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https://www.readbyqxmd.com/read/28872505/efficacy-of-facilitated-capacity-building-in-providing-cleft-lip-and-palate-care-in-low-and-middle-income-countries
#1
Hillary E Jenny, Benjamin B Massenburg, Saurabh Saluja, John G Meara, Mark G Shrime, Nivaldo Alonso
Providing surgical repair for congenital anomalies such as cleft lip and palate (CLP) can be challenging in low- and middle-income countries. One nonprofit organization seeks to address this need through a partnership model. This model provides long-term aid on multiple levels: surgeon and healthcare provider education, community outreach, and funding. The authors examined the effectiveness of this partnership model in providing CLP care and increasing cleft care capacity over time. This organization maintains data on each partner and procedure and collected data on hospital and patient characteristics through voluntary partner surveys from 2010 to 2014...
October 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28833889/preoperative-breast-size-affects-reconstruction-status-following-mastectomy
#2
Elizabeth H Weissler, Andreas Lamelas, Benjamin B Massenburg, Peter J Taub
Much research has been devoted to why women choose not to be reconstructed following mastectomy. The effect of breast size has not been well explored. The authors aimed to assess the relationship between breast size and reconstructive choices. A single-center retrospective review of women undergoing mastectomy between 2011 and 2014 was performed. Demographics, surgical variables, and reconstruction decisions were analyzed using t tests, Mann-Whitney U tests, and chi-squared tests. Significant (P < .05) variables were included in a multivariable logistic regression model...
November 2017: Breast Journal
https://www.readbyqxmd.com/read/28658340/surgery-in-brazilian-health-care-funding-and-physician-distribution
#3
Nivaldo Alonso, Benjamin B Massenburg, Rafael Galli, Lucas Sobrado, Dario Birolini
Objective: to analyze demographic Brazilian medical data from the national public healthcare system (SUS), which provides free universal health coverage for the entire population, and discuss the problems revealed, with particular focus on surgical care. Methods: data was obtained from public healthcare databases including the Medical Demography, the Brazilian Federal Council of Medicine, the Brazilian Institute of Geography and Statistics, and the National Database of Healthcare Establishments...
March 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28589025/assessing-the-brazilian-surgical-system-with-six-surgical-indicators-a-descriptive-and-modelling-study
#4
Benjamin B Massenburg, Saurabh Saluja, Hillary E Jenny, Nakul P Raykar, Josh Ng-Kamstra, Aline G A Guilloux, Mário C Scheffer, John G Meara, Nivaldo Alonso, Mark G Shrime
BACKGROUND: Brazil boasts a health scheme that aspires to provide universal coverage, but its surgical system has rarely been analysed. In an effort to strengthen surgical systems worldwide, the Lancet Commission on Global Surgery proposed a collection of 6 standardised indicators: 2-hour access to surgery, surgical workforce density, surgical volume, perioperative mortality rate (POMR) and protection against impoverishing and catastrophic expenditure. This study aims to characterise the Brazilian surgical health system with these newly devised indicators while gaining understanding on the complexity of the indicators themselves...
March 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28341282/the-state-of-the-surgical-workforce-in-brazil
#5
Mário C Scheffer, Aline G A Guilloux, Alicia Matijasevich, Benjamin B Massenburg, Saurabh Saluja, Nivaldo Alonso
BACKGROUND: A critical insufficiency of surgeons, anesthesiologists, and obstetricians exists around the world, leaving billions of people without access to safe operative care. The distribution of the surgical workforce in Brazil, however, is poorly described and rarely assessed. Though the surgical workforce is only one element in the surgical system, this study aimed to map and characterize the distribution of the surgical workforce in Brazil in order to stimulate discussion on future surgical policy reforms...
February 2017: Surgery
https://www.readbyqxmd.com/read/28290394/a-systematic-review-of-quantitative-research-on-traumatic-brain-injury-in-india
#6
Benjamin B Massenburg, Deepa K Veetil, Nakul P Raykar, Amit Agrawal, Nobhojit Roy, Martin Gerdin
INTRODUCTION: Over a quarter of the world's trauma deaths occur in India, with traumatic brain injury (TBI) as the leading cause of death and disability within trauma. With little known about TBI in India, we set out to do a systematic review to characterize the quantitative literature on TBI in India. MATERIALS AND METHODS: The following databases were searched from their inception to December 31, 2015: PubMed, Cochrane, Web of Science, and the World Health Organization's Global Health Library, using the keywords: neurotrauma, brain injury, traumatic brain injury, TBI, head injury, and India...
March 2017: Neurology India
https://www.readbyqxmd.com/read/28273057/the-association-of-accessory-auricular-tissue-with-solid-organ-abnormalities-and-its-effect-on-auditory-and-vestibular-function
#7
Hillary E Jenny, Benjamin B Massenburg, E Hope Weissler, Peter J Taub
BACKGROUND: Accessory auricular tissue is a common congenital anomaly ranging from an accessory skin appendage to a separate pinna. The association between auditory or vestibular dysfunction and accessory auricular tissue is debated, and little is known about related solid organ abnormalities. We examine the prevalence of accessory auricular tissue, its association between solid organ abnormalities and auditory/vestibular dysfunction, and its management. METHODS: A retrospective cohort study was performed using the 2000 to 2012 HCUP kids' inpatient database...
April 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28259488/initial-comparison-of-resident-and-attending-milestones-evaluations-in-plastic-surgery
#8
Amy Yao, Benjamin B Massenburg, Lester Silver, Peter J Taub
BACKGROUND: Graduate medical education has recently undergone a major archetypal shift toward competency-based evaluations of residents' performance. The implementation of the Milestones program by the Accreditation Council for Graduate Medical Education (ACGME) is a core component of the shift, designed to ensure uniformity in measuring residency knowledge using a series of specialty-specific achievements. This study evaluates the correlation between residents' self-evaluations and program directors' assessments of their performance...
September 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28106628/neonatal-micrognathia-national-trends-in-early-mandibular-surgery
#9
Hillary E Jenny, Benjamin B Massenburg, E Hope Weissler, Peter J Taub
BACKGROUND: Micrognathia is a congenital anomaly that may pose breathing and feeding limitations in newborns, sometimes necessitating invasive management. The present study aims to identify the complications associated with receiving mandibular surgery during the birth stay in order to better predict which patients may benefit from early surgical intervention. METHODS: A retrospective cohort study was performed using the 2000 to 2012 kids' inpatient databases. We included all live newborn infants born in the hospital through vaginal delivery or caesarean section...
March 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28005734/risk-factors-leading-to-free-flap-failure-analysis-from-the-national-surgical-quality-improvement-program-database
#10
Paymon Sanati-Mehrizy, Benjamin B Massenburg, John M Rozehnal, Michael J Ingargiola, Jonatan Hernandez Rosa, Peter J Taub
BACKGROUND: The objective of this study was to identify risk factors for free flap failure among various anatomically based free flap subgroups. METHODS: The 2005 to 2012 American College of Surgeons National Surgical Quality Improvement Program database was queried for patients undergoing microvascular free tissue transfer based on current procedural terminology codes. Univariate analysis was performed to identify any association between flap failure and the following factors: age, gender, race, body mass index (BMI), diabetes, smoking, alcohol use, hypertension, intraoperative transfusion, functional health status, American Society of Anesthesiologists class, operative time, and flap location...
November 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27815420/collaboration-and-innovation-in-rural-surgery
#11
EDITORIAL
Benjamin B Massenburg, Nakul P Raykar, Amul Pawaskar, Jesudian Gnanaraj, Nobhojit Roy
No abstract text is available yet for this article.
November 2016: International Health
https://www.readbyqxmd.com/read/27778353/rooting-for-cassava-insights-into-photosynthesis-and-associated-physiology-as-a%C3%A2-route-to-improve-yield-potential
#12
Amanda P De Souza, Lynnicia N Massenburg, Deepak Jaiswal, Siyuan Cheng, Rachel Shekar, Stephen P Long
I. II. III. IV. V. VI. VII. References SUMMARY: As a consequence of an increase in world population, food demand is expected to grow by up to 110% in the next 30-35 yr. The population of sub-Saharan Africa is projected to increase by > 120%. In this region, cassava (Manihot esculenta) is the second most important source of calories and contributes c. 30% of the daily calorie requirements per person. Despite its importance, the average yield of cassava in Africa has not increased significantly since 1961...
October 25, 2016: New Phytologist
https://www.readbyqxmd.com/read/27763973/barriers-to-cleft-lip-and-palate-repair-around-the-world
#13
Benjamin B Massenburg, Hillary E Jenny, Saurabh Saluja, John G Meara, Mark G Shrime, Nivaldo Alonso
BACKGROUND: Cleft lip and/or palate (CLP) is estimated to occur in 1 out of every 700 births, but for many people residing in low- and middle-income countries this deformity may be repaired late in life or not at all. This study aims to analyze worldwide provider-perceived barriers to the surgical repair of CLP in low- and middle-income countries. METHODS: From 2011 to 2014, Smile Train distributed a multiple-choice, voluntary survey to healthcare providers to identify areas of need in CLP care worldwide...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27548830/risk-factors-leading-to-free-flap-failure-analysis-from-the-national-surgical-quality-improvement-program-database
#14
Paymon Sanati-Mehrizy, Benjamin B Massenburg, John M Rozehnal, Michael J Ingargiola, Jonatan Hernandez Rosa, Peter J Taub
BACKGROUND: The objective of this study was to identify risk factors for free flap failure among various anatomically based free flap subgroups. METHODS: The 2005 to 2012 American College of Surgeons National Surgical Quality Improvement Program database was queried for patients undergoing microvascular free tissue transfer based on current procedural terminology codes. Univariate analysis was performed to identify any association between flap failure and the following factors: age, gender, race, body mass index (BMI), diabetes, smoking, alcohol use, hypertension, intraoperative transfusion, functional health status, American Society of Anesthesiologists class, operative time, and flap location...
August 19, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27428908/reconstructive-surgery-in-times-of-conflict
#15
Rami D Sherif, Benjamin B Massenburg, E Hope Weissler, Ethylin Wang Jabs, Peter J Taub
BACKGROUND: Smile Train is a charitable organization that partners with and trains surgeons in developing countries to provide surgical care to patients with cleft lip/palate deformities. The organization supports surgeries in several countries that experience high levels of regional conflict and violence. Nigeria, a country where Smile Train is very active, has undergone numerous periods of extreme violence over the past 12 years. The purpose of the present study is to analyze how local violence and conflict have impacted the ability of surgeons partnered with Smile Train to provide care in Nigeria...
September 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27234526/the-impact-of-resident-participation-in-outpatient-plastic-surgical-procedures
#16
Benjamin B Massenburg, Paymon Sanati-Mehrizy, Eric M Jablonka, Peter J Taub
INTRODUCTION: Ensuring patient safety along with a complete surgical experience for residents is of utmost importance in plastic surgical training. The effect of resident participation on the outcomes of outpatient plastic surgery procedures remains largely unknown. We assess the impact of resident participation on surgical outcomes using a prospective, validated, national database. METHODS: We identified all outpatient procedures performed by plastic surgeons between 2007 and 2012 in the American College of Surgeons National Surgical Quality Improvement Program database...
August 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/26942333/pseudoaneurysm-of-the-internal-maxillary-artery-a-case-report-of-facial-trauma-and-recurrent-bleeding
#17
Nivaldo Alonso, Endrigo de Oliveira Bastos, Benjamin B Massenburg
INTRODUCTION: Pseudoaneurysms occur when there is a partial disruption in the wall of a blood vessel, causing a hematoma that is either contained by the vessel adventitia or the perivascular soft tissue. PRESENTATION OF CASE: A 32-year-old male presented to the emergency department presented with comminuted fractures in the left zygoma, ethmoids, and the right ramus of the mandible following a gunshot wound. The patient underwent open reduction of his fractures and the patient was discharged on the eighth day after the trauma...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26878371/healing-of-chronic-sickle-cell-disease-associated-foot-and-ankle-wounds-using-transdermal-continuous-oxygen-therapy
#18
B B Massenburg, H N Himel
OBJECTIVE: Sickle cell disease (SCD) is a complex cause of capillary stasis that can lead to lower extremity venous ulcers. Since SCD is characterised by impaired oxygen delivery that can be exacerbated by lower extremity venous stasis, we sought to determine if direct delivery of oxygen to a lower extremity ulcer associated with SCD could augment healing. METHOD: We performed a pilot study of a portable device that delivers oxygen directly to the wound site to assess this possibility...
February 2016: Journal of Wound Care
https://www.readbyqxmd.com/read/26594969/surgical-treatment-of-pediatric-craniofacial-fractures-a-national-perspective
#19
Benjamin B Massenburg, Paymon Sanati-Mehrizy, Peter J Taub
INTRODUCTION: Head trauma is the most common cause of death because of injury in children, and trauma alone is the leading cause of morbidity and mortality in pediatrics. This study aimed to characterize the demographics and economic burden associated with the surgical and nonsurgical repair of craniofacial fractures in the pediatric inpatient population in the United States. METHODS: A retrospective cohort study was performed using the 2012 Kids' Inpatient Database which identified 20,070 patients who had a skull or facial fracture, of whom 6395 (31...
November 2015: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/26505701/risk-factors-for-readmission-and-adverse-outcomes-in-abdominoplasty
#20
COMPARATIVE STUDY
Benjamin B Massenburg, Paymon Sanati-Mehrizy, Eric M Jablonka, Peter J Taub
BACKGROUND: In an era of outcomes-driven medicine, being able to benchmark complication rates of various procedures is of utmost importance. The rates of readmission, reoperation, and adverse outcomes in abdominoplasty have been previously reported, although risk factors for these adverse outcomes have not been thoroughly elucidated. This study aims to identify specific independent risk factors for readmission and other adverse outcomes of abdominoplasty. METHODS: This study retrospectively reviewed the American College of Surgeons National Surgical Quality Improvement Program and identified all abdominoplasties performed in 2011 and 2012...
November 2015: Plastic and Reconstructive Surgery
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