Publications by authors named "M P Etienne"

Little is known about the epidemiology of leptospirosis in the Dominican Republic, the second most populous country in the Caribbean. We report on findings from a multi-stage household survey across two regions in the country that reveals a previously under-estimated burden of human Leptospira infection. Our findings, based on the reference-standard microscopic agglutination test, indicate a complex picture of serogroup diversity, spatial heterogeneity in infection and risk, and a marked discrepancy between reported cases and serologically estimated infections.

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Article Synopsis
  • * This review examines how secondary OP often goes undiagnosed, especially in younger individuals, and identifies common causes such as chronic kidney disease and glucocorticoid use.
  • * Effective management of secondary OP requires tailored strategies that address the underlying disorders to mitigate fracture risk and enhance health outcomes.
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The 2014 chikungunya outbreak in the Dominican Republic resulted in intense local transmission, with high postoutbreak seroprevalence. The resulting population immunity will likely minimize risk for another large outbreak through 2035, but changes in population behavior or environmental conditions or emergence of different virus strains could lead to increased transmission.

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Animals may fall into an 'ecological trap' when they select seemingly attractive habitats at the expense of their fitness. This maladaptive behavior is often the result of rapid, human-induced changes in their natal environment, such as the construction of energy and transportation infrastructure. We tested the ecological trap hypothesis regarding human-created linear infrastructure on a widely distributed apex predator and scavenger-the Golden Eagle (Aquila chrysaetos), whose range spans the entire Northern Hemisphere.

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