A5076043502- Global Health and Surgery
- Global Health Workforce Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Global Maternal and Child Health
- Trauma and Emergency Care Studies
- Autopsy Techniques and Outcomes
- Disaster Response and Management
- Global Healthcare and Medical Tourism
- Global Health Care Issues
- Climate Change and Health Impacts
- Cardiac pacing and defibrillation studies
- COVID-19 and healthcare impacts
- Sepsis Diagnosis and Treatment
- Organ Donation and Transplantation
- Diversity and Career in Medicine
- Abdominal Trauma and Injuries
- Health disparities and outcomes
- Gun Ownership and Violence Research
- Cardiac Arrhythmias and Treatments
- Emergency and Acute Care Studies
- Weed Control and Herbicide Applications
- Plant Parasitism and Resistance
- Child Nutrition and Water Access
- Poverty, Education, and Child Welfare
- Atrial Fibrillation Management and Outcomes
Harvard University
2019-2025
Harvard Global Health Institute
2019-2024
Loma Linda University
2021-2024
Loma Linda University Medical Center
2021-2024
McGill University Health Centre
2024
Montreal Children's Hospital
2024
McGill University
2024
Social Change and Development
2021
University of Miami
2018-2020
Boston Foundation
2020
Abstract Efforts from the developed world to improve surgical, anesthesia and obstetric care in low- middle-income countries have evolved a primarily volunteer mission trip model sustainable health system strengthening approach as private public stakeholders recognize enormous toll financial burden of surgical disease. The National Surgical, Obstetric Anesthesia Plan (NSOAP) has been policy strategy for address, part, diseases amenable care, but these plans not isolation. NSOAP become...
Left atrial linear ablation for fibrillation (AF) may be proarrhythmic, leading to left macro-reentrant tachycardia (LAT). Whether due failure achieve block initially or recovery of conduction after is unknown. This study was designed evaluate the frequency mitral isthmus (MI) compared with cavo-tricuspid (CTI) conduction, and relationship between MI postablation LAT.Of 163 patients AF who underwent circumferential pulmonary vein plus ablation, in whom CTI produced bidirectional block, 52...
Introduction Paediatric burns are a leading cause of mortality among Mexican children, yet comprehensive national data scarce. This retrospective cohort study provides an epidemiological analysis paediatric burn injuries in Mexico using nationwide hospitalisation database. Methods We conducted all patients aged 0–18 years (ICD-10 codes: T200–T329) who were hospitalised the public sector Ministry Health’s hospital discharge database for 2016, 2018 and 2020. used descriptive statistics,...
In October 2024, the Pan American Health Organization (PAHO) formally integrated surgical, intensive, and emergency care into its health agenda. This followed important events, including June 2024 endorsement of Strategy on Integrated Emergency, Critical Operative Care 2025-2030 by PAHO Executive Committee. strategy builds 2015 World Assembly (WHA) Resolution 68.15, which recognized surgery as essential to universal coverage, 2023 WHA 76.2, called for standardized preparedness response. With...
Evidence on heterogeneity in outcomes of surgical quality interventions low-income and middle-income countries is limited. We explored factors driving performance the Safe Surgery 2020 intervention Tanzania's Lake Zone to distil implementation lessons for low-resource settings. identified higher (n=3) lower performers from quantitative data improvement 14 safety teamwork communication indicators at 0 12 months 10 facilities, using a positive deviance framework. From 72 key informant...
Plastic surgery varies in scope, especially different settings. This study aimed to quantify the plastic workforce low-income countries (LICs), understand commonly treated conditions by surgeons working these settings, and assess impact on reducing global disease burden.We queried national international societies, non-governmental organizations identify living LICs who provide surgical care using a cross-sectional survey. Respondents reported practice setting, training experience, income...
Abstract Background Evidence-based strategies for improving surgical quality and patient outcomes in low-resource settings are a priority. Objective To evaluate the impact of multicomponent safe surgery intervention (Safe Surgery 2020) on (1) adherence to safety practices, teamwork communication, documentation files, (2) incidence maternal sepsis, postoperative site infection. Methods We conducted prospective, longitudinal study 10 control facilities Tanzania’s Lake Zone, across 3-month...
Organizational learning is critical for delivering safe, high-quality surgical care, especially in low- and middle-income countries (LMICs) where perioperative outcomes remain poor. While current investments LMICs prioritize physical infrastructure, equipment, staffing, organizational are equally important to support innovation, creativity, continuous improvement of quality. This study aims assess the extent which health facilities Tanzania's Lake Zone perform as organizations from...
Childhood malnutrition in India remains among the highest world. Adult alcohol consumption and severe have increased indigenous people South India. However, association between them is poorly understood.
Abstract Background Postoperative mortality rate is one of six surgical indicators identified by the Lancet Commission on Global Surgery for monitoring access to high‐quality care. The primary aim this study was measure postoperative in Tanzania's Lake Zone provide a baseline strengthening efforts. secondary effect Safe 2020, multi‐component intervention improve quality, after 10 months. Methods We prospectively collected data from 20 health centers, district hospitals, and regional...
Background Precise models are necessary to estimate mortality risk following traumatic injury inform clinical decision making or quantify hospital performance. The Trauma and Injury Severity Score (TRISS) has been the historical gold standard in survival prediction but its limitations well-characterized. present study used International Classification of Diseases 10 th Revision (ICD-10) codes with machine learning approaches develop whose performance was compared that TRISS. Methods...
Introduction The shift from subscription-based to open-access (OA) publishing sought democratize scientific knowledge by eliminating access barriers. However, article processing charges (APCs) have raised concerns about equity, particularly for researchers low- and middle-income countries (LMICs). APCs costs readers authors, potentially limiting the ability of disseminate their work. This study aimed quantify effect on equity in global surgery examining current APC association with journal...
On September 29, 2023, the Republic of Ecuador convened a meeting to address surgical system strengthening and urge political leaders invest in infrastructure. The included experts health diplomacy, innovative financing, implementation strategy national plans. event occurred parallel with Sixtieth Directing Council Pan American Health Organization, Seventy-fifth session World Organization Regional Committee for Americas. centered around four major areas: (i) building capacity as means...
Background The Healthcare Access and Quality (HAQ) index, developed by the Institute for Health Metrics Evaluation, uses estimates of amenable mortality to quantify health system performance over time. While much is known about general globally, few studies have portrayed surgical systems. In order access quality care, evaluate changes time, link these care investments, non-surgical sub-indices were developed. Design We categorized 32 causes as either or conditions. Using principal...