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Surgical inequality

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https://www.readbyqxmd.com/read/29452750/-consequences-of-chronic-pain-in-childhood-and-adolescence
#1
Rocío Cáceres-Matos, Eugenia Gil-García, Sergio Barrientos-Trigo, Esther Molina, Ana María Porcel-Gálvez
OBJECTIVE: Our aim was to examine and map the consequences of chronic pain in children and adolescents. METHOD: A scoping review was carried out in the international databases (PubMed, SCOPUS, WOS and CINAHL, Cochrane Library) and gray literature. We included documents that addressed psychosocial aspects that influence chronic pain, published in English between 2010 and 2016. We excluded the documents that dealt with pharmacological treatments, chronic pain derived from surgical interventions or where there was no access to full text...
February 13, 2018: Gaceta Sanitaria
https://www.readbyqxmd.com/read/29420926/process-redesign-of-a-surgical-pathway-improves-access-to-cataract-surgery-for-aboriginal-and-torres-strait-islander-people-in-south-east-queensland
#2
Lisa Penrose, Yvette Roe, Natalie A Johnson, Erica L James
The Institute for Urban Indigenous Health (IUIH) aimed to improve access to cataract surgery in urban South East Queensland (SEQ) for Indigenous Australians, without compromising clinical visual outcomes. The Penchansky and Levesque concept of access as the 'fit' between the patient's needs and the ability of the system to meet those needs was used to inform the redesign of the mainstream cataract surgical pathway. The IUIH staff and community stakeholders mapped the traditional external cataract surgical pathway and then innovatively redesigned it to reduce the number of patients being removed by the system at key transition points...
February 9, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29367620/vital-recorder-a-free-research-tool-for-automatic-recording-of-high-resolution-time-synchronised-physiological-data-from-multiple-anaesthesia-devices
#3
Hyung-Chul Lee, Chul-Woo Jung
The current anaesthesia information management system (AIMS) has limited capability for the acquisition of high-quality vital signs data. We have developed a Vital Recorder program to overcome the disadvantages of AIMS and to support research. Physiological data of surgical patients were collected from 10 operating rooms using the Vital Recorder. The basic equipment used were a patient monitor, the anaesthesia machine, and the bispectral index (BIS) monitor. Infusion pumps, cardiac output monitors, regional oximeter, and rapid infusion device were added as required...
January 24, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29357383/the-relation-between-household-income-and-surgical-outcome-in-the-dutch-setting-of-equal-access-to-and-provision-of-healthcare
#4
Klaas H J Ultee, Elke K M Tjeertes, Frederico Bastos Gonçalves, Ellen V Rouwet, Anton G M Hoofwijk, Robert Jan Stolker, Hence J M Verhagen, Sanne E Hoeks
BACKGROUND: The impact of socioeconomic disparities on surgical outcome in the absence of healthcare inequality remains unclear. Therefore, we set out to determine the association between socioeconomic status (SES), reflected by household income, and overall survival after surgery in the Dutch setting of equal access and provision of care. Additionally, we aim to assess whether SES is associated with cause-specific survival and major 30-day complications. METHODS: Patients undergoing surgery between March 2005 and December 2006 in a general teaching hospital in the Netherlands were prospectively included...
2018: PloS One
https://www.readbyqxmd.com/read/29318771/safety-of-service-users-with-severe-mental-illness-receiving-inpatient-care-on-medical-and-surgical-wards-a-systematic-review
#5
REVIEW
Ella Reeves, Catherine Henshall, Marie Hutchinson, Debra Jackson
This review aimed to synthesize the evidence on the likelihood of harm and mortality on medical and surgical inpatient wards for people with severe mental illness (SMI). From 937 results identified through database searching, and a further 10 papers identified through citation searching and hand searching, 11 papers met the criteria for inclusion in the final review. This review did not find strong evidence for higher in-hospital mortality in people with SMI. There was evidence that adverse events are higher in people with SMI...
February 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29242749/setting-the-research-and-implementation-agenda-for-equitable-access-to-surgical-care-in-south-africa
#6
REVIEW
Sarah Rayne, Sule Burger, Stephanie Van Straten, Bruce Biccard, Mathume Joseph Phaahla, Martin Smith
South Africa is an upper-middle-income country with widespread social and geographical inequality of surgical provision. The National Forum on Surgery and Anaesthesia in South Africa brought together various stakeholders, including government, societies, academic clinicians and the biomedical industry, to define the core strategy for a national surgical plan. During the forum, presentations and breakaway workshops explored and reported the challenges and opportunities these stakeholders may have in sustaining and improving surgical provision in South Africa...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29238161/prevalence-and-causes-of-blindness-visual-impairment-and-cataract-surgery-in-timor-leste
#7
Marcelino Correia, Taraprasad Das, Julia Magno, Bernadette M Pereira, Valerio Andrade, Hans Limburg, John Trevelyan, Jill Keeffe, Nitin Verma, Yuddha Sapkota
Purpose: To estimate the prevalence and causes of blindness and visual impairment, cataract surgical coverage (CSC), visual outcome of cataract surgery, and barriers to uptake cataract surgery in Timor-Leste. Method: In a nationwide rapid assessment of avoidable blindness (RAAB), the latest population (1,066,409) and household data were used to create a sampling frame which consists of 2,227 population units (study clusters) from all 13 districts, with populations of 450-900 per unit...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/29210952/survey-of-the-american-neurotology-society-on-cochlear-implantation-part-1-candidacy-assessment-and-expanding-indications
#8
Matthew L Carlson, Douglas P Sladen, Richard K Gurgel, Nicole M Tombers, Christine M Lohse, Colin L Driscoll
OBJECTIVE: To examine practice variance of cochlear implant candidacy assessment and off-label indications across centers in the United States. METHODS: Cross-sectional survey of the American Neurotology Society (ANS). RESULTS: A total of 81 surveys were returned from ANS members who report regular involvement in cochlear implant care. Overall there was a broad distribution in age and clinical experience, with most respondents reporting ACGME accreditation in neurotology and employment at an academic center...
November 28, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/29173911/medical-image-segmentation-based-on-level-set-and-isoperimetric-constraint
#9
Luying Gui, Chunming Li, Xiaoping Yang
Level set based methods are being increasingly used in image segmentation. In these methods, various shape constraints can be incorporated into the energy functionals to obtain the desired shapes of the contours represented by their zero level sets of functions. Motivated by the isoperimetric inequality in differential geometry, we propose a segmentation method in which the isoperimetric constrain is integrated into a level set framework to penalize the ratio of its squared perimeter to its enclosed area of an active contour...
October 2017: Physica Medica: PM
https://www.readbyqxmd.com/read/29150888/systematic-review-of-disparities-in-surgical-care-for-m%C3%A4-ori-in-new-zealand
#10
REVIEW
Jamie-Lee Rahiri, Zanazir Alexander, Matire Harwood, Jonathan Koea, Andrew G Hill
BACKGROUND: Health equity for Indigenous peoples in the context of surgery has recently become topical amongst surgeons in Australasia. Health inequities are amongst the most consistent and compelling disparities between Māori and New Zealand Europeans (NZE) in New Zealand (NZ). We aimed to investigate where ethnic disparities in surgical care may occur and highlight some of the potential contributing factors, over all surgical specialties, between Māori and NZE adults in NZ. METHODS: A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement...
November 18, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29125374/interventions-to-improve-utilization-of-cataract-surgical-services-by-girls-case-studies-from-asia-and-africa
#11
Priya Adhisesha Reddy, Elizabeth A Kishiki, Hari Bahadur Thapa, Lisa Demers, Robert Geneau, Ken Bassett
PURPOSE: Gender and blindness initiatives continue to make eye care personnel aware of the service utilization inequity strongly favouring men, yet interventions to reduce that inequity, particularly for girls, are under developed. METHODS: This descriptive study gathered quantitative data on the degree of gender equity at five Child Eye Health Tertiary Facilities (CEHTFs) in Asia and Africa and conducted in-depth interviews with eye care personnel to assess their strategies and capacity to reduce gender inequity...
November 10, 2017: Ophthalmic Epidemiology
https://www.readbyqxmd.com/read/29091173/surgical-care-in-the-public-health-agenda
#12
Mário Scheffer, Saurabh Saluja, Nivaldo Alonso
The current article examines surgical care as a public health issue and a challenge for health systems organization. When surgery fails to take place in timely fashion, treatable clinical conditions can evolve to disability and death. The Lancet Commission on Global Surgery defined indicators for monitoring sustainable universal access to surgical care. Applied to Brazil, the global indicators are satisfactory, but the supply of surgeries in the country is marked by regional and socioeconomic inequalities, as well as between the public and private healthcare sectors...
October 26, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29055904/prevalence-of-blindness-and-cataract-surgical-coverage-in-narayani-zone-nepal-a-rapid-assessment-of-avoidable-blindness-raab-study
#13
Sangita Pradhan, Avnish Deshmukh, Puspa Giri Shrestha, Prajwal Basnet, Ram Prasad Kandel, Susan Lewallen, Yuddha Dhoj Sapkota, Ken Bassett, Vivian T Yin
BACKGROUND: The 1981 Nepal Blindness Survey first identified the Narayani Zone as one of the regions with the highest prevalence of blindness in the country. Subseuqently, a 2006 survey of the Rautahat District of the Narayani Zone found it to have the country's highest blindness prevalence. This study examines the impact on blind avoidable and treatable eye conditions in this region after significant increase in eye care services in the past decade. METHODS: The rapid assessment of avoidable blindness (RAAB) methodology was used with mobile data collection using the mRAAB smartphone app...
October 21, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/29044475/the-site-of-care-matters-an-examination-of-the-relationship-between-high-medicaid-burden-hospitals-and-the-use-cost-and-complications-of-immediate-breast-reconstruction-after-mastectomy
#14
Anaeze C Offodile, L Daniel Muldoon, Faiz Gani, Joseph K Canner, Lisa K Jacobs
BACKGROUND: Diminished use and worse outcomes after immediate breast reconstruction (IBR) have been documented for Medicaid beneficiaries. However, to the authors' knowledge, the contribution of patient clustering at hospitals with a high percentage of Medicaid patients to these inequalities in IBR delivery is unknown. METHODS: A cross-sectional analysis of patients undergoing IBR after mastectomy using the 2007 to 2011 Nationwide Inpatient Sample database was performed...
October 17, 2017: Cancer
https://www.readbyqxmd.com/read/29032924/epidemiology-of-rare-cancers-and-inequalities-in-oncologic-outcomes
#15
G Gatta, A Trama, R Capocaccia
Rare cancers epidemiology is better known compared to the other rare diseases. Thanks to the long history of the European population-based cancer registries and to the EUROCARE huge database, the burden of rare cancers has been estimated the European (EU28) population. A considerable fraction of all cancers is represented by rare cancers (24%). They are a heterogeneous group of diseases, but they share similar problems: uncertainty of diagnosis, lack of therapies, poor research opportunities, difficulties in clinical trials, lack of expertise and of centres of reference...
September 19, 2017: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28928898/lower-education-and-household-income-contribute-to-advanced-disease-less-treatment-received-and-poorer-prognosis-in-patients-with-hepatocellular-carcinoma
#16
Yuan Shen, Hui Guo, Tao Wu, Qiang Lu, Ke-Jun Nan, Yi Lv, Xu-Feng Zhang
Understanding the ways in which socioeconomic status affects prognosis of hepatocellular carcinoma (HCC) is important for building up strategies eliminating the inequalities in cancer diagnosis and treatments among different groups, which, remains undetermined. In the present study, 1485 newly diagnosed HCC patients with complete demographic and clinical data were included. Socioeconomic data, including education, annual household income and residency was also reported by patients or families. In the present study, less educated patients were older, more female involved, poorly paid, more living in rural places, had more advanced tumor burden, received less curative and loco-regional therapies, and thus showed poorer short-term and long-term outcomes (in total or after surgical resection) than the highly educated...
2017: Journal of Cancer
https://www.readbyqxmd.com/read/28924399/changing-the-rules-of-the-game-how-do-we-measure-success-in-social-media
#17
REVIEW
Aisling M Hogan, Desmond C Winter
Ours will be the generation proud to say we shifted the sands of educational deserts by open access and proliferation, seeding of data sharing, and watering grassroots research in resource-compromised environments. Universal "social" media is defining features of modern professional life that provide powerful modes of knowledge acquisition/sharing to that end. Altmetric and other measurements stratify academic communications according to this alternate, online media presence (not academic penetrance). Are they meaningless, self-absorbed integers, or reliable yardsticks of scientific and educational prowess? Far beyond this trite, patronizing question from the minds of outdated, terrified technophobes, the real impact of "social" media is not narcissistic solipsism...
September 2017: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/28904639/a-comparison-of-functional-outcome-between-amputation-and-extension-prosthesis-in-the-treatment-of-congenital-absence-of-the-fibula-with-severe-limb-deformity
#18
P Calder, S Shaw, A Roberts, S Tennant, I Sedki, R Hanspal, D Eastwood
PURPOSE: Complete fibula absence often presents with significant lower-limb deformity. Parental counselling regarding management is paramount in achieving the optimum functional outcome. Amputation offers a single surgical event with minimal complications. This study compares outcomes with an amputation protocol to those using an extension prosthesis. METHOD: Thirty-two patients were identified. Nine patients (2 males, 7 females; median age at assessment of 23...
August 1, 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28876674/an-analysis-of-the-inequalities-between-the-public-and-private-sector-in-south-africa
#19
A J Dell, D Kahn, J Klopper
BACKGROUND: The full extent of the global burden of surgical disease is largely unknown; however, the scope of the problem is thought to be large. Despite the substantial burden of surgical disease, surgical services are inaccessible to many of those who need them most. There are disparities between public and private sectors in South Africa, which compounds inequitable access to surgical care. METHOD: This study involved a descriptive analysis of surgical resources and included the total number of hospitals, hospital beds, surgical beds, general surgeons (specialist and nonspecialist), and the number of functional operating theatres in South Africa...
June 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28876568/an-analysis-of-the-inequalities-between-the-public-and-private-sector-in-south-africa
#20
A Dell, D Kahn, J Klopper
BACKGROUND: The full extent of the global burden of surgical disease is largely unknown, however, the scope of the problem is thought to be large. Despite the substantial burden of surgical disease, surgical services are inaccessible to many of those who need them most. There are disparities between public and private sectors in South Africa, which compounds inequitable access to surgical care. METHOD: This study involved a descriptive analysis of surgical resources and included the total number of hospitals, of hospital beds, the number of surgical beds, the number of general surgeons (specialist and non-specialist), and the number of functional operating theatres in South Africa...
September 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
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