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17 Million US Children Live More Than An Hour Away From Trauma Care
More than 17 million U.S. children live more than an hour away by ground or air transportation from a life-saving pediatric trauma center, according to a new study by researchers at The Children"s Hospital of Philadelphia and the University of Pennsylvania. The creation of a national inventory of pediatric trauma centers may help to identify the locations of gaps and greatly improve access to care for U.S. children, the authors said.

Changing Paradigms In Hereditary Angioedema: Pathophysiology, Diagnosis And Treatment
Hereditary angioedema (HAE) is an autosomal dominant disease affecting between 4,000 and 10,000 people in the United States. HAE causes recurrent attacks of intense localized edema involving the skin, airway, and visceral organs. While chronic therapy with attenuated androgens or plasmin inhibitors has been the mainstay of HAE therapy, many new therapies for prophylaxis and acute treatment are on the horizon. It is important for physicians to understand the diagnostic strategies in HAE as well as the conventional and emerging therapeutic options available for HAE prophylaxis and acute attacks.
News of the day
Medicaid Health Plans Provide Cost Savings To States And High Quality And Value To Beneficiaries, New Analysis Shows
Medicaid health plans are producing cost savings for states, increasing access to services for individuals covered by Medicaid, improving quality of care, and earning high satisfaction ratings from enrollees, according to a Lewin Group report released today by America"s Health Insurance Plans (AHIP). Twenty-four existing studies were analyzed by the Lewin Group to determine the savings achieved when states have implemented private Medicaid health plans.
Mental Health

University Of Miami Receives Grant To Improve Maternal And Infant Health In Haiti

The University of Miami (UM) School of Nursing and Health Studies has received a $98,000 grant from the Pan American Health and Education Foundation (PAHEF) for an initiative designed to address issues of maternal and infant health in Haiti. Financed by PAHEF from a fund created through the generosity of the People of Taiwan, the program will assist the Haitian Ministry of Health in addressing one of its foremost national objectives: the reduction of maternal and infant morbidity through increased access to family planning, pregnancy care, and labor and post-partum health services. The grant supports the school"s priorities as a Pan American Health Organization / World Health Organization (PAHO-WHO) Collaborating Centre for Nursing Human Res Development and Patient Safety. One of only 11 such centers in the U.S., the WHO Collaborat-ing Centre at UM serves as a vital re for nurses and other health care leaders in the expansion of educational capacity, strengthening of health systems, and improvement of international partnerships that promote global public health. "The University of Miami and our school"s WHO Collaborating Centre are committed to supporting the nursing workforce by assisting neighboring countries with their educational needs," says Nilda P. Peragallo, DrPH, RN, FAAN, dean and professor at the UM School of Nursing and Health Studies. "Strengthening and expanding nursing education programs is key to improving health care throughout our hemisphere. We are deeply grateful to the Pan American Health and Education Foundation and the People of Taiwan for their generosity in supporting this project to improve the health of women and children in Haiti." "PAHEF recognizes the commitment to excellence and results of the University of Miami"s Centre for Nursing Human Res Development and Patient Safety," says PAHEF Executive Director, Mr. Edward L. Kadunc. "I am confident that the Centre will help train a top-rate cadre of nurse-midwives and as a result reduce maternal and infant morbidity and mortality in Haiti." The Taipei Economic and Cultural Representative Office notes, "The people of Taiwan uphold the same guiding principle as that of the Pan American Health and Education Foundation--the highest possible level of health for all. In the spirit of this common vision and in our partnership, we pleased to help improve the health of mothers and infants in Haiti." Haiti has the highest maternal mortality rate in the Western hemisphere. This key indicator has worsened from 523/100,000 live births 5 years ago to approximately 633/100,000 today. Most Haitians live in rural areas without access to health care, causing many expectant women to perish from preventable health conditions. According to the Pan American Health Organization, Regional Office for the Americas of the World Health Organization (Health in the Americas, 2007), there are 1.2 doctors and 1.3 nurses per 10,000 Haitians, mostly concentrated in the capital of Port-au-Prince. Since 80% of the population lives in rural areas, health infrastructure and services for the vast majority of Haitians remain sorely deficient. As a result, three-quarters of women in Haiti deliver at home. Fourteen percent of pregnant women have never had prenatal care and only half of pregnant women have had the minimum recommended number of prenatal visits. The program will focus on building educational capacity for midwifery education through an exchange of nursing faculty members and students from UM with nurses and nursing faculty from one of Haiti"s primary midwifery teaching institutions, the ç‰cole Nationale des Infirmiç¨res Sages-Femmes in Port-au-Prince. The eighteen-month initiative will expand the preparation given to nurses to become midwives in Haiti utilizing WHO guidelines. The immediate outcomes of the program will include up to 40 new midwives prepared with clinically-current knowledge to address the range of issues affecting maternal and perinatal health in Haiti today. The ultimate goal of the program is to promote quality maternal health through a model that may be tailored and replicated in other developing countries. Marie Guma-Diaz University of Miami


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