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https://www.readbyqxmd.com/read/27909067/concept-and-evaluation-of-the-german-war-surgery-course-einsatzchirurgie-kurs-der-bundeswehr
#1
David A Back, K Waldmann, T Hauer, N Huschitt, M W Bowyer, U Wesemann, A Lieber, C Willy
INTRODUCTION: Military surgeons must be prepared to care for severe and complex life-threatening injuries rarely seen in the civilian setting. Typical civilian training and practice do not provide adequate exposure to the broad set of surgical skills required. The German Bundeswehr Medical Service has developed and refined the War Surgery Course (WSC) to meet this training gap. This article describes the recent experience with this readiness curriculum. METHODS: Run annually since 1998, WSC consists nowadays of 5 days with 20 theoretical modules...
December 1, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27867136/pediatric-orthopedic-surgery-in-humanitarian-aid
#2
REVIEW
Jérôme Sales de Gauzy
Pediatric orthopedic surgery in humanitarian aid is conducted mainly in cooperation with emerging countries. Each mission is different, and depends on numerous parameters such as the country, the frequency of such missions, the pathologies encountered, the local structure and team, and the non-governmental organization (NGO) involved. Pathologies vary in etiology (tuberculosis, poliomyelitis) and severity. Each mission requires the presence of an experienced surgeon. Working conditions are often rudimentary...
November 17, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27857655/microsurgery-without-borders-new-limits-for-reconstruction-of-post-burn-sequelae-in-the-humanitarian-setting
#3
I Tocco-Tussardi, B Presman, M Cherubino, C Garusi, F Bassetto
Post-burn contractures account for up to 50% of the workload of a plastic surgery team volunteering in developing nations. Best possible outcome most likely requires extensive surgery. However, extensive approaches such as microsurgery are generally discouraged in these settings. We report two successful cases of severe hand contractures reconstructed with free flaps on a surgical mission in Kenya. Microsurgery can be safely performed in the humanitarian setting by an integration of: personal skills; technical means; education of local personnel; follow-up services; and an effective network for communication...
March 31, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/27836828/the-cataract-situation-in-suriname-an-effective-intervention-programme-to-increase-the-cataract-surgical-rate-in-a-developing-country
#4
Jerrel C Pawiroredjo, Janna Minderhoud, Dennis R A Mans, Herman C I Themen, Anne-Marie T Bueno de Mesquita-Voigt, Michael R Siban, Cindy M Forster-Pawiroredjo, Annette C Moll, Ruth M A van Nispen, Hans Limburg
AIMS: To provide an overview of cataract data in Suriname and to describe and evaluate a programme to control cataract blindness in a developing country. DESIGN: Evaluation of hospital data and findings from a population-based cross-sectional survey. METHODS: The implementation of a new cataract surgical intervention programme was described and retrospectively evaluated by analysing the number of cataract operations and other related indicators at the Suriname Eye Centre (SEC) in the period 2006-2014...
November 11, 2016: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/27834766/humanitarian-cardiology-and-cardiac-surgery-in-sub-saharan-africa-can-we-reshape-the-model
#5
Endale Tefera, Berhanu Nega, Dejuma Yadeta, Yilkal Chanie
BACKGROUND: In recent decades, humanitarian cardiology and cardiac surgery have shifted toward sending short-term surgical and catheter missions to treat patients. Although this model has been shown to be effective in bringing cardiovascular care to the patients' environment, its effectiveness in creating sustainable service is questioned. This study reports the barriers to contribution of missions to effective skill transfer and possible improvements needed in the future, from the perspective of both the local and overseas teams...
November 2016: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/27807118/understanding-and-addressing-the-global-need-for-orthopaedic-trauma-care
#6
REVIEW
Kiran J Agarwal-Harding, Arvind von Keudell, Lewis G Zirkle, John G Meara, George S M Dyer
➤The burden of musculoskeletal trauma is high worldwide, disproportionately affecting the poor, who have the least access to quality orthopaedic trauma care.➤Orthopaedic trauma care is essential, and must be a priority in the horizontal development of global health systems.➤The education of surgeons, nonphysician clinicians, and ancillary staff in low and middle income countries is central to improving access to and quality of care.➤Volunteer surgical missions from rich countries can sustainably expand and strengthen orthopaedic trauma care only when they serve a local need and build local capacity...
November 2, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27783003/barriers-to-reconstructive-surgery-in-low-and-middle-income-countries-a-cross-sectional-study-of-453-cleft-lip-and-cleft-palate-patients-in-vietnam
#7
Caroline A Yao, Jordan Swanson, Dayana Chanson, Trisa B Taro, Barrie Gura, Jane C Figueiredo, Heather Wipfli, Kristin Hatcher, Richard Vanderburg, William P Magee
BACKGROUND: Despite health system advances, residents of low- and middle-income countries continue to experience substantial barriers in accessing health care, particularly for specialized care such as plastic and reconstructive surgery. METHODS: A cross-sectional household survey of patients seeking surgical care for cleft lip and/or cleft palate was completed at five Operation Smile International mission sites throughout Vietnam (Hanoi, Nghe An, Hue, Ho Chi Minh City, An Giang, and Bac Lieu) in November of 2014...
November 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27778076/a-retrospective-one-year-estimation-of-the-volume-and-nature-of-surgical-and-anaesthetic-services-delivered-to-the-populations-of-the-fako-division-of-the-south-west-region-of-cameroon-an-urgent-call-for-action
#8
Alain Chichom-Mefire, Victor Mbome Njie, Vincent Verla, Julius Atashili
BACKGROUND: Surgery-related conditions account for the majority of admissions in primary referral hospitals in Sub-Saharan Africa. The role of surgery in the reduction of global disease burden is well recognized, but there is a great qualitative and quantitative disparity in the delivery of surgical and anaesthetic services between countries. This study aims at estimating the nature and volume of surgery delivered in an entire administrative division of Cameroon. METHODS: In this retrospective survey conducted during the year 2013, we used a standard tool to analyse the infrastructure and human resources involved in the delivery of surgical and anaesthetic services in the Fako division in the south-west region of Cameroon...
October 24, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27772597/closed-mitral-commissurotomy-during-pregnancy-in-east-africa
#9
Robert Kramer, Reed Quinn, Agneta Odera, Robert Groom, Nancy Boulanger, Eric Gunnoe, Russell White
Cardiac surgeons traveling to East Africa on humanitarian surgical missions treat a large number of people of all ages with rheumatic heart disease. A patient with severe mitral stenosis with pulmonary edema in the second trimester of pregnancy was treated successfully with closed mitral commissurotomy in a hospital in rural Kenya. An operation from the late 1940s may regain prominence more than 70 years later in areas of the world with a high incidence of rheumatic heart disease and limited cardiology and cardiac surgery resources...
November 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27730350/evaluation-of-patient-satisfaction-impact-and-disability-free-survival-after-a-surgical-mission-in-madagascar-a-pilot-survey
#10
Michelle White, Dennis Alcorn, Kirsten Randall, Stephanie Duncan, Heather Klassen, Mark Shrime
BACKGROUND: Billions of people worldwide lack access to safe affordable surgery. Surgical missions and non-governmental organisations (NGO) are vital in meeting this need, but long-term outcomes are rarely reported. Mercy Ships is a surgical NGO, and we aimed to measure disability-free survival, impact and patient satisfaction in Madagascar after a 7-month mission. METHOD: We aimed to evaluate 346 patients. Primary outcome measure was the World Health Organisation Disability Assessment Schedule 2...
October 11, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27712748/measuring-functional-and-patient-reported-outcomes-after-treatment-of-mutilating-hand-injuries-a-global-health-approach
#11
REVIEW
Aviram M Giladi, Kavitha Ranganathan, Kevin C Chung
Understanding the global burden of trauma, particularly upper extremity trauma, is necessary in addressing the need for surgical services. Critical to that mission is to understand, and accurately measure, disability and related disability-adjusted life-years from massive upper extremity trauma. The impact of these injuries is magnified when considering that they frequently occur to young people in prime working years. This article discusses these social and medical system issues and reviews components of a comprehensive approach to measuring outcomes after these injuries...
November 2016: Hand Clinics
https://www.readbyqxmd.com/read/27697192/the-arthroscopy-association-of-north-america-advanced-arthroscopy-traveling-fellowship-a%C3%A2-10-year-history
#12
Mary K Mulcahey, Brian R Waterman
In its brief 10-year existence, the Arthroscopy Association of North America Advanced Arthroscopy Traveling Fellowship has quickly established itself as the paramount educational experience for aspiring young surgeons in sports medicine and arthroscopy. The Traveling Fellowship is structured as a 10-day experience with visits to 3 host sites and culminates at the AANA Annual Meeting. With 4 selected fellows and an honorary "Godfather," the Traveling Fellowship affords a unique and invaluable opportunity to forge enduring friendships and rare mentorships with established leaders in the field of Arthroscopy...
October 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27681338/reasons-for-family-involvement-in-elective-surgical-decision-making-in-taiwan-a-qualitative-study
#13
Mei-Ling Lin, Chuen-Teng Huang, Ching-Huey Chen
AIMS AND OBJECTS: The aim of this study was to inquire into the reasons for family involvement in adult patients' surgical decision-making processes from the point of view of the patients' family. BACKGROUND: Making a patient the center of medical decision-making is essential for respecting individual's autonomy. However, in a Chinese society, family members are often deeply involved in a patient's medical decision-making. Although family involvement has long been viewed as an aspect of the Chinese culture, empirical evidence of the reasons for family involvement in medical decision-making has been lacking...
September 29, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27634701/3d-printed-surgical-instruments-evaluated-by-a-simulated-crew-of-a-mars-mission
#14
Julielynn Y Wong, Andreas C Pfahnl
INTRODUCTION: The first space-based fused deposition modeling (FDM) 3D printer became operational in 2014. This study evaluated whether Mars simulation crewmembers of the Hawai'i Space Exploration Analog and Simulation (HI-SEAS) II mission with no prior surgical experience could utilize acrylonitrile butadiene styrene (ABS) thermoplastic surgical instruments FDM 3D printed on Earth to complete simulated surgical tasks. METHODS: This study sought to examine the feasibility of using 3D printed surgical tools when the primary crew medical officer is incapacitated and the back-up crew medical officer must conduct a surgical procedure during a simulated extended space mission...
September 2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/27585360/anaesthesia-in-outer-space-the-ultimate-ambulatory-setting
#15
Matthieu Komorowski, Sarah Fleming, Jochen Hinkelbein
PURPOSE OF REVIEW: Missions to the Moon or more distant planets are planned in the next future, and will push back the limits of our experience in providing medical support in remote environments. Medical preparedness is ongoing, and involves planning for emergency surgical interventions and anaesthetic procedures. This review will summarize what principles of ambulatory anaesthesia on Earth could benefit the environment of a space mission with its unique constraints. RECENT FINDINGS: Ambulatory anaesthesia relies on several principles such as improved patient pathway, correct patient selection, optimized procedural strategies to hasten recovery and active prevention of postoperative complications...
December 2016: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/27556629/the-medical-mission-and-modern-core-competency-training-a-10-year-follow-up-of-resident-experiences-in-global-plastic-surgery
#16
Caroline A Yao, Jordan Swanson, Meghan McCullough, Trisa B Taro, Ricardo Gutierrez, Allison Bradshaw, Alex Campbell, William P Magee, William P Magee
BACKGROUND: The emphasis on cultural competency for physicians and surgeons is increasingly important, as communication with both patients and other providers significantly affects individual and system-wide outcomes. International surgical training has been shown to improve leadership skills, cultural competency, and technical proficiency of participants in short-term follow-up. This study explores the long-term impact of international surgical mission experiences on developing participants' core competencies, professional outcomes, and commitment to global health...
September 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27545146/looking-good-but-doing-harm-perceptions-of-short-term-medical-missions-in-nicaragua
#17
Elysée Nouvet, Elizabeth Chan, Lisa J Schwartz
In this paper, we present findings from a qualitative study that gathered Nicaraguans' perceptions of short-term foreign medical missions, towards deepening the understanding of what Nicaraguans value or find limited in the work of such foreign missions operating in their country. Fifty-two interviews were conducted with patients, relatives of patients, Nicaraguan physicians and nurses who partnered with or observed missions at work, 'beneficiary' community leaders, and individuals who were unable or unwilling to access mission-provided healthcare...
August 20, 2016: Global Public Health
https://www.readbyqxmd.com/read/27513766/facing-the-world-in-vietnam-feedback-from-trainees-on-the-educational-value-of-surgical-missions-to-help-patients-with-craniofacial-deformities
#18
Charlotte Richardson, Nadine Hachach-Haram, Michael Billingsley, Norma Timoney, Will Grant, Paul Gerarchi, Jonathon Collier, Simon Eccles, Richard Young, Niall Kirkpatrick
BACKGROUND: Education and training of local healthcare staff is a crucial component of a surgical mission. Facing The World (FTW) is a UK-based craniofacial charity that provides facial reconstructive surgery to children with complex, craniofacial anomalies. As part of its global initiative, FTW has developed a training outreach program in Vietnam. The aim of this study was to analyze feedback data to evaluate the educational value of the training program and identify areas for improvement...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27502847/rationale-and-design-of-a-randomized-cluster-trial-to-improve-guideline-adherence-of-secondary-preventive-drugs-prescription-after-coronary-artery-bypass-grafting-in-china-measurement-and-improvement-studies-of-surgical-coronary-revascularization-secondary
#19
Chenfei Rao, Junzhe Du, Xi Li, Jing Li, Heng Zhang, Yan Zhao, Shengshou Hu, Lixin Jiang, Zhe Zheng
OBJECTIVES: The benefits of secondary preventive drugs after coronary artery bypass grafting have been thoroughly established. However, the prescription rates of these drugs are low at discharge in China. We sought to evaluate the effectiveness of continuous quality improvement with mobile-based interventions for clinicians on improving the guideline-adherence of secondary preventive drugs prescription. METHODS AND RESULTS: The quality MISSION-1 study is a cluster-randomized controlled trial...
August 2016: American Heart Journal
https://www.readbyqxmd.com/read/27348660/the-american-association-of-plastic-surgeons-recent-history-with-a-review-of-the-past
#20
W Thomas Lawrence
The American Association of Plastic Surgeons was founded in 1921 and is the oldest of the plastic surgery societies. It was born out of the enthusiasm of reconstructive surgeons who had recently increased in numbers and expanded the scope of their activities as a result of the challenges posed by battle-injured soldiers during World War I. Early meetings were small, focused exclusively on the head and neck, and often included live surgical demonstrations. The Association has grown in size and scope with time, but it has maintained its academic focus...
July 2016: Plastic and Reconstructive Surgery
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