A5008664648- Global Health and Surgery
- Global Health Workforce Issues
- Global Maternal and Child Health
- Vaccine Coverage and Hesitancy
- COVID-19 epidemiological studies
- COVID-19 and healthcare impacts
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma and Emergency Care Studies
- Organ Transplantation Techniques and Outcomes
- Diversity and Career in Medicine
- Ultrasound in Clinical Applications
- Abdominal Trauma and Injuries
- COVID-19 Impact on Reproduction
- Liver Disease and Transplantation
- Burn Injury Management and Outcomes
- Immune responses and vaccinations
- Food Security and Health in Diverse Populations
- Child and Adolescent Health
- Injury Epidemiology and Prevention
- COVID-19 Pandemic Impacts
- Migration, Health and Trauma
- Surgical site infection prevention
- Heat shock proteins research
- Pelvic and Acetabular Injuries
- Vitamin C and Antioxidants Research
London School of Hygiene & Tropical Medicine
2021-2024
University of London
2021-2022
University Teaching Hospital
2022
Emory Healthcare
2022
Baylor College of Medicine
2022
Cincinnati Children's Hospital Medical Center
2022
Ministry of Health
2022
Médecins Sans Frontières
2020-2021
World Health Organization
2021
World Health Organization - Pakistan
2020
Recommendations by the Lancet Commission on Global Surgery regarding surgical care in low- and middle-income countries (LMICs) require development to address needs of children. The Initiative for Children's (GICS) was founded 2016 identify solutions problems children's surgery utilizing expertise practitioners from around world. This report details this unique process underlying principles.Three global meetings convened providers services Through working group meetings, participants reviewed...
Community transmission of COVID-19 is already being reported in Africa.1 Most countries on the continent will have +10,000 confirmed cases within month.2 The population, while generally younger than Europe and North America, has much higher rates poverty, malnutrition, HIV, TB, which could shift demographics lethality. For surgeons, obstetricians, anesthesiologists, major challenge be maintaining provision emergency essential surgery obstetric care preserving precious resources, minimizing...
Abstract Despite the growing literature on impact of Covid-19 antenatal care (ANC) and maternal/neonatal child health outcomes globally, substantial knowledge gaps remain about population-level in sub-Saharan Africa (SSA). Existing evidence ANC SSA is largely based facility or small-scale qualitative research, which are limited providing understanding. This paper examines extent to impacted service utilisation identifies what population sub-groups were most adversely impacted. It a secondary...
Abstract BC are a common source of morbidity after pediatric LT . Knowledge about risk factors may help to reduce their incidence. Retrospective analysis in 116 patients (123 ) (single institution, 05/1990–12/2011, medium follow‐up 7.9 yr). One‐, five‐, and 10‐yr survival was 91.1%, no patient died BC. Prevalence for anastomotic intrahepatic were examined. There 29 123 (23.6%), with three main categories: 10 (8.1%) primary strictures, eight (6.5%) leaks, (2.4%) strictures. Significant leaks...
Burns are a leading cause of global disease burden, with children in low- and middle-income countries (LMICs) disproportionately affected. Effective management improves outcomes; however, the availability necessary resources LMICs remains unclear. We evaluated surgical centres using WHO Surgical Assessment Tool (SAT) to identify opportunities optimize paediatric burn care.We reviewed SAT database entries for 2010-2015. A total 1121 facilities from 57 met inclusion criteria: capacity...
The demand for transplantable organs far outweighs the supply. Recently, efforts have been made to increase donor pool by adopting extended criteria livers, including those from hypernatremic donors. Currently, there is no clear evidence that use of donors has detrimental effects on pediatric liver transplantation (LT) recipients. Our aim was Scientific Registry Transplant Recipients database evaluate hypernatremia 30‐day outcomes in LT We performed an analysis 2325 children who underwent...
COVID-19 and other pandemics remain significant threats to population health, particularly in rural settings where health systems are disproportionately weak. There is a lack of evidence on whether trained, equipped, deployed community workers (CHWs) can lead reductions infections deaths. Our objective was measure the effectiveness deploying trained equipped CHWs reducing deaths by comparing outcomes two counties Western Kenya, setting with limited critical care capacity access vaccines oral...
<b>Introduction</b> With the rising demand for liver transplantations (LTs), and shortage of organs, extended criteria including donor hypernatremia have been adopted to increase pool. Currently, there is conflicting evidence on effect outcomes following LT. Our aim was investigate differences in outcome patients receiving grafts from hypernatremic donors compared with normonatremic pediatric population. <b>Methods</b> We retrospectively reviewed 94 LTs 1994 2011. divided into two groups:...
The acute-phase response (APR) is critical to the body's ability successfully respond injury. A murine model of closed unilateral femur fractures and bilateral fracture were used study effect injury magnitude on this response.Standardized in mice performed. sites, livers, serum harvested over time after Changes mRNA expression cytokines, hepatic proteins, cytokines overtime measured.There was a rapid short-lived APR injuries. overall pattern both models similar. Both proteins' (fibrinogen-γ...
<ns4:p>Globally, the number of COVID-19 infections is approaching 63 million; more than 1 million individuals have lost their lives. In Kenya, has surpassed 80,000 and 1469 people community health strategy been used to deliver essential services since 2007. Furthermore, population in Kenya young (the median age 21 years old) recognized as a technology hub East African region. Community-based care, youth, technology, are assets within Kenyan context that can be leveraged respond pandemic with...
Exercise training is an essential component of pulmonary rehabilitation and associated with improved function other important outcomes in persons chronic lung disease. A subset patients experience hypoxemia that may occur or worsen exercise. For the purpose this review, severe exercise-induced defined as S<sub>pO<sub>2</sub></sub> < 89% during exercise, despite use supplemental oxygen delivered at up to 6 L/min. There a paucity evidence clinical guidelines address assessment management...
Background Many health care facilities in low- and middle-income countries are inadequately resourced. COVID-19 has the potential to decimate surgical services unless systems take stringent measures protect workers from viral exposure ensure continuity of specialized for patients. Among these measures, timely diagnosis is paramount use protective isolation patients prevent transmission personnel caring with an unknown status or contact during pandemic. Besides molecular antibody tests, chest...
Background: Globally, the COVID-19 pandemic has had broad consequences on health outcomes with significant morbidity and mortality. Rural systems face more challenges in availability of a workforce, adequate infrastructure equipment. We completed baseline assessment system Siaya at beginning stages designed an integrated intervention to maximize prevention cases optimize case management community facility levels. Methods: In partnership Ministry Health (MOH), we trained care workers...
Welcome to Annals of Global Health,Annals Health is a peer-reviewed, fully open access, online journal dedicated publishing high quality articles all aspects global health. The journal's mission advance health, promote research, and foster the prevention treatment disease worldwide. Its goals are improve health well-being people, equity, wise stewardship earth's environment. latest impact factor 3.64.Annals supported by Program for Public Common Good at Boston College. It was founded in 1934...
BackgroundTo improve access to surgical care in rural Nicaragua, a collaboration was established between the Global Initiative for Children's Surgery (GICS), Operation Smile and Nicaragua Ministry of Health. Prior implementation programme People our aim perform baseline assessment Nicaraguan health system's capacity provide safe its zones.MethodsIn June July 2017, retrospective evaluation provision performed at two district hospitals Las Minas using GICS Optimal Resources tool, WHO/Program &...