Juuli Palmu

ORCID: 0000-0003-1458-8880
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About
Contact & Profiles
Research Areas
  • Hip and Femur Fractures
  • Hernia repair and management
  • Cardiac, Anesthesia and Surgical Outcomes
  • Global Health Workforce Issues
  • Global Health and Surgery
  • Trauma and Emergency Care Studies

Örebro University Hospital
2023-2024

<h3>Importance</h3> Task sharing of surgical duties with medical doctors (MDs) without formal training and associate clinicians (ACs; health care workers corresponding to an educational level between that a nurse MD) is practiced provide services people in low-resource settings. The safety effectiveness this has not been fully evaluated through randomized clinical trial. <h3>Objective</h3> To determine whether task MDs ACs safe effective mesh hernia repair Sierra Leone. <h3>Design, Setting,...

10.1001/jamanetworkopen.2020.32681 article EN cc-by-nc-nd JAMA Network Open 2021-01-11

In low-income settings, there is a high unmet need for hernia surgery, and most procedures are performed with tissue repair techniques. preparation randomized clinical trial, medical doctors associate clinicians received short-course competency-based training on inguinal mesh under local anaesthesia. The aim of this study was to evaluate feasibility, safety effectiveness the training.All trainees one-day theoretical module anaesthesia followed by hands-on training. Performance assessed using...

10.1007/s00268-023-07095-1 article EN cc-by World Journal of Surgery 2023-07-14

Sierra Leone faces a substantial backlog of patients with inguinal hernia in need repair due to shortage surgical providers. The current mitigation strategy includes task-sharing associate clinicians and non-specialist medical doctors, the economic impact this approach needs assessment for potential scale-up. This study aimed assess cost-effectiveness open mesh hernias by doctors adult males (&gt;18 years) compared no treatment, as well between two provider types estimate budget clearing...

10.1371/journal.pgph.0003861 article EN cc-by PLOS Global Public Health 2024-12-12
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