A5025544564- Global Health and Surgery
- Diversity and Career in Medicine
- Global Health Workforce Issues
- Injury Epidemiology and Prevention
- Travel-related health issues
- Cardiac, Anesthesia and Surgical Outcomes
- Global Maternal and Child Health
- Sex and Gender in Healthcare
- Burn Injury Management and Outcomes
- COVID-19 and healthcare impacts
- Esophageal and GI Pathology
- Tracheal and airway disorders
- Disaster Response and Management
- Healthcare cost, quality, practices
- Climate Change and Health Impacts
- Emergency and Acute Care Studies
- Intestinal Malrotation and Obstruction Disorders
- Breast Lesions and Carcinomas
- Cerebrospinal fluid and hydrocephalus
- Trauma and Emergency Care Studies
- Gun Ownership and Violence Research
- Congenital Diaphragmatic Hernia Studies
- Health and Medical Research Impacts
- Cancer and Skin Lesions
- Traumatic Brain Injury and Neurovascular Disturbances
Medical College of Wisconsin
2017-2023
Harvard University
2015-2023
Boston Children's Hospital
2018-2023
Brigham and Women's Hospital
2023
St. Elizabeth's Medical Center
2023
Children's Hospital of Wisconsin
2022
McGill University
2020
National Hospital Abuja
2020
Universidade Federal de Minas Gerais
2020
Harvard University Press
2020
The impact of public health policy to reduce the spread COVID-19 on access surgical care is poorly defined. We aim quantify backlog during pandemic in Brazilian system and determine relationship between state-level response degree delays care.Monthly estimates procedures performed per state from January 2016 December 2020 were obtained Brazil's Unified Health System Informatics Department. Forecasting models using historical volume data before March (first reported case) constructed predict...
The aim of this study is to identify, quantify, and characterize the international experiences available for general surgery residents in residency programs United States (US). Fellowship Residency Electronic Interactive Database (FREIDA) database was used identify all US. Each institution contacted by both e-mail telephone. Respondents were asked if an experience within their program and, available, details obtained. A total 253 identified using FREIDA database. Eighty-six (34 %) noted...
Prior research in vascular surgery has identified significant gender disparities leadership positions, but few data exist regarding publications. This study aims to evaluate authorship trends by the three highest impact factor journals.In this bibliometric analysis, PubMed was searched for articles published European Journal of Vascular and Endovascular Surgery, Annals Surgery from 2015 2019. The web-based application Genderize used predictive algorithms classify names first last authors as...
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.
Women remain underrepresented in 80% of Brazilian surgical specialties, however, women representation within the academic literature remains unknown. This study aims to evaluate gender distribution first and last authors journals. All publications between 2015 2019 from five journals with highest impact factor were reviewed. The authors' names extracted each article a predictive algorithm was used classify author. Authors further classified by field geographic region investigate patterns...
During COVID-19, medical schools transitioned to online learning as an emergency response deliver their education programmes. This multi-country study compared the methods by which worldwide restructured delivery of during pandemic.This multi-country, cross-sectional was performed using internet-based survey distributed students in multiple languages November 2020.A total 1,746 responses were received from 79 countries. Most respondents reported that institution stopped in-person lectures,...
Abstract Background Multiple studies have explored demographic characteristics and social determinants of health in relation to the risk pediatric assault-related injuries reinjury. However, few protective factors. The Child Opportunity Index (COI) uses neighborhood-level indicators measure ‘opportunity’ based on factors such as education, environment, economic resources. We hypothesized that higher would be associated with less reinjury assault-injured youth. Methods This was a...
Object Cerebrospinal fluid shunt systems malfunction for a multitude of reasons, including malpostitioning, obstruction the ventricular or distal catheter, valve, and catheter disruptions disconnections. The goal this study was to examine hydrodynamic resistance flow in new explanted catheters also with 1 2 straight connectors. Methods Explanted multiple lengths, 2-piece catheters, 3-piece were attached proximal manometer. A flask artificial CSF end provided flow. allowed stabilize over...
Protein levels in cerebrospinal fluid (CSF) are commonly thought to be related sterile shunt malfunction.To investigate the relationship between protein concentration and flow through CSF tubing a valve.New explanted catheters were tested with without valve attached at various concentrations. The concentrations used 0.5, 2, 5, 10 g/L. A flask artificial proximal end provided flow. was allowed stabilize over 1 hour, then change pressure distal of catheter measured recorded. resistance...
Background Many organizations have issued recommendations to limit elective surgery during the coronavirus disease 2019 (COVID-19) pandemic. We surveyed providers of children’s surgical care working in low-income and middle-income countries (LMICs) understand their perspectives on management wake COVID-19 pandemic how they were subsequently modifying practices. Methods A survey LMICs was performed. Respondents reported perioperative practice had changed response COVID-19. They also presented...
Objectives This study aimed to report household catastrophic spending on surgery and the experiences of patients families seeking surgical care in rural Haiti. Design The used an explanatory, sequential mixed-methods approach. We collected both quantitative qualitative data from participants through interviews. Setting A tertiary hospital (St. Boniface Hospital) southern Participants There were 200 adult Haitian who entered study. Of these, 41 excluded due missing variables or health...
Anterior cervical discectomy and fusion (ACDF) is considered a standard neurosurgical treatment for degenerative disc disease, but the methods determining after ACDF that involves use of polyetheretherketone (PEEK) cage are not well defined. The authors examine an image finding called "PEEK double lucency" may be useful in identifying fusion. This was studied to determine if it would helpful on radiographs obtained 148 patients who underwent which PEEK filled with local autograft bone (bone...