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Anesthesia for Global Health

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28 papers 0 to 25 followers An anesthesiologist's collection of papers relevant to Global Health
By Ron George Anesthesiologist with special interests in Obstetrics, Pain, and Global Health
Katherine E A Semrau, Lisa R Hirschhorn, Bhala Kodkany, Jonathan M Spector, Danielle E Tuller, Gary King, Stuart Lipsitz, Narender Sharma, Vinay Pratap Singh, Bharath Kumar, Neelam Dhingra-Kumar, Rebecca Firestone, Vishwajeet Kumar, Atul A Gawande
BACKGROUND: Effective, scalable strategies to improve maternal, fetal, and newborn health and reduce preventable morbidity and mortality are urgently needed in low- and middle-income countries. Building on the successes of previous checklist-based programs, the World Health Organization (WHO) and partners led the development of the Safe Childbirth Checklist (SCC), a 28-item list of evidence-based practices linked with improved maternal and newborn outcomes. Pilot-testing of the Checklist in Southern India demonstrated dramatic improvements in adherence by health workers to essential childbirth-related practices (EBPs)...
December 7, 2016: Trials
Charlotte Brix Andersson, Christina Flems, Ulrik Schiøler Kesmodel
AIM OF THE DATABASE: The aim of the Danish National Quality Database for Births (DNQDB) is to measure the quality of the care provided during birth through specific indicators. STUDY POPULATION: The database includes all hospital births in Denmark. MAIN VARIABLES: Anesthesia/pain relief, continuous support for women in the delivery room, lacerations (third and fourth degree), cesarean section, postpartum hemorrhage, establishment of skin-to-skin contact between the mother and the newborn infant, severe fetal hypoxia (proportion of live-born children with neonatal hypoxia), delivery of a healthy child after an uncomplicated birth, and anesthesia in case of cesarean section...
2016: Clinical Epidemiology
Faye M Evans, Niharika R Mallepally, Gerald Dubowitz, Terrie Vasilopoulos, Craig D McClain, Kayser Enneking
PURPOSE: There is growing evidence to suggest that the current generation of medical students and young physicians is interested in global health. However, there are few data on the interest in global health by students pursuing a career in anesthesiology. The objective of this survey was to evaluate the importance of global health opportunities in regard to applicants' choice of anesthesiology residency programs. METHODS: Anesthesiology residency program directors in the United States were invited to distribute an online survey to recently matched residents...
June 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Allison Kay, Arlene Nishimwe, Brittany Star Hampton
BACKGROUND: Urogenital fistula is a debilitating condition that women can develop following obstructed labor. The primary objective of this study was to reveal illness narratives of Rwandan women with urogenital fistula to appreciate their unique experiences. The secondary aim was to identify common themes that emerged when women discussed their experiences living with fistula. METHODS: Women presenting for urogenital fistula repair at Kibagabaga Hospital were asked to participate in the study...
September 2015: Annals of Global Health
Willy Ingabire, Petera M Reine, Bethany L Hedt-Gauthier, Lisa R Hirschhorn, Catherine M Kirk, Evrard Nahimana, Jean Nepomscene Uwiringiyemungu, Aphrodis Ndayisaba, Anatole Manzi
Implementation lessons: (1) implementation of an effective quality improvement and patient safety program in a rural hospital setting requires collaboration between hospital leadership, Ministry of Health and other stakeholders. (2) Building Quality Improvement (QI) capacity to develop engaged QI teams supported by mentoring can improve quality and patient safety.
December 2015: Healthcare
M Lilaonitkul, A Kwikiriza, S Ttendo, J Kiwanuka, E Munyarungero, I A Walker, K D Rooney
The World Health Organization (WHO) Surgical Safety Checklist is a cost-effective tool that has been shown to improve patient safety. We explored the applicability and effectiveness of quality improvement methodology to implement the WHO checklist and surgical counts at Mbarara Regional Referral Hospital in Uganda between October 2012 and September 2013. Compliance rates were evaluated prospectively and monthly structured feedback sessions were held. Checklist and surgical count compliance rates increased from a baseline median (IQR [range]) of 29...
December 2015: Anaesthesia
Ahmed Ragab, Rafik Barakat, Mohamed A Alsammani
OBJECTIVE: To determine the optimum time for misoprostol administration to minimize blood loss during and after elective cesarean delivery. METHODS: A randomized clinical trial was conducted at Mansoura University Hospital, Egypt, between January 1, 2013, and December 31, 2014. Eligible participants had full-term pregnancies, were scheduled to have a cesarean, and had normal fetal heart tracing. Patients were randomly allocated into two equal groups using computer-generated tables and sealed opaque envelopes...
January 2016: International Journal of Gynaecology and Obstetrics
Samina Ismail, Shemila Abbasi, Sobia Khan, Abdul Monem, Gauhar Afshan
AIMS: The aim of this study was to evaluate the factors responsible for epidural analgesia (EA) refusal among parturient patients. METHODS: In this prospective cross-sectional study of six months, we included all consenting postpartum patients having a non-operative delivery in the obstetric unit of our hospital. Data were collected on a predesigned questionnaire and included information such as parity, education, reasons for delivering with or without EA, source of information and patient satisfaction...
October 1, 2016: Journal of Perinatal Medicine
Leonardo Arregoces, Felicity Daly, Catherine Pitt, Justine Hsu, Melisa Martinez-Alvarez, Giulia Greco, Anne Mills, Peter Berman, Josephine Borghi
BACKGROUND: Tracking of aid resources to reproductive, maternal, newborn, and child health (RMNCH) provides timely and crucial information to hold donors accountable. For the first time, we examine flows in official development assistance (ODA) and grants from the Bill & Melinda Gates Foundation (collectively termed ODA+) in relation to the continuum of care for RMNCH and assess progress since 2003. METHODS: We coded and analysed financial disbursements for maternal, newborn, and child health (MNCH) and for reproductive health (R*) to all recipient countries worldwide from all donors reporting to the creditor reporting system database for the years 2011-12...
July 2015: Lancet Global Health
Kathryn Mimno, Natasha Anushri Anandaraja, Sigrid Hahn
No abstract text is available yet for this article.
March 2015: Annals of Global Health
Robert L Goldenberg, Elizabeth M McClure, Carl L Bose, Alan H Jobe, José M Belizán
The National Institute of Child Health and Human Development created and continues to support the Global Network for Women's and Children's Health Research, a partnership between research institutions in the US and low-middle income countries. This commentary describes a series of 15 papers emanating from the Global Network's Maternal and Newborn Health Registry. Using data from 2010 to 2013, the series of papers describe nearly 300,000 pregnancies in 7 sites in 6 countries - India (2 sites), Pakistan, Kenya, Zambia, Guatemala and Argentina...
2015: Reproductive Health
Claudia Hanson, Jonathan Cox, Godfrey Mbaruku, Fatuma Manzi, Sabine Gabrysch, David Schellenberg, Marcel Tanner, Carine Ronsmans, Joanna Schellenberg
BACKGROUND: Access to skilled obstetric delivery and emergency care is deemed crucial for reducing maternal mortality. We assessed pregnancy-related mortality by distance to health facilities and by cause of death in a disadvantaged rural area of southern Tanzania. METHODS: We did a secondary analysis of cross-sectional georeferenced census data collected from June to October, 2007, in five rural districts of southern Tanzania. Heads of georeferenced households were asked about household deaths in the period June 1, 2004, to May 31, 2007, and women aged 13-49 years were interviewed about birth history in the same time period...
July 2015: Lancet Global Health
Michel Garenne
No abstract text is available yet for this article.
July 2015: Lancet Global Health
Graciela R Ostera, James R Blum, Rojelio Mejia
No abstract text is available yet for this article.
November 2014: Annals of Global Health
Peter R Kamerman, Antonia L Wadley, Karen D Davis, Aki Hietaharju, Parmanand Jain, Andreas Kopf, Ana-Claire Meyer, Srinivasa N Raja, Andrew S C Rice, Blair H Smith, Rolf-Detlef Treede, Philip J Wiffen
No abstract text is available yet for this article.
May 2015: Pain
Omar Hakeem, Sawsan Jabri
No abstract text is available yet for this article.
April 2015: Lancet Global Health
Keith Martin, Zoë Mullan, Richard Horton
No abstract text is available yet for this article.
May 14, 2014: Lancet Global Health
Abigail R Krumholz, Allison E Stone, Maxwell A Dalaba, James F Phillips, Philip B Adongo
From 1994 to 2003, the government of Ghana investigated the child survival and fertility impacts of community-based primary care nurses and volunteer mobilisation efforts. This study, known as the Navrongo Project, demonstrated improved health outcomes and was scaled-up as the Community-based Health Planning and Services (CHPS) Initiative. Studies suggest that scaled-up CHPS services have not fully replicated the impact of the Project. This study investigates implementation challenges that could explain this atrophy by assembling the perspectives of health care managers that have experience with both the Project and CHPS...
2015: Global Public Health
Stéphane Verguet, Ole Frithjof Norheim, Zachary D Olson, Gavin Yamey, Dean T Jamison
BACKGROUND: Measuring a country's health performance has focused mostly on estimating levels of mortality. An alternative is to measure rates of decline in mortality, which are more sensitive to changes in health policy than are mortality levels. Historical rates of decline in mortality can also help test the feasibility of future health goals (eg, post-2015). We aimed to assess the annual rates of decline in under-5, maternal, tuberculosis, and HIV mortality over the past two decades for 109 low-income and middle-income countries...
December 2014: Lancet Global Health
Bridget Pratt, Adnan A Hyder
The ethical concept of responsiveness has largely been interpreted in the context of international clinical research. In light of the increasing conduct of externally funded health systems research (HSR) in low- and middle-income countries (LMICs), this article examines how responsiveness might be understood for such research and how it can be applied. It contends that four features (amongst others) set HSR in LMICs apart from international clinical research: a focus on systems; being context-driven; being policy-driven; and being closely linked to development objectives...
July 2015: Bioethics
2014-11-29 15:31:55
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