Browsing by Subject "Global Health"
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Item Development and collaborations of a nursing workgroup within a bilateral global medical consortium(Sigma, 2020) Reid, Davika D.; von Gaudecker, Jane R.; Sila, Faith M.; Zuniga, Julie A.; Haskett, Lindsay A.; Tarus, Titus K.; Kyololo, O'Brian; Chelagat, Dinah J.; Abbyad, Christine W.; Garcia, Alexandra A.; Buelow, JaniceWe describe the formation of a bilateral nursing workgroup within a global medical consortium of North American and Kenyan healthcare providers and detail our collaboration to advance nursing care, education, and research to improve patient outcomes across a variety of specialties in acute care and community settings in both countries.Item Establishing a Low-Resource Simulation Emergency Medicine Curriculum in Nepal(Association of American Medical Colleges, 2020-07-15) Wang, Alfred; Saltarelli, Nicholas; Cooper, Dylan; Amatya, Yogendra; House, Darlene R.; Emergency Medicine, School of MedicineIntroduction High-fidelity medical simulation is widely used in emergency medicine training because it mirrors the fast-paced environment of the emergency department (ED). However, simulation is not common in emergency medicine training programs in lower-resourced countries as cost, availability of resources, and faculty experience are potential limitations. We initiated a simulation curriculum in a low-resource environment. Methods We created a simulation lab for medical officers and students on their emergency medicine rotation at a teaching hospital in Patan, Nepal, with 48,000 ED patient visits per year. We set up a simulation lab consisting of a room with one manikin, an intubation trainer, and a projector displaying a simulation cardiac monitor. In this environment, we ran a total of eight cases over 4 simulation days. Debriefing was done at the end of each case. At the end of the curriculum, an electronic survey was delivered to the medical officers to seek improvement for future cases. Results All eight cases were well received, and learners appreciated the safe learning space and teamwork. Of note, the first simulation case that was run (the airway lab) was more difficult for learners due to lack of experience. Survey feedback included improving the debriefing content and adding further procedural skills training. Discussion Simulation is a valuable experience for learners in any environment. Although resources may be limited abroad, a sustainable simulation lab can be constructed and potItem Global Health Partnerships During the COVID-19 Pandemic: Perspectives and Insights from International Partners(ASTMH, 2021-08) McHenry, Megan S.; Tam, Reena P.; Nafiseh, Amira A.; Etling, Mary Ann; Barnes, Adelaide E.; Rule, Amy R. L.; Crouse, Heather L.; Haq, Heather; Morris, Lee E.; Murray, Brittany L.; Umphrey, Lisa A.; Keating, Elizabeth M.; Pediatrics, School of MedicineGlobal health partnerships (GHPs) have encountered many challenges during the coronavirus disease 2019 (COVID-19) pandemic. New perspectives and insights are needed to guide GHPs when navigating current and future collaborations. This study aimed to understand perspectives and insights of international partners regarding how the COVID-19 pandemic impacted their GHPs with institutions in the United States. We performed a cross-sectional qualitative study conducted through virtual semi-structured interviews performed between June 12, 2020 and July 22, 2020. We queried academic institutions based in the United States to refer individuals from their corresponding international GHP organizations. We invited these individuals to participate in virtual interviews that were audio-recorded and transcribed. We analyzed data qualitatively to identify themes. Eighty-four United States partners provided e-mail addresses for international partners. Ten individuals from these GHPs completed the interview. Participants reported overall positive experiences with their United States-based partners during the pandemic. The following themes emerged: imbalanced decision-making; worry about partnership continuity; opportunity to optimize communication within partnerships; interest in incorporating technology to facilitate engagement; and a desire for increased bilateral exchanges. Several challenges appeared to exist before COVID-19 and were highlighted by the pandemic. Most respondents were optimistic regarding the future of their GHPs. However, concerns were expressed regarding the implications of fewer in-person international experiences with United States trainees and the desire for stronger communication. Although our results do not represent the perspectives and insights of all GHPs, they provide considerations for the future. We urge institutions in the United States to re-examine and strive for equitable relationships with their international partners.Item Global Trends of Monkeypox-Related Articles: A Bibliometric Analysis Over the Last Five Decades (1964 – July 14, 2022)(Elsevier, 2023) Kamal, Manar Ahmed; Farahat, Ramadan Abdelmoez; Awad, Ahmed K.; Tabassum, Shehroze; Labieb, Fatma; Bejan, Cosmin A.; Al-Tawfiq, Jaffar A.; Dhama, Kuldeep; Dergaa, Ismail; Medicine, School of MedicineBackground: The first human monkeypox (MPX) case was identified in the Democratic Republic of Congo (DRC) in 1970 with an outbreak in 2010 and the first human MPX case in the UK in 2022. In this study, we conducted a bibliometric analysis of the literature on monkeypox based on the Web of Science Core Collection (WOSCC) of the Institute for Scientific Information (ISI) to identify relevant topics and trends in monkeypox research. Methods: We searched the Web of Science from 1964 until July 14, 2022, for all publications using the keywords "Monkeypox" and "Monkeypox virus." Results were compared using numerous bibliometric methodologies and stratified by journal, author, year, institution, and country-specific metrics. Results: Out of 1170 publications initially selected, 1163 entered our analysis, with 65.26 % (n = 759) being original research articles and 9.37 % (n = 109) being review articles. Most MPX publications were in 2010, with 6.02 % (n = 70), followed by 2009 and 2022 at 5.67 % (n = 66) each. The USA was the country with the highest number of publications, with n = 662 (56.92 %) of total publications, followed by Germany with n = 82 (7.05 %), the UK with n = 74 (6.36 %), and Congo with n = 65 (5.59 %). Journal of Virology published the highest number of MPX publications, followed by Virology Journal and Emerging Infectious Diseases with n = 52 (9.25 %), n = 43 (7.65 %), and n = 32 (5.69 %) publications, respectively. The top contributing institutions were the Centers for Disease Control and Prevention (CDC), the US Army Medical Research Institute of Infectious Diseases, and the National Institutes of Health (NIH)National Institute of Allergy and Infectious Diseases (NIAID). Conclusion: Our analysis provides an objective and robust overview of the current literature on MPX and its global trends; this information could serve as a reference guide for those aiming to conduct further MPX-related research and as a source for those seeking information about MPX.Item Helping Mothers Survive: Implementing the Bleeding After Birth Program at the John F. Kennedy Medical Center in Monrovia, Liberia(2017-05-01) McDaniel, Paige E.While significant throughout Sub-Saharan Africa, the West African country of Liberia suffers from one of the highest maternal mortality rates in the world. Here, the lifetime risk of a woman dying as a result of pregnancy or childbirth complications is 1 in 24. Although pregnancy-related hypertension conditions, anemia, infection, and unsafe abortion all attribute significantly to maternal death, postpartum hemorrhage – heavy, life-threatening bleeding after childbirth – is the leading cause of maternal mortality globally. Research suggests that active management of the third stage of labor (AMTSL), a practice that shortens the length of time from the delivery of the baby to the delivery of the placenta through the use of medications and manual interventions on the part of the provider, can significantly reduce the incidence of postpartum hemorrhage where necessary resources are available and where health workers receive training in using AMTSL. The Helping Mothers Survive – Bleeding after Birth (HMS-BAB) program is a didactic and simulator-based training package for frontline maternity providers to equip them with the knowledge and skills needed to prevent mothers from dying on the day of birth. The program is centered on the evidence-based practice of AMTSL for hemorrhage prevention, as well as the necessary steps to engage should a postpartum hemorrhage occur. Recent research suggests the HMS-BAB program significantly improves a provider’s knowledge, skill, and confidence in managing postpartum hemorrhage, both initially as well as over time. The following describes the implementation process to bring the HMS-BAB Program to the John F Kennedy Medical Center in Monrovia, Liberia’s. This tertiary-care medical campus includes a 139-bed women and infant hospital and neonatal intensive care unit where Certified Midwives attend the vast majority of vaginal deliveries. The HMS-BAB program was introduced there in January, 2016, and successfully trained over 92% of the midwives working in the maternity hospital. While knowledge and skill gaps related to AMTSL practice were identified, midwives who completed the program reported improved self-efficacy and intent to incorporate AMTSL techniques into their practice. A clinical guideline was created and given to the administrators, nurses, and physicians of the maternity hospital to reinforce and sustain this change in practice.Item "The History Of Blood Transfusion in Sub-Saharan Africa"(2010-09-24) Schneider, William H.Item Next generation -- the key to sustainable health care?(TEDxIndianapolis (http://www.tedxindianapolis.com/), 2014-10-21) Oruche, Ukamaka M.This talk was given at a local TEDx event, produced independently of the TED Conferences. Volunteers from the United States commit thousands of hours in medical missions annually to people across the globe. I’ve led volunteers to Nigeria for 10 years. How to provide sustained health care services over the long haul is our most difficult challenge. A shift from short-term to long-term provision of health care services is needed. Fully engaging the next generation of adults in the United States and the recipient countries is the key to this effort. Their openness to cultural diversity and fresh ideas will be critically important to ensuring sustainable health care.Item Preparing Nurse Practitioner Students to Recognize Health Inequities and Global Health Issues(2022-07-24) Oruche, Ukamaka M.; Moorman, Meg; deRose, Barbara; Berlanga King, Gloria; Antisdel, J'AndraThis is a quality improvement project to enhance the preparation of advanced practice or master's level nursing students training for workplace readiness to serve ALL patients and advance health equity locally and globally.Item Successful Global Health Research Partnerships: What Makes Them Work?(American Society of Tropical Medicine and Hygiene, 2016-01) John, Chandy C.; Ayodo, George; Musoke, Philippa; Department of Pediatrics, IU School of MedicineThere are many successful global health research partnerships, but little information is available about what makes them successful. We asked 14 research colleagues from Uganda, Kenya, and the United States who have extensive global health research experience about what they considered the top three factors that led to or impeded successful international research collaborations. Four key factors were identified: 1) mutual respect and benefit, 2) trust, 3) good communication, and 4) clear partner roles and expectations. Initial and ongoing assessment of these factors in global health research partnerships may prevent misunderstandings and foster a collaborative environment that leads to successful research.Item Time to Reflect on Global Health Agenda in Kenya: A Tribute to our Academic and Biomedical Research Mentors(Project Muse, 2021-05) Ondigo, Bartholomew N.; Moormann, Ann M.; John, Chandy C.; Pediatrics, School of MedicineWe submit this column to present a brief biography, a tribute to three departed global health mentors who were instrumental in our careers and for the growth of biomedical research in Kenya. We briefly discuss their educational backgrounds and put forth a set of qualities, values, personal supportive experiences, and achievements that nurtured our careers as scientists. The mentors are Prof. Ayub Opiyo Ofulla, Dr. John F. Kennedy Vulule, and Dr. Peter Odada Sumba. We appeal to the community of researchers in biomedical sciences, global health, and epidemiology who study a particular disease or health risk (conducting interventional and observational research) to mentor, teach, and serve as role models for upcoming scholars. There is a need for a positive and supportive attitude to create a universal environment to nurture the next generation of researchers transcending race, color, nationality, ethnicity, culture, faith, gender identities, sexual orientation, age, ability, and background.