sh Long COVID, Big Bills: Grim Legacy of Even Short Hospital Stays By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Long COVID, Big Bills: Grim Legacy of Even Short Hospital StaysCategory: Health NewsCreated: 8/25/2021 12:00:00 AMLast Editorial Review: 8/26/2021 12:00:00 AM Full Article
sh Pentagon Says Troops Must Start Lining Up Now for COVID Shots By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Pentagon Says Troops Must Start Lining Up Now for COVID ShotsCategory: Health NewsCreated: 8/25/2021 12:00:00 AMLast Editorial Review: 8/26/2021 12:00:00 AM Full Article
sh Pfizer Asks FDA to Approve Omicron-Specific Booster Shot By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Pfizer Asks FDA to Approve Omicron-Specific Booster ShotCategory: Health NewsCreated: 8/22/2022 12:00:00 AMLast Editorial Review: 8/23/2022 12:00:00 AM Full Article
sh COVID Incubation Shorter With Each New Variant By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: COVID Incubation Shorter With Each New VariantCategory: Health NewsCreated: 8/23/2022 12:00:00 AMLast Editorial Review: 8/23/2022 12:00:00 AM Full Article
sh Regular Exercise Can Help Shield You From Severe COVID By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Regular Exercise Can Help Shield You From Severe COVIDCategory: Health NewsCreated: 8/23/2022 12:00:00 AMLast Editorial Review: 8/23/2022 12:00:00 AM Full Article
sh Pfizer COVID Shots 73% Protective in Kids Under 5 By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Pfizer COVID Shots 73% Protective in Kids Under 5Category: Health NewsCreated: 8/24/2022 12:00:00 AMLast Editorial Review: 8/24/2022 12:00:00 AM Full Article
sh Unrelated Folks Who Look Alike Share Similar DNA By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Unrelated Folks Who Look Alike Share Similar DNACategory: Health NewsCreated: 8/23/2022 12:00:00 AMLast Editorial Review: 8/24/2022 12:00:00 AM Full Article
sh Poor Sleep Can Make Folks Selfish, Study Finds By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Poor Sleep Can Make Folks Selfish, Study FindsCategory: Health NewsCreated: 8/24/2022 12:00:00 AMLast Editorial Review: 8/24/2022 12:00:00 AM Full Article
sh Another Study Shows COVID's Danger to Pregnant Women By www.medicinenet.com Published On :: Thu, 11 Aug 2022 00:00:00 PDT Title: Another Study Shows COVID's Danger to Pregnant WomenCategory: Health NewsCreated: 8/11/2022 12:00:00 AMLast Editorial Review: 8/11/2022 12:00:00 AM Full Article
sh Taking a Shot at Pain Relief After Knee Replacement By www.medicinenet.com Published On :: Fri, 19 Aug 2022 00:00:00 PDT Title: Taking a Shot at Pain Relief After Knee ReplacementCategory: Health NewsCreated: 8/18/2022 12:00:00 AMLast Editorial Review: 8/19/2022 12:00:00 AM Full Article
sh Pill to Counter Lupus Shows Promise in Mouse Study By www.medicinenet.com Published On :: Thu, 25 Aug 2022 00:00:00 PDT Title: Pill to Counter Lupus Shows Promise in Mouse StudyCategory: Health NewsCreated: 8/25/2022 12:00:00 AMLast Editorial Review: 8/25/2022 12:00:00 AM Full Article
sh When Should I Be Concerned About My Sick Baby? By www.medicinenet.com Published On :: Tue, 23 Aug 2022 00:00:00 PDT Title: When Should I Be Concerned About My Sick Baby?Category: Diseases and ConditionsCreated: 8/24/2021 12:00:00 AMLast Editorial Review: 8/23/2022 12:00:00 AM Full Article
sh What Baby Food Should I Introduce First? By www.medicinenet.com Published On :: Wed, 24 Aug 2022 00:00:00 PDT Title: What Baby Food Should I Introduce First?Category: Health and LivingCreated: 6/16/2021 12:00:00 AMLast Editorial Review: 8/24/2022 12:00:00 AM Full Article
sh 7 Healthy Sushi Options, Plus Ingredients to Look Out For By www.medicinenet.com Published On :: Fri, 26 Aug 2022 00:00:00 PDT Title: 7 Healthy Sushi Options, Plus Ingredients to Look Out ForCategory: Health and LivingCreated: 8/26/2022 12:00:00 AMLast Editorial Review: 8/26/2022 12:00:00 AM Full Article
sh What Fish Is Best for Lowering Cholesterol? By www.medicinenet.com Published On :: Thu, 19 May 2022 00:00:00 PDT Title: What Fish Is Best for Lowering Cholesterol?Category: Health and LivingCreated: 5/19/2022 12:00:00 AMLast Editorial Review: 5/19/2022 12:00:00 AM Full Article
sh Magic Mushroom Hallucinogen May Treat Problem Drinking By www.medicinenet.com Published On :: Thu, 25 Aug 2022 00:00:00 PDT Title: Magic Mushroom Hallucinogen May Treat Problem DrinkingCategory: Health NewsCreated: 8/24/2022 12:00:00 AMLast Editorial Review: 8/25/2022 12:00:00 AM Full Article
sh New Reports on Polio: How Worried Should We Be? By www.medicinenet.com Published On :: Tue, 16 Aug 2022 00:00:00 PDT Title: New Reports on Polio: How Worried Should We Be?Category: Health NewsCreated: 8/15/2022 12:00:00 AMLast Editorial Review: 8/16/2022 12:00:00 AM Full Article
sh More Athletes Are Getting Their Nutrition Through an IV. This Should Stop, Experts Say By www.medicinenet.com Published On :: Thu, 18 Aug 2022 00:00:00 PDT Title: More Athletes Are Getting Their Nutrition Through an IV. This Should Stop, Experts SayCategory: Health NewsCreated: 8/17/2022 12:00:00 AMLast Editorial Review: 8/18/2022 12:00:00 AM Full Article
sh Are Skin Rashes Contagious? By www.medicinenet.com Published On :: Fri, 5 Aug 2022 00:00:00 PDT Title: Are Skin Rashes Contagious?Category: Diseases and ConditionsCreated: 8/10/2015 12:00:00 AMLast Editorial Review: 8/5/2022 12:00:00 AM Full Article
sh Here's Why Men Should Take Probiotics By www.medicinenet.com Published On :: Wed, 27 Jul 2022 00:00:00 PDT Title: Here's Why Men Should Take ProbioticsCategory: Health and LivingCreated: 7/27/2022 12:00:00 AMLast Editorial Review: 7/27/2022 12:00:00 AM Full Article
sh Here Is Why Men Should Take Vitamin B12: 10 Health Benefits By www.medicinenet.com Published On :: Wed, 27 Jul 2022 00:00:00 PDT Title: Here Is Why Men Should Take Vitamin B12: 10 Health BenefitsCategory: Health and LivingCreated: 7/27/2022 12:00:00 AMLast Editorial Review: 7/27/2022 12:00:00 AM Full Article
sh Cheaper Over-the-Counter Hearing Aids Should Be in Stores by October, FDA Says By www.medicinenet.com Published On :: Wed, 17 Aug 2022 00:00:00 PDT Title: Cheaper Over-the-Counter Hearing Aids Should Be in Stores by October, FDA SaysCategory: Health NewsCreated: 8/16/2022 12:00:00 AMLast Editorial Review: 8/17/2022 12:00:00 AM Full Article
sh Experimental Drug May Ease Hot Flashes By www.medicinenet.com Published On :: Tue, 14 Jun 2022 00:00:00 PDT Title: Experimental Drug May Ease Hot FlashesCategory: Health NewsCreated: 6/13/2022 12:00:00 AMLast Editorial Review: 6/14/2022 12:00:00 AM Full Article
sh Shorter Menstrual Cycles May Affect Timing of Menopause By www.medicinenet.com Published On :: Thu, 25 Aug 2022 00:00:00 PDT Title: Shorter Menstrual Cycles May Affect Timing of MenopauseCategory: Health NewsCreated: 8/25/2022 12:00:00 AMLast Editorial Review: 8/25/2022 12:00:00 AM Full Article
sh Your Salt Shaker May Prove Deadly, Study Finds By www.medicinenet.com Published On :: Tue, 12 Jul 2022 00:00:00 PDT Title: Your Salt Shaker May Prove Deadly, Study FindsCategory: Health NewsCreated: 7/11/2022 12:00:00 AMLast Editorial Review: 7/12/2022 12:00:00 AM Full Article
sh Should You Check Blood Pressure in Both Arms? By www.medicinenet.com Published On :: Thu, 4 Aug 2022 00:00:00 PDT Title: Should You Check Blood Pressure in Both Arms?Category: Health NewsCreated: 8/3/2022 12:00:00 AMLast Editorial Review: 8/4/2022 12:00:00 AM Full Article
sh Do You Use Mouthwash Before or After Brushing? By www.medicinenet.com Published On :: Fri, 5 Aug 2022 00:00:00 PDT Title: Do You Use Mouthwash Before or After Brushing?Category: Health and LivingCreated: 8/5/2022 12:00:00 AMLast Editorial Review: 8/5/2022 12:00:00 AM Full Article
sh When Should I Start Cleaning My Baby’s Mouth? By www.medicinenet.com Published On :: Thu, 11 Aug 2022 00:00:00 PDT Title: When Should I Start Cleaning My Baby’s Mouth?Category: Diseases and ConditionsCreated: 11/9/2020 12:00:00 AMLast Editorial Review: 8/11/2022 12:00:00 AM Full Article
sh Changes in Menstrual Cycle Can Come After COVID Shot By www.medicinenet.com Published On :: Mon, 18 Jul 2022 00:00:00 PDT Title: Changes in Menstrual Cycle Can Come After COVID ShotCategory: Health NewsCreated: 7/18/2022 12:00:00 AMLast Editorial Review: 7/18/2022 12:00:00 AM Full Article
sh Kids With ADHD Have Differences in 'Neural Flexibility,' Brain Study Shows By www.medicinenet.com Published On :: Mon, 1 Aug 2022 00:00:00 PDT Title: Kids With ADHD Have Differences in 'Neural Flexibility,' Brain Study ShowsCategory: Health NewsCreated: 7/29/2022 12:00:00 AMLast Editorial Review: 8/1/2022 12:00:00 AM Full Article
sh New Multiple Sclerosis Treatment Shows Promise in Trial By www.medicinenet.com Published On :: Fri, 26 Aug 2022 00:00:00 PDT Title: New Multiple Sclerosis Treatment Shows Promise in TrialCategory: Health NewsCreated: 8/25/2022 12:00:00 AMLast Editorial Review: 8/26/2022 12:00:00 AM Full Article
sh Vaccines Have Slashed Rates of HPV Infection in Young American Women By www.medicinenet.com Published On :: Tue, 23 Aug 2022 00:00:00 PDT Title: Vaccines Have Slashed Rates of HPV Infection in Young American WomenCategory: Health NewsCreated: 8/22/2022 12:00:00 AMLast Editorial Review: 8/23/2022 12:00:00 AM Full Article
sh You Could Live 9 Years Longer in Hawaii Than in Mississippi, New Data Shows By www.medicinenet.com Published On :: Tue, 23 Aug 2022 00:00:00 PDT Title: You Could Live 9 Years Longer in Hawaii Than in Mississippi, New Data ShowsCategory: Health NewsCreated: 8/23/2022 12:00:00 AMLast Editorial Review: 8/23/2022 12:00:00 AM Full Article
sh Steps to Long Life: Short Walk Each Day Helps Folks Over 85 By www.medicinenet.com Published On :: Thu, 25 Aug 2022 00:00:00 PDT Title: Steps to Long Life: Short Walk Each Day Helps Folks Over 85Category: Health NewsCreated: 8/25/2022 12:00:00 AMLast Editorial Review: 8/25/2022 12:00:00 AM Full Article
sh CDC Panel Urges Seniors to Get New, More Potent Flu Shot This Fall By www.medicinenet.com Published On :: Thu, 23 Jun 2022 00:00:00 PDT Title: CDC Panel Urges Seniors to Get New, More Potent Flu Shot This FallCategory: Health NewsCreated: 6/23/2022 12:00:00 AMLast Editorial Review: 6/23/2022 12:00:00 AM Full Article
sh Contrasting and combining transcriptome complexity captured by short and long RNA sequencing reads [METHODS] By genome.cshlp.org Published On :: 2024-10-29T06:46:08-07:00 Mapping transcriptomic variations using either short- or long-read RNA sequencing is a staple of genomic research. Long reads are able to capture entire isoforms and overcome repetitive regions, whereas short reads still provide improved coverage and error rates. Yet, open questions remain, such as how to quantitatively compare the technologies, can we combine them, and what is the benefit of such a combined view? We tackle these questions by first creating a pipeline to assess matched long- and short-read data using a variety of transcriptome statistics. We find that across data sets, algorithms, and technologies, matched short-read data detects ~30% more splice junctions, such that ~10%–30% of the splice junctions included at ≥20% by short reads are missed by long reads. In contrast, long reads detect many more intron-retention events and can detect full isoforms, pointing to the benefit of combining the technologies. We introduce MAJIQ-L, an extension of the MAJIQ software, to enable a unified view of transcriptome variations from both technologies and demonstrate its benefits. Our software can be used to assess any future long-read technology or algorithm and can be combined with short-read data for improved transcriptome analysis. Full Article
sh De novo genome assemblies of two cryptodiran turtles with ZZ/ZW and XX/XY sex chromosomes provide insights into patterns of genome reshuffling and uncover novel 3D genome folding in amniotes [RESEARCH] By genome.cshlp.org Published On :: 2024-10-29T06:46:07-07:00 Understanding the evolution of chromatin conformation among species is fundamental to elucidate the architecture and plasticity of genomes. Nonrandom interactions of linearly distant loci regulate gene function in species-specific patterns, affecting genome function, evolution, and, ultimately, speciation. Yet, data from nonmodel organisms are scarce. To capture the macroevolutionary diversity of vertebrate chromatin conformation, here we generate de novo genome assemblies for two cryptodiran (hidden-neck) turtles via Illumina sequencing, chromosome conformation capture, and RNA-seq: Apalone spinifera (ZZ/ZW, 2n = 66) and Staurotypus triporcatus (XX/XY, 2n = 54). We detected differences in the three-dimensional (3D) chromatin structure in turtles compared to other amniotes beyond the fusion/fission events detected in the linear genomes. Namely, whole-genome comparisons revealed distinct trends of chromosome rearrangements in turtles: (1) a low rate of genome reshuffling in Apalone (Trionychidae) whose karyotype is highly conserved when compared to chicken (likely ancestral for turtles), and (2) a moderate rate of fusions/fissions in Staurotypus (Kinosternidae) and Trachemys scripta (Emydidae). Furthermore, we identified a chromosome folding pattern that enables "centromere–telomere interactions" previously undetected in turtles. The combined turtle pattern of "centromere–telomere interactions" (discovered here) plus "centromere clustering" (previously reported in sauropsids) is novel for amniotes and it counters previous hypotheses about amniote 3D chromatin structure. We hypothesize that the divergent pattern found in turtles originated from an amniote ancestral state defined by a nuclear configuration with extensive associations among microchromosomes that were preserved upon the reshuffling of the linear genome. Full Article
sh Re: Friendship as Medicine By www.jabfm.org Published On :: 2024-10-25T09:26:14-07:00 Full Article
sh A Qualitative Analysis of a Primary Care Medical-Legal Partnership: Impact, Barriers, and Facilitators By www.jabfm.org Published On :: 2024-10-25T09:26:14-07:00 Background: Certain health-related risk factors require legal interventions. Medical-legal partnerships (MLPs) are collaborations between clinics and lawyers that address these health-harming legal needs (HHLNs) and have been shown to improve health and reduce utilization. Objective: The objective of this study is to explore the impact, barriers, and facilitators of MLP implementation in primary care clinics. Methods: A qualitative design using a semistructured interview assessed the perceived impact, barriers, and facilitators of an MLP, among clinicians, clinic and MLP staff, and clinic patients. Open AI software (otter.ai) was used to transcribe interviews, and NVivo was used to code the data. Braun & Clarke’s framework was used to identify themes and subthemes. Results: Sixteen (n = 16) participants were included in this study. Most respondents were women (81%) and white (56%). Four respondents were clinic staff, and 4 were MLP staff while 8 were clinic patients. Several primary themes emerged including: Patients experienced legal issues that were pernicious, pervasive, and complex; through trusting relationships, the MLP was able to improve health and resolve legal issues, for some; mistrust, communication gaps, and inconsistent staffing limited the impact of the MLP; and, the MLP identified coordination and communication strategies to enhance trust and amplify its impact. Conclusion: HHLNs can have a significant, negative impact on the physical and mental health of patients. Respondents perceived that MLPs improved health and resolved these needs, for some. Despite perceived successes, integration between the clinical and legal organizations was elusive. Full Article
sh Physician Satisfaction Should Be the Measure of Electronic Health Record Quality for the Nation By www.jabfm.org Published On :: 2024-10-25T09:26:14-07:00 Full Article
sh High-resolution reconstruction of a C. elegans ribosome sheds light on evolutionary dynamics and tissue specificity [ARTICLE] By rnajournal.cshlp.org Published On :: 2024-10-16T07:18:13-07:00 Caenorhabditis elegans is an important model organism for human health and disease, with foundational contributions to the understanding of gene expression and tissue patterning in animals. An invaluable tool in modern gene expression research is the presence of a high-resolution ribosome structure, though no such structure exists for C. elegans. Here, we present a high-resolution single-particle cryogenic electron microscopy (cryo-EM) reconstruction and molecular model of a C. elegans ribosome, revealing a significantly streamlined animal ribosome. Many facets of ribosome structure are conserved in C. elegans, including overall ribosomal architecture and the mechanism of cycloheximide, whereas other facets, such as expansion segments and eL28, are rapidly evolving. We identify uL5 and uL23 as two instances of tissue-specific ribosomal protein paralog expression conserved in Caenorhabditis, suggesting that C. elegans ribosomes vary across tissues. The C. elegans ribosome structure will provide a basis for future structural, biochemical, and genetic studies of translation in this important animal system. Full Article
sh Abolished frameshifting for predicted structure-stabilizing SARS-CoV-2 mutants: implications to alternative conformations and their statistical structural analyses [ARTICLE] By rnajournal.cshlp.org Published On :: 2024-10-16T07:18:13-07:00 The SARS-CoV-2 frameshifting element (FSE) has been intensely studied and explored as a therapeutic target for coronavirus diseases, including COVID-19. Besides the intriguing virology, this small RNA is known to adopt many length-dependent conformations, as verified by multiple experimental and computational approaches. However, the role these alternative conformations play in the frameshifting mechanism and how to quantify this structural abundance has been an ongoing challenge. Here, we show by DMS and dual-luciferase functional assays that previously predicted FSE mutants (using the RAG graph theory approach) suppress structural transitions and abolish frameshifting. Furthermore, correlated mutation analysis of DMS data by three programs (DREEM, DRACO, and DANCE-MaP) reveals important differences in their estimation of specific RNA conformations, suggesting caution in the interpretation of such complex conformational landscapes. Overall, the abolished frameshifting in three different mutants confirms that all alternative conformations play a role in the pathways of ribosomal transition. Full Article
sh Ensuring availability of respiratory medicines in times of European drug shortages By erj.ersjournals.com Published On :: 2024-11-07T00:35:56-08:00 Extract It is of utmost importance that medicines are available at all times for our patients. Historically, medication unavailability has typically, if not exclusively, affected low- and middle-income countries [1]. More recently however, drug shortages have also been reported in high-income European countries [2]. Drug shortages have negative health consequences for patients [3], and a profound economic impact, with the need to resort to more expensive alternatives and demands on healthcare professionals’ time to find, prescribe and dispense alternatives [4]. Full Article
sh CPAP recall and cancer risk: should we be concerned? By erj.ersjournals.com Published On :: 2024-11-07T00:35:56-08:00 Extract There is an expanding literature on the association between obstructive sleep apnoea (OSA) and cancer risk [1, 2]. Evidence is growing from population- and clinic-based cohort studies that the severity of OSA and sleep-related hypoxaemia may adversely affect both overall cancer risk and incidence of certain cancers [3–7]. These clinical findings are supported by the identification of the intermediate mechanisms by which intermittent hypoxia and sleep fragmentation, the hallmark features of OSA, might promote oncogenesis, tumour growth and metastasis [8]. Although studies have shown a relationship between OSA and cancer, few have evaluated whether the risk of cancer development or progression in patients with OSA is modified by continuous positive airway pressure (CPAP) therapy (the primary treatment for OSA) [1, 2]. Full Article
sh Comparison of the CYP3A Selective Inhibitors CYP3cide, Clobetasol, and Azamulin for Their Potential to Distinguish CYP3A7 Activity in the Presence of CYP3A4/5 [Articles] By dmd.aspetjournals.org Published On :: 2024-10-16T09:02:03-07:00 The CYP3A7 enzyme accounts for ~50% of the total cytochrome P450 (P450) content in fetal and neonatal livers and is the predominant P450 involved in neonatal xenobiotic metabolism. Additionally, it is a key player in healthy birth outcomes through the oxidation of dehydroepiandrosterone (DHEA) and DHEA-sulfate. The amount of the other hepatic CYP3A isoforms, CYP3A4 and CYP3A5, expressed in neonates is low but highly variable, and therefore the activity of individual CYP3A isoforms is difficult to differentiate due to their functional similarities. Consequently, a better understanding of the contribution of CYP3A7 to drug metabolism is essential to identify the risk that drugs may pose to neonates and developing infants. To distinguish CYP3A7 activity from CYP3A4/5, we sought to further characterize the selectivity of the specific CYP3A inhibitors CYP3cide, clobetasol, and azamulin. We used three substrate probes, dibenzylfluorescein, luciferin-PPXE, and midazolam, to determine the IC50 and metabolism-dependent inhibition (MDI) properties of the CYP3A inhibitors. Probe selection had a significant effect on the IC50 values and P450 inactivation across all inhibitory compounds and enzymes. CYP3cide and azamulin were both identified as MDIs and were most specific for CYP3A4. Contrary to previous reports, we found that clobetasol propionate (CP) was not an MDI of CYP3A5 but was more selective for CYP3A5 over CYP3A4/7. We further investigated CYP3cide and CP’s ability to differentiate CYP3A7 activity in an equal mixture of recombinant CYP3A4, CYP3A5, and CYP3A7, and our results provide confidence of CYP3cide’s and CP’s ability to distinguish CYP3A7 activity in the presence of the other CYP3A isoforms. SIGNIFICANCE STATEMENT These findings provide valuable insight regarding in vitro testing conditions to investigate the metabolism of new drug candidates and help determine drug safety in neonates. The results presented here also clearly demonstrate the effect that probe selection may have on CYP3A cytochrome P450 inhibition studies. Full Article
sh “Je suis desole, ȷe parle francais”: How English Hegemony Undermines Efforts to Shift Power in Global Health By ghspjournal.org Published On :: 2024-10-29T12:28:39-07:00 Le texte complet de l’article est aussi disponible en français. Full Article
sh Establishment of the First Institution-Based Poison Information Center in Nepal Through a Multilateral International Partnership By ghspjournal.org Published On :: 2024-10-29T12:28:39-07:00 ABSTRACTToxicological emergencies present a significant health challenge in Nepal. Despite the high burden, the country has inadequate formal toxicology training, medical toxicology expertise, and adequate poison control infrastructure. In recognition of this need, the Nepal Poison Information Center (PIC) was established as a collaborative effort involving local and international partners. Through a comprehensive partnership framework, the Nepal PIC provides 24 hours a day, 7 days a week expert guidance to health care workers, conducts educational webinars, and engages in research. Initial data from the pilot phase indicate successful consultation delivery. Challenges include bureaucratic hurdles and the need for sustainable funding. Despite these challenges, the Nepal PIC demonstrates early feasibility and potential for expansion into a comprehensive toxicology center, contributing to the advancement of clinical toxicology in Nepal. Long-term sustainability relies on governmental support and continued advocacy efforts. Full Article
sh Improving Maternity Care Where Home Births Are Still the Norm: Establishing Local Birthing Centers in Guatemala That Incorporate Traditional Midwives By ghspjournal.org Published On :: 2024-10-29T12:28:39-07:00 ABSTRACTMore than half of births among Indigenous women in Guatemala are still being attended at home by providers with no formal training. We describe the incorporation of comadronas (traditional midwives) into casas maternas (birthing centers) in the rural highlands of western Guatemala. Although there was initial resistance to the casa, comadronas and clients have become increasingly enthusiastic about them. The casas provide the opportunity for comadronas to continue the cultural traditions of prayers, massages, and other practices that honor the vital spiritual dimension of childbirth close to home in a home-like environment with extended family support while at the same time providing a safer childbirth experience in which complications can be detected by trained personnel at the casa, managed locally, or promptly referred to a higher-level facility. Given the growing acceptance of this innovation in an environment in which geographical, financial, and cultural barriers to deliveries at higher-level facilities lead most women to deliver at home, casas maternas represent a feasible option for reducing the high level of maternal mortality in Guatemala.This article provides an update on the growing utilization of casas and provides new insights into the role of comadronas as birthing team members and enthusiastic promotors of casas maternas as a preferable alternative to home births. Through the end of 2023, these casas maternas had cared for 4,322 women giving birth. No maternal deaths occurred at a casa, but 4 died after referral.The Ministry of Health of Guatemala has recently adopted this approach and has begun to implement it in other rural areas where home births still predominate. This approach deserves consideration as a viable and feasible option for reducing maternal mortality throughout the world where home births are still common, while at the same time providing women with respectful and culturally appropriate care. Full Article
sh A Cosmopolitan Argument for Temporary “Diagonal” Short-Term Surgical Missions as a Component of Surgical Systems Strengthening By ghspjournal.org Published On :: 2024-10-29T12:28:39-07:00 Full Article
sh Twinning Partnership Network: A Learning and Experience-Sharing Network Among Health Professionals in Rwanda to Improve Health Services By ghspjournal.org Published On :: 2024-10-29T12:28:39-07:00 ABSTRACTWe describe the development, implementation, and evaluation of a novel twinning approach: the Twinning Partnership Network (TPN). Twinning is a well-known approach to peer learning that has been used in a variety of settings to build organizational capacity. Although twinning takes many forms, the heart of the approach is that institutions with shared characteristics collaborate via sharing information and experiences to achieve a specific goal. We adapted a twinning partnership strategy developed by the World Health Organization to create a network of like-minded health institutions. The key innovation of the TPN is the network, which ensures that an institution always has a high-performing peer with whom to partner on a specific topic area of interest. We identified 10 hospitals and 30 districts in Rwanda to participate in the TPN. These districts and hospitals participated in a kickoff workshop in which they identified capacity gaps, clarified goals, and selected twinning partners. After the workshop, districts and hospitals participated in exchange visits, coaching visits, and virtual and in-person learning events. We found that districts and hospitals that selected specific areas and worked on them throughout the duration of the TPN with their peers improved their performance significantly when compared with those that selected and worked on other areas. Accreditation scores improved by 5.6% more in hospitals selecting accreditation than those that did not. Districts that selected improving community-based health insurance coverage improved by 4.8% more than districts that did not select this topic area. We hypothesize that these results are due to senior management’s interest and motivation to improve in these specific areas, the motivation gained by learning from high-performing peers with similar resources, and context-specific knowledge sharing from peer hospitals and districts. Full Article