Emergency department care for trauma patients in settings of active conflict versus urban violence: all of the same calibre?
Conclusions This study supports for the first time the plausibility of using the same ED package in different settings. Mapping of patient attendance is essential for planning of human resources needs. (Source: International Health)
Source: International Health - November 15, 2016 Category: Global & Universal Authors: Valles, P., Van den Bergh, R., van den Boogaard, W., Tayler-Smith, K., Gayraud, O., Mammozai, B. A., Nasim, M., Cherestal, S., Majuste, A., Charles, J. P., Trelles, M. Tags: Original Articles Source Type: research

Early physical and functional rehabilitation of trauma patients in the Medecins Sans Frontieres trauma centre in Kunduz, Afghanistan: luxury or necessity?
Conclusions The provision of physiotherapy was feasible in this humanitarian setting, and the tailored functional score appeared to be relevant. (Source: International Health)
Source: International Health - November 15, 2016 Category: Global & Universal Authors: Gohy, B., Ali, E., Van den Bergh, R., Schillberg, E., Nasim, M., Naimi, M. M., Cherestal, S., Falipou, P., Weerts, E., Skelton, P., Van Overloop, C., Trelles, M. Tags: Original Articles Source Type: research

Challenges and strategies for implementing mental health measurement for research in low-resource settings
The gap between need and access to mental health care is widest in low-resource settings. Health systems in these contexts devote few resources to expanding mental health care, and it is missing from the agenda of most global health donors. This is partially explained by the paucity of data regarding the nature and extent of the mental health burden in these settings, so accurate and comparable measurement is essential to advocating for, developing, and implementing appropriate policies and services. Inaccurate estimation of mental illness prevalence, and misunderstandings regarding its etiologies and expressions, are asso...
Source: International Health - November 15, 2016 Category: Global & Universal Authors: Tennyson, R. L., Kemp, C. G., Rao, D. Tags: Review Source Type: research

Lessons from the frontline: using experiences from conflict zones to improve trauma care and outcomes
Over the years healthcare services during conflict have informed healthcare practice especially in trauma care. Conflict zones have constraints not very different from low-resource settings specifically in dealing with urban violence. Yet, there is limited in-depth study on conflict medicine. This is being slowly recognised in health literature. Two recent papers in International Health have indicated that trauma care packages in conflict settings could be adapted in low-resource settings. There is a need to overview and audit healthcare services in conflict zones further to identify more areas of overlap and possible less...
Source: International Health - November 15, 2016 Category: Global & Universal Authors: Hardcastle, T. C., David, S. D. Tags: Commentary Source Type: research

The importance of surveillance: Group W meningococcal disease outbreak response and control in England
Invasive meningococcal disease (IMD) is associated with high morbidity and mortality. Recently, use of the quadrivalent MenACWY conjugate vaccines has increased with the emergence of a hypervirulent MenW:cc11 strain in certain parts of the world, especially South America. In England, MenW:cc11 IMD cases increased rapidly after 2009 and was responsible for 24% of all IMD cases in 2014/15 compared to <5% previously, leading to the emergency introduction of a national teenage MenACWY conjugate vaccine programme in August 2015. Unusually, MenW:cc11 cases have been described presenting with severe gastrointestinal symptoms, ...
Source: International Health - November 15, 2016 Category: Global & Universal Authors: Campbell, H., Ladhani, S. Tags: Commentary Source Type: research

Collaboration and innovation in rural surgery
(Source: International Health)
Source: International Health - November 15, 2016 Category: Global & Universal Authors: Massenburg, B. B., Raykar, N. P., Pawaskar, A., Gnanaraj, J., Roy, N. Tags: Editorial Source Type: research

The feasibility and acceptability of screening for hypertension in private drug retail outlets: a pilot study in Mwanza region, Tanzania
Conclusions Blood pressure screening was feasible and acceptable to customers of private drug retail outlets. However many who were referred failed to attend at a referral centre and further research is needed in this area. (Source: International Health)
Source: International Health - September 27, 2016 Category: Global & Universal Authors: Michael, D., Kezakubi, D., Juma, A., Todd, J., Reyburn, H., Renju, J. Tags: Original Article Source Type: research

Association between metabolic syndrome and 10-year risk of developing cardiovascular disease in a Nigerian population
Conclusions The results showed that complementary use of MetS and CVD risk score is imperative, as there is indication of risk in individuals without MetS. Also a large proportion of the study population requires lifestyle intervention. These findings provide the evidence necessary to tailor public health interventions in this population, especially towards younger age groups. (Source: International Health)
Source: International Health - September 27, 2016 Category: Global & Universal Authors: Oguoma, V. M., Nwose, E. U., Skinner, T. C., Richards, R. S., Digban, K. A., Onyia, I. C. Tags: Original Article Source Type: research

Willingness to pay for footwear, and associated factors related to podoconiosis in northern Ethiopia
Conclusions There is substantial willingness to pay for footwear. The expressed willingness to pay indicates demand for footwear in the community, suggesting an opportunity for shoe companies. There are still a substantial proportion of individuals not willing to pay for footwear. This requires intensified public education and social transformation to bring about change in behavior towards footwear use if elimination of podoconiosis within our generation is to be achieved. (Source: International Health)
Source: International Health - September 27, 2016 Category: Global & Universal Authors: Tsegay, G., Tamiru, A., Amberbir, T., Davey, G., Deribe, K. Tags: Original Articles Source Type: research

Not forgetting severe mental disorders in humanitarian emergencies: a descriptive study from the Philippines
Conclusions This study illustrates how actors can play an important role in providing MH care for people with severe mental disorders in the aftermath of a disaster. (Source: International Health)
Source: International Health - September 27, 2016 Category: Global & Universal Authors: Weintraub, A. C. A. d. M., Garcia, M. G., Birri, E., Severy, N., Ferir, M.-C., Ali, E., Tayler-Smith, K., Nadera, D. P., Van Ommeren, M. Tags: Original Articles Source Type: research

Blood transfusion services for patients with sickle cell disease in Nigeria
Conclusion Current efforts of Nigerian public hospitals to provide safe blood and CTT fall short of best practice. Provision of apheresis machines, improvement of voluntary non-remunerated donor drive, screening for red cell antigens and antibodies, and availability of iron chelators would significantly improve SCD care in Nigeria. (Source: International Health)
Source: International Health - September 27, 2016 Category: Global & Universal Authors: Diaku-Akinwumi, I. N., Abubakar, S. B., Adegoke, S. A., Adeleke, S., Adewoye, O., Adeyemo, T., Akinbami, A., Akinola, N. O., Akinsulie, A., Akinyoola, A., Aneke, J., Awwalu, S., Babadoko, A., Brown, B., Ejike, O., Emodi, I., George, I., Girei, A., Hassan, Tags: Original Article Source Type: research

Lessons learnt from TB screening in closed immigration centres in Italy
Conclusions TB screening with symptom screening questionnaires of migrants at admission in closed centres is feasible. However, to improve the yield, follow-up of patients with symptoms or signs suggestive for TB needs to be improved. (Source: International Health)
Source: International Health - September 27, 2016 Category: Global & Universal Authors: Crepet, A., Repetto, E., Al Rousan, A., Sane Schepisi, M., Girardi, E., Prestileo, T., Codecasa, L., Garelli, S., Corrao, S., Ippolito, G., Decroo, T., Maccagno, B. Tags: Original Article Source Type: research

Time to go global: a consultation on global health competencies for postgraduate doctors
Conclusions Global health can bring important perspectives to postgraduate curricula, enhancing the ability of doctors to provide quality care. These global health competencies require tailoring to meet different trainees' needs and facilitate their incorporation into curricula. Healthcare and global health are ever-changing; therefore, the competencies will need to be regularly reviewed and updated. (Source: International Health)
Source: International Health - September 27, 2016 Category: Global & Universal Authors: Walpole, S. C., Shortall, C., van Schalkwyk, M. C., Merriel, A., Ellis, J., Obolensky, L., Casanova Dias, M., Watson, J., Brown, C. S., Hall, J., Pettigrew, L. M., Allen, S. Tags: ORIGINAL ARTICLE Source Type: research

Development of drugs for severe malaria in children
Over 90% of deaths attributable to malaria are in African children under 5 years old. Yet, new treatments are often tested primarily in adult patients and extrapolations have proven to be sometimes invalid, especially in dosing regimens. For studies in severe malaria an additional complication is that the decline in severe malaria in adult patients precludes sufficiently powered trials in adults, before the intervention can be tested in the ultimate target group, paediatric severe malaria. In this paper we propose an alternative pathway to the development of drugs for use in paediatric severe malaria. We argue that followi...
Source: International Health - September 27, 2016 Category: Global & Universal Authors: Cheah, P. Y., Parker, M., Dondorp, A. M. Tags: REVIEW Source Type: research

How can a Theory of Change framework be applied to short-term international volunteering?
Short-term international volunteering has become enormously popular among individuals from high-income countries who travel to low-income countries to offer support on initiatives often related to health and development. However, their impact on global development is questionable, particularly when volunteer skills are not matched to local needs, or when teams operate outside the local health system. Furthermore, the impact of these volunteer programs is rarely evaluated. Theory of Change is a framework for program design meant to facilitate measurable social change. We propose that a Theory of Change framework, appropriat...
Source: International Health - September 27, 2016 Category: Global & Universal Authors: Loiseau, B., Benedict, D., Sibbald, R., Raman, S. A., Loh, L. C., Dimaras, H. Tags: Commentary Source Type: research