Jeffrey Michael Smith

Learn More
OBJECTIVE To test the safety, acceptability, feasibility, and effectiveness of community-based education and distribution of misoprostol for prevention of postpartum hemorrhage at home birth in Afghanistan. METHODS A nonrandomized experimental control design in rural Afghanistan. RESULTS A total of 3187 women participated: 2039 in the intervention group(More)
The time is right to shift the focus of the global maternal health community to the challenges of effective implementation of services within districts. 20 years after the launch of the Safe Motherhood Initiative, the community has reached a broad consensus about priority interventions, incorporated these interventions into national policy documents, and(More)
BACKGROUND Hemorrhage continues to be a leading cause of maternal death in developing countries. The 2012 World Health Organization guidelines for the prevention and management of postpartum hemorrhage (PPH) recommend oral administration of misoprostol by community health workers (CHWs). However, there are several outstanding questions about distribution of(More)
At a metropolitan newspaper office in Canada with extensive video display terminal (VDT) use, researchers carried out a survey (n = 1,007, 84% response) to establish baseline prevalence of work-related musculoskeletal disorders (WMSDs) and to identify demographic, postural, task, and psychosocial factors associated with WMSD symptoms. One-fifth of the(More)
BACKGROUND Little current information is available for prevalence of vertically-transmitted infections among the Afghan population. The purpose of this study is to determine prevalence and correlates of human immunodeficiency virus (HIV), syphilis, and hepatitis B and C infection among obstetric patients and model hepatitis B vaccination approaches in(More)
OBJECTIVE To establish a mechanism for ensuring and regulating quality of pre-service midwifery education in Afghanistan during a period of intense expansion. STUDY DESIGN Case study of public health practice in health workforce development. METHODS Afghanistan's high maternal mortality is due, in part, to a lack of competent skilled midwives. In(More)
BACKGROUND A postpartum hemorrhage prevention program to increase uterotonic coverage for home and facility births was introduced in two districts of Liberia. Advance distribution of misoprostol was offered during antenatal care (ANC) and home visits. Feasibility, acceptability, effectiveness of distribution mechanisms and uterotonic coverage were(More)
BACKGROUND Emergent irrigation and debridement has been accepted as a mainstay of open fracture treatment. The purpose of this study was to evaluate the infectious outcome of open tibia fractures relative to the time from injury to operative irrigation and debridement. METHODS One hundred seventy-eight patients with 191 consecutive fractures were(More)
Putative prostate cancer susceptibility loci have recently been identified by genetic linkage analysis on chromosomes 1q24–25 (HPC1), 1q44.2–43 (PCaP), and Xq27–28 (HPCX). In order to estimate the genetic linkage in Icelandic prostate cancer families, we genotyped 241 samples from 87 families with eleven markers in the HPC1 region, six markers at PCaP, and(More)
OBJECTIVES To determine the incidence of vitamin D deficiency in patients with hip fractures of all ages who live in the southwest United States. DESIGN Retrospective comparative study. SETTING Two level 2 trauma centers and 2 community hospitals in San Diego, CA. PATIENTS/PARTICIPANTS Four hundred forty-eight patients who sustained a hip fracture(More)