Publications by authors named "A D Chapital"
In response to the 2010 earthquake and subsequent cholera epidemic, St Luke's Medical Center was established in Port-au-Prince, Haiti. Here, we describe its inception and evolution to include an intensive care unit and two operating rooms, as well as the staffing, training and experiential learning activities, which helped St Luke's become a sustainable surgical resource. We describe a three-phase model for establishing a sustainable surgical centre in Haiti (build facility and acquire equipment; train staff and perform surgeries; provide continued education and expansion including regular specialist trips) and we report a progressive increase in the number and complexity of cases performed by all-Haitian staff from 2012 to 2022.
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- - The study aimed to estimate the prevalence of SARS-CoV-2 antibodies among health care workers using a voluntary two-stage testing program initiated by the Mayo Clinic on June 15, 2020.
- - Out of 81,113 eligible health care workers, 29,606 participated, with 14.5% showing reactive results to initial tests; confirmatory testing indicated an overall seroprevalence rate of 0.60%.
- - The findings revealed that the seroprevalence was lower than in other hospitals, with variations linked to geographical regions and the age of participants, and suggested possible connections to community disease levels.
Pleuroperitoneal (Denver) shunts have been used primarily for palliation of refractory malignant and chylous peritoneal and pleural collections. We used a pleuroperitoneal (Denver) shunt for a recurrent, nonmalignant breast seroma in the palliation of metastatic breast cancer as a novel use of this shunt.
View Article and Find Full Text PDFIntroduction: Despite ultrasound use, accidental carotid cannulation is possible during placement of a central venous catheter (CVC), requiring operative repair of the carotid artery and removal of the catheter.
Case Presentation: We report 2 cases-a 59-year-old Hispanic man and an 86-year-old white man-of inadvertent placement of a CVC into the left common carotid artery, removed via a pull-and-pressure technique under real-time ultrasound guidance. No complications occurred and follow-up imaging was negative for fistula creation, hematoma, or cerebral infarcts.