Determining HPV Genotypes among Women in Peru
Despite the availability of multiple prevention strategies, cervical cancer remains the leading cause of cancer deaths among Peruvian women. Low resource settings throughout the country and difficulty with follow-up care have contributed to the inefficacy of cervical cancer screening in Peru. This project aims to discover the most common HR HPV genotypes infecting Peruvian women in Peru in order to determine the most cost-effective vaccination approach to cervical cancer prevention. This project works closely with the research departments at Michigan State University College and in collaboration with Universidad Cesar Vallejo in Peru.
OMM and Laryngeal Function Study
A wide range of structural, infectious and/or neurological conditions can lead to a change in voice quality. This study seeks to examine underlying pathologies and qualitative changes in vocal function. The focus of this research is to evaluate the impact of osteopathic manipulative medicine (OMM) on the quantitative changes in laryngeal efficiency as measured by vocal quality. This study will apply a multidisciplinary approach to reduce a variety of musculoskeletal conditions and will work closely with the Michigan State University department of Communicative Sciences and Disorders.
Water Quality Improvement Project
Repeatedly the primary problem seen in the communities we serve along the river have been related to food and water security. While we can not affect the food supply we can help secure their water supply. Many times when patients were asked where they get their water from the answer would be “crudo” or basically the river we just drove the boat on. Our plan for this project is to introduce reliable, sustainable and affordable water filters to this area. The objective of this project is to find a suitable group to partner with to provide and educate us on making water filters that would work in the area. The long term goal would be to analyze a change if any between problems we’ve seen in the past and problems we will see after implementation. This is at a least a 2 year project with this year’s research coordinator focusing primarily on implementing the water filters. Next year we will focus on how we have made a difference.
Renal function assessments
Limited access to clean drinking water is a major contributor to health disparities in developing countries. Specifically, heavy metals and other toxins found in contaminated water are more apt to affect kidney function. Evidence of oxidative stress to patient’s kidneys were found in previous studies in this region which could possibly be related to poor water quality. The objective of this project will be to assess the impact of contaminated drinking water on renal function.
Environmental and Air Quality Assessments
Respiratory infections are the leading cause of mortality in Peru, however, limited data is available as to the incidence of underlying lung pathology. This project will examine the prevalence of interstitial lung disease via household air pollutant testing and spirometry. This project will focus on the impact of small indoor stoves/fires in areas of poor ventilation.
Gastrointestinal cancer is one the leading causes of death by cancer in Peru. It is suspected in prior research that H Pyloric is one of the causes in Peru. This project will examine the presence of the bacteria in the water . This data will be correlated with data obtained from the main Peru hospital were they report the prevalence of H Pyloric obtained from Gastrointestinal biopsies.
Parasitic Infections and Treatment Resistance
Parasites are one of the main causes of anemia and chronic malnutrition, this project will determine the prevalence and characterization of parasitic infections inflicting the local populations we serve. This project will also investigate resistance to the antibiotics provided by the Peruvian Health System.