Publications by authors named "M Gertler"

Article Synopsis
  • - The study investigates the knowledge, attitudes, and practices (KAP) of intensive care personnel in Rwanda regarding high-consequence infectious diseases (HCIDs) like Ebola, revealing that many staff have limited experience and training in infection prevention and control (IPC).
  • - A survey conducted with 107 participants highlighted that while 58% felt knowledgeable and 72.9% adhered to hand hygiene, a significant number failed to consistently follow IPC measures, particularly in high-risk situations like aerosol-generating procedures.
  • - The findings suggest that although staff perceive a high risk of infection, their moderate knowledge and inconsistent IPC compliance indicate a need for ongoing education and training to ensure better protection against preventable infections.
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Rwanda is a country in East Africa, a region characterized by highly mobile populations and outbreaks of high-consequence infectious diseases occurring on a regular basis. To increase the level of outbreak preparedness in the region, the Rwandan government and the German Ministry of Health signed a joint agreement to construct a new high-level isolation unit in Rwanda, the first in East Africa, and implement a training program for Rwandan healthcare workers to equip them with the necessary skills and knowledge for medical management of patients under high-level isolation conditions, including intensive care treatment. To better understand the scope and format of the planned training program, a needs assessment was performed based on findings from a standardized survey of 4 intensive care units in Rwanda as well as observations from 2 members of a German high-level isolation unit who completed clinical internships at Rwandan hospitals.

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Background: American Cutaneous Leishmaniasis (ACL) shows variable response to therapy, but data on species-specific treatment efficacy is scarce. We describe the clinical characteristics and outcome of patients with ACL imported to a tertiary centre in Germany and determine whether species-specific therapy according to the 2014 "LeishMan" group recommendations is associated with cure.

Methods: A retrospective chart review was conducted at the Charité Institute of International Health in Berlin.

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Article Synopsis
  • The German healthcare system faced resource allocation challenges during the SARS-CoV-2 pandemic, leading to the development of an open-source personalized recommendation system (PRS) called CovApp.
  • CovApp utilized a questionnaire to assess infection risk and provided tailored recommendations like testing or self-isolation, while seamlessly integrating with electronic health records via QR codes.
  • The system significantly increased patient throughput by 21.7% per hour and doubled the likelihood of high-risk patients receiving appropriate testing, showcasing its effectiveness as a digital tool to enhance public health responses.
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Article Synopsis
  • The outbreak of the monkeypox virus (MPXV) is worsened by late detection and isolation of infected individuals, prompting the creation of a new AI tool named MPXV-CNN to identify skin lesions related to the virus.
  • MPXV-CNN was trained on a large dataset of 139,198 images, including both MPXV lesions and non-MPXV images, resulting in high sensitivity (0.83-0.89) and specificity (0.898-0.965) in identifying infections.
  • A web-based app has been developed to make MPXV-CNN accessible, potentially improving early detection and management during MPXV outbreaks.
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