Publications by authors named "Don E Lucero-Prisno Iii"

Article Synopsis
  • Adolescent pregnancy is a major public health issue worldwide, especially in developing countries like Rwanda, where contraceptive use among teens is often low despite its potential to prevent unintended pregnancies.
  • This study aimed to explore adolescents' knowledge, attitudes, and strategies regarding contraceptive use using a mixed-method approach that included surveys and in-depth interviews with 394 participants in Gitega Sector.
  • Results showed that both adolescents (75.5%) and parents (59.1%) had low knowledge about contraceptives, but a majority (56.7%) had a positive attitude towards their use, with knowledge associated with factors like education.
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  • * Researchers evaluated data from 271 patients admitted between March 2020 and April 2021, finding that nearly all were treated with antimicrobials, with factors like being single, under 60, having mild symptoms, and diabetes influencing the number of prescriptions.
  • * The study underscores the need for careful monitoring of antimicrobial use in hospitalized COVID-19 patients to mitigate the risks associated with developing antibiotic resistance, especially in the absence of bacterial cultures for diagnosis.
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Spina bifida is a congenital neural tube defect that results in abnormal development of the spine and central nervous system. Infants born with this condition face a range of physical disabilities and associated complications. Although the global burden has declined in recent decades due to folic acid fortification and prenatal screening, spina bifida remains a significant public health challenge in many low- and middle-income countries (LMICs), particularly in sub-Saharan Africa.

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African immunization programs are crucial in reducing the prevalence of infectious diseases and improving public health outcomes. This review provides an overview of the current status of immunization efforts in Africa, highlights key challenges, and offers recommendations to help the continent achieve the 2030 Global Immunization Goals. While progress has been made, significant challenges remain.

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  • Health professions education is crucial for universal health coverage and improving health outcomes, but low- and middle-income countries like Somalia struggle with outdated systems, resource shortages, and a lack of trained professionals due to ongoing instability.
  • This study used mixed-methods research, including interviews and surveys, to analyze the state of health education and workforce in Somalia, investigating the perspectives of young professionals and students in the field.
  • Findings revealed a concentration of health schools in urban areas, significant urban-rural disparities in the healthcare workforce, and employment challenges for graduates, indicating an urgent need for reforms in health education and governance.
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  • The COVID-19 pandemic necessitated changes in how health care systems, like St. Paul's Hospital, handled surgical abortions, treating dilation and evacuation (D&E) procedures as emergency cases to reduce delays in care.
  • This retrospective study from April to July 2021 reviewed 19 second trimester D&E cases, focusing on their management under the new emergency COVID-19 pre-operative testing protocols.
  • The study found that patients were able to undergo D&E procedures on average within 21.83 hours of their initial evaluation, facilitating timely access to abortion services during a challenging period.
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Stem cell therapy (SCT) is a promising solution for addressing health challenges in Africa, particularly non-communicable diseases (NCDs). With their regenerative potential, stem cells have the inherent capacity to differentiate into numerous cell types for tissue repair. Despite infrastructural, ethical, and legal challenges, SCT holds immense promise for managing chronic illnesses and deep-seated tissue injuries.

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Background: This study compared the research output of Association of Southeast Asian Nations (ASEAN) countries to understand research trends and clarify past, present, and future patterns using scientometric techniques.

Methods: This scientometric study systematically mined health and social science publications from the Web of Science and Scopus databases using keywords associated with infectious disease. The analysis included only English-language articles and review articles by authors from any ASEAN country.

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The Russo-Ukrainian war caused significant humanitarian and healthcare issues in the Russo-Ukrainian region, which were further aggravated by the escalation of the conflict on February 2022. Because of this ongoing confrontation between the two nations, which has its roots in geopolitical conflicts and historical events, there have been nearly 4 million refugees in only the first month, and 906 healthcare institutions have sustained significant damage. Consequently, the demand for medical services has increased, adding onto the burden of the pre-existing problems within the region's healthcare system, such as inequities, budget shortages, and corruption.

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In Namibia, the Value Added Tax (VAT) Amendment Act 2022, which reclassified the supply of sanitary pads as zero-rated, has significant implications for adolescent girls' menstrual health and education. The policy change responds to the need to address period poverty by making essential menstrual products more accessible and affordable. Menstruation is a normal biological process, and access to sanitary products is a human right.

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This article provides a nuanced exploration of the state and exigencies of neurosurgical training in sub-Saharan Africa (SSA), viewed through the discerning lens of a medical student. The region has a pronounced scarcity of neurosurgical services, further compounded by sociocultural intricacies and infrastructural inadequacies, resulting in elevated mortality and morbidity rates. The insufficiency of neurosurgeons, facilities, and training centers, particularly in remote areas, exacerbates this predicament.

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Objectives: This study explored the prevalence and predictors of alcohol and cannabis co-use among 9263 Filipino adolescents, using data from the 2019 Global School-based Student Health Survey (GSHS).

Methods: We conducted a cross-sectional secondary analysis of the GSHS, targeting adolescents aged 13-17 years and excluding cases with incomplete data on alcohol and cannabis use. Our analysis employed the bivariate chi-square test of independence and multivariable logistic regression using Stata version 18 to identify significant predictors of co-use, with a p-value threshold set at 0.

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The World Health Organisation (WHO) officially certified Cabo Verde as a malaria-free country in January 2024, marking a key milestone in world health and demonstrating the efficacy of comprehensive malaria control programs. Cabo Verde is only the third country in the WHO African region to have achieved this designation, highlighting the potential for other nations to successfully eradicate malaria. Despite encountering hurdles like drug-resistant strains and COVID-19 disruptions, Cabo Verde's success after years of strategic planning and multisectoral collaboration highlights the value of long-term public health initiatives.

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The healthcare industry is constantly evolving to bridge the inequality gap and provide precision care to its diverse population. One of these approaches is the integration of digital health tools into healthcare delivery. Significant milestones such as reduced maternal mortality, rising and rapidly proliferating health tech start-ups, and the use of drones and smart devices for remote health service delivery, among others, have been reported.

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Article Synopsis
  • - Asthma is not well understood in low-and middle-income countries (LMIC), with specific clinical subgroups facing additional challenges in care.
  • - A study reviewed data from 162 publications across 69 countries, revealing asthma prevalence rates varying by continent, with higher rates in North America and Oceania, and noted significant proportions of severe and eosinophilic asthma.
  • - The low prevalence rates in LMICs may indicate issues in healthcare systems, such as underdiagnosis, despite a high occurrence of severe asthma phenotypes in various regions.
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Among the numerous challenges that Africa faces in improving its healthcare systems, the paucity of health data stands out as paramount. This study aims to examine the challenges related to the paucity of health data in Africa and its impact on the implementation of digital health and evidence-based practice. The findings of the study reveal that health data availability in Africa is both limited and frequently of poor quality.

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It is a prevalent misconception that healthcare professionals are specialists and thus can effectively manage their health. This is probably true, but given recent pandemics and the rise in violence in medical settings, one is compelled to question whether their health and safety are sufficient for a robust healthcare system. This is important because protecting and promoting the health, safety, and well-being of health workers will improve the quality of patient care and increase the resilience of health services in the face of outbreaks and public health emergencies.

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  • Melanoma is the deadliest form of skin cancer, although it shows relatively low incidence and mortality rates worldwide.
  • This study aimed to analyze global trends in melanoma incidence and mortality, as well as risk factors across different demographics.
  • Findings indicated an increase in melanoma cases, particularly among older adults, especially males, while mortality rates have generally decreased, suggesting a need for further research on contributing lifestyle and healthcare factors.
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