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Article ; Online: Changes in Breastfeeding and Related Maternity Care Practices After Hurricanes Irma and Maria in Puerto Rico.

Kortsmit, Katherine / Salvesen von Essen, Beatriz / Anstey, Erica / Ellington, Sascha / Hernández Virella, Wanda I / D'Angelo, Denise V / Strid, Penelope / Magly Olmos, Idennys / Vargas Bernal, Manuel / Warner, Lee

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine

2024 Volume 19, Issue 3, Page(s) 177–186

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Infant ; Humans ; Female ; Pregnancy ; Breast Feeding ; Puerto Rico ; Cyclonic Storms ; Maternal Health Services ; Risk Assessment
Language	English
Publishing date	2024-04-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	2234680-6
ISSN	1556-8342 ; 1556-8253
ISSN (online)	1556-8342
ISSN	1556-8253
DOI	10.1089/bfm.2023.0261
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Pregnant Women's Experiences During and After Hurricanes Irma and Maria, Pregnancy Risk Assessment Monitoring System, Puerto Rico, 2018.

Simeone, Regina M / House, L Duane / Salvesen von Essen, Beatriz / Kortsmit, Katherine / Hernandez Virella, Wanda / Vargas Bernal, Manuel I / Galang, Romeo R / D'Angelo, Denise V / Shapiro-Mendoza, Carrie K / Ellington, Sascha R

Public health reports (Washington, D.C. : 1974)

2023 Volume 138, Issue 6, Page(s) 916–924

Abstract: ... mental health outcomes. Hurricanes Irma and Maria struck Puerto Rico in September 2017. Our objectives were ... women who were pregnant during or after hurricanes Irma and Maria struck Puerto Rico reported negative ...

Abstract	Objective: Exposure to natural disasters during and after pregnancy may increase adverse mental health outcomes. Hurricanes Irma and Maria struck Puerto Rico in September 2017. Our objectives were to understand hurricane-related experiences, maternal health concerns, and the impact of hurricane experiences on postpartum depressive symptoms (PDS). Methods: We used data from the 2018 Pregnancy Risk Assessment Monitoring System to describe differences in maternal hurricane experiences among women who were pregnant during and after the 2017 hurricanes. We assessed maternal concerns and PDS. We estimated adjusted prevalence ratios (aPRs) and 95% CIs for the associations between hurricane experiences and PDS. Results: The most frequently reported hurricane experiences were losing power for ≥1 week (97%) and feeling unsafe due to lack of order/security (70%). Almost 30% of women who were pregnant during the hurricanes reported missing prenatal care. PDS were reported by 13% of women. Most hurricane experiences were associated with an increased prevalence of PDS. Feeling unsafe (aPR = 2.4; 95% CI, 1.2-4.9) and having difficulty getting food (aPR = 2.1; 95% CI, 1.1-4.1) had the strongest associations. Conclusions: Most women who were pregnant during or after hurricanes Irma and Maria struck Puerto Rico reported negative hurricane experiences, and most experiences were associated with an increased prevalence of PDS. Understanding the experiences of pregnant women during and after disasters and identifying risks for adverse mental health outcomes after pregnancy are important to inform emergency preparedness and prenatal and postpartum care.
MeSH term(s)	Pregnancy ; Humans ; Female ; Puerto Rico/epidemiology ; Cyclonic Storms ; Pregnant Women ; Disasters ; Risk Assessment
Language	English
Publishing date	2023-01-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	120953-x
ISSN	1468-2877 ; 0033-3549
ISSN (online)	1468-2877
ISSN	0033-3549
DOI	10.1177/00333549221142571
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Article ; Online: The Impact of Hurricane Maria on Student Pharmacists and Their Perception of Their Academic Performance.

Silva-Suarez, Georgina / Reyes, Yarelis Alvarado / Rodriguez-Figueroa, Linnette / Rivera-Ortiz, Norymar / Loyselle, Juan Vargas- / Rabionet, Silvia E / Medina, Patricia / Lozada, Raquel / Ortiz, Blanca

American journal of pharmaceutical education

2020 Volume 84, Issue 9, Page(s) ajpe7808

Abstract: Objective. ...

Abstract	Objective.
MeSH term(s)	Academic Performance ; Adult ; Cyclonic Storms ; Female ; Humans ; Male ; Perception ; Pharmacists ; Puerto Rico ; Students, Pharmacy ; Young Adult
Language	English
Publishing date	2020-09-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	603807-4
ISSN	1553-6467 ; 0002-9459
ISSN (online)	1553-6467
ISSN	0002-9459
DOI	10.5688/ajpe7808
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bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
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Article ; Online: The impact of Hurricane Maria on Puerto Rico’s health system

Sheilla L. Rodríguez-Madera / Nelson Varas-Díaz / Mark Padilla / Kevin Grove / Kariela Rivera-Bustelo / Jeffrey Ramos / Violeta Contreras-Ramirez / Sergio Rivera-Rodríguez / Ricardo Vargas-Molina / Jose Santini

Global Health Research and Policy, Vol 6, Iss 1, Pp 1-

post-disaster perceptions and experiences of health care providers and administrators

2021 Volume 11

Abstract: Abstract Background After its landfall in Puerto Rico in 2017, Hurricane Maria caused the longest ... who witnessed first-hand the collapse of Puerto Rico’s health care system, responded to the crisis after Maria ... Participants’ narratives emphasize that the management of Hurricane Maria was fraught with political and ...

Abstract	Abstract Background After its landfall in Puerto Rico in 2017, Hurricane Maria caused the longest blackout in United States history, producing cascading effects on a health care system that had already been weakened by decades of public sector austerity and neoliberal health reforms. This article addresses how health care professionals and administrators experienced the health care system’s collapse and the strategies used by them to meet their communities' health needs. Methods Data were collected between September 2018 and February 2020. Ethnographic observations in health care facilities and semi-structured qualitative interviews with representatives of the health care system were conducted. This paper focuses on data from interviews with health care providers (n = 10) and administrators (n = 10), and an ethnographic visit to a pop-up community clinic. The analysis consisted of systematic thematic coding of the interview transcripts and ethnographic field notes. Results Results provide insight on how participants, who witnessed first-hand the collapse of Puerto Rico’s health care system, responded to the crisis after Maria. The prolonged power outage and lack of a disaster management plan were partly responsible for the death of 3,052 individuals who experienced extended interruptions in access to medical care. Participants reported a sense of abandonment by the government and feelings of mistrust. They also described the health sector as chaotic and lacking clear guidelines on how to provide services or cope with personal crises while working under extreme conditions. In such circumstances, they developed resilient responses to meet communities’ health needs (e.g., itinerant acupuncture services, re-locating physicians to local pharmacies). Conclusions Participants’ narratives emphasize that the management of Hurricane Maria was fraught with political and economic constraints affecting Puerto Rico. Ineffective planning and post-Maria responses of the local and federal governments were determinants of the ...
Keywords	Health care system ; Post-disaster ; Health care providers ; Resilience ; Puerto Rico ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2021-11-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The impact of Hurricane Maria on Puerto Rico's health system: post-disaster perceptions and experiences of health care providers and administrators.

Rodríguez-Madera, Sheilla L / Varas-Díaz, Nelson / Padilla, Mark / Grove, Kevin / Rivera-Bustelo, Kariela / Ramos, Jeffrey / Contreras-Ramirez, Violeta / Rivera-Rodríguez, Sergio / Vargas-Molina, Ricardo / Santini, Jose

Global health research and policy

2021 Volume 6, Issue 1, Page(s) 44

Abstract: Background: After its landfall in Puerto Rico in 2017, Hurricane Maria caused the longest blackout ... who witnessed first-hand the collapse of Puerto Rico's health care system, responded to the crisis after Maria ... Participants' narratives emphasize that the management of Hurricane Maria was fraught with political and ...

Abstract	Background: After its landfall in Puerto Rico in 2017, Hurricane Maria caused the longest blackout in United States history, producing cascading effects on a health care system that had already been weakened by decades of public sector austerity and neoliberal health reforms. This article addresses how health care professionals and administrators experienced the health care system's collapse and the strategies used by them to meet their communities' health needs. Methods: Data were collected between September 2018 and February 2020. Ethnographic observations in health care facilities and semi-structured qualitative interviews with representatives of the health care system were conducted. This paper focuses on data from interviews with health care providers (n = 10) and administrators (n = 10), and an ethnographic visit to a pop-up community clinic. The analysis consisted of systematic thematic coding of the interview transcripts and ethnographic field notes. Results: Results provide insight on how participants, who witnessed first-hand the collapse of Puerto Rico's health care system, responded to the crisis after Maria. The prolonged power outage and lack of a disaster management plan were partly responsible for the death of 3,052 individuals who experienced extended interruptions in access to medical care. Participants reported a sense of abandonment by the government and feelings of mistrust. They also described the health sector as chaotic and lacking clear guidelines on how to provide services or cope with personal crises while working under extreme conditions. In such circumstances, they developed resilient responses to meet communities' health needs (e.g., itinerant acupuncture services, re-locating physicians to local pharmacies). Conclusions: Participants' narratives emphasize that the management of Hurricane Maria was fraught with political and economic constraints affecting Puerto Rico. Ineffective planning and post-Maria responses of the local and federal governments were determinants of the disaster's impact. The findings contribute to a growing scientific literature indicating that Hurricane Maria revealed 'the collapse before the collapse,' alluding to the structural deficiencies that presaged the catastrophic event. In the context of governmental abandonment, the authors argue for the importance of developing alternative strategies in post-disaster health care provision among health professionals and administrators who work at the front lines of recovery.
MeSH term(s)	Ambulatory Care Facilities ; Cyclonic Storms ; Disasters ; Health Personnel ; Humans ; Perception ; Puerto Rico ; United States
Language	English
Publishing date	2021-11-10
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ISSN	2397-0642
ISSN (online)	2397-0642
DOI	10.1186/s41256-021-00228-w
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Evaluation of Emergency Department-Based Surveillance Systems at 2 Healthcare Facilities After Hurricane Maria: Puerto Rico, 2017-2018.

Adams, Laura E / Vargas, Luzeida / Frasqueri-Quintana, Veronica M / Torres-Figueroa, Xiomara / Ryff, Kyle / Sanchez-Gonzalez, Liliana / Little, Emma / Ciampaglio, Kaitlyn / Reyes Claudio, Julio M / Ponton-Cruz, Elyonel / Santiago, William / Paz-Bailey, Gabriela / Alvarado, Luisa I

Disaster medicine and public health preparedness

2019 Volume 17, Page(s) e1

Abstract: Objectives: Hurricane Maria caused catastrophic damage in Puerto Rico, increasing the risk ... urgent care clinic in the 6 mo after Hurricane Maria. We then evaluated the system by comparing findings with data ...

Abstract	Objectives: Hurricane Maria caused catastrophic damage in Puerto Rico, increasing the risk for morbidity and mortality in the post-impact period. We aimed to establish a syndromic surveillance system to describe the number and type of visits at 2 emergency health-care settings in the same hospital system in Ponce, Puerto Rico. Methods: We implemented a hurricane surveillance system by interviewing patients with a short questionnaire about the reason for visit at a hospital emergency department and associated urgent care clinic in the 6 mo after Hurricane Maria. We then evaluated the system by comparing findings with data from the electronic medical record (EMR) system for the same time period. Results: The hurricane surveillance system captured information from 5116 participants across the 2 sites, representing 17% of all visits captured in the EMR for the same period. Most visits were associated with acute illness/symptoms (79%), followed by injury (11%). The hurricane surveillance and EMR data were similar, proportionally, by sex, age, and visit category. Conclusions: The hurricane surveillance system provided timely and representative data about the number and type of visits at 2 sites. This system, or an adapted version using available electronic data, should be considered in future disaster settings.
Language	English
Publishing date	2019-09-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	2375268-3
ISSN	1938-744X ; 1935-7893
ISSN (online)	1938-744X
ISSN	1935-7893
DOI	10.1017/dmp.2019.79
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Article ; Online: CARLOS PRIETO & MARIA A. VARGAS (2016) Elfin butterflies of the genus Rhamma Johnson (Lepidoptera: Lycaenidae: Theclinae): A review of the Colombian species. Zootaxa, 4093(3): 323-342.

Prieto, Carlos / Vargas, Maria A

Zootaxa

2016 Volume 4103, Issue 6, Page(s) 600

Language	English
Publishing date	2016--18
Publishing country	New Zealand
Document type	Journal Article ; Published Erratum
ISSN	1175-5334
ISSN (online)	1175-5334
DOI	10.11646/zootaxa.4103.6.9
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Epidemiology of infection by anoplocephalides in horses of Santa Maria’s Jockey Club – RS / Epidemiologia da infecção por anoplocefalídeos em eqüinos do Jockey Club de Santa Maria – RS

Alfredo Skrebsky Cezar / Eduardo Montemezzo / Luciana Araújo / Giovana Camillo / Aline da Rosa Vargas / Fernanda Silveira Flôres Vogel / Luís Antônio Sangioni

Semina: Ciências Agrárias, Vol 30, Iss 1, Pp 163-

2009 Volume 170

Abstract: ... at the Santa Maria Jockey Club. Stool samples from 66 animals were obtained from august to november 2006 ... de Santa Maria através de análise coproparasitológica. Amostras de fezes oriundas de 66 animais foram ...

Abstract	The goal of this study was to evaluate the prevalence of anoplocephalide eggs in housed horses at the Santa Maria Jockey Club. Stool samples from 66 animals were obtained from august to november 2006. Anoplocephalide presence was investigated by using the modified method of sedimentation Dennis, Stone and Swanson. A questionnaire was applied to evaluate the criteria adopted by the animal caretakers in order to choose the antiparasitic drug to be used. The anoplocephalides were detected in 100% of the animals. These results demonstrate that parasite prevalence was high due of improper treatments, including incorrect choice and application of the drug. In general, these factors are linked because the animal treatment is determined by the animal caretaker and not by the veterinarian, leading to serious infection by the presence of these agents. O objetivo deste trabalho foi avaliar a prevalência de anoplocefalídeos de eqüinos estabulados no Jockey Club de Santa Maria através de análise coproparasitológica. Amostras de fezes oriundas de 66 animais foram obtidas de agosto a novembro de 2006. Pelo emprego do método de sedimentação Dennis, Stone e Swanson modificado verificou-se a presença de ovos de anoplocefalídeos. Foi aplicado um questionário a fim de avaliar a tomada de decisão da administração de droga antiparasitária pelos treinadores. Os anoplocefalídeos foram detectados em 100% das amostras analisadas. Os resultados obtidos demonstraram uma alta prevalência desses parasitas, podendo ser justificado, dentre outros fatores, pela adoção de sistemas de tratamento antiparasitário inadequados, os quais incluem principalmente a escolha e a forma de aplicação incorreta das drogas, associados à atribuição da decisão do tratamento dos animais ser de responsabilidade do próprio tratador, e não do Médico Veterinário, contribuindo para o agravamento da infecção por esses agentes.
Keywords	Eqüinos ; Cestódeos ; Anoplocephala spp ; Prevalência ; Epidemiologia ; Agriculture (General) ; S1-972
Language	English
Publishing date	2009-07-01T00:00:00Z
Publisher	Universidade Estadual de Londrina
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Radio Santa Maria: a case study of participatory evaluation.

Mayo, J K / Green, C B / Vargas, M E

Development communication report

1985 , Issue 48, Page(s) 1–2, 10 p.

MeSH term(s)	Americas ; Caribbean Region ; Communication ; Developed Countries ; Developing Countries ; Dominican Republic ; Education ; Evaluation Studies as Topic ; Health Planning ; Information Services ; Latin America ; Mass Media ; North America ; Organization and Administration ; Organizations ; Radio ; Research
Language	English
Publishing date	1985
Publishing country	United States
Document type	Case Reports ; Journal Article
ISSN	0192-1312
ISSN	0192-1312
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book ; Online: Redes integradas de servicios de salud en Colombia y Brasil : Un estudio de casos

Unger, Jean-Pierre / Mogollón-Pérez, Amparo / Vázquez, María / Enfermera, Maria Ferreira / Vargas, Ingrid / de Paepe, Pierre / Vázquez, María / Enfermera, Maria Ferreira

2018

Keywords	Health systems & services ; Medical ; Health Care Delivery
Size	1 Online-Ressource
Document type	Book ; Online
Note	Spanish ; Open Access
HBZ-ID	HT021029803
ISBN	9789587388121 ; 9587388127
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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