All news from Anaesthesiology

An Integrated Community Health Worker Intervention, Nepal

The proposed study will evaluate the efficacy and implementation process of the integrated RMNCH intervention using CHWs as a national pilot. Researchers chose a type 2 hybrid effectiveness-implementation study to evaluate the effectiveness of the integrated intervention and the implementation process.

They utilize the RE-AIM research framework, which has been utilized for other studies of women’s health and child health, to guide the evaluation of the implementation process. The RE-AIM is designed to improve the sustainable adoption of effective, generalizable, and evidenced-based interventions that can be scaled and, ideally, shape broader policy environments.

Community-Based Management of Acute Malnutrition

The intervention studied in this article is an adaptation of the CMAM approach that was designed for integration with ICDS growth monitoring activities at the Anganwadi centers. The intervention was implemented by the Society for Nutrition, Education and Health Action (SNEHA), in partnership with ICDS, in urban informal health settlements of Mumbai, India, to reduce the prevalence of wasting among children under age 3.

The article reports on a quantitative evaluation of wasting prevalence in intervention communities along with a qualitative study of stakeholders who identified salient features that contributed to the success of the program.

Rugby players and Concussion

Concussion is one of the biggest problems facing both rugby union and league. Rates of the traumatic brain injury in rugby union have been rising since the 2012/13 season, going from one concussion every 3.2 matches, to one concussion every 1.2 matches in the 2015/16 season.

Newly Discovered Path of Evolution Adapted by Viruses

Biologists have discovered evidence for a new path of evolution and with it a deeper understanding of how quickly organisms such as viruses can adapt to their environment. The researchers say their findings, which address longstanding mysteries of how genes acquire new functions and how mutations arise to ease transmission from one host to another, could be applied to investigations of viral diseases such as Zika, Ebola and bird flu.