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Academic Global Surgery

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38 papers 0 to 25 followers All things academic global surgery
Jean Baptiste Kakoma
The area of Human Resources for Health (HRH) is the most critical challenge for the achievement of health related development goals in countries with limited resources. This is even exacerbated in a post conflict environment like Rwanda. The aim of this commentary is to report and share the genesis and outcomes of an exciting experience about training of qualified health workers in medicine and public health as well as setting - up of a research culture for the last nine years (2006 - 2014) in Rwanda. Many initiatives have been taken and concerned among others training of qualified health workers in medicine and public health...
2016: Pan African Medical Journal
Travis T Tollefson, David Shaye
No abstract text is available yet for this article.
September 1, 2016: JAMA Facial Plastic Surgery
Donald E Meier, Tamara N Fitzgerald, Jason R Axt
INTRODUCTION: The tremendous need for increasing the quantity and quality of global pediatric surgical care in underserved areas has been well documented. Concomitantly there has been a significant increase in interest by pediatric surgeons in helping to relieve this problem through surgical volunteerism. The intent of the article is to serve as a practical guide for pediatric surgeons contemplating or planning a short-term global volunteer endeavor. METHODS: The article is based on the authors' personal experiences and on the published experiences of other volunteers...
August 2016: Journal of Pediatric Surgery
Adil H Haider, Irene Dankwa-Mullan, Allysha C Maragh-Bass, Maya Torain, Cheryl K Zogg, Elizabeth J Lilley, Lisa M Kodadek, Navin R Changoor, Peter Najjar, John A Rose, Henri R Ford, Ali Salim, Steven C Stain, Shahid Shafi, Beth Sutton, David Hoyt, Yvonne T Maddox, L D Britt
Health care disparities (differential access, care, and outcomes owing to factors such as race/ethnicity) are widely established. Compared with other groups, African American individuals have an increased mortality risk across multiple surgical procedures. Gender, sexual orientation, age, and geographic disparities are also well documented. Further research is needed to mitigate these inequities. To do so, the American College of Surgeons and the National Institutes of Health-National Institute of Minority Health and Disparities convened a research summit to develop a national surgical disparities research agenda and funding priorities...
June 1, 2016: JAMA Surgery
Elzerie de Jager, Chloe McKenna, Lynne Bartlett, Ronny Gunnarsson, Yik-Hong Ho
BACKGROUND: The World Health Organization Surgical Safety Checklist (SSC) has been widely implemented in an effort to decrease surgical adverse events. METHOD: This systematic literature review examined the effects of the SSC on postoperative outcomes. The review included 25 studies: two randomised controlled trials, 13 prospective and ten retrospective cohort trials. A meta-analysis was not conducted as combining observational studies of heterogeneous quality may be highly biased...
August 2016: World Journal of Surgery
John W Scott, Olubode A Olufajo, Gabriel A Brat, John A Rose, Cheryl K Zogg, Adil H Haider, Ali Salim, Joaquim M Havens
IMPORTANCE: Emergency general surgery (EGS) represents 11% of surgical admissions and 50% of surgical mortality in the United States. However, there is currently no established definition of the EGS procedures. OBJECTIVE: To define a set of procedures accounting for at least 80% of the national burden of operative EGS. DESIGN, SETTING, AND PARTICIPANTS: A retrospective review was conducted using data from the 2008-2011 National Inpatient Sample...
June 15, 2016: JAMA Surgery
Elizabeth Flesher, Salil B Patel
No abstract text is available yet for this article.
July 2016: World Journal of Surgery
K M Wells, H Shalabi, O Sergelen, P Wiessner, C Zhang, C deVries, R Price
INTRODUCTION: In 2005, the general population of Mongolia was not aware of laparoscopic surgery and was skeptical about the safety of surgical care. A 9-year initiative to expand laparoscopic surgery was initiated by Mongolian surgeons. This study examines the current barriers to and perceptions of surgical care following laparoscopic surgical expansion countrywide. MATERIALS AND METHODS: In September 2013, interviews were conducted with 71 patients, and 39 physicians in Mongolia...
August 2016: World Journal of Surgery
Richard Trafford Spence, Eiman Zargaran, Morad Hameed, Andrew Nicol, Pradeep Navsaria
BACKGROUND: Surgical outcomes are provider specific. This prospective audit describes the surgical activity of five general surgery residents on their trauma surgery rotation. It was hypothesized that the operating surgical trainee is an independent risk factor for adverse outcomes following major trauma. MATERIALS AND METHODS: This is a prospective cohort study. All patients admitted, over a 6-month period (August 2014-January 2015), following trauma requiring a major operation performed by a surgical trainee at Groote Schuur Hospital's trauma unit in South Africa were included...
August 2016: World Journal of Surgery
Ernest Muhirwa, Caste Habiyakare, Bethany L Hedt-Gauthier, Jackline Odhiambo, Rebecca Maine, Neil Gupta, Gabriel Toma, Theoneste Nkurunziza, Tharcisse Mpunga, Jeanne Mukankusi, Robert Riviello
BACKGROUND: Most mortality attributable to surgical emergencies occurs in low- and middle-income countries. District hospitals, which serve as the first-level surgical facility in rural sub-Saharan Africa, are often challenged with limited surgical capacity. This study describes the presentation, management, and outcomes of non-obstetric surgical patients at district hospitals in Rwanda. METHODS: This study included patients seeking non-obstetric surgical care at three district hospitals in rural Rwanda in 2013...
September 2016: World Journal of Surgery
Richard Trafford Spence, Eugenio Panieri, Sarah Louise Rayne
BACKGROUND: GlobalSurg-1 was a multicentre, international, prospective cohort study conducted to address the global lack of surgical outcomes data. Six South African (SA) hospitals participated in the landmark surgical outcomes study. In this subsequent study, we collated the data from these six local participants and hypothesised that the location of surgery was an independent risk factor for an adverse outcome following emergency intraperitoneal surgery. METHODS: Participating hospitals contributed 30-day outcomes data of consecutive emergency intraperitoneal surgical operations performed during a 2-week period between July and November 2014...
February 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Stephen G Schwartz, Andrzej Grzybowski, Harry W Flynn
Endophthalmitis remains a rare but important cause of visual loss. Prophylaxis strategies are important to reduce rates of endophthalmitis after cataract surgery, intravitreal injection, and other procedures. There is substantial variability between the US and the rest of the world. During cataract surgery, intracameral antibiotics are commonly used in many nations, especially in Europe, but are less commonly used in the US. A randomized clinical trial from the European Society of Cataract and Refractive Surgeons reported an approximately fivefold reduction in endophthalmitis rates associated with intracameral cefuroxime but these results are controversial...
2016: Clinical Ophthalmology
Sarah C Hodges
PURPOSE OF REVIEW: As the United Nations moves from Millennium Development Goals to Sustainable Development Goals, we find ourselves with the opportunity to influence the priority of global health initiatives. Previously, the global health community has failed to recognise the importance of access to safe, affordable surgery and developing the necessary specialities that support it as most of the funding focus had been on primary healthcare and infectious diseases. RECENT FINDINGS: Now the WHO is publishing guidelines to safe surgery and the Lancet Commission on Global Surgery has been launched...
June 2016: Current Opinion in Anaesthesiology
Caroline A Yao, Trisa B Taro, Heather L Wipfli, Stephanie Ly, Justin T Gillenwater, Melinda A Costa, Ricardo D Gutierrez, William Magee
OBJECTIVE: To present a model for integrated global health fellowships in plastic surgical residency training. BACKGROUND: National surveys have found that North American surgical residents have significant interest in international training. While global health training opportunities exist, less than a third of these are housed within surgical residency programs; even fewer are designed specifically for plastic surgery residents. METHODS: The Tsao Fellowship was created through a partnership between Operation Smile, Children's Hospital Los Angeles, Shriners Hospital for Children, and the University of Southern California...
March 2016: Journal of Craniofacial Surgery
Camila B Lyon, Amina I Merchant, Teresa Schwalbach, Emilia F V Pinto, Emilia C Jeque, K A Kelly McQueen
BACKGROUND: The World Bank and Lancet Commission in 2015 have prioritized surgery in Low-Income Countries (LIC) and Lower-Middle Income Countries (LMICs). This is consistent with the shift in the global burden of disease from communicable to noncommunicable diseases over the past 20 years. Essential surgery must be performed safely, with adequate anesthesia monitoring and intervention. Unfortunately, a huge barrier to providing safe surgery includes the paucity of an anesthesia workforce...
May 2016: Anesthesia and Analgesia
Clare E Gilbert, Nathalie Lepvrier-Chomette
PURPOSE: Cataract is a common cause of avoidable blindness in children globally. Gender differences in service access among children are reported for several conditions, but not for surgery for bilateral cataract. In this review we compared the proportion of children undergoing surgery for bilateral, nontraumatic cataract who were girls, using data from high-income, gender-neutral countries as the reference. DESIGN: Systematic review. METHODS: A systematic review of MEDLINE was undertaken in November 2014...
June 2016: Ophthalmology
Joshua S Ng-Kamstra, Johanna N Riesel, Sumedha Arya, Brad Weston, Tino Kreutzer, John G Meara, Mark G Shrime
BACKGROUND: Charitable organizations may play a significant role in the delivery of surgical care in low- and middle-income countries (LMICs). However, in order to quantify their collective contribution, to account for the care they provide in national surgical plans, and to maximize coordination between organizations, a comprehensive database of these groups is required. We aimed to create such a database using web-available data. METHODS: We searched for organizations that meet the United Nations Rule of Law definition of non-governmental organizations and provide surgery in LMICs...
August 2016: World Journal of Surgery
Rachid Sani, Samuila Sanoussi, James Lassey Didier, Garba Mohamed Salifou, Habibou Abarchi
The purpose of the study was to evaluate the qualitative aspect and global impact of surgery in a district hospital (DH) since the launching of the surgery at the district level. Surgical care was provided by general practitioners (GP) who received 12-month training in surgery, certified by a "Capacity of District Surgery" (CDS) diploma. It was a prospective study during 4 years from 2007 to 2010. Of the 34 DHs, only 21 were functional and included in this study. Most of the DHs had two or more CDS (n = 15)...
December 2015: Indian Journal of Surgery
Dan K Kisitu, Lauren E Eyler, I Kajja, G Waiswa, T Beyeza, Isabelle Feldhaus, Catherine Juillard, Rochelle A Dicker
BACKGROUND: Musculoskeletal injuries are a major public health problem in low-income countries like Uganda. Patterns of musculoskeletal injuries presenting to district hospitals are unknown. Our pilot orthopedic trauma registry establishes a framework for broader district hospital injury surveillance. MATERIALS AND METHODS: We interviewed and examined patients presenting to Mityana, Entebbe, and Nakaseke hospitals with musculoskeletal injuries from October 2013 to January 2014...
May 15, 2016: Journal of Surgical Research
Alexis Moren, Mackenzie Cook, Molly McClain, Julie Doberne, Laszlo Kiraly, Rosina Serene Perkins, Karen Kwong
BACKGROUND: As medical student interest in global surgical care grows, a comprehensive curriculum is necessary to understand surgical care in resource-limited environments. METHODS: We developed a surgical elective encompassing a multiyear medical student curriculum, with the goal of improving students' understanding of global surgical care, consisting of a junior seminar and a senior clerkship. This student elective focused on the global burden of surgical disease, ethics of care in low-resource settings, and care of marginalized U...
July 2015: Journal of Surgical Education
2016-02-03 21:14:05
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