A5089120690- Trauma and Emergency Care Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- Global Health and Surgery
- Cardiac, Anesthesia and Surgical Outcomes
- Neurosurgical Procedures and Complications
- Cardiac Arrest and Resuscitation
- Abdominal Trauma and Injuries
- Intracerebral and Subarachnoid Hemorrhage Research
- Disaster Response and Management
- Health Systems, Economic Evaluations, Quality of Life
- Parasites and Host Interactions
- Hip and Femur Fractures
- Clinical practice guidelines implementation
- Traumatic Brain Injury Research
- Malaria Research and Control
- Emergency and Acute Care Studies
- Health Policy Implementation Science
- Travel-related health issues
- Global Maternal and Child Health
- Global Health Workforce Issues
- Delphi Technique in Research
- Health and Medical Research Impacts
- Cerebral Venous Sinus Thrombosis
- Retinal and Optic Conditions
- Pain Management and Placebo Effect
University of Cambridge
2013-2025
Cambridge University Hospitals NHS Foundation Trust
2014-2025
National Institute for Health Research
2018-2024
Addenbrooke's Hospital
2017-2024
World Health Organization - Egypt
2024
Bridge University
2023
University of Antwerp
2022
Antwerp University Hospital
2022
Queen Elizabeth Hospital King's Lynn NHS Foundation Trust
2019
Boston Biomedical (United States)
2018
<h3>ABSTRACT</h3> Medicine is increasingly complex, involving a highly connected system of people, resources, processes, and institutions. Attempts to improve care involve disruptions this system, with the potential for wide-ranging consequences, both positive negative. Despite this, many improvement methodologies are poorly equipped manage either complexity or risk – instead focusing on discrete interventions whose effects narrowly monitored. Engineers have long understood that complex...
The WHO Surgical Safety Checklist has a growing evidence base to support its role in improving perioperative safety, although impact is likely be directly related the effectiveness of implementation. There remains paucity documented experience from low-resource settings on implementation approaches. We report an strategy public referral hospital Addis Ababa, Ethiopia, based consultation, local leadership, formal introduction, and supported supervision with subsequent audit feedback.Planning,...
Abstract Introduction Traumatic injuries are responsible for a huge amount of mortality, morbidity, and disability globally. Within global surgery, Bellwether procedures have previously been identified to measure the surgical proficiency hospital or region, however traumatic often distinct epidemiological demographic patterns, compared routine care. Using focused set processes trauma performance could allow improved assessments outcomes on scale. Methodology An international Delphi study...
<sec> <title>BACKGROUND</title> Photoplethysmography (PPG) is an optical method for measuring blood volume changes in microcirculation, through non-invasive photodetection. It has become a widespread and essential clinical tool, used pulse oximeters wearable devices. However, technical aspects of PPG make it susceptible to intrinsic bias, with the potential adversely affect particular patient consumer populations. Developments technology, increasingly driven by existing datasets as opposed...
Kwizera, Arthur MBChB, MMed; Hobbs, Laura A. MB, BChir, MA, FRCA; Kabatoro, Daphne Bashford, Tom MBBS, MBiochem, PhD, MRCP, FRCA Author Information
Low-income and-middle-income countries (LMICs) are increasing investment in research and development, yet there remains a paucity of neurotrauma published by those LMICs. The aim this study was to understand neurosurgeons' experiences of, aspirations for, ability conduct disseminate clinical LMICs.This two-stage inductive qualitative situated within the naturalistic paradigm. This committed an interpretivist way knowing (epistemology), considered reality subjective multiple (ontology). Data...
Introduction Chronic subdural haematoma (cSDH) tends to occur in older patients, often with significant comorbidity. The incidence and effect of medical complications as well the impact intraoperative management strategies are now attracting increasing interest. Objectives We used electronic health record data study profile in-hospital morbidity examine associations between various events postoperative stay. Design, setting participants Single-centre, retrospective cohort 530 cases cSDH...
BACKGROUND AND OBJECTIVES: Global disparity exists in the demographics, pathology, management, and outcomes of surgically treated traumatic brain injury (TBI). However, factors underlying these differences, including intervention effectiveness, remain unclear. Establishing a more accurate global picture burden TBI represents challenging task requiring systematic ongoing data collection patients with across all management modalities. The objective this study was to establish registry that...
Abstract Background Chronic subdural haematoma (cSDH) is a common neurosurgical pathology affecting older patients with other health conditions. A significant proportion (up-to 90%) of referrals for surgery in neurosciences units (NSU) come from secondary care. However, the organisation this care and experience repatriated to non-specialist centres are currently unclear. Objectives This study aimed clarify patient outcome following NSU discharge cSDH understand key system challenges. The was...
To explore the value and potential of qualitative research to neurosurgery provide insight understanding this underused methodology. The definition is critically discussed heterogeneity within field inquiry explored. articulated through its contribution complex clinical problems. resolve some misunderstanding research, paper discusses design choices. We approaches that use techniques but are not, necessarily, situated a paradigm in addition how philosophy aids researchers conduct...
A common neurosurgical condition, chronic subdural haematoma (cSDH) typically affects older people with other underlying health conditions. The care of this potentially vulnerable cohort is often, however, fragmented and suboptimal. In complex conditions, multidisciplinary guidelines have transformed patient experience outcomes, but no such framework exists for cSDH. This paper outlines a protocol to develop the first comprehensive guideline from diagnosis long-term recovery
The improvement of surgical and anaesthetic safety in low-resource settings is hampered by a lack reliable information on the current provision these services. Ethiopia one world's poorest countries and, despite large amounts both foreign domestic investment, still reports some worst health outcomes. However, anaesthesia sparse. This work reproduces questionnaire study, first used Uganda 2006, to survey practising anaesthetists regarding state services across Ethiopia. results indicate that...
Traumatic brain injury (TBI) accounts for a significant amount of death and disability worldwide the majority this burden affects individuals in low-and-middle income countries. Despite this, considerable geographical differences have been reported care TBI patients. On background, we aim to provide comprehensive international picture epidemiological characteristics, management outcomes patients undergoing emergency surgery traumatic worldwide. The Global Neurotrauma Outcomes Study (GNOS) is...