- Global Health and Surgery
- Global Health Workforce Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Diversity and Career in Medicine
- Intestinal Malrotation and Obstruction Disorders
- Appendicitis Diagnosis and Management
- Maternal and Neonatal Healthcare
- Global Maternal and Child Health
- Pediatric Hepatobiliary Diseases and Treatments
- Cleft Lip and Palate Research
- Health Systems, Economic Evaluations, Quality of Life
- Trauma and Emergency Care Studies
- Sarcoma Diagnosis and Treatment
- Antibiotic Use and Resistance
- Colorectal Cancer Screening and Detection
- Reproductive Biology and Fertility
- Healthcare Policy and Management
- Neuroblastoma Research and Treatments
- Congenital Anomalies and Fetal Surgery
- Gastrointestinal Tumor Research and Treatment
- Global Cancer Incidence and Screening
- Global Health Care Issues
- Patient Satisfaction in Healthcare
- Clinical Reasoning and Diagnostic Skills
- Intraperitoneal and Appendiceal Malignancies
Harvard University
2013-2024
Cornell University
2013-2024
Hospital for Sick Children
2024
Great Ormond Street Hospital
2024
University College London
2024
SickKids Foundation
2024
Yale University
2020-2022
Yale New Haven Hospital
2022
Social Change and Development
2017-2020
Weill Cornell Medicine
2016-2020
Cleft lip and/or palate (CLP) is estimated to occur in 1 out of every 700 births, but for many people residing low- and middle-income countries this deformity may be repaired late life or not at all. This study aims analyze worldwide provider-perceived barriers the surgical repair CLP countries.From 2011 2014, Smile Train distributed a multiple-choice, voluntary survey healthcare providers identify areas need care worldwide. Data on provider-reported were aggregated by year, country, larger...
Background The WHO estimates a global shortage of 2.8 million physicians, with severe deficiencies especially in low and middle-income countries (LMIC). unequitable distribution physicians worldwide is further exacerbated by the migration from LMICs to high-income (HIC). This large-scale has numerous economic consequences which include increased mortality associated inadequate physician supply LMICs. Methods We estimate cost for due excess migration. To do so, we use concept value...
Background Brazil boasts a health scheme that aspires to provide universal coverage, but its surgical system has rarely been analysed. In an effort strengthen systems worldwide, the Lancet Commission on Global Surgery proposed collection of 6 standardised indicators: 2-hour access surgery, workforce density, volume, perioperative mortality rate (POMR) and protection against impoverishing catastrophic expenditure. This study aims characterise Brazilian with these newly devised indicators...
Objective The purpose of this study was to review inpatients undergoing tracheostomies at a tertiary care pediatric hospital in 24‐month period and identify the indications, comorbidities, course, patient complexity, predischarge planning for tracheostomy care. goal analyze these factors highlight potential areas improvement. Study Design Case series with chart review. Setting Tertiary hospital. Subjects Ninety‐five Boston Children's Hospital requiring primary or revision during encompassing...
Abstract Background Paediatric surgical care is increasingly being centralized away from low-volume centres, and prehospital delay considered a risk factor for more complicated appendicitis. The aim of this study was to determine the incidence paediatric appendicitis in Sweden, assess whether distance hospital disease. Methods A nationwide cohort all cases 2001–2014, undertaken, including disease different population strata, with trends over time. determined by regression methods, travel...
Objectives/Hypothesis Retropharyngeal abscesses are a difficult to diagnose condition in children. Though some children with such can be managed intravenous (IV) antibiotics alone, our group has argued that surgical drainage is the gold standard for safe management and likely leads shorter hospital stays. We present prospective data on retropharyngeal infections who were according clinical practice guideline emphasizes reliance computed tomography prompt when pus felt present. Study Design...
Abstract Providing surgical repair for congenital anomalies such as cleft lip and palate (CLP) can be challenging in low- 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 healthcare provider education, community outreach, funding. The authors examined the effectiveness of providing CLP care increasing capacity over time. maintains data each partner procedure collected...
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...
Abstract Introduction Children with appendicitis often present complicated disease. The aim of this study was to describe the clinical management pediatric appendicitis, and report how disease severity operative modality are associated short- long-term risks adverse outcome. Materials Methods A nationwide retrospective cohort all Swedish children (<18 years) diagnosed 2001 2014 (n = 38,939). Primary secondary outcomes were length stay, surgical site infections, readmissions, 30-day...