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https://www.readbyqxmd.com/read/28798972/diagnostic-precision-of-triage-algorithms-for-mass-casualty-incidents-english-version
#1
A R Heller, N Salvador, M Frank, J Schiffner, R Kipke, C Kleber
BACKGROUND: Regarding survival and quality of life recent mass casualty incidents again emphasize the importance of early identification of the correct degree of injury/illness to enable prioritization of treatment amongst patients and their transportation to an appropriate hospital. The present study investigated existing triage algorithms in terms of sensitivity (SE) and specificity (SP) as well as its process duration in a relevant emergency patient cohort. METHODS: In this study 500 consecutive air rescue missions were evaluated by means of standardized patient records...
August 10, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28758298/quo-vadis-what-is-the-future-of-periodontics-how-will-we-get-there
#2
REVIEW
Kenneth S Kornman, William V Giannobile, Gordon W Duff
Approximately 40 years ago periodontists began systematically developing the evidence to treat predictably and prevent gingivitis and periodontitis. More recently, periodontists have been among a small group of skilled dental-implant surgeons leading that revolution in dentistry. Today, much of the mild/localized moderate periodontitis is not treated by periodontists, and an increasing number of implants are placed by dentists with limited surgical training. The current field of periodontics includes a broad range of surgical skills and technologies to regenerate predictably destroyed tissues and manage complex interdisciplinary treatment that may, in some way, involve the tissues that support teeth and implants...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28741201/cost-effectiveness-of-a-locally-organized-surgical-outreach-mission-making-a-case-for-strengthening-local-non-governmental-organizations
#3
Adam Gyedu, Cameron Gaskill, Godfred Boakye, Francis Abantanga
INTRODUCTION: Many low- and middle-income countries (LMICs) have a high prevalence of unmet surgical need. Provision of operations through surgical outreach missions, mostly led by foreign organizations, offers a way to address the problem. We sought to assess the cost-effectiveness of surgical outreach missions provided by a wholly local organization in Ghana to highlight the role local groups might play in reducing the unmet surgical need of their communities. METHODS: We calculated the disability-adjusted life years (DALY) averted by surgical outreach mission activities of ApriDec Medical Outreach Group (AMOG), a Ghanaian non-governmental organization...
July 24, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28731403/safe-and-sustainable-the-extracranial-approach-toward-frontoethmoidal-meningoencephalocele-repair
#4
Paul I Heidekrueger, Myat Thu, Wolfgang Mühlbauer, Charlotte Holm-Mühlbauer, Philippe Schucht, Hans Anderl, Heinrich Schoeneich, Kyawzwa Aung, Mg Mg Ag, Ag Thu Soe Myint, Sabrina Juran, Thiha Aung, Denis Ehrl, Milomir Ninkovic, P Niclas Broer
OBJECTIVE Although rare, frontoethmoidal meningoencephaloceles continue to pose a challenge to neurosurgeons and plastic reconstructive surgeons. Especially when faced with limited infrastructure and resources, establishing reliable and safe surgical techniques is of paramount importance. The authors present a case series in order to evaluate a previously proposed concise approach for meningoencephalocele repair, with a focus on sustainability of internationally driven surgical efforts. METHODS Between 2001 and 2016, a total of 246 patients with frontoethmoidal meningoencephaloceles were treated using a 1-stage extracranial approach by a single surgeon in the Department of Neurosurgery of the Yangon General Hospital in Yangon, Myanmar, initially assisted by European surgeons...
July 21, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28710612/-diagnostic-quality-of-triage-algorithms-for-mass-casualty-incidents
#5
A R Heller, N Salvador, M Frank, J Schiffner, R Kipke, C Kleber
BACKGROUND: Regarding survival and quality of life, recent mass casualty incidents have once more emphasized the importance of early identification of the correct degree of injury or illness, to enable prioritizing treatment of patients and transportation to an appropriate hospital. The present study investigated international triage algorithms in terms of sensitivity (SE) and specificity (SP) as well as the process duration in a relevant emergency patient cohort. METHODS: A total of 500 consecutive air rescue missions were evaluated by means of standardized patient records...
July 14, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28688642/why-do-patients-receive-care-from-a-short-term-medical-mission-survey-study-from-rural-guatemala
#6
Micaela M Esquivel, Joy C Chen, Russell K Woo, Nora Siegler, Francisco A Maldonado-Sifuentes, Jehidy S Carlos-Ochoa, Andy R Cardona-Diaz, Tarsicio Uribe-Leitz, Dennis Siegler, Thomas G Weiser, George P Yang
BACKGROUND: Hospital de la Familia was established to serve the indigent population in the western highlands of Guatemala and has a full-time staff of Guatemalan primary care providers supplemented by short-term missions of surgical specialists. The reasons for patients seeking surgical care in this setting, as opposed to more consistent care from local institutions, are unclear. We sought to better understand motivations of patients seeking mission-based surgical care. METHODS: Patients presenting to the obstetric and gynecologic, plastic, ophthalmologic, general, and pediatric surgical clinics at the Hospital de la Familia from July 27 to August 6, 2015 were surveyed...
July 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28676300/can-residents-be-trained-and-safety-maintained
#7
Marina Gorelik, Steven Godelman, Adel Elkbuli, Lauren Allen, Dessy Boneva, Mark McKenney
INTRODUCTION: Teaching hospitals and faculty need to balance the educational mission for training residents with patient safety. There are no data studying the change in trauma patient outcomes before and after implementation of a surgical residency. The objective of this study was to compare trauma center outcomes before and after the advent of a surgical training program. We predicted that patient-centric outcome metrics would not be affected by the integration of surgical residents into trauma patient care...
July 1, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28657589/surgical-outreach-for-children-by-international-humanitarian-organizations-a-review
#8
REVIEW
J Matthew Kynes, Laura Zeigler, Kelly McQueen
Low- and middle-income countries carry a disproportionate share of the global burden of pediatric surgical disease and have limited local healthcare infrastructure and human resources to address this burden. Humanitarian efforts that have improved or provided access to necessary basic or emergency surgery for children in these settings have included humanitarian assistance and disaster relief, short-term surgical missions, and long-term projects such as building pediatric specialty hospitals and provider networks...
June 28, 2017: Children
https://www.readbyqxmd.com/read/28639040/mobile-gastrointestinal-and-endoscopic-surgery-in-rural-ecuador-20%C3%A2-years-experience-of-cinterandes
#9
H T Shalabi, M D Price, S T Shalabi, E B Rodas, A L Vicuña, B Guzhñay, R R Price, E Rodas
INTRODUCTION: Five billion people worldwide do not have timely access to surgical care. Cinterandes is one of the only mobile surgical units in low- and middle-income countries. This paper examines the methodology that Cinterandes uses to deliver mobile surgery. METHODS: Founding and core staff were interviewed, four missions were participated in, and internal documents and records were analysed between 1 May and 1 July 2014. RESULTS: Cinterandes performed 7641 operations over the last 20 years (60% gastrointestinal/laparoscopic), travelling 300,000 km to remote areas of Ecuador...
June 21, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28637558/travel-time-influences-readmission-risk-geospatial-mapping-of-surgical-readmissions
#10
Florence E Turrentine, Patrick J Buckley, Min-Woong Sohn, Michael D Williams
The University of Virginia (UVA) has recently become an Accountable Care Organization (ACO), intensifying efforts to provide better care for individuals. UVA's ACO population resides across the entire Commonwealth, with a large percentage of patients living in rural areas. To provide better health for this population, the central tenet of the ACO mission, we identified geographic risk factors influencing hospital readmission. We analyzed the relationship between the distance of patients' residence to the nearest hospital and 30-day readmission in general surgery patients...
June 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28629204/paternal-risk-factors-for-oral-clefts-in-northern-africans-southeast-asians-and-central-americans
#11
Stephanie Ly, Madeleine L Burg, Ugonna Ihenacho, Frederick Brindopke, Allyn Auslander, Kathleen S Magee, Pedro A Sanchez-Lara, Thi-Hai-Duc Nguyen, Viet Nguyen, Maria Irene Tangco, Angela Rose Hernandez, Melissa Giron, Fouzia J Mahmoudi, Yves A DeClerck, William P Magee Iii, Jane C Figueiredo
While several studies have investigated maternal exposures as risk factors for oral clefts, few have examined paternal factors. We conducted an international multi-centered case-control study to better understand paternal risk exposures for oral clefts (cases = 392 and controls = 234). Participants were recruited from local hospitals and oral cleft repair surgical missions in Vietnam, the Philippines, Honduras, and Morocco. Questionnaires were administered to fathers and mothers separately to elicit risk factor and family history data...
June 19, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28608018/surgical-human-resources-according-to-types-of-health-care-facility-an-assessment-in-low-and-middle-income-countries
#12
Shirwa Sheik Ali, Zahra Jaffry, Meena N Cherian, Teena Kunjumen, Annette M Nkwowane, Andrew J M Leather, Hernan Montenegro Von Muhlenbrock, Edward Kelley, James Campbell
BACKGROUND: A robust health care system providing safe surgical care to a population can only be achieved in conjunction with access to competent surgical personnel. It has been reported that 5 billion people do not have access to safe, affordable surgical and anaesthesia care when needed. This study aims to fill the existing gap in evidence by quantifying shortfalls in trained personnel delivering safe surgical and anaesthetic care in low- and middle-income countries (LMICs) according to the type of health care facility...
June 12, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28588961/lasting-impact-insights-from-a-surgical-mission-based-mentoring-training-programme-in-the-republic-of-congo
#13
Michelle White, Kristin Close
The global shortage of surgeons, anaesthetists and obstetricians is significant, especially in low and middle income countries (LMICs). A significant amount of LMIC surgical volume is provided by surgical missions and non-governmental organisations (NGOs) who are often well resourced, making them ideal environments for training. However, there are few publications addressing how to train in this setting, or the long-term impact of such training. Mercy Ships operates the largest non-governmental hospital ship in the world, the Africa Mercy, serving LMICs at the invitation of their President by providing free surgery and training for the surgical workforce...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28540233/international-volunteerism-and-global-responsibility
#14
REVIEW
Gopal Badlani
To review the current status of volunteerism in the field of urology as a global responsibility, a PubMed search was done with keywords: international volunteer, urology, global health, international resident education. Furthermore, internet search using Google and Bing as search engines for the same key words was done. Websites of multinational urological organizations was researched for available information. Expert opinions of key individuals in the arena were obtained. There is a paucity of published literature as to the efforts and outcomes of volunteerism in Urology; most of the information is related to the fistula repair outcomes in medical literature...
April 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28477158/entry-level-forward-surgical-team-training-in-5th-grade-students-of-second-military-medical-university-of-the-chinese-people-s-liberation-army
#15
Shiguan Le, Wang Xi, Wei Li, Jian Xiao, Zhinong Wang
BACKGROUND: Forward surgical team (FST) is a highly mobile team for surgical missions in battlefield. FST training has been well held in many western countries. However, such training in Chinese army is far from satisfaction. METHODS AND RESULTS: Relying on Second Military Medical University and its affiliated hospitals, we are launching an entry-level training program for 5th grade students, in order to improve their understandings on basic concepts of FST, as well as their abilities to complete surgical missions on battlefield...
May 5, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28458951/cost-effectiveness-of-short-term-neurosurgical-missions-relative-to-other-surgical-specialties
#16
Maria Punchak, Jorge A Lazareff
BACKGROUND: Short-term surgical relief efforts have helped close some gaps in the provision of surgical care in remote settings. We reviewed the published literature on short-term surgical missions to compare their cost-effectiveness across subspecialties. METHODS: PubMed was searched using the algorithm ["cost-effectiveness" AND "surgery" AND ("mission" OR "volunteer")]. Articles detailing the cost-effectiveness of short-term surgical missions in low and middle-income countries (LMIC) were included...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28457932/role-of-conventional-myelography-in-diagnosis-and-treatment-of-degenerative-spine-disease-in-low-income-communities-prospective-study
#17
David Kitya, Maria Punchak, Francis Bajunirwe
INTRODUCTION: Chronic back pain is a common problem, and imaging is crucial for effective diagnosis and treatment. In low-resource settings conventional myelography is a cheap alternative to magnetic resonance imaging and computed tomography. This study was conducted to reexamine the diagnostic reliability, effectiveness for surgical decision making, and safety of conventional myelography. METHODS: The study was conducted at Tenwek Mission Hospital during June 2009 and March 2010...
August 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28454688/loma-linda-global-surgery-elective-first-1000-cases
#18
Dustin K Donley, Cassandra K Graybill, Arega Fekadu, Ryan A Hayton
OBJECTIVE: To determine the nature and volume of surgical cases being performed by US general surgery residents during a global surgery elective. DESIGN: Retrospective review of case logs from 2012 to 2016. SETTING: Malamulo Mission Hospital is a rural hospital in southern Malawi. PARTICIPANTS: Rotating residents from a US-based general surgery residency program. RESULTS: Residents performed 12 cases per week from a variety of surgical disciplines...
April 25, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28452578/functional-and-quality-of-life-outcomes-of-a-hand-surgery-mission-to-honduras
#19
Carolyn Chuang, Jacob Azurdia, David Asuzu, Kyle T Ragins, Kevin Tomany, Sohel Islam, Steven Williams, John Safanda, J Grant Thomson
BACKGROUND: The objective of this study was to assess functional, quality of life, and satisfaction outcomes of a hand surgery short-term surgical mission (STSM) to Honduras, and determine whether patient demographics and surgery characteristics during a surgical mission correlate with outcome. METHODS: A total of 63 patients who received upper extremity surgery at a week-long hand surgery STSM to Honduras in March 2013 participated in the study. A before-after study design was used...
April 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28449827/meeting-its-mission-does-psychosomatics-align-with-the-mission-of-its-parent-organization-the-academy-of-psychosomatic-medicine
#20
John B Taylor, Theodore A Stern
BACKGROUND: The vision and mission statements of the Academy of Psychosomatic Medicine (APM) indicate that the APM should promote excellence in clinical care for patients with comorbid psychiatric and general medical conditions by seeking to influence research, public policy, and interdisciplinary education. OBJECTIVE: As the APM owns the journal, Psychosomatics, we sought to assess whether the APM's journal was fulfilling the vision and mission of its parent organization by reviewing the content of articles published in the journal to determine whether it sufficiently addresses the various clinical care knowledge areas it seeks to influence...
March 8, 2017: Psychosomatics
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