A5035222719- Global Health and Surgery
- Global Health Workforce Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Global Maternal and Child Health
- Diversity and Career in Medicine
- Cytomegalovirus and herpesvirus research
- Pelvic and Acetabular Injuries
- Trauma and Emergency Care Studies
- Ureteral procedures and complications
- Maternal and Perinatal Health Interventions
- Maternal and Neonatal Healthcare
- Pelvic floor disorders treatments
- Disaster Response and Management
- Aging, Health, and Disability
- Anorectal Disease Treatments and Outcomes
- Climate Change and Health Impacts
- Travel-related health issues
- Immune Cell Function and Interaction
- Public Health and Environmental Issues
- Injury Epidemiology and Prevention
- Emergency and Acute Care Studies
- Hematopoietic Stem Cell Transplantation
- Hospital Admissions and Outcomes
- Maternal and fetal healthcare
- Herpesvirus Infections and Treatments
University of British Columbia
2024
Harvard University
2018-2023
University of Alberta
2018-2023
Social Change and Development
2021
Royal Alexandra Hospital
2020
Harvard Global Health Institute
2020
Boston Children's Hospital
2020
Brigham and Women's Hospital
2018-2020
Heritage Medical Research Clinic
2020
Tecnológico de Monterrey
2020
More cytomegalovirus (CMV)-specific T cells are transferred with grafts from CMV seropositive than seronegative donors. We hypothesized that recipients of donors (D+R+) have higher counts CMV-specific (D-R+), and this is clinically relevant in the setting vivo cell depletion using rabbit-antihuman thymocyte globulin (ATG). reviewed charts 298 ATG-conditioned, for reactivation (pp65 antigenemia or DNAemia above institutional threshold preemptive therapy), recurrent reactivation, disease,...
Academic global surgery is a rapidly growing field that aims to improve access safe surgical care worldwide. However, no universally accepted competencies exist inform this developing field. A consensus-based approach, with input from diverse group of experts, needed identify essential will lead standardization in task force was set up using snowball sampling recruit broad content and context experts perioperative care. draft revised through the modified Delphi process two rounds anonymous...
Objective: To determine whether there is a higher risk for cognitive or language delay among HIV-exposed uninfected (HEU) children exposed to cART (zidovudine/lamivudine/lopinavir/ritonavir) in utero and through 1 year of breast-feeding (World health Organization Option B+), compared with the control born HIV-uninfected mothers. Design: This double cohort study from Lusaka, Zambia. Methods: HEU (n = 97) 103) aged 15–36 months were assessed on their early nonverbal problem-solving skills...
Background Limited data exist on health outcomes during pregnancy and childbirth in low- middle-income countries. This is a pilot of an innovative collection tool using mobile technology to collect patient-reported outcome measures (PROMs) selected from the International Consortium Health Outcomes Measurement (ICHOM) Pregnancy Childbirth Standard Set Nairobi, Kenya. Methods Pregnant women third trimester were recruited at three primary care facilities Nairobi followed prospectively...
Trauma is the leading cause of death and disability among Brazilian children adolescents. protocols such as those developed by Advanced Life Support course are widely taught, but few studies have assessed degree to which use protocolized trauma assessment improves outcomes. This study aims quantify adherence different types frontline providers.
The adhesion of Plasmodium falciparum-infected erythrocytes (IRBC) to receptors on different host cells plays a divergent yet critical role in determining the progression and outcome infection. Based our ex vivo studies with clinical parasite isolates from adult Thai patients, we have previously proposed paradigm for IRBC cytoadherence under physiological shear stress that consists recruitment cascade mediated largely by P-selectin, ICAM-1 CD36 primary human dermal microvascular endothelium...
Evidence-based models may assist Mexican government officials and health authorities in determining the safest plans to respond coronavirus disease 2019 (COVID-19) pandemic most-affected region of country, Mexico City Metropolitan Area. This study aims present potential impacts COVID-19 this model possible benefits mitigation efforts. The Hospital Impact Model for Epidemics was used estimate probable evolution three scenarios: (i) no social distancing, (ii) distancing place at 50%...
Introduction Prolonged obstructed labour often results from lack of access to timely obstetrical care and affects millions women. Current burden disease estimates do not include all the physical psychosocial sequelae prolonged labour. This study aimed estimate prevalence full spectrum maternal newborn comorbidities, create a more comprehensive model. Methods is cross-sectional survey clinicians epidemiological modelling disease. A comorbidities was developed for 27 across seven categories...
Lack of providers in surgery, anesthesia, and obstetrics (SAO) is a primary driver limited surgical capacity worldwide. We aimed to identify predictors entry into Surgery, Anesthesia, Obstetrics Gynecology fields preference working the public sector Brazil which may help profiling medical students for recruitment these needed areas. A questionnaire was applied all Brazilian graduates registered with Board Medicine from 2014 2015. Twenty-three characteristics were analyzed. Logistic...
Adverse events from surgical care are a major cause of death and disability, particularly in low-and-middle-income countries. Metrics for quality developed high-income settings resource-intensive inappropriate most lower resource settings. The purpose this study was to apply assess the feasibility new tool measure resource-constrained settings.This is cross-sectional using novel evidence-based measurement low-resource adapted use at tertiary hospital Amazonas, Brazil resulting 14 metrics...
BackgroundDiagnostic services are an essential component of high-quality surgical, anesthesia and obstetric (SAO) care. Efforts to scale up SAO care in Latin America have often overlooked diagnostics capacity. This study aims analyze the capacity diagnostic services, including radiology, pathology, laboratory medicine, hospitals providing states Chiapas, Mexico Amazonas, Brazil.MethodsA stratified cross-sectional evaluation performing surgery Chiapas Amazonas was performed using Surgical...
<h3>Key Messages</h3> Despite the large role that children's surgery plays in reducing morbidity and mortality, global child health initiatives have historically focused on nonsurgical diseases. Children's care providers can collaborate to improve through shared values. Long-term investments surgical workforce development must accompany more immediate measures addressing current burden. The Lancet Commission Global Surgery provides a framework which harmoniously be integrated. Innovative...