Publications by authors named "K P Hester"

Background: Increasing childhood vaccination, family planning, healthcare access, and women's empowerment are targets of the Sustainable Development Goals (SDG). Barriers to healthcare access impede vaccination; tackling goals holistically could create larger gains than siloed efforts. We studied Nepal, Senegal, and Zambia to test the association between childhood vaccinations and other SDG indicators to identify clustered deprivations.

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  • * A case study is reported involving a 67-year-old woman who experienced perforation in multiple segments of her small bowel due to gallstone ileus, which is an uncommon occurrence.
  • * The patient underwent surgery to remove the gallstone and resections of the affected bowel sections, and although she was initially left with an open abdomen, she recovered well after subsequent surgery and was eventually discharged.
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  • - Non-cystic fibrosis bronchiectasis is a chronic lung disease causing symptoms like a persistent cough and frequent flare-ups, with no approved medications specifically for treatment.
  • - Current therapies often involve off-label use of drugs, including antibiotics and mucoactive treatments, although their safety has not been confirmed through randomized trials.
  • - This review examines the safety of commonly used drugs in treating bronchiectasis and highlights some new treatments under development for the condition.
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Unlabelled: The intersectional risks of children in United States immigrant communities include environmental exposures. Pesticide exposures and their biological outcomes are not well characterized in this population group. We assessed pesticide exposure and related these exposures to DNA double-strand breaks (DSBs) in Latinx children from rural, farmworker families (FW;  = 30) and from urban, non-farmworker families (NFW;  = 15) living in North Carolina.

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New vaccines, technologies, and regulations, alongside increased demand for vaccines, all require prioritization and coordination from key players within the vaccine sector. Inter-agency Coordinating Committees (ICC) support decision-making and coordination at the national-level and act as key drivers for sustainable improvements in vaccination programming. We utilized a previous qualitative case study, which investigated critical success factors for high routine immunization coverage in Zambia from 2000-2018, specifically to study the Zambian ICC.

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