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Vincent J.E.,Health Unit | Netek S.,International Rescue Committee Thailand | Mladenovich D.,World Council of Optometry | Thein N.N.,International Rescue Committee Thailand | Amendola P.R.,Health Unit
Optometry and Vision Science | Year: 2010

Purpose.: Ready-made spectacles are often used in low-resource environments, but to date, there has been little evaluation of the continued use of these spectacles over time. The aim of this study was to assess wearing compliance of those who received ready-made spectacles. Methods.: The International Rescue Committee trains refugee health workers to provide simple refractive services and dispense ready-made spherical lenses to residents of refugee camps on the Thailand-Burma border. We conducted follow-up interviews in five camps among all eligible and available spectacle recipients who had been examined either 6 (n = 230) or 12 months earlier (n = 187). Interviewers asked about continued use of spectacles and, among those who had discontinued spectacle use, asked the reason for discontinuing. Results.: Reported spectacle wear was significantly higher at 6 months compared with 12 months (73.9 vs. 55.6%, p < 0.001). At 6 months, wearing compliance was significantly higher for females than males (79.2 vs. 67.6%, p = 0.033), but gender differences in wearing compliance were not seen at 12 months, and no differences were found between 10-year age groups at 6 or 12 months. Wearing compliance rates among recipients seen at different camps were significantly different at both 6 months (range, 58.1 to 87.5%, p = 0.005) and 12 months (range, 32 to 85.7%, p = 0.002). The top reason given for discontinued spectacle wear was broken frames, followed by vision-related complaints, scratched lenses, lost spectacles, and appearance. Conclusions.: Our findings suggest that spectacle wearing compliance studies will not be comparable unless a standard time frame is used to assess compliance. We found assessing self-reported compliance to be a useful tool in guiding our program. Understanding the reasons for non-compliance will help guide corrective action and planning of interventions designed to increase wearing rates. Copyright © 2010 American Academy of Optometry.


News Article | November 17, 2016
Site: www.newsmaker.com.au

The Victorian Aboriginal Community Controlled Health Organisation (VACCHO) and the Vision Initiative will be launching a suite of culturally appropriate eye health promotion materials at Rumbalara Aboriginal Co-operative on Friday 18 November at 11.30am. Jill Gallagher, CEO of VACCHO, expressed her strong concern that vision impairment and blindness among Aboriginal and/or Torres Strait Islander people is still three times that of non-Indigenous Australians. “The launch of these new materials will be an important step towards closing the eye health gap for Aboriginal and/or Torres Strait Islander people in Victoria,” says Ms Gallagher. “The need for these materials was made clear following  our consultation with the Aboriginal Community Controlled Health Services in Victoria. We identified a shortage of culturally appropriate eye health promotion literature and training resources for Aboriginal health workers,” says Ms Gallagher. “I feel these new communication tools will support our services in continuing their important promotion of eye health message throughout our communities.” The new materials feature artwork by respected Wiradjuri / Yorta Yorta artist, Aunty Lyn Briggs, originally commissioned for VACCHO’s first eye health program eighteen years ago. Widely recognised by the Victorian eye health sector, Aboriginal and/or Torres Strait Islander community and Aboriginal Community Controlled Organisation staff, the new designs received unanimous approval during the extensive consultation process. Vision Initiative Manager, Dee Tumino, says the new resources are the result of collaboration between many organisations and individuals. “VACCHO, the Vision Initiative and the many Aboriginal community members and health workers, including those at Rumbalara, have come together to make this project a reality. The launch of these resources signifies a major step towards increasing awareness and understanding of eye health among Aboriginal and/or Torres Strait Islander people in Victoria,” says Ms Tumino. The completed suite of eye health promotion materials include posters, appointment cards and information brochures that cover significant eye health conditions and issues, such as refractive error, diabetic retinopathy, cataracts, smoking and vision loss, as well as accessing the Victorian Aboriginal Spectacles Subsidy Scheme. Clinical expertise on the materials produced was provided by the Indigenous Eye Health Unit at the University of Melbourne and the Australian College of Optometry, who also provided VACCHO with additional funding to support the “$10 glasses for Community” resource that describes the Victorian Aboriginal Spectacles Subsidy Scheme. Rumbalara Aboriginal Cooperative CEO, Kemal ‘Kim’ Sedick, is delighted to be hosting the launch event at Mooroopna. “Staff at Rumbalara Health Service were integral to this work and have provided advice and assistance to set the framework for further consultation with the wider Aboriginal Community Controlled Organisation workforce. With the launch event being held at Rumbalara I am pleased to be able to acknowledge their work, along with the work of all the organisations and individuals involved with this important step towards closing the eye health gap.” The Victorian Aboriginal Community Controlled Health Organisation (VACCHO) was established in 1996. VACCHO is the peak body for the health and wellbeing of Aboriginal people living in Victoria. www.vaccho.org.au The Vision Initiative is an integrated health promotion program managed by Vision 2020 Australia and funded by the Victorian Government. It aims to reduce avoidable blindness and vision loss across Victoria by delivering eye health interventions to primary health providers, community and media. www.visioninitiative.org.au Rumbalara Aboriginal Cooperative (RAC) is a community controlled organisation that offers a range of health and community services to the Greater Shepparton community. We are a large provider of services in the Greater Shepparton area, and are one of the largest providers of services to Aboriginal and Torres Strait Islanders in Victoria. The organisation employs about 200 people and has a budget of nearly $20 million. RAC has 600 people registered as members or nearly 30% of the Greater Shepparton Aboriginal and Torres Strait Islander population. www.rumbalara.org.au Established in October 2000, Vision 2020 Australia is part of VISION 2020: The Right to Sight, a global initiative of the World Health Organisation and the International Agency for the Prevention of Blindness. Vision 2020 Australia is the national peak body working in partnership to prevent avoidable blindness and improve vision care in Australia. It represents around 50 members involved in local and global eye care, health promotion, low vision support, vision rehabilitation, eye research, professional assistance and community support. www.vision2020australia.org.au


Alamo S.T.,Reach Out Mbuya Parish HIV AIDS Initiative | Colebunders R.,Institute of Tropical Medicine | Colebunders R.,University of Antwerp | Ouma J.,Management science for Health | And 4 more authors.
Journal of Acquired Immune Deficiency Syndromes | Year: 2012

Objectives: To understand reasons for lost-to-follow-up (LTFU) from a community-based antiretroviral therapy program in Uganda. Study Design: Retrospective cohort of patients LTFU between May 31, 2001, to May 31, 2010, was examined. A representative sample of 579 patients traced to ascertain their outcomes. Methods: Mixed methods were used. Using "stopped care" as the hazard and "self-transferred" as the comparator, we examined using Cox proportional multivariable model risk factors for stopping care. Results: Overall, 2933 of 3954 (74.0%) patients were LTFU. Of 579 of 2933 (19%) patients sampled for tracing, 32 (5.5%) were untraceable, 66(11.4 %) were dead, and 481 (83.0%) found alive. Of those found alive, 232 (40.0%) stopped care, 249 (43.0%) selftransferred, whereas 61 (12.7%) returned to care at Reach Out Mbuya HIV/AIDS Initiative. In adjusted hazards ratios, born-again religion, originating from outside Kampala, resident in Kampala for〈5 years but〉1 year, having school-age children who were out of school, non-HIV disclosure, CD4 counts >250 cells per cubic millimeter and pre-antiretroviral therapy were associated with increased risk of stopping care. Qualitative interviews revealed return to a normal life as a key reason for LTFU.Of 61 patients who returned to care, their median CD4 count at LTFU was higher than on return into care (401/mm 3 vs. 205/mm 3, P<0.0001). Conclusions: Many patients become LTFU during the course of years, necessitating the need for effective mechanisms to identify those in need of close monitoring. Efforts should be made to improve referrals and mechanisms to track patients who transfer to different facilities. Additionally, tracing of patients who become LTFU is required to convince them to return. Copyright © 2012 by Lippincott Williams & Wilkins.


Sarriot E.,ICF International | Morrow M.,ICF International | Langston A.,Health Unit | Weiss J.,Concern Worldwide Inc. | And 2 more authors.
Social Science and Medicine | Year: 2015

Expansion of community health services in Rwanda has come with the national scale up of integrated Community Case Management (iCCM) of malaria, pneumonia and diarrhea. We used a sustainability assessment framework as part of a large-scale project evaluation to identify factors affecting iCCM sustainability (2011). We then (2012) used causal-loop analysis to identify systems determinants of iCCM sustainability from a national systems perspective. This allows us to develop three high-probability future scenarios putting the achievements of community health at risk, and to recommend mitigating strategies. Our causal loop diagram highlights both balancing and reinforcing loops of cause and effect in the national iCCM system. Financial, political and technical scenarios carry high probability for threatening the sustainability through: (1) reduction in performance-based financing resources, (2) political shocks and erosion of political commitment for community health, and (3) insufficient progress in resolving district health systems-"building blocks"-performance gaps. In a complex health system, the consequences of choices may be delayed and hard to predict precisely. Causal loop analysis and scenario mapping make explicit complex cause-and-effects relationships and high probability risks, which need to be anticipated and mitigated. © 2015 The Authors.


Lainez Y.B.,Health Unit | Wittcoff A.,Health Unit | Mohamud A.I.,Health Unit | Amendola P.,Health Unit | And 2 more authors.
American Journal of Tropical Medicine and Hygiene | Year: 2012

There is strong research evidence that community case management (CCM) programs can significantly reduce mortality. There is less evidence, however, on how to implement CCM effectively either from research or regular program data. We analyzed monitoring data from CCM programs supported by the International Rescue Committee (IRC), covering over 2 million treatments provided from 2004 to 2011 in six countries by 12, 181 community health workers (CHWs). Our analysis yielded several findings of direct relevance to planners and managers. CCM programs seem to increase access to treatment, although diarrhea coverage remains low. In one country, the size of the catchment area was correlated with use, and increased supervision was temporally and strongly associated with improved quality. Planners should use routine data to guide CCM program planning. Programs should treat all three conditions from the outset. Other priorities should include use of diarrhea treatment and insurance of adequate supervision. Copyright © 2012 by The American Society of Tropical Medicine and Hygiene.


Santos P.C.,Polytechnic Institute of Porto | Santos P.C.,University of Porto | Abreu S.,University of Porto | Moreira C.,University of Porto | And 8 more authors.
Journal of Sports Sciences | Year: 2014

The aims of the this prospective study were to analyse physical activity (PA) engagement during the first and second trimesters, considering the different guidelines published on PA, to document the individual characteristics associated with the accomplishment of these guidelines and to examine pregnant women's perceived barriers to leisure PA, using a socioecological framework. A sample of 133 pregnant women in two stages - at 10-12 weeks' gestation (T1) and 20-22 weeks' gestation (T2) - were evaluated. PA was assessed by accelerometry during the T1 and T2 evaluation stages. Socio-demographic characteristics, lifestyle factors and barriers to leisure PA were assessed via questionnaire. A large proportion of women (ranging from 32% to 96%) did not reach the levels of PA recommended by the guidelines. There were no significant differences between T1 and T2 with regard to compliance with PA recommendations. A decrease in PA levels from T1 to T2 was noted for all recommendations. No associations were found between participants' characteristics and adherence to the recommendations in T1 and T2. No significant differences were found in barriers to leisure PA between T1 and T2. The most commonly reported barriers to leisure PA were intrapersonal, not health related. Our results indicate that there were no differences between trimesters regarding compliance of PA recommendations, and perceived barriers were similar in both trimesters. © 2014 © 2014 Taylor & Francis.


Lockyear K.M.,Health Unit | MacDonald S.E.,York University | Waddell W.T.,Point Defiance Zoo and Aquarium | Goodrowe K.L.,Point Defiance Zoo and Aquarium
Theriogenology | Year: 2016

An evaluation of a large database of red wolf fresh ejaculate characteristics (n = 427 ejaculates from 64 wolves) was undertaken to increase knowledge of seminal characteristics in the red wolf and evaluate possible relationships between inbreeding, age, and seminal quality. Phase microscopy analysis of electroejaculates collected over 14 natural breeding seasons was compared with animal ages and inbreeding coefficients. Ejaculate volume increased and sperm concentration and total count decreased as wolves aged (P < 0.01, 0.001, and 0.05, respectively), and the proportion of sperm cell morphological abnormalities was greater in animals with higher coefficients of inbreeding (P < 0.001), particularly for older animals (P < 0.001). Moreover, the mean coefficient of inbreeding of animals that had failed to reproduce given at least one opportunity during their lifetimes was significantly greater than that of wolves with proven fertility, and wolves of proven fertility exhibited higher sperm concentrations and total counts than nonproven wolves. Thus, as the captive red wolf population becomes more inbred, the maximum age of reproduction is likely to decrease; an important finding to consider when projecting population dynamics and determining pairing recommendations. © 2016 Elsevier Inc.


Maggi S.,CNR Institute of Neuroscience | Noale M.,CNR Institute of Neuroscience | Pilotto A.,Health Unit | Tiengo A.,University of Padua | And 2 more authors.
Diabetes and Metabolism | Year: 2013

Aim: The objective of the METABOLIC Study was to evaluate overall health status, with particular focus on assessment of functional status of older patients taking oral antidiabetic drug (OAD) treatment. Methods: The study included 1342 type 2 diabetes patients aged. ≥ 65. years treated with OADs, with or without insulin, who had been referred to outpatients clinics across Italy. Information on diabetes (duration, medications taken during the last 3. months, hypoglycaemic events and diabetic complications) was collected by questionnaire, and the patients' overall health status was assessed using a multidimensional prognostic index. Results: The sample recruited (mean age: 73.3. ± 5.5. years) had a mean duration of diabetes of 11.3. ± 8.2. years. Half were taking sulphonylureas alone or together with other medications, 9.7% were taking insulin in combination with other OADs, almost 30% were using biguanides and 6.2% were taking dipeptidyl peptidase-4 (DPP-4) inhibitors. Also, 12% of patients reported hypoglycaemic events, 90% of whom were taking insulin or sulphonylureas. In addition, 81% of the participants were completely independent in their activities of daily living, while 19% were mildly, moderately or severely disabled. Age, female gender, hypoglycaemic events, neuropathy and low diastolic blood pressure were the main variables associated with disability. Conclusion: Disability is common in older diabetic patients and some associated factors, such as hypoglycaemia and low diastolic blood pressure, have been identified. Also identified was malnutrition as a specific factor associated with hypoglycaemic events independent of the use of insulin and sulphonylureas. © 2013 Elsevier Masson SAS.


PubMed | York University, Point Defiance Zoo and Aquarium and Health Unit
Type: Journal Article | Journal: Theriogenology | Year: 2016

An evaluation of a large database of red wolf fresh ejaculate characteristics (n=427 ejaculates from 64 wolves) was undertaken to increase knowledge of seminal characteristics in the red wolf and evaluate possible relationships between inbreeding, age, and seminal quality. Phase microscopy analysis of electroejaculates collected over 14 natural breeding seasons was compared with animal ages and inbreeding coefficients. Ejaculate volume increased and sperm concentration and total count decreased as wolves aged (P<0.01, 0.001, and 0.05, respectively), and the proportion of sperm cell morphological abnormalities was greater in animals with higher coefficients of inbreeding (P<0.001), particularly for older animals (P<0.001). Moreover, the mean coefficient of inbreeding of animals that had failed to reproduce given at least one opportunity during their lifetimes was significantly greater than that of wolves with proven fertility, and wolves of proven fertility exhibited higher sperm concentrations and total counts than nonproven wolves. Thus, as the captive red wolf population becomes more inbred, the maximum age of reproduction is likely to decrease; an important finding to consider when projecting population dynamics and determining pairing recommendations.


News Article | February 15, 2017
Site: www.PR.com

The 2017 Women in Oncology Award Winners Honored by PRIMO Education The winners of the 2017 Women in Oncology Award were announced this morning at the 2nd Annual Practical Recommendations in Immuno and Molecular Oncology (PRIMO) Meeting. The Women in Oncology Awards are presented annually to three outstanding women in academia, industry, and advocacy, and seeks to recognize women who have made outstanding contributions to the lives of those fighting cancer. Wailea, HI, February 13, 2017 --( The Women in Oncology Awards are presented annually to three outstanding women in academia, industry, and advocacy, and seeks to recognize women who have made outstanding contributions to the lives of those fighting cancer. The 2017 the Women in Oncology Award Winners are: Academic Nancy Davidson, MD, is the Executive Director of the Fred Hutchinson and University of Washington Cancer Consortium, located in Seattle, WA. She is a world-renowned breast cancer researcher, who has dedicated her career to the study of cancer biology and treatment. In addition to her role at Fred Hutchinson, she is the President of the American Association for Cancer Research, and the Past-President of the American Society of Clinical Oncology. Advocacy Kathy Giusti is a Founder and Executive Chairman of the Multiple Myeloma Research Foundation (MMRF) and the Multiple Myeloma Research Consortium (MMRC), as well as the Faculty Co-Chair of the Harvard Business School Kraft Precision Medicine Accelerator. As Executive Chairman of the MMRF, she established innovative research models to accelerate the pace of development for lifesaving treatments, earning her recognition not only as a pioneer of precision medicine, but also as a strong advocate for patient engagement. Due to her and her foundation’s success, Ms. Giusti has earned numerous career accolades, including a #19 ranking in Fortune Magazine’s “World’s 50 Greatest Leaders”, and an appointment to President Obama’s 2015 Precision Medicine Initiative Working Group. Industry Jill DeSimone is the Head of US Oncology at Merck. Under her leadership, pembrolizumab received FDA approval in metastatic melanoma, non-small cell lung cancer, and head and neck squamous cell carcinoma, positively impacting a large number of patients across the US. Prior to her time at Merck, Ms. DeSimone was a Senior Vice President at Teva Pharmaceuticals, where she established the Global Women’s Health Unit, as well as a Senior Vice President at Bristol-Meyers Squibb. The organizers of this award, PRIMO Education and Cancer Expert Now, thank these three outstanding women for their commitment to the advancement of cancer care and advocacy, and look forward to their continuing contributions to oncology in the future. Wailea, HI, February 13, 2017 --( PR.com )-- The winners of the 2017 Women in Oncology Award were announced this weekend at the 2nd Annual Practical Recommendations in Immuno and Molecular Oncology (PRIMO) Meeting. The awards were Introduced by Charles Balch, MD, PhD(hc), of the MD Anderson Cancer Center, and presented by meeting Co-chairs Julie Brahmer, MD, MSc, of Johns Hopkins School of Medicine and Julie Vose, MD, MBA, of the University of Nebraska Medical Center.The Women in Oncology Awards are presented annually to three outstanding women in academia, industry, and advocacy, and seeks to recognize women who have made outstanding contributions to the lives of those fighting cancer. The 2017 the Women in Oncology Award Winners are:AcademicNancy Davidson, MD, is the Executive Director of the Fred Hutchinson and University of Washington Cancer Consortium, located in Seattle, WA. She is a world-renowned breast cancer researcher, who has dedicated her career to the study of cancer biology and treatment. In addition to her role at Fred Hutchinson, she is the President of the American Association for Cancer Research, and the Past-President of the American Society of Clinical Oncology.AdvocacyKathy Giusti is a Founder and Executive Chairman of the Multiple Myeloma Research Foundation (MMRF) and the Multiple Myeloma Research Consortium (MMRC), as well as the Faculty Co-Chair of the Harvard Business School Kraft Precision Medicine Accelerator. As Executive Chairman of the MMRF, she established innovative research models to accelerate the pace of development for lifesaving treatments, earning her recognition not only as a pioneer of precision medicine, but also as a strong advocate for patient engagement. Due to her and her foundation’s success, Ms. Giusti has earned numerous career accolades, including a #19 ranking in Fortune Magazine’s “World’s 50 Greatest Leaders”, and an appointment to President Obama’s 2015 Precision Medicine Initiative Working Group.IndustryJill DeSimone is the Head of US Oncology at Merck. Under her leadership, pembrolizumab received FDA approval in metastatic melanoma, non-small cell lung cancer, and head and neck squamous cell carcinoma, positively impacting a large number of patients across the US. Prior to her time at Merck, Ms. DeSimone was a Senior Vice President at Teva Pharmaceuticals, where she established the Global Women’s Health Unit, as well as a Senior Vice President at Bristol-Meyers Squibb.The organizers of this award, PRIMO Education and Cancer Expert Now, thank these three outstanding women for their commitment to the advancement of cancer care and advocacy, and look forward to their continuing contributions to oncology in the future.

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