Publications by authors named "J Alfred"
Objective: Elevated blood pressure (BP), even at prehypertensive levels, increases cardiovascular disease risk among people with HIV (PWH); yet international guidelines in low-income countries recommend treatment initiation at BP at least 140/90 mmHg. We determined the efficacy, feasibility, and acceptability of treating prehypertension in PWH in Haiti.
Design: An unblinded randomized clinical trial (enrolled April 2021-March 2022) with 12-month follow-up.
Introduction: The number of bariatric operations is increasing each year. Sleeve gastrectomy is the most popular procedure; however, it often requires revision surgery because of insufficient weight loss, weight regain or gastro-oesophageal reflux disease (GORD). The most popular revisional procedures are Roux-en-Y gastric bypass (RYGB) and one anastomosis gastric bypass (OAGB).
View Article and Find Full Text PDFObjective: To assess changes in reproductive, maternal, newborn, child, and adolescent health (RMNCAH) in Haiti from August 2018 to September 2021, before and during the COVID-19 pandemic.
Methods: A retrospective study using surveillance data from the Haitian Unique Health Information System, examining two periods: pre- and peri-COVID-19 pandemic. Health indicators at the national level in the two periods were compared using two-sample -tests for proportions, and average absolute monthly changes were calculated using variance-weighted regression.
Article Synopsis
- A study in Port-au-Prince, Haiti, found that 14.7% of adults have cardiovascular disease (CVD), with prevalent conditions including heart failure (11.9%) and stroke (2.4%).
- The research involved gathering diverse health data from over 3,000 participants and identified key risk factors such as hypertension and obesity linked to heart failure.
- The findings reveal a significant presence of early-onset heart failure in Haiti, highlighting the need for tailored health policies in low- and middle-income countries based on local epidemiological data.