for all people living with HIV. Countries are now in the process of implementing strategies to provide universal HIV treatment. We analyzed the rate of retention and time to ART eligibility (according to 2013 WHO guidelines) among 3,345 adult patients receiving positive HIV test results between February 1, 2003 and March 31, 2013 at the GHESKIO Clinic in Haiti, with WHO stage 1 or 2 disease and initial CD4 cell count >500 cells/mm3. Among the 3,345 patients, 2,423 (72%) were female, the median age was 33 years, 3,089 (92%) lived in Port-au-Prince, and 1,944 (58%) had attended no school or primary school only. The median initial CD4 cell count was 668 cells/mm3 (IQR: 572-834); over the subsequent 2 years, 1,485 patients (44%) were lost to follow-up and 7 (<1%) died pre-ART, 1,041 (31%) were retained in pre-ART care, and 819 (24%) initiated ART. In multivariate analysis, secondary education (aOR 1.27; 95% CI: 1.10-1.47), female gender (aOR: 1.28; 95% CI: 1.09-1.50), co-habitation (aOR: 1.31; 95% CI: 1.09-1.57), and residence in Port-au-Prince (aOR: 1.43; 95% CI: 1.09-1.88) were associated with retention in care. The median time from baseline CD4 count to ART eligibility was 1.7 years. Prior to the implementation of universal treatment, pre-ART attrition was high among patients who did not qualify for ART at presentation. Though implementing WHO recommendations for universal ART will require service expansion, it will likely result in improved retention for those at risk of being lost to follow-up.
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von Oettingen, Julia E., Tesha D. Brathwaite, Christopher Carpenter, Ric Bonnell, Xuemei He, Lewis E. Braverman, Elizabeth N. Pearce, et al. "Population Survey of Iodine Deficiency and Environmental Disruptors of Thyroid Function in Young Children in Haiti." Journal of Clinical Endocrinology & Metabolism 102, no. 2 (October 21, 2016): 644–51. http://dx.doi.org/10.1210/jc.2016-2630.
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Abstract Context: Iodine deficiency is the leading cause of preventable neurodevelopmental delay in children worldwide and a possible public health concern in Haiti. Objective: To determine the prevalence of iodine deficiency in Haitian young children and its influence by environmental factors. Design: Cross-sectional study, March through June 2015. Setting: Community churches in 3 geographical regions in Haiti. Participants: 299 healthy Haitian children aged 9 months to 6 years; one-third each enrolled in a coastal, mountainous, and urban region. Main Outcome Measures: Urinary iodide, serum thyrotropin (TSH), goiter assessment, and urinary perchlorate and thiocyanate. Results: Mean age was 3.3±1.6 years, with 51% female, median family income USD 30/week, and 16% malnutrition. Median urinary iodide levels were normal in coastal (145 μg/L, interquartile range [IQR] 97 to 241) and urban regions (187 μg/L, IQR 92 to 316), but revealed mild iodine deficiency in a mountainous region (89 μg/L, IQR 56 to 129), P < 0.0001. Grade 1 goiters were palpated in 2 children, but TSH values were normal. Urinary thiocyanate and perchlorate concentrations were not elevated. Predictors of higher urinary iodide included higher urinary thiocyanate and perchlorate, breastfeeding, and not living in a mountainous region. Conclusions: Areas of mild iodine deficiency persist in Haiti’s mountainous regions. Exposure to two well-understood environmental thyroid function disruptors is limited.
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Alleman, Mary M., Angela D. Coulliette-Salmond, Pierre Wilnique, Hanen Belgasmi-Wright, Leanna Sayyad, Kimberly Wong, Edmund Gue, et al. "Environmental Surveillance for Polioviruses in Haïti (2017–2019): The Dynamic Process for the Establishment and Monitoring of Sampling Sites." Viruses 13, no. 3 (March 18, 2021): 505. http://dx.doi.org/10.3390/v13030505.
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Haïti is at risk for wild poliovirus (WPV) importation and circulation, as well as vaccine-derived poliovirus (VDPV) emergence. Environmental surveillance (ES) for polioviruses was established in Port au Prince and Gonaïves in 2016. During 2017–2019, initial ES sites were re-evaluated, and ES was expanded into Cap Haïtien and Saint Marc. Wastewater samples and data on weather, hour of collection, and sample temperature and pH were collected every 4 weeks during March 2017–December 2019 (272 sampling events) from 21 sites in Cap Haïtien, Gonaïves, Port au Prince, and Saint Marc. Samples were processed for the detection of polio and non-polio enteroviruses using the two-phase and “Concentration and Filter Elution” methodologies. Polioviruses were serotyped and underwent intra-typic characterization. No WPV or VDPVs were isolated. Sabin-like polioviruses (oral vaccine strain) of serotypes 1 and 3 were sporadically detected. Five of six (83%), one of six (17%), five of six (83%), and two of three (67%) sites evaluated in Cap Haïtien, Gonaïves, Port au Prince, and Saint Marc, respectively, had enterovirus isolation from >50% of sampling events; these results and considerations, such as watershed population size and overlap, influence of sea water, and excessive particulates in samples, were factors in site retention or termination. The evaluation of 21 ES sampling sites in four Haïtian cities led to the termination of 11 sites. Every-four-weekly sampling continues at the remaining 10 sites across the four cities as a core Global Polio Eradication Initiative activity.
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Benson, LeGrace. "A Queen in Diaspora: The Sorrowful Exile of Queen Marie-Louise Christophe (1778, Ouanaminth, Haiti–March 11, 1851, Pisa, Italy)." Journal of Haitian Studies 20, no. 2 (2014): 90–101. http://dx.doi.org/10.1353/jhs.2014.0016.
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Akhoondzadeh, M. "Support vector machines for TEC seismo-ionospheric anomalies detection." Annales Geophysicae 31, no. 2 (February 6, 2013): 173–86. http://dx.doi.org/10.5194/angeo-31-173-2013.
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Abstract. Using time series prediction methods, it is possible to pursue the behaviors of earthquake precursors in the future and to announce early warnings when the differences between the predicted value and the observed value exceed the predefined threshold value. Support Vector Machines (SVMs) are widely used due to their many advantages for classification and regression tasks. This study is concerned with investigating the Total Electron Content (TEC) time series by using a SVM to detect seismo-ionospheric anomalous variations induced by the three powerful earthquakes of Tohoku (11 March 2011), Haiti (12 January 2010) and Samoa (29 September 2009). The duration of TEC time series dataset is 49, 46 and 71 days, for Tohoku, Haiti and Samoa earthquakes, respectively, with each at time resolution of 2 h. In the case of Tohoku earthquake, the results show that the difference between the predicted value obtained from the SVM method and the observed value reaches the maximum value (i.e., 129.31 TECU) at earthquake time in a period of high geomagnetic activities. The SVM method detected a considerable number of anomalous occurrences 1 and 2 days prior to the Haiti earthquake and also 1 and 5 days before the Samoa earthquake in a period of low geomagnetic activities. In order to show that the method is acting sensibly with regard to the results extracted during nonevent and event TEC data, i.e., to perform some null-hypothesis tests in which the methods would also be calibrated, the same period of data from the previous year of the Samoa earthquake date has been taken into the account. Further to this, in this study, the detected TEC anomalies using the SVM method were compared to the previous results (Akhoondzadeh and Saradjian, 2011; Akhoondzadeh, 2012) obtained from the mean, median, wavelet and Kalman filter methods. The SVM detected anomalies are similar to those detected using the previous methods. It can be concluded that SVM can be a suitable learning method to detect the novelty changes of a nonlinear time series such as variations of earthquake precursors.
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Kligerman, Maxwell P., Anahuma Alexandre, Patrick Jean-Gilles, David K. Walmer, Adam J. Gomez, Christina S. Kong, Mack L. Cheney, Murray A. Mittleman, and Anna H. Messner. "Head and Neck Cancer in Haiti: A Case Series from Hopital de L’Universite d’Etat d’Haiti." International Journal of Otolaryngology 2018 (October 1, 2018): 1–5. http://dx.doi.org/10.1155/2018/9429287.
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This manuscript characterizes the demographics, presenting symptoms and risk factors of patients diagnosed with head and neck cancer at Hopital de L’Universite d’Etat d’Haiti (HUEH), Haiti’s single largest healthcare facility. We conducted a prospective study of patients who presented to HUEH between January and March of 2016 with a lesion of the head or neck suspicious for cancer. All patients who met eligibility criteria received a biopsy, which was interpreted by a Haitian pathologist and when the specimen was available was confirmed by a team of pathologists from Stanford University. A total of 34 participants were identified. The biopsy-confirmed diagnoses were squamous cell carcinoma (n=7), benign (n=7), large cell lymphoma (n=2), ameloblastoma (n=2), pleomorphic adenoma (n=1), and adenocarcinoma (n=1). Fourteen patients were unavailable for biopsy. Patients with head and neck cancer had a mean age of 63.4 years, were majority male (62.5%), waited on average 10.9 months to seek medical attention, and most commonly presented with T-stage 3 or higher disease (87.5%). By characterizing patterns of head and neck cancer at HUEH we hope to facilitate efforts to improve early detection, diagnosis, and management of this important public health condition.
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Miyamoto, H. Kit, Amir S. J. Gilani, and Ken Wong. "Massive Damage Assessment Program and Repair and Reconstruction Strategy in the Aftermath of the 2010 Haiti Earthquake." Earthquake Spectra 27, no. 1_suppl1 (October 2011): 219–37. http://dx.doi.org/10.1193/1.3631293.
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The January 2010 Haiti earthquake resulted in over 230,000 deaths, affected 3 million people, and damaged or collapsed over 200,000 structures. An unprecedented earthquake damage assessment project by a joint operation of the Haitian Ministry of Public Works, the United Nations Office of Project Services, the Pan American Development Foundation, and the authors was undertaken with three strategic goals: (1) rapid damage assessment, (2) reconstruction database development, and (3) upgrade the technical capabilities of Haitian engineers. A modified version of the Applied Technology Council's ATC-20 technical platform, accounting for Haitian building design, was developed. As part of this program, PDA-based data collection techniques and quality-assurance programs were implemented, and approximately 600 Haitian engineers were trained. As of March 2011, approximately 400,000 buildings had been inspected. This database was used to develop: (1) repair strategies for yellow-tagged structures, and (2) reparability, reconstruction, and demolition assessments or red-tagged structures. This program could also be extended as a platform for a seismic damage evaluation and reconstruction strategies in other parts of the world.
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Hayakawa, M., J. P. Raulin, Y. Kasahara, F. C. P. Bertoni, Y. Hobara, and W. Guevara-Day. "Ionospheric perturbations in possible association with the 2010 Haiti earthquake, as based on medium-distance subionospheric VLF propagation data." Natural Hazards and Earth System Sciences 11, no. 2 (February 16, 2011): 513–18. http://dx.doi.org/10.5194/nhess-11-513-2011.
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Abstract. Ionospheric perturbations in possible association with the 2010 Haiti earthquake occurred on 12 January 2010 (with a magnitude of 7.0 and depth of 10 km) are investigated on the basis of subionospheric propagation data from the NAA transmitter on the east coast of the USA to a VLF receiving station in Peru. The local nighttime VLF amplitude data are extensively investigated during the period from the beginning of October 2009 to the end of March 2010, in which the trend (nighttime average amplitude), dispersion and nighttime fluctuation are analysed. It is found that a clear precursory ionosphere perturbation is detected just around New Years day of 2010, about 12 days before the main shock, which is characterised by the simultaneous decrease in the trend and the increases in dispersion and nighttime fluctuation. An additional finding might be the presence of the effect of the Earth's tide one and two months before the main shock, which can only be seen for a huge EQ.
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Dewi, Ervina. "EFEK DIET ATEROGENIK TERHADAP GAMBARAN HISTOPATOLOGIS HATI MENCIT (Mus musculus) The Effect of Aterogenic Diet on Histopatology mice (Mus musculus) Hepar." Jurnal Sains Riset 8, no. 1 (March 15, 2019): 25–30. http://dx.doi.org/10.47647/jsr.v8i1.28.
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This research aimed to know the effct of aterogenic diet on histopatology mice hepar. The research was conducted from March to August 2017 at MIPA laboratory Jabal Ghafur University and Patology Laboratory FKH Syiah Kuala University. A experimental laboratory design was used with
2 treatments and 4 repetitions of each treatment. The treatments were standar weft (P0) and aterogenic diet weft (P1). Paraffin method was apllied of microscopic structure observation. The parameters observed were lipid infiltration, lipid degeneration and necrosis of mice hepatocyte. A T test was tested to the data alteration of histopatology of mice hepatocyte. The result showed that diet aterogenic could significant to increase lipid infiltration, lipid degeneration and necrosis of mice hepatocyte. In conlusion, the diet aterogenic has ability to increase lipid infiltration, lipid degeneration and necrosis of mice hepatocyte.
Key word : diet aterogenic, lipid infiltration, lipid degeneration and necrosis, hepatocyte.
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Fullum, Hélène, and Daniel Gomez. "Quelques traits de l’immigration internationale au Québec de 1968 à 1975." Articles 7, no. 1 (October 27, 2008): 55–82. http://dx.doi.org/10.7202/600760ar.
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Cet article traite de l’immigration au Québec entre 1968 et 1975. En s’attachant aux caractéristiques socio-économiques de ces immigrants et à celles de la société québécoise, on tente de déceler comment les immigrants s’orienteront et s’intégreront dans cette société. On retient les sept principaux pays fournisseurs d’immigrants, lesquels représentent bien les différentes tendances socio-économiques qui peuvent exister chez les immigrants et qui peuvent jouer pour une insertion et une intégration plus ou moins aisées dans la structure socio-économique québécoise. L’échantillon est subdivisé en deux sous-groupes de pays, la France, le Royaume-Uni et les Etats-Unis, ensemble plus scolarisé, qui aspire à des emplois plus professionnels et qui connaît presqu’en totalité une des deux langues officielles du Québec. L’autre est composé de Haïti, de l’Italie, de la Grèce et du Portugal dont les caractéristiques sont opposées à celles du premier groupe. Le premier groupe tendrait à cause des caractéristiques à rejoindre les secteurs de l’emploi où les Canadiens d’origine britannique sont surreprésentés et où leur langue domine. Le deuxième groupe qui comprend des travailleurs peu scolarisés, se dirigeant vers des emplois dans l’industrie secondaire et ne parlant aucune des deux langues officielles, devrait rejoindre les Canadiens-français dans leurs secteurs sur le marché du travail. Ces secteurs sont ceux où les revenus sont les plus bas et où la langue française domine. Cependant il faut voir qu’à caractéristiques égales, l’origine ethnique joue un rôle discriminant pour les immigrants francophones. On conclut que les immigrants vont s’insérer structurellement dans la société en fonction de leurs rapports aux moyens de production et à-travers le contrôle de l’une ou l’autre des deux langues officielles.
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Stark, Lindsay, Matthew MacFarlane, Beth L. Rubenstein, Gary Yu, Celina Jensen, and Katharine Williamson. "Using a population-based survey approach to estimate child separation after a natural disaster: findings from post-Hurricane Haiti." BMJ Global Health 3, no. 3 (May 2018): e000784. http://dx.doi.org/10.1136/bmjgh-2018-000784.
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IntroductionThis study explores findings of a population-based approach to measure the prevalence of unaccompanied and separated children (UASC) during the Hurricane Matthew aftermath in Haiti.MethodsWe conducted a cross-sectional survey using two-stage cluster sampling. Participants were asked to provide information on their own household composition, as well as the household composition of their closest neighbour (the Neighborhood Method). The study took place between February and March 2017 in Haiti’s Sud Department, a region severely affected by Hurricane Matthew in October 2016. 1044 primary respondents provided information about their own household, and 4165 people in the household of their closet neighbour. The primary outcome measured was the prevalence of UASC in the Sud Department following Hurricane Matthew. Secondary outcomes of interest included the characteristics of these children, including age, sex, reason for separation and current caregiver.ResultsOf the 2046 children currently living in the surveyed households, 3.03% (95% CI 2.29% to 3.77%) were reported to have been separated from their normal caregiver during Hurricane Matthew. Among these 62 children, 9 were unaccompanied, and there were slightly more boys than girls (56% vs 44%, p=0.37). Of the 2060 children who lived in surveyed households when the hurricane hit, 1.12% (95% CI 0.67% to 1.57%) had since departed without their caregiver. The prevalence of separation reported for neighbours’ households was not significantly different from that in respondents’ households (p values between 0.08 and 0.29).ConclusionsThis study is the first known attempt to measure the prevalence of child separation following a natural disaster. Overall, the rates of separation were relatively low. Similarities between primary and secondary reports of child separation via the Neighborhood Method indicate that this may be a viable approach to measuring UASC in certain contexts.
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Wilner, Lauren, Emma Wells, Michael Ritter, Jean Marcel Casimir, Kenneth Chui, and Daniele Lantagne. "Sustained use in a relief-to-recovery household water chlorination program in Haiti: comparing external evaluation findings with internal supervisor and community health worker monitoring data." Journal of Water, Sanitation and Hygiene for Development 7, no. 1 (January 12, 2017): 56–66. http://dx.doi.org/10.2166/washdev.2017.035.
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After the January 2010 earthquake in Haiti, an existing development program promoting household water treatment with chlorine rapidly expanded and provided relief to 15,000 earthquake-affected households. Initially, 157 community health workers (CHWs) distributed chlorine tablets; ten months later, CHWs began selling locally manufactured solution. The program was externally evaluated in March and November 2010; 77–90% of recipients had free chlorine residual (FCR) in household water. Internal monitoring by three supervisors and 157 CHWs also began in 2010. We analyzed results from 9,832 supervisor and 80,371 CHW monitoring visits conducted between 2010 and 2014 to assess: whether success continued in the rehabilitation phase; internal data validity; and factors impacting adoption. In 2010, 72.7% of supervisor visits documented total chlorine residual (TCR) comparable to external evaluation results. TCR presence was associated with certain supervisors/CHWs, earlier program year and month (in 2014, supervisor visits TCR presence dropped to 52.1%), living in plains (not mountainous) regions, and certain calendar months. CHW visits recorded 18.1% higher TCR presence than supervisor visits, indicating bias. Our results document a program with sustained (although slightly declining) household chlorination use, provide insight into validity in internal monitoring, and inform discussions on the value of linking successful development programs to emergency relief, rehabilitation, and development.
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Nurdin, Erfind, and Duranta D. Kembaren. "PARAMETER POPULASI UDANG PUTIH (Penaeus merguiensis) DI PERAIRAN SAMPIT DAN SEKITARNYA, KALIMANTAN TENGAH." BAWAL Widya Riset Perikanan Tangkap 7, no. 2 (August 31, 2015): 103. http://dx.doi.org/10.15578/bawal.7.2.2015.103-109.
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Udang putih (Penaeus merguiensis)merupakan salah satu sumberdaya ekonomis penting di perairan Sampit. Pada saat ini alat tangkap yang efisien untukmenangkap udang adalah lampara dasar (danishseine) dan jaring tiga lapis (trammel net). Penelitian tentang tingkat pengusahaan udang putih telah dilakukan dari bulan Januari sampai bulan Nopember 2012. Penilaian estimasi parameter populasi udang putih menggunakan paket program “FAO – ICLARM Stock Assessment Tools” atau FISAT - II. Hasil analisis diperoleh nilai laju pertumbuhan (K) sebesar 1,45 per tahun dengan panjang karapas asimtotik (CL”) 57,8 mm. Laju kematian total (Z) sebesar 5,70 per tahun, laju kematian alamiah (M) sebesar 1,93 per tahun dan laju kematian akibat penangkapan (F) sebesar 3,77 per tahun. Tingkat pengusahaan udang putih di perairan Sampit telah mengalami lebih tangkap (over exploited) dengan nilai E sebesar 0,66. Udang putih sudah tertangkap terlebih dahulu sebelum mencapai ukuran pertama kali matang gonad (Lc=30,05 < Lm=39,4 mmCL). Kondisi ini mengindikasikan perlunya dilakukan pengelolaan yang hati-hati dan bertanggungjawab. Salah satu cara yang dapat ditempuh adalah denganmenerapkan sistem penutupan musim tangkapan, khususnya pada bulan Maret dan September, karena pada saat tersebut terjadi puncak pemijahan.White shrimp (Penaeus merguiensis) is one of the most valuable resources in the Sampit waters. At present danish seine and trammel net is an efficient gear available to catch shrimp. A study of exploitation of white shrimp was carried out from January to November 2012. Estimation of population parameter of white shrimp were analyzed by using program “FAO – ICLARM Stock Assessment Tools (FiSAT-II). The result showed that the value of growth rate (K) was 1.45/year with asymptotic carapace length (CL”) was 57.8 mm. Total mortality rate (Z) was 5.70/year, natural mortality rate (M) was 1.93/year and fishing mortality rate (F) was 3.77/year. Exploitation rate of white shrimp indicated overexploited (E=0.66). Moreover, these shrimp was fished before reaching the first size on maturity (Lc=30.05 < Lm=39.4 CLmm). This condition indicate that it is necessary to manage shrimp fisheries carefully and responsibly. It is recommended to apply a closed season system, especially on March and September when peak of spawning season occurred.
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Setyowati, Herlina, and Eko Santosa. "ANALISIS NILAI MORAL DALAM CERITA BERSAMBUNG “MBURU PUSAKA” KARYA AL ARIS PURNOMO." GENTA BAHTERA: Jurnal Ilmiah Kebahasaan dan Kesastraan 3, no. 1 (June 1, 2017): 13–29. http://dx.doi.org/10.47269/gb.v3i1.2.
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Karya sastra sebagai salah satu hasil kebudayaan manusia tentunya sangat menarik untuk dikaji kandungan pesan moralnya. Nilai-nilai pesan moral yang terdapat dalam cerita bersambung tersebut dapat dijadikan sebagai pedoman hidup dan dapat diterapkan dalam kehidupan sehari- hari. Dalam penelitian ini, cerita bersambung yang diteliti berjudul “Mburu Pusaka” karya Al Aris Purnomo yang dimuat di Majalah Jaya Baya. Cerita bersambung “Mburu Pusaka” ini dimuat bagian demi bagian dari episode 1 sampai 23, yaitu sejak edisi nomor 06 Bulan Oktober 2014 sampai dengan edisi nomor 27 Bulan Maret 2015. Tujuan penelitian ini ialah mendeskripsikan kandungan nilai moral di dalam cerita bersambung “Mburu Pusaka” karya Al Aris Purnomo. Teknik pengumpulan data yang digunakan adalah teknik pustaka dan teknik catat. Dalam teknik analisis data, peneliti menggunakan metode content analysis (analisis isi). Berdasarkan hasil penelitian, dapat diketahui bahwa cerbung “Mburu Pusaka” karya Al Aris Purnomo mengandung nilai moral baik meliputi sopan, ramah, percaya adanya Tuhan, menghormati perbedaan pendapat, peduli, rendah hati, akrab antara atasan dan bawahan, menghormati orang lain, mempunyai prinsip hidup, mengutamakan orang lain, bijaksana, jujur, dan cerdik; sedangkan nilai moral buruk meliputi mudah percaya pada orang lain, sakit hati pada orang lain, menukar barang milik orang lain, dan licik. Kata kunci: nilai moral, cerita bersambung Literary work is one people cultures which is very interesting to be analyzed in terms of its moral values. Moral values found inside this serial story can become life guidance and it can be applied in daily life. In this research, the serial story which is going to be analysed entitles Mburu Pusaka (hunting for heritage) written by al Aris Purnomo contained in Jaya Baya magazine. This story is contained part by part from episode 1 until episode23, since edition number 06 month of October 2014 until edition number 27 month of March 2015. The aim of this research is to describe the moral values found in serial story of Mburu Pusaka written by Al Aris Purnomo. Data collecting tecniques used are literary and documentary note-taking analysis. Data analysis technique used is content analysis method. Based on reserach result, it is found out that the Mburu Pusaka story contains good moral values such as polite, friendly, respecting different opinions, care, humble, being chummy between boss and staff, respecting others, accentuating others, wise, honest, and smart while bad moral values such as easily believing in others, resentful to othres, exchange other’s goods, and sly.
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Kurnia Jatilinuar, Setya Rahdiyatmi, and Bagas Arga Saputra. "Pelatihan Gending Gerejawi Kepada Kelompok Sabda Laras Gereja Kristen Muria Indonesia Yogyakarta." Jurnal Pengabdian Seni 1, no. 2 (December 21, 2020): 75–83. http://dx.doi.org/10.24821/jas.v1i2.4711.
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Kelompok Karawitan Sabda Laras merupakan sekelompok jemaat Gereja Kristen Muria Indonesia (GKMI) Yogyakarta yang mengupayakan realisasi dari inkulturasi dalam lingkungan gereja. Namun, tidak adanya pelatih tetap sejak tahun 2017 berdampak pada jumlah anggota yang tidak bertambah tetapi justru berkurang, dan hingga saat ini belum ditemukan strategi atau metode untuk menyemarakkan/memajukan grup. Pelatihan bagi kelompok Karawitan Sabda Laras diperlukan untuk meningkatkan kemampuan menabuh gamelan dengan lagu gerejawi. Pelatihan dilakukan melalui program Penyuluhan Seni ISI Yogyakarta, yang diselenggarakan pada bulan Maret-Agustus 2020. Pelatihan awalnya diselenggarakan dengan tatap muka, namun karena pandemi covid-19 maka pelatihan dilanjutkan secara daring. Materi yang diberikan yaitu lagu S’mua Baik”, “Betapa Kita Tidak Bersyukur”, dan “Angkatlah Hati-Mu pada Tuhan”. Materi ini diberikan untuk menambah vocabulary lagu-lagu gerejawi. Materi diberikan melalui grup whatsapp dengan media video (link youtube) dan google site. Hasil pelatihan ini antara lain menambah kemampuan dan pengetahuan mengenai teknik tabuhan instrumen dan garap, terutama dalam hal menggubah lagu gerejawi dengan menggunakan media gamelan dan beberapa variasi tabuhan sebagai bagian dari aransemen lagu. Selain itu, peserta dapat menguasai lagu “S’mua Baik”, “Betapa Kita Tidak Bersyukur”, dan “Angkatlah Hati-Mu pada Tuhan”. The Karawitan Sabda Laras group is a group of members of the Indonesian Muria Christian Church (GKMI) Yogyakarta which strive for the realization of inculturation within the church environment. However, the absence of a permanent coach since 2017 has an impact on the number of members who have not increased but instead decreased, and until now there has been no strategy or method to enliven / advance the group. Training for the Karawitan Sabda Laras group is needed to improve the ability to beat the gamelan with ecclesiastical songs. The training was carried out through the ISI Yogyakarta Art Counseling program, which was held in March-August 2020. The training was initially held face-to-face, but due to the Covid-19 pandemic the training was continued online. The materials given were the songs S'mua Baik "," How We Are Not Grateful ", and" Raise Your Heart to God ". This material is given to add to the vocabulary of ecclesiastical songs. The material is given through the whatsapp group with video media (link youtube) and google site. The results of this training, among others, increase the ability and knowledge of the technique of instrument beats and work on, especially in terms of composing ecclesiastical songs using gamelan media and several variations of wasps as part of song arrangement. In addition, the participants were able to master the songs "S'mua Baik", "How We Are Not Grateful", and "Raise Your Heart to God".
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Kembaren, Duranta Diandria, and Adi Surahman. "STRUKTUR UKURAN DAN BIOLOGI POPULASI RAJUNGAN (Portunus pelagicus Linnaeus, 1758) DI PERAIRAN KEPULAUAN ARU." Jurnal Penelitian Perikanan Indonesia 1, no. 1 (March 5, 2018): 51. http://dx.doi.org/10.15578/jppi.1.1.2018.51-60.
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Penelitian struktur ukuran dan biologi populasi rajungan di perairan Kepulauan Aru telah dilakukan pada Januari-April, Juni dan Agustus-November 2016. Penelitian ini bertujuan untuk mengidentifikasi struktur ukuran dan biologi populasi yang meliputi pertumbuhan, laju kematian, dan tingkat eksploitasi rajungan. Pemahaman struktur ukuran dan biologi populasi dapat dijadikan dasar masukan untuk pengelolaan perikanan. Rata-rata ukuran lebar karapas rajungan yang tertangkap sebesar 136 mm untuk jantan dan 141 mm untuk betina. Rajungan yang tertangkap pada Januari dan Juni memiliki rata-rata ukuran yang lebih besar. Rata-rata rajungan yang tertangkap sudah melawati ukuran matang gonad (Lc = 133,4 mm > Lm = 119,9 mm). Puncak musim pemijahan terjadi pada Februari-Maret dan Agustus-September. Lebar karapas asimtosis (CW) sebesar 185 mm dengan laju pertumbuhan (K) 1,15 tahun-1 serta laju kematian total (Z) 4,94 tahun-1, laju kematian alamiah (M) 1,20 tahun-1 serta laju kematian akibat penangkapan (F) 3,74 tahun-1. Laju eksploitasi sudah berada pada kondisi lebih tangkap (E=0,76). Hasil kajian menyarankan bahwa pengelolaan perikanan rajungan perlu dilakukan secara hati-hati agar sumberdaya ini dapat lestari. Salah satu upaya yang dapat di tempuh adalah dengan menerapkan sistem penutupan musim penangkapan rajungan pada saat terjadinya puncak musim pemijahan yaitu pada Februari-Maret dan Agustus-September. Dengan demikian diharapkan proses regenerasi dan rekrutmen rajungan selalu dapat mendukung ketersedian stok sumberdaya rajungan di perairan Kepulauan Aru ini. Study on the size structure and population biology of blue swimming crab in the waters of Kepualuan Aru was conducted in January to April, June and August to November 2016. The aim of this study was to identify the size structure and population biology i.e. growth, mortality, and exploitation rate of blue swimming crab. Understanding on the size structure and population biology can be used as basic information for managing blue swimming crab fisheries. Average size of carapace width of blue swimming crab was 136 mm for male and 141 mm for female. Catch on January and June was bigger size than others months. Length at first capture was higher than length at maturity (Lc = 133,4 mm > Lm = 119,9 mm). Spawning peak season occurs in February-March and August-September. Asymptotic carapace width (CW) of blue swimming crab was 185 mm with the growth rate (K) was 1,20 year-1, total mortality (Z) was 4,94 year-1, natural mortality (M) was 1,20 year-1, and fishing mortality (F) was 3,74 year-1. Exploitation rate was exceed the sustainability limit (E = 0,76). Thus, it is needed to manage the blue swimming crab fishery with precautionary approach. Based on this study, we suggest to apply the fishing closure system at the peak of spawning season. Thus, the regeneration process and recruitment will support the availability of blue swimming crabs resource in Kepualuan Aru waters.
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Beck, C., J. L. Reyss, F. Leclerc, E. Moreno, N. Feuillet, L. Barrier, F. Beauducel, et al. "Identification of deep subaqueous co-seismic scarps through specific coeval sedimentation in Lesser Antilles: implication for seismic hazard." Natural Hazards and Earth System Sciences 12, no. 5 (May 29, 2012): 1755–67. http://dx.doi.org/10.5194/nhess-12-1755-2012.
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Abstract. During the GWADASEIS cruise (Lesser Antilles volcanic arc, February–March 2009) a very high resolution (VHR) seismic-reflection survey was performed in order to constrain Late Quaternary to Present faulting. The profiles we obtained evidence frequent "ponding" of reworked sediments in the deepest areas, similar to the deposition of Mediterranean "homogenites". These bodies are acoustically transparent (few ms t.w.t. thick) and are often deposited on the hanging walls of dominantly normal faults, at the base of scarps. Their thickness appears sufficient to compensate (i.e. bury) co-seismic scarps between successive earthquakes, resulting in a flat and horizontal sea floor through time. In a selected area (offshore Montserrat and Nevis islands), piston coring (4 to 7 m long) was dedicated to a sedimentological analysis of the most recent of these particular layers. It corresponds to non-stratified homogenous calcareous silty sand (reworked calcareous plankton and minor volcanoclastics). This layer can be up to 2 m thick, and overlies fine-grained hemipelagites. The upper centimeters of the latter represent the normal RedOx water/sediment interface. 210Pb and 137Cs activities lack in the massive sands, while a normal profile of unsupported 210Pb decrease is observed in the hemipelagite below, together with a 137Cs peak corresponding to the Atmospheric Nuclear Experiments (1962). The RedOx level was thus capped by a recent instantaneous major sedimentary event considered as post-1970 AD; candidate seismic events to explain this sedimentary deposits are either the 16 March 1985 earthquake or the 8 October 1974 one (Mw = 6.3 and Mw = 7.4, respectively). This leads to consider that the syntectonic sedimentation in this area is not continuous but results from accumulation of thick homogenites deposited after the earthquakes (as observed in the following weeks after Haiti January 2010 event, McHugh et al., 2011). The existence of such deposits suggests that, in the area of study, vertical throw likely results from cumulated effects of separated earthquakes rather than from aseismic creep. Examination of VHR profiles shows that all major co-seismic offsets are recorded in the fault growth sequence and that co-seismic offsets can be precisely estimated. By using a sedimentation rate deduced from 210Pb decrease curve (0.5 mm yr−1) and taking into account minor reworking events detected in cores, we show that the Redonda system may have been responsible for five >M6 events during the last 34 000 yr. The approach presented in this work differs from fault activity analyses using displaced sets of isochronous surfaces and postulating co-seismic offsets. Combining VHR seismic imagery and coring we can decipher co-seismic vs. slow continuous displacement, and thus actually estimate the amplitude and the time distribution of major co-seismic offsets.
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Santana, Genara, María Dolores Gil, Manauri H. Morel, Johanny Contreras, Karina Rivera, María Castillo, Pascale Yola Gassant, et al. "#42: COVID-19 in Pediatric Hemato-Oncology Patients from Three Hispaniola Hospitals." Journal of the Pediatric Infectious Diseases Society 10, Supplement_2 (June 1, 2021): S19—S20. http://dx.doi.org/10.1093/jpids/piab031.047.
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Abstract Background In late 2019, a novel coronavirus, SARS-CoV-2, was reported in China, which rapidly spread across the globe. The WHO declared a pandemic of coronavirus disease (COVID-19) in early 2020. In March, both the Dominican Republic and Haiti reported their first cases. The three pediatric oncology units (POUs) that make up the St. Jude Global Infectious Diseases Hispaniola Project began to see COVID-19 among patients in Santo Domingo in March and in both Santiago and Port-au-Prince in June. We report the experience of managing pediatric hemato-oncology patients with COVID-19 in these three POUs. Methods We added COVID-19 data to our ongoing healthcare-associated infection surveillance in the POUs of the Hispaniola Project. The population studied included all patients tested for SARS-CoV-2 by PCR and/or serological methods. Patient data was recorded on a basic line listing. Cases were categorized using a published clinical symptom severity scale and case definition criteria from the WHO and the US Centers for Disease Control and Prevention (CDC). Results In total, 31 pediatric oncology patients met either the WHO and/or CDC case definition for COVID-19. The average age was 8 years (range: 5 months to 15 years). Just over half (17, 55%) of cases were female. The most common oncology diagnosis was acute lymphoblastic leukemia in 17 of the cases, followed by acute myeloid leukemia (5) and solid tumor (4). Five (16%) cases were in the consolidation phase, 7 (23%) in induction, and 11 (35%) in maintenance. Using the symptom severity scale, 13 (32%) cases were asymptomatic; symptoms were considered mild in 14 (45%) cases, moderate in 3 (10%), severe in 0 (0%), and critical in 1 (3%). Three deaths were attributed to COVID-19. Eighteen cases met the WHO criteria, 13 (72%) of which were confirmed, 1 probable, and 4 suspected. Twenty-six cases met the CDC criteria, 13 (50%) of which were confirmed and 13 (50%) were suspected; there were 0 probable cases. Conclusions Our findings about COVID-19 in pediatric oncology patients are consistent with data reported globally that disease presentation is mostly asymptomatic or mild but with increased mortality. The high contagiousness and unpredictable clinical response of children with cancer call for rigorous measures to prevent infections in this population. In low resource settings, the scarcity of antiviral, immunologic, and supportive medications further underscores this need. Additionally, we observed differences in our data depending on which COVID-19 case criteria were used (WHO versus CDC); this highlights the importance of standardized definitions that can be used at all resource levels to promote reliable measurement of disease burden.
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Ramadhani, Laila, Tessa Oktavianti, Andriani Andriani, Nafsiah Nafsiah, Risauli Juliana Sihite, and Adi Bejo Suwardi. "Studi etnobotani ritual adat pernikahan Suku Tamiang di Desa Menanggini Kabupaten Aceh Tamiang Provinsi Aceh." Bioma : Jurnal Ilmiah Biologi 10, no. 1 (March 9, 2021): 80–92. http://dx.doi.org/10.26877/bioma.v10i1.6090.
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ABSTRAKSuku Tamiang merupakan salah satu suku yang tinggal di Kabupaten Aceh Tamiang dan masih memanfaatkan berbagai spesies tumbuhan dalam tradisi ritual adat pernikahan. Penelitian ini bertujuan untuk mendokumentasikan jenis tumbuhan yang digunakan dalam upacara adat pernikahan oleh Suku Tamiang di Desa Menanggini Kabupaten Aceh Tamiang. Penelitian dilaksanakan pada bulan Januari sampai Maret 2020 di Desa Menanggini Kabupaten Aceh Tamiang. Metode penelitian bersifat kualitatif dan kuantitatif. Pengambilan data dilakukan melalui wawancara semi terstruktur menggunakan angket dengan melibatkan 30 orang responden. Telah ditemukan sebanyak 20 spesies tumbuhan yang terdiri dari 16 famili dan 18 genus yang digunakan dalam upacara ritual adat pernikahan suku Tamiang di Desa Menaggini Kabupaten Aceh Tamiang. Bagian tumbuhan yang paling banyak digunakan adalah daun (36%), diikuti dengan batang dan buah (masing-masing 18%), biji (14%), bunga (9%), dan getah (5%). Tumbuhan tersebut sebagai simbol untuk mendapatkan ketentraman, kedamaian, rezeki, kebersihan hati, keselamatan dan ketenangan serta kelanggengan. Kata kunci: etnobotani; pernikahan; Suku Tamiang; upacara adat ABSTRACTEtnobotany study of Tamiang tribe wedding rituals in Menanggini Village Aceh Tamiang District Aceh ProvinceThe Tamiang tribe is one of the tribes that live in the Aceh Tamiang District and have been using different plant species in wedding ceremonies. This study aims to document the plants species used in wedding ceremonies by the Tamiang tribe in Menanggini Village, Aceh Tamiang District. The study was conducted in Menanggini Village, Aceh Tamiang District, from January to March 2020. Qualitative and quantitative methods are used in this study. Data was collected through semi-structured interviews using a questionnaire involving 30 respondents. A total of 20 plant species consisting of 16 families and 18 genera used in the traditional wedding ceremonies by the Tamiang tribe in Menaggini Village, Aceh Tamiang District. The most widely used parts of the plant were leaves (36%), followed by stems and fruit (18% each), seeds (14%), flowers (9%), and sap (5%). This plant is a symbol of peace, happiness, sustenance, pleasantness of the heart, safety and serenity, and conformity. Key words: ethnobotany; ritual ceremony; wedding; Tamiang Tribe
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Haitami, Haitami. "Kandungan Iodium pada Garam Dapur di Pasar Batuah Martapura Maret 2014." Medical Laboratory Technology Journal 1, no. 1 (June 1, 2015): 14. http://dx.doi.org/10.31964/mltj.v1i1.9.
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Abstract: Research on the content of iodine in salt Kitchen in the Market Martapura March 2014 aims to determine the iodine content in the salt that is sold in the market Batuah Martapura and look for compliance with quality standards ISO 01-3556.2-1994 / Rev 2000. The method used in this study is a descriptive survey. The sample used in this study is a salt-branded and not branded, with a total sampling technique sampling. The research found 67% salt containing KIO3, and 33% of salt that does not contain KIO3, KIO3 in salt levels ranged from 8.68 ppm - 79.94 ppm, 53% salt that does not qualify SNI and only 47% were eligible, 100% salt not branded ineligible SNI and 42% SALT branded ineligible SNI. The public to be cautious in buying salt consumption for everyday purposes, and to the relevant agencies to conduct outreach and firm action against violations that exist in society against the marketing of salt that does not comply with permitted.
Keywords: salt branded and not branded, Kadar KIO3
Abstrak: Penelitian tentang Kandungan Iodium pada Garam Dapur di Pasar Martapura Maret 2014 bertujuan untuk menentukan kandungan iodium yang ada pada garam dapur yang dijual di Pasar Batuah Martapura serta melihat kesesuaiannya dengan baku mutu SNI 01-3556.2-1994/Rev 2000. Metode yang digunakan dalam penelitian ini adalah Survey Deskriptif. Sampel yang digunakan dalam penelitian adalah garam bermerk dan tidak bermerk, dengan teknik pengambilan sampel secara total sampling. Hasil penelitian ditemukan 67% garam yang mengandung KIO3, dan 33% garam yang tidak mengandung KIO3, Kadar KIO3 dalam garam berkisar antara 8.68 ppm – 79.94 ppm, 53% garam yang tidak memenuhi syarat SNI dan hanya 47% yang memenuhi syarat, 100% garam tidak bermerk tidak memenuhi syarat SNI dan 42% GARAM bermerk tidak memenuhi syarat SNI. Masyarakat agar berhati-hati dalam membeli garam konsumsi untuk keperluan sehari-hari, dan kepada instansi terkait agar melakukan penyuluhan dan tindakan yang tegas terhadap pelanggaran yang ada di masyarakat terhadap pemasaran garam yang tidak sesuai dengan yang diizinkan.
Kata kunci: Garam bermerk dan tidak bermerk, Kadar KIO3
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Ostřihanský, L. "Earth's rotation variations and earthquakes 2010–2011." Solid Earth Discussions 4, no. 1 (January 19, 2012): 33–130. http://dx.doi.org/10.5194/sed-4-33-2012.
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Abstract. In contrast to unsuccessful searching (lasting over 150 years) for correlation of earthquakes with biweekly tides, the author found correlation of earthquakes with sidereal 13.66 days Earth's rotation variations expressed as length of a day (LOD) measured daily by International Earth's Rotation Service. After short mention about earthquakes M 8.8 Denali Fault Alaska 3 November 2002 triggered on LOD maximum and M 9.1 Great Sumatra earthquake 26 December 2004 triggered on LOD minimum and the full Moon, the main object of this paper are earthquakes of period 2010–June 2011: M 7.0 Haiti (12 January 2010 on LOD minimum, M 8.8 Maule Chile 12 February 2010 on LOD maximum, map constructed on the Indian plate revealing 6 earthquakes from 7 on LOD minimum in Sumatra and Andaman Sea region, M 7.1 New Zealand Christchurch 9 September 2010 on LOD minimum and M 6.3 Christchurch 21 February 2011 on LOD maximum, and M 9.1 Japan near coast of Honshu 11 March 2011 on LOD minimum. It was found that LOD minimums coincide with full or new Moon only twice in a year in solstices. To prove that determined coincidences of earthquakes and LOD extremes stated above are not accidental events, histograms were constructed of earthquake occurrences and their position on LOD graph deeply in the past, in some cases from the time the IERS (International Earth's Rotation Service) started to measure the Earth's rotation variations in 1962. Evaluations of histograms and the Schuster's test have proven that majority of earthquakes are triggered in both Earth's rotation deceleration and acceleration. Because during these coincidences evident movements of lithosphere occur, among others measured by GPS, it is concluded that Earth's rotation variations effectively contribute to the lithospheric plates movement. Retrospective overview of past earthquakes revealed that the Great Sumatra earthquake 26 December 2004 had its equivalent in the shape of LOD graph, full Moon position, and character of aftershocks 19 years earlier in difference only one day to 27 December 1985 earthquake, proving that not only sidereal 13.66 days variations but also that the 19 years Metons cycle is the period of the earthquakes occurrence. Histograms show the regular change of earthquake positions on branches of LOD graph and also the shape of histogram and number of earthquakes on LOD branches from the mid-ocean ridge can show which side of the ridge moves quicker.
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Ferguson, William J., Richard F. Louie, Chloe S. Tang, Kyaw Tha Paw U, and Gerald J. Kost. "Dynamic Temperature and Humidity Environmental Profiles: Impact for Future Emergency and Disaster Preparedness and Response." Prehospital and Disaster Medicine 29, no. 1 (January 2, 2014): 4–12. http://dx.doi.org/10.1017/s1049023x13009199.
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AbstractIntroductionDuring disasters and complex emergencies, environmental conditions can adversely affect the performance of point-of-care (POC) testing. Knowledge of these conditions can help device developers and operators understand the significance of temperature and humidity limits necessary for use of POC devices. First responders will benefit from improved performance for on-site decision making.ObjectiveTo create dynamic temperature and humidity profiles that can be used to assess the environmental robustness of POC devices, reagents, and other resources (eg, drugs), and thereby, to improve preparedness.MethodsSurface temperature and humidity data from the National Climatic Data Center (Asheville, North Carolina USA) was obtained, median hourly temperature and humidity were calculated, and then mathematically stretched profiles were created to include extreme highs and lows. Profiles were created for: (1) Banda Aceh, Indonesia at the time of the 2004 Tsunami; (2) New Orleans, Louisiana USA just before and after Hurricane Katrina made landfall in 2005; (3) Springfield, Massachusetts USA for an ambulance call during the month of January 2009; (4) Port-au-Prince, Haiti following the 2010 earthquake; (5) Sendai, Japan for the March 2011 earthquake and tsunami with comparison to the colder month of January 2011; (6) New York, New York USA after Hurricane Sandy made landfall in 2012; and (7) a 24-hour rescue from Hawaii USA to the Marshall Islands. Profiles were validated by randomly selecting 10 days and determining if (1) temperature and humidity points fell inside and (2) daily variations were encompassed. Mean kinetic temperatures (MKT) were also assessed for each profile.ResultsProfiles accurately modeled conditions during emergency and disaster events and enclosed 100% of maximum and minimum temperature and humidity points. Daily variations also were represented well with 88.6% (62/70) of temperature readings and 71.1% (54/70) of relative humidity readings falling within diurnal patterns. Days not represented well primarily had continuously high humidity. Mean kinetic temperature was useful for severity ranking.ConclusionsSimulating temperature and humidity conditions clearly reveals operational challenges encountered during disasters and emergencies. Understanding of environmental stresses and MKT leads to insights regarding operational robustness necessary for safe and accurate use of POC devices and reagents. Rescue personnel should understand these principles before performing POC testing in adverse environments.FergusonWJ, LouieRF, TangCS, Paw UKT, KostGJ. Dynamic temperature and humidity environmental profiles: impact for future emergency and disaster preparedness and response. Prehosp Disaster Med. 2014;29(1):1-8.
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Ara, R., MN Uddin, MA Wahab, L. Khondker, and MSI Khan. "Knowledge Regarding HIV/AIDS Among the Adult Population in a Rural Community." Journal of Armed Forces Medical College, Bangladesh 9, no. 1 (April 29, 2014): 90–97. http://dx.doi.org/10.3329/jafmc.v9i1.18737.
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Introduction: The consequences of HIV/AIDS are alarming. It causes not only loss of live but also social and economic disruption. Being deadly disease, HIV/AIDS has become an important issue of recent times throughout the world. To date, little is known about awareness of HIV/AIDS in Bangladesh. Objectives: To assess the level of knowledge regarding Human Immunodeficiency Virus (HIV)/ Acquired Immune Deficiency Syndrom (AIDS) among the adult population of a rural community. Place and Period of study: the study was done at Tepir Bari, Saitalia, Tengra village under Teli Hati union of Shreepur Upazilla in Gazipur district during the study period of 27 March 2010 to 31 April 2011. Materials and Methods: This cross sectional type of study was conducted with 360 respondents. Semi structured interview schedule was used for collection of information and sampling technique was selective cluster sampling. Results: Among the total 360 respondents 92.5% respondents had knowledge regarding HIV/AIDS and 7.50% had no knowledge about HIV/AIDS. The respondents who were familiar with the term of HIV/AIDS, 86.79% had gathered information from mass media. Most of respondents 83.78% consider that sexual route is the principal means of spreading HIV/AIDS. According to them the other most common ways of spreading HIV/AIDS were sharing same needle (49.55%), through blood and blood products (43.24%), vertical transmission 19.21%. Among 333 respondents,64.72% considered that the top most high risk group was commercial sex workers. 55% considered individuals sharing same needle, 40.2% thought individuals having illegal relationships, 23.33% considered unsafe blood recipients, 11.11% considered drivers, 10.28% considered frequent traveler and 15.83% respondents had no knowledge about high risk groups. Regarding the knowledge about preventing HIV/AIDS majority of respondents (64.44%) considered that the safe sexual behavior is the main way to prevent HIV/AIDS. 32.22% respondents considered using unshared needle, 28.89% respondents thought health education regarding AIDS, 26.44% individuals thought proper maintenance of religious values, 21.44% considered proper screening where as 16.11% respondents had no knowledge about preventive measures. Conclusion: Among the study subjects majority of the respondents had knowledge regarding HIV/AIDS and few had no knowledge and they need information and health education. DOI: http://dx.doi.org/10.3329/jafmc.v9i1.18737 Journal of Armed Forces Medical College Bangladesh Vol.9(1) 2013: 90-97
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Abdurakhman, R. Nur, Suzana Indragiri, and Leny Nur Setiyowati. "PENGARUH TERAPI KOMPRES HANGAT DENGAN WWZ (WARM WATER ZACK) TERHADAP NYERI PADA PASIEN DYSPEPSIA." Jurnal Kesehatan 11, no. 1 (June 24, 2020): 1462–68. http://dx.doi.org/10.38165/jk.v11i1.201.
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ABSTRAKDyspepsia merupakan suatu kondisi medis yang ditandai dengan nyeri atau rasa tidak nyaman pada perut bagian atas atau ulu hati. Hal ini yang dapat menyebabkan gangguan rasa nyaman dan aman yaitu nyeri. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi kompres hangat dengan WWZ (Warm Water Zack) terhadap nyeri pada pasien dyspepsia di RSIA Pala Raya Kabupaten Tegal Tahun 2020.Penelitian ini menggunakan rancangan penelitian Pre-eksperimental dengan tipe the one group pretest-posttest design. Populasi dalam penelitian ini adalah seluruh pasien yang didiagnosa dyspepsia sebanyak 15 pasien pada tanggal 12 - 14 Maret 2020, pengambilan sampel dengan teknik total sampling. Instrumen penelitian berupa lembar ceklist dan NRS (Numeric Rating Scale) menggunakan metode Paired T-Test.Hasil penelitian didapatkan bahwa intensitas nyeri sebelum dilakukan intervensi sebagian besar responden mengalami nyeri berat 7 - 10 (66,66%) dan intensitas nyeri setelah dilakukan intervensi adalah sebagian besar responden mengalami nyeri ringan 1 - 3 (60%). Hasil uji statistik diperoleh nilai p = 0,000 dan jika α = 0,05 maka p <α (0.000 < 0,05), yang artinya terdapat pengaruh yang signifikan antara terapi kompres hangat dengan WWZ (Warm Water Zack) terhadap nyeri pada pasien dyspepsia Kata Kunci : Terapi Kompres Hangat, WWZ (Warm Water Zack), Nyeri, Dyspepsia. ABSTRACTDyspepsia is a medical condition characterized by pain or discomfort in the upper abdomen or solar plexus. This can cause discomfort and safety, namely pain. The purpose of this study was to determine the effect of warm compress therapy with WWZ (Warm Water Zack) on pain in dyspepsia patients at RSIA Pala Raya Kabupaten Tegal 2020.This study uses a Pre-experimental research design with the type of the one group pretest-posttest design. The population in this study were all patients diagnosed with dyspepsia as many as 15 patients on March 12-14, 2020, sampling with an total sampling techniqueat. The research instruments were checklist sheets and NRS (Numeric Rating Scale) using the Paired T-Test method.The results is the intensity of pain before the intervention was done most of the respondents experienced severe pain 7 – 10 (66,66%0 and the intensity of pain after the intervention was that the majority of respondents experienced mild pain 1 – 3 (60%). Statistical test results obtained the value of p = 0,000 and if α = 0.05 then p <α (0,000 <0.05), which means there is a significant effect between warm compress therapy with WWZ (Warm Water Zack) on pain in dyspepsia patients.Keywords : Warm Compress Therapy, WWZ (Warm Water Zack), Pain, Dyspepsia.
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Brogden, Ruth, Su Wang, and Binghong Xu. "Finding the missing millions: Integrating automated viral hepatitis screening in a hospital with care and treatment in a primary care setting." Journal of Clinical Oncology 39, no. 15_suppl (May 20, 2021): 108. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.108.
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108 Background: Rates of hepatocellular carcinoma (HCC) are rising in the US. Patients at Saint Barnabas Medical Cancer Center (SBMC) present with late-stage HCC at higher rates (29%) compared to the national (16%). Chronic Hepatitis C (HCV) and Hepatitis B (HBV) are major drivers of liver cancer, yet screening rates are low. Finding these missing millions is important to reducing rates of HCC. An automated emergency department (ED) viral hepatitis (VH) screening program was initiated in 2018 at SBMC. In January 2020, it was expanded to the inpatient setting and HCV screening was modified from cohort screening (those born in 1945-65) to a one time test for anybody 18 years or over, per updated Centers for Disease Control (CDC) and USPSTF (US Preventive Services Taskforce) recommendations. Methods: The electronic medical record (EMR) was modified to automate screening. HBV testing is triggered by a patient’s country of birth or race, and HCV testing is triggered by age over 18 and no previous testing. The automated HCV (HCV Ab with reflex to HCV RNA) or HBV (HBsAg) lab orders lead to an EMR notification to the nurses of patient eligibility and education is provided to patients. Alerts of positive results are sent to nursing staff, physicians, and the patient navigator (PN). The PN is sent a real-time secure text message and works individually with patients to arrange linkage-to-care (LTC) for evaluation and treatment. Results: From March 2018 - December 2020, 44,002 patients were screened for HCV and 884 (2.0%) were HCVAb+ and 242 (0.55%) HCV RNA+. For HBV, 21,328 patients were screened and 212 (0.99%) were HBsAg+. The expanded screenings accounted for 8,716 (19.8%) of the total HCV screenings. Individuals born outside the 1945-65 birth cohort (younger and older) made up 76.2% of those screened and 41% of the infected. The top 3 countries for HBV screenings were Haiti, Jamaica, and Ecuador. LTC rates, defined as attending first medical appointment or already in care, were 86.8% for HCV and 85.4% for HBV. Of those linked to care, 43 HCV+ patients were seen at a outpatient primary care practice part of SBMC, and of those, 39 initiated HCV cure therapy and 33 were cured (confirmed sustained virologic response at 12 weeks), and 35 HBV+ patients were seen and 6 initiated treatment. Conclusions: This automated program for VH has led to a significant scale up of screening with successful LTC and treatment of patients. Expansion to universal screening of all adults and to the inpatient setting found additional viral hepatitis patients who would have otherwise been missed. In addition to the automated screening, a multidisciplinary team including internists, pharmacists, and patient navigators were part of creating a primary care based program. Integration of viral hepatitis screening and care in a hospital system can be initial steps towards establishing liver cancer prevention program.
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Gassant, Pascale Yola, Marie Immacula Fleury, Genara Santana, María Dolores Gil, Manauri H. Morel, Johanny Contreras, Karina Rivera, et al. "#44: Hand Hygiene during the COVID-19 Pandemic in Three Pediatric Oncology Units in Hispaniola Island." Journal of the Pediatric Infectious Diseases Society 10, Supplement_2 (June 1, 2021): S20. http://dx.doi.org/10.1093/jpids/piab031.048.
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Abstract Background Hand hygiene (HH) is a basic measure to prevent the spread of infections in healthcare settings. We describe HH practices and resources in three pediatric oncology units (POUs) in Haiti and the Dominican Republic that comprise the Hispaniola Project (HP1: Santiago; HP2: Santo Domingo; HP3: Port-au-Prince). This project, started in January 2019, is a quality improvement initiative in infection care and prevention in pediatric oncology. The POUs are main referral centers for pediatric oncology on the island, HP1 (24 inpatient beds) and HP2 (18 beds) are housed within large public pediatric hospitals; HP3 (17 beds) is housed in a mother/child hospital. Methods Data related to HH resources and practices are intermittently collected as part of ongoing surveillance activities at Hispaniola Project sites; standardized data collection forms track infrastructure, supplies, compliance, and training. At regular intervals, the POUs conduct the World Health Organization (WHO) hand hygiene self-assessment framework (HHSAF) to assess the level (inadequate, basic, intermediate, advanced) of their units. Additionally, the POUs monitor HH compliance indirectly via alcohol gel (AG) consumption in liters, measured monthly. HP1 and HP3 also use direct observation to monitor HH compliance. Results From baseline to September 2020, the WHO HHSAF scores increased from 65 (Inadequate) to 210 (Intermediate) at HP1, 260 (Intermediate) to 363 (Intermediate) at HP2, and 260 (Intermediate) to 270 (Intermediate) at HP3. Despite constraints imposed by COVID-19, all 3 participating POUs remained at the intermediate level (scoring 260–375). HH infrastructure, including the sink:bed and AG:patient ratios remained stable from January 2020 to present. The AG:patient ratios were 1:3, 1:1 and 10:13 at HP1, HP2, and HP3 respectively. The sink:bed ratios were 1:6, 1:5 and 5:13 at HP1, HP2 and HP3 respectively. Indirect compliance (AG consumption) was first measured in January 2020 at HP1 and has remained relatively stable from June to present. At HP2, AG consumption increased from January to February but decreased throughout the year due to lack of AG which was replaced by soap and water. AG consumption at HP3 increased from January to March, with some variation throughout the year but generally at higher levels than in 2019. Direct HH observation data are limited; however, an increased number of observations at HP1 and increased compliance rates were noted for HP1 and HP3 between January and September 2020. As the pandemic emerged, all 3 POUs increased training of staff, patients, and caretakers. Between January and April, 8 training sessions were held for 349 attendees including 235 healthcare workers (HCWs) at HP1; 13 sessions were held for 443 attendees including 61 HCWs at HP2; 15 sessions were held for 288 attendees including 87 HCWs at HP3. Since these early efforts, a smaller number of sessions with fewer attendees have been held. Conclusion During the COVID-19 pandemic, the importance of HH practice was reinforced for HCWs, patients, and caretakers. As organizations and individuals, it is essential to ensure the continuation and sustainability of HH improvement as a strategy to ensure safe healthcare even after the threat of COVID-19 has subsided.
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Hariyono, Apriliani Hardiyanti. "Ateng Japar: Sang Legenda Seni Pertunjukan Longser dan Peranannya di Kabupaten Bandung, Tahun 1975 – 2002." MIMBAR PENDIDIKAN 1, no. 1 (March 23, 2016): 87. http://dx.doi.org/10.17509/mimbardik.v1i1.1756.
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<p><strong><em>ABSTRAKSI: </em></strong><em>Penelitian ini bertujuan untuk menjelaskan peranan seorang seniman bernama Ateng Japar dalam mengembangkan seni pertunjukan Longser di Kabupaten Bandung, Jawa Barat, Indonesia, dari tahun 1975-2002. Masalah utama yang dibahas adalah bagaimana dinamika perkembangan seni pertunjukan Longser pada masa Ateng Japar, 1975-2002. Metode yang digunakan dalam penelitian ini yaitu metode historis. Hasil penelitian menunjukkan bahwa Longser merupakan seni teater rakyat yang hidup di daerah Priangan, khususnya di Kabupaten Bandung. Longser seringkali disebut sebagai seni sandiwara rakyat yang banyak menampilkan tarian-tarian berpasangan dan memberikan kesempatan kepada para penonton untuk menari bersama dengan penarinya. Pada tahun 1939, Ateng Japar mendirikan kelompok Longser yang diberi nama “Pancawarna”. Awalnya, kelompok ini melakukan pertunjukan dengan cara mengamen, namun memasuki tahun 1970-an terjadi peralihan tempat pertunjukan, yakni kedalam gedung kesenian. Pada tahun 2002, sang seniman Ateng Japar diberitakan wafat dan hal ini berdampak pada perkembangan Longser yang semakin meredup. Selain itu, masuknya pengaruh globalisasi yang diikuti oleh perubahan zaman yang semakin maju dan modern, pada akhirnya membuat seni pertunjukan Longser yang masih bertahan hingga saat ini kurang mendapat tempat di hati masyarakat luas. Eksistensi Longser semakin diperparah ketika sebagian masyarakat, terutama dari kalangan generasi muda, masih banyak yang belum mengetahui tentang seni pertunjukan Longser. </em></p><p><strong><em>KATA KUNCI:</em></strong><em> Longser, teater rakyat, Ateng Japar, perubahan zaman, dan pengaruh globalisasi.</em><em> </em></p><p><strong><em>ABSTRACT: </em></strong><em>“Ateng Japar: The Legend of Longser Performing Arts and His Roles in Bandung Regency, 1975 - 2002”.<strong> </strong>This study aims to explain the role of an artist named Ateng Japar in developing the performing arts of Longser in Bandung regency, West Java, Indonesia, in the period of 1975-2002. The main issue discussed is the development of Longser performing arts organized by Ateng Japar from 1975-2002. The method used in this research is the historical method. The results showed that Longser is the art of theater folks who live in the Priangan region, especially in Bandung regency. Longser, often referred to as a theatrical art, displays many folk dances in pairs and provide an opportunity for the audience to dance along with the dancers. In 1939, Ateng Japar established a Longser group named “Pancawarna” (five colours). Initially, this group performed by singing, but by the 1970s, there was a shift in the venue into an art gallery. In 2002, the artist Ateng Japar passed away, and his death negatively affected the development of Longser. Besides, the influence of globalization followed by a change of more advanced and modern age, eventually, makes the performing arts of Longser, although still survives today, less appreciated by the wider community. The existence of Longser is threatened when most people, especially the younger generations, do not know about the Longser.</em></p><p><strong><em>KEY WORD:</em></strong><em> Longser, people theater, Ateng Japar, change of time, and influence of globalization.</em></p><p><img src="/public/site/images/wirta/08.april_.upi_.ok_.jpg" alt="" /></p><p><strong><em>About the Author:</em></strong> <strong>Apriliani Hardiyanti Hariyono, S.Pd.</strong> adalah Alumni Departemen Pendidikan Sejarah FPIPS UPI (Fakultas Pendidikan Ilmu Pengetahuan Sosial, Universitas Pendidikan Indonesia), Jalan Dr. Setiabudhi No.229 Bandung 40154, Jawa Barat, Indonesia. Alamat emel: <a href="mailto:aprilianihardiyantihariyono@gmail.com">aprilianihardiyantihariyono@gmail.com</a></p><p><strong><em>How to cite this article?</em></strong> Hariyono, Apriliani Hardiyanti. (2016). “Ateng Japar: Sang Legenda Seni Pertunjukan <em>Longser </em>dan Peranannya di Kabupaten Bandung, Tahun 1975 – 2002” in <em>MIMBAR PENDIDIKAN: Jurnal Indonesia untuk Kajian Pendidikan</em>, Vol.1(1) Maret, pp.87-100. Bandung, Indonesia: UPI Press. <strong></strong></p><p><em><strong><em>Chronicle of the article:</em></strong> </em>Accepted (December 24, 2015); Revised (January 29, 2016); and Published (March 11, 2016).<em><br /></em></p>
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KITLV, Redactie. "Book Reviews." New West Indian Guide / Nieuwe West-Indische Gids 72, no. 1-2 (January 1, 1998): 125–99. http://dx.doi.org/10.1163/13822373-90002604.
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-Valerie I.J. Flint, Margarita Zamora, Reading Columbus. Berkeley: University of California Press, 1993. xvi + 247 pp.-Riva Berleant-Schiller, Historie Naturelle des Indes: The Drake manuscript in the Pierpont Morgan Library. New York: Norton, 1996. xxii + 272 pp.-Neil L. Whitehead, Charles Nicholl, The creature in the map: A journey to Eldorado. London: Jonathan Cape, 1995. 398 pp.-William F. Keegan, Ramón Dacal Moure ,Art and archaeology of pre-Columbian Cuba. Pittsburgh: University of Pittsburgh Press, 1996. xxiv + 134 pp., Manuel Rivero de la Calle (eds)-Michael Mullin, Stephan Palmié, Slave cultures and the cultures of slavery. Knoxville: University of Tennessee Press, 1995. xlvii + 283 pp.-Bill Maurer, Karen Fog Olwig, Small islands, large questions: Society, culture and resistance in the post-emancipation Caribbean. London: Frank Cass, 1995. viii + 200 pp.-David M. Stark, Laird W. Bergad ,The Cuban slave market, 1790-1880. Cambridge: Cambridge University Press, 1995. xxi + 245 pp., Fe Iglesias García, María Del Carmen Barcia (eds)-Susan Fernández, Tom Chaffin, Fatal glory: Narciso López and the first clandestine U.S. war against Cuba. Charlottesville: University Press of Virginia, 1996. xxii + 282 pp.-Damian J. Fernández, María Cristina García, Havana USA: Cuban exiles and Cuban Americans in South Florida, 1959-1994. Berkeley: University of California Press, 1996. xiii + 290 pp.-Myrna García-Calderón, Carmen Luisa Justiniano, Con valor y a cómo dé lugar: Memorias de una jíbara puertorriqueña. Río Piedras: Editorial de la Universidad de Puerto Rico, 1994. 538 pp.-Jorge Pérez-Rolon, Ruth Glasser, My music is my flag: Puerto Rican musicians and their New York communities , 1917-1940. Los Angeles: University of California Press, 1995. xxiv + 253 pp.-Lauren Derby, Emelio Betances, State and society in the Dominican Republic. 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Glazier, Howard Gregory, Caribbean theology: Preparing for the challenges ahead. Mona, Kingston: Canoe Press, University of the West Indies, 1995. xx + 118 pp.-Lise Winer, Richard Allsopp, Dictionary of Caribbean English usage. With a French and Spanish supplement edited by Jeanette Allsopp. Oxford: Oxford University Press, 1996. lxxviii + 697 pp.-Geneviève Escure, Jacques Arends ,Pidgins and Creoles: An introduction. Amsterdam/Philadelphia: John Benjamins, 1995. xiv + 412 pp., Pieter Muysken, Norval Smith (eds)-Jacques Arends, Angela Bartens, Die iberoromanisch-basierten Kreolsprachen: Ansätze der linguistischen Beschreibung. Frankfurt am Main: Peter Lang, 1995. vii + 345 pp.-J. Michael Dash, Richard D.E. Burton, Le roman marron: Études sur la littérature martiniquaise contemporaine. Paris: L'Harmattan. 1997. 282 pp.
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Olusola, Adesanya Ibiyinka. "Esther: Biblical Model for Women Leadership Role in Contemporary Nigeria." MIMBAR PENDIDIKAN 1, no. 1 (March 23, 2016): 77. http://dx.doi.org/10.17509/mimbardik.v1i1.1755.
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<p><strong><em>ABSTRACT</em></strong><strong><em>: </em></strong><em>The paper examined critically the story of Esther in the Bible</em><em>,</em><em> who delivered her nation when they were being threatened with total annihilation</em><em>. </em><em>The patriotism, faith, prayer</em><em>,</em><em> and determination she combined to deliver her nation were examined. With the background story of Esther given, the paper noted that leaders of women’s groups could use Esther as a role model to rescue Nigeria from total collapse</em><em>,</em><em> especially now that the peace of the nation is being threatened by Boko Haram insurgency. To make this more challenging to the women folk, the paper appraised the positive contributions of some women in the pre</em><em>-</em><em>colonial, colonial</em><em>,</em><em> and post</em><em>-</em><em>colonial period</em><em>s</em><em>. The paper observed that women who were appointed to the key administrative and political positions at this period performed creditably. However, the paper observed that some women started off well, but veered off to corruption. It is</em><em>,</em><em> therefore</em><em>,</em><em> noted that the fact that some women did not play their roles correctly does not mean there could</em><em> </em><em>n</em><em>o</em><em>t be a change. It is against this background that the paper recommended Biblical leadership model of Esther</em><em>,</em><em> which </em><em>is a</em><em> model of determination, self</em><em>-</em><em>sacrifice, prayer, humility</em><em>,</em><em> and righteousness. Equally</em><em>,</em><em> women were encouraged to use their positions to </em><em>improve, although</em><em> the</em><em>y are</em><em> the less privileged in the society</em><em>,</em><em> and to always take advantage of any circumstance.</em></p><p><strong><em>K</em></strong><strong><em>EY</em></strong><strong><em> </em></strong><strong><em>WORD</em></strong><em>: </em><em>E</em><em>sther</em><em>,</em><em> women leadership</em><em>,</em><em> role model</em><em>,</em><em> patriotism,</em><em> </em><em>and </em><em>self</em><em>-</em><em>sacrifice.</em><em> </em></p><p><strong><em>ABTRAKSI: “</em></strong><em>Esther: Teladan dalam Alkitab untuk Peran Kepemimpinan Perempuan di Negara Nigeria Kini”. Makalah ini mengkaji secara kritis kisah Ester dalam Alkitab, yang menyelamatkan bangsanya ketika terancam dalam kehancuran total. Patriotisme, iman, doa, dan tekad yang Esther lakukan untuk membebaskan bangsanya itu dikaji dalam penelitian ini. Dengan latar belakang cerita Ester, makalah ini mencatat bahwa pemimpin kelompok perempuan bisa menggunakan Esther sebagai model atau teladan untuk menyelamatkan Nigeria dari kehancuran total, terutama sekarang ini karena perdamaian bangsa sedang terancam oleh pemberontakan Boko Haram. Untuk menjadikan hal ini lebih menantang bagi kaum perempuan, makalah ini menilai kontribusi positif dari beberapa wanita pada zaman pra-kolonial, zaman kolonial, dan zaman pasca-kolonial. Makalah ini mengamati bahwa wanita yang ditunjuk untuk menempati posisi administrasi dan politik penting pada periode ini dapat dipercaya. Namun, makalah ini juga mengamati bahwa beberapa wanita memulainya dengan baik, tetapi kemudian melakukan penyimpangan dalam korupsi. Oleh karena itu, perlu dicatat bahwa fakta beberapa wanita tidak memainkan peran mereka dengan benar tidak pula berarti bahwa perubahan tidak mungkin. Dengan latar belakang ini, makalah merekomendasikan model kepemimpinan Esther dalam Alkitab, yang merupakan teladan dalam keteguhan, pengorbanan diri, doa, kerendahan hati, dan kebenaran. Semua perempuan didorong untuk sama-sama menggunakan posisi mereka agar lebih baik, meskipun mereka adalah orang yang kurang beruntung dalam masyarakat, dan untuk selalu mengambil keuntungan dari setiap keadaan.</em></p><p><strong><em>KATA KUNCI</em></strong><em>: Esther, kepemimpinan wanita, teladan, patriotisme, dan pengorbanan diri.</em></p><p><img src="/public/site/images/wirta/07.adesanya_.ng_.ok_.jpg" alt="" /></p><p><strong><em>About the Author:</em></strong> <strong>Dr. Adesanya Ibiyinka Olusola</strong> is a Lecturer at the Department of Religious Studies, Ekiti State University, Ado-Ekiti, Nigeria. For academic interests, the author is able to be contacted via mobile phone at: +2348133946799 or e-mail at: <a href="mailto:olusolaibiyinka@yahoo.com">olusolaibiyinka@yahoo.com</a></p><p><strong><em>How to cite this article?</em></strong> Olusola, Adesanya Ibiyinka. (2016). “Esther: Biblical Model for Women Leadership Role in Contemporary Nigeria” in <em>MIMBAR PENDIDIKAN</em><em>: </em><em>Jurnal Indonesia untuk Kajian Pendidikan</em>, Vol.1(1) Maret, pp.77-86. Bandung, Indonesia: UPI Press. <strong></strong></p><p><em><strong><em>Chronicle of the article:</em></strong> </em>Accepted (February 11, 2016); Revised (February 21, 2016); and Published (March 11, 2016).<em><br /></em></p>
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Lemay-Hébert, Nicolas, and Rosa Freedman. "Appraising the Socio-Economic Turn in Reparations: Transitional Justice for Cholera Victims in Haiti." International Journal of Transitional Justice, August 18, 2021. http://dx.doi.org/10.1093/ijtj/ijab020.
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Abstract∞ After belatedly apologizing for the cholera epidemic in Haiti, the ‘New Approach to Cholera in Haiti’ by the UN and the promise of material assistance to victims through a ‘victim-centred approach’ highlight how the victims turn and the socio-economic turn are increasingly pivotal in the field of transitional justice. In light of these growing calls, we suggest a matrix to clarify the debate made of two separate dimensions: the focus of reparations – collective versus individual – and the means of reparations – symbolic versus material. Based on fieldwork conducted in March 2017 in the communities most affected by the cholera outbreak, this article demonstrates how the tensions between reparations offered by the UN (with a preference for collective symbolic reparations) and the reparations demanded by the victims (individual material reparations) can help understand the current stalemate in Haiti, and hopefully inform the next steps in the process of remedy for the victims.
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Michel, Daphnee, Lucainson Raymond, Ammcise Apply, Daphenide Daphenide St Louis, Ketty Balthazard-Accou, Max Francois Millien, and Evens Emmanuel. "Contribution to the Diagnostic Study of Intestinal Parasitosis, Haiti." European Scientific Journal ESJ 17, no. 17 (May 31, 2021). http://dx.doi.org/10.19044/esj.2021.v17n17p64.
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Parasitic intestinal diseases are widespread in the world with a higher prevalence in developing countries. They are generally a serious public health problem in tropical countries. In October 2020, a cross-sectional study was undertaken to determine the prevalence of intestinal parasites in patients visiting Fermathe Hospital in Haiti. Data were collected on stool results with the presence of parasites and we used systematic sampling for further information regarding patients with parasitology problems. A summary field survey was also carried out in the surrounding areas with more cases recorded such as Corail, Calbasse, Fort Jacques, Center / Marché Kenscoff, Doco, and Douret for direct observations of the inventory and voluntary interviews with the residents of the area on hygiene practices. The prevalence of intestinal parasites was 31.26% and the most common species were: Endolimax nana (39.13%), followed by Blastocystis hominis (14%), Blastocystis hominis / Giardia intestinales (12.07%), Entamoeba coli (5.31%), and others like Iodamoeba butschlii, Ascaris lumbricoides or combined parasites were less than 5%. The field survey revealed a strong relationship between parasitosis and drinking water, parasitosis, and place of defecation. Although there are health centers in the area, many people use self-medication or empiric therapy. The study highlights the important causes of gastrointestinal disorders that present themselves in this hospital and confirms intestinal parasitosis as a major public health problem in Haiti.
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Açma, Ayşe, Anita Williams, Ernestina Repetto, Sèrgio Cabral, Temmy Sunyoto, Sophie Cherestal Woolley, and Gabane Mahama. "Prevalence of MDR bacteria in an acute trauma hospital in Port-au-Prince, Haiti: a retrospective analysis from 2012 to 2018." JAC-Antimicrobial Resistance 3, no. 3 (July 12, 2021). http://dx.doi.org/10.1093/jacamr/dlab140.
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Abstract Background Antibiotic resistance (ABR) is recognized as an increasing threat to global health. Haiti declared ABR an emerging public health threat in 2018, however, the current surveillance system is limited. We described the microbiological data from a Médecins Sans Frontières trauma hospital, to increase knowledge on ABR in Haiti for similar facilities. Methods A retrospective cross-sectional analysis of routine microbiological data of samples taken from patients admitted to the inpatient ward or followed up in the outpatient clinic of the trauma hospital from March 2012 to December 2018. Resistance trends were analysed per isolate and compared over the 7 year period. Results Among 1742 isolates, the most common samples were pus (53.4%), wound swabs (30.5%) and blood (6.9%). The most frequently detected bacteria from these sample types were Staphylococcus aureus (21.9%), Pseudomonas aeruginosa (20.9%) and Klebsiella pneumoniae (16.7%). MDR bacteria (32.0%), ESBL-producing bacteria (39.1%), MRSA (24.1%) and carbapenem-resistant Enterobacteriaceae (CRE) species (2.6%) were all detected. Between 2012 and 2018 the number of ESBL isolates significantly increased from 3.2% to 42.9% (P = 0.0001), and resistance to clindamycin in MSSA isolates rose from 3.7% to 29.6% (P = 0.003). Two critical WHO priority pathogens (ESBL-producing CRE and carbapenem-resistant P. aeruginosa) were also detected. Conclusions Over a 7 year period, a high prevalence of MDR bacteria was observed, while ESBL-producing bacteria showed a significantly increasing trend. ABR surveillance is important to inform clinical decisions, treatment guidelines and infection prevention and control practices.
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Hadinata, Rahadiyan, Elvie Loho, and Joan F. J. Timban. "GAMBARAN ULTRASONOGRAFI HEPAR DI BAGIAN RADIOLOGI FK UNSRAT BLU RSUP PROF.DR. R. D. KANDOU MANADO PERIODE MARET – JUNI 2014." e-CliniC 3, no. 1 (February 11, 2015). http://dx.doi.org/10.35790/ecl.3.1.2015.6830.
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Abstract: Ultrasonography of the liver is an accurate imaging modality for focal or diffuse liver disease, determine the primary tumor staging, detecting secondary deposits, investigation of calculus and jaundice, and as an aid in liver biopsy or interventional procedures. The purpose of this study was to describe the results of liver ultrasonography in the Department of Radiology of Prof. Dr RD Kandou Hospital Manado from March 1 to June 30, 2014. This study is a retrospective descriptive study by using secondary data from medical records contained in the department of radiology BLU Prof. Dr. R. D. Kandou Manado from March to June 2014. Overall hepatic ultrasonography results found 77 picture, with a picture of the liver more in women (19.5 %). Conclusions: Abnormal liver ultrasound picture of the highest in the age group 36-45 years, 46-55 years, 56-65 years (23.4 %). Most liver ultrasound appearance is an appearance of fatty liver ultrasonography (37.7 %). We recommend that patients come with complaints such as chronic abdominal pain, and repeatedly confirmed the cause through the abdominal ultrasound examination, to help diagnose, exclude other abdominal disorders and prevent displacement cause abdominal pain.Keywords: liver ultrasonography, liver diseaseAbstrak: Ultrasonografi hepar merupakan modalitas pencitraan yang akurat untuk penyakit hati fokal atau difus, menentukan staging tumor primer, mendeteksi deposit sekunder, pemeriksaan penunjang untuk kalkulus dan jaundice, dan sebagai bantuan pada biopsi hati atau prosedur intervensional. Tujuan Penelitian ini untuk mengetahui gambaran hasil Ultrasonografi hepar di Bagian Radiologi FK UNSRAT/SMF Radiologi BLU RSUP Prof. Dr. R. D. Kandou Manado Periode 1 Maret – 30 Juni 2014. Penelitian ini merupakan penelitian deskriptif retrospektif dengan memanfaatkan data sekunder berupa catatan medik yang terdapat di Bagian Radiologi BLU RSUP Prof. Dr. R. D. Kandou Manado Periode Maret – Juni 2014. Keseluruhan hasil Ultrasonografi hepar ditemukan 77 gambaran, dengan gambaran hepar lebih banyak pada perempuan (19,5%). Simpulan: Gambaran USG hepar abnormal terbanyak pada kelompok umur 36 – 45 tahun, 46 – 55 tahun, 56 – 65 tahun (23,4%). Gambaran USG hepar terbanyak adalah gambaran USG Fatty Liver (37,7%). Sebaiknya pasien yang datang dengan keluhan seperti nyeri abdomen yang kronik, dan berulang dipastikan penyebabnya melalui pemeriksaan USG abdomen, Untuk membantu mendiagnosis, menyingkirkan kemungkinan kelainan abdomen lainnya dan mencegah memberatnya penyebab nyeri abdomen.Kata kunci: Ultrasonografi Hepar, Penyakit Hepar
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Smith, Caleigh, Vanessa Rivera, Jean Joscar Victor, Lookens Pierre, Fabyola Preval, Rode Secours, Rosie Tilus, et al. "Abstract P303: Use of Community Health Workers for Community-based Hypertension Screening in Urban Haiti." Circulation 141, Suppl_1 (March 3, 2020). http://dx.doi.org/10.1161/circ.141.suppl_1.p303.
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Background: Cardiovascular disease is the leading cause of mortality among Haitian adults, and hypertension (HTN) is the most important CVD risk factor, as in other resource-poor countries. The majority of Haitians have never been screened for hypertension and access to clinic-based services is limited. Methods: Twenty-eight Haitian community health workers (CHW) conducted household-based HTN screening within a population-based longitudinal cohort study of 3,000 adults in metropolitan Port-au-Prince. Randomly selected GPS locations across census blocks were selected in proportion to the estimated population of each block. One household at each waypoint was selected systematically and CHW collected household information and conducted three blood pressure measurements the same day on all adult household members (≥ 18 years) present at the time of the survey using AHA guidelines. Adults with HTN were referred to the GHESKIO clinic for repeat BP measurement and treatment. Results: Between March and September 2019, 585 households provided verbal consent for surveys and BP screening (97% response rate). These households had a total of 2542 people (1777 adults) with the median number of adults per household being 3 (IQR 2-4; range 1-9). A total of 913 adults (51%) were present at the time of survey, and all agreed to blood pressure screening. The majority were women (70%) with a median age of 36 years (IQR 27-52). Hypertension prevalence (SBP > 140 and/or DBP > 90) was 25.3% (15.5% Stage I, 9.8% Stage II). Figure 1 reports HTN prevalence by age group (18-30, 31-45, 46-60, >60) and by sex, with HTN increasing by age group but without significant variation by sex. Conclusion: Community blood pressure screening is feasible and highly acceptable in Port-au-Prince, Haiti. Preliminary results show high rates of HTN among a population with limited access to screening, diagnosis and treatment. Further research is urgently needed to design linkage to care strategies and effective treatment interventions to curb the HTN epidemic in Haiti.
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Benjamin, Francklin, Katiana Jean, Renando Antoine, Marc Prou, Max Millien, Ketty Balthazard-Accou, and Evens Emmanuel. "COVID-19: Perception of the Pandemic and the Importance of Barrier Measures by the Fruit and Vegetable Sellers of Port-Au-Prince." European Scientific Journal ESJ 17, no. 5 (February 28, 2021). http://dx.doi.org/10.19044/esj.2021.v17n5p165.
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Covid-19 has triggered an unprecedented crisis that not only concerns health, it is also an economic, social, political and possibly humanitarian crisis. In March 2020, the WHO declared the disease to be pandemic and recommended the application of barrier measures. The research question here is to establish the level of social perception of fruit and vegetable sellers of the application of barrier measures in Haiti. This study was based on a mainly qualitative approach. A survey was carried out on a random sample of 50 fruit and vegetable sellers, a vulnerable social category of the metropolitan region of Port-au-Prince (RMPP). 98% of the population studied were women; 92% of them came from rural areas. Only 4% of the respondents declared that they practiced physical distancing versus 96% who declared that they were not able to practice it, or place one of their family members in quarantine. It appears pertinent to grasp, in future, the perception of COVID-19 by the Haitian population on the basis of a comparative approach that places several social classes and several economic activities in the contexts of their respective situations.
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MacDonald, Tonya, Olès Dorcely, Joycelyne E. Ewusie, Elizabeth K. Darling, Sandra Moll, and Lawrence Mbuagbaw. "The effect of a new maternity unit on maternal outcomes in rural Haiti: an interrupted time series study." BMC Pregnancy and Childbirth 21, no. 1 (September 4, 2021). http://dx.doi.org/10.1186/s12884-021-04062-3.
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Abstract Background In Haiti where there are high rates of maternal and neonatal mortality, efforts to reduce mortality and improve maternal newborn child health (MNCH) must be tracked and monitored to measure their success. At a rural Haitian hospital, local surveillance efforts allowed for the capture of MNCH indicators. In March 2018, a new stand-alone maternity unit was opened, with increased staff, personnel, and physical space. We aimed to determine if the new maternity unit brought about improvements in maternal and neonatal outcomes. Methods We conducted an interrupted time series analysis using data collected between July 2016 and October 2019 including 20 months before the opening of the maternity unit and 20 months after. We examined maternal-neonatal outcomes such as physiological (vaginal) births, caesarean birth, postpartum hemorrhage (PPH), maternal deaths, stillbirths and undesirable outcomes (eclampsia, PPH, perineal laceration, postpartum infection, maternal death or stillbirth). Results Immediately after the opening of the new maternity, the number of physiological births decreased by 7.0% (β = − 0.070; 95% CI: − 0.110 to − 0.029; p = 0.001) and there was an increase of 6.7% in caesarean births (β = 0.067; 95% CI: 0.026 to 0.107; p = 0.002). For all undesirable outcomes, preintervention there was an increasing trend of 1.8% (β = 0.018; 95% CI: 0.013 to 0.024; p < 0.001), an immediate 14.4% decrease after the intervention (β = − 0.144; 95% CI: − 0.255 to − 0.033; p = 0.012), and a decreasing trend of 1.8% through the postintervention period (β = − 0.018; 95% CI: − 0.026 to − 0.009; p < 0.001). No other significant level or trend changes were noted. Conclusions The new maternity unit led to an upward trend in caesarean births yet an overall reduction in all undesirable maternal and neonatal outcomes. The new maternity unit at this rural Haitian hospital positively impacted and improved maternal and neonatal outcomes.