A5063434682- Trauma and Emergency Care Studies
- Global Health and Surgery
- Disaster Response and Management
- Hernia repair and management
- Global Health Workforce Issues
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Health and Conflict Studies
- Cardiac Arrest and Resuscitation
- Injury Epidemiology and Prevention
- Thermal Regulation in Medicine
- Emergency and Acute Care Studies
- Pelvic and Acetabular Injuries
- Traffic and Road Safety
- Appendicitis Diagnosis and Management
- Delphi Technique in Research
- Musculoskeletal Disorders and Rehabilitation
- Diversity and Career in Medicine
- Migration, Health and Trauma
- Smoking Behavior and Cessation
- Obesity and Health Practices
- Agriculture and Farm Safety
- History of Medical Practice
- Abdominal Surgery and Complications
Linköping University
2018-2024
Linköping University Hospital
2020
Centre of Natural Hazards and Disaster Science
2019
Saint Göran Hospital
2011-2019
International Committee of the Red Cross
2018-2019
St Göran's Children's Hospital
2017
Karolinska Institutet
2002-2016
Stockholm South General Hospital
2003-2016
National Board of Health and Welfare
2012
Public Health Agency of Sweden
2011
In Brief Objective: To determine whether an intervention with smoking cessation starting 4 weeks before general and orthopedic surgery would reduce the frequency of postoperative complications. Summary Background Data: Complications are a major concern after elective smokers have increased risk. There is insufficient evidence concerning how duration preoperative affects Methods: A randomized controlled trial, conducted between February 2004 December 2006 at university-affiliated hospitals in...
In this Policy Forum, the Bellagio Essential Surgery Group, which was formed to advocate for increased access surgery in Africa, recommends four priority areas national and international agencies target order address surgical burden of disease sub-Saharan Africa.
Background There is a growing recognition that the provision of surgical services in low-income countries inadequate to need. While constrained health budgets and worker shortages have been blamed for low rates surgery, there has little empirical data on providers surgery cost Africa. This study described range care anesthesia estimated resources dedicated at district hospitals three African countries. Methods Findings We conducted retrospective cross-sectional survey from eight Mozambique,...
In the first of two papers investigating surgical provision in eight district hospitals Saharan African countries, Margaret Kruk and colleagues find low levels care suggesting unmet need for services.
Background and purpose Implant dislocation is one of the commonest complications following primary total hip replacement (THR). We investigated effect body mass index (BMI) tobacco use on risk this complication.
The most effective method for repair of a groin hernia involves the use synthetic mesh, but this type mesh is unaffordable many patients in low- and middle-income countries. Sterilized mosquito meshes have been used as lower-cost alternative not rigorously studied.
From the Division of Global Health (IHCAR), Department Public Sciences, Karolinska Institutet, Stockholm, Sweden. Submitted: October 19, 2011, Revised: February 6, 2012, Accepted: 20, 2012. Published online: June 14, Supported by Swedish National Board and Welfare. Part findings this study was presented at a disaster surgery course with Médecins sans Frontières, April Stockholm. Address for reprints: Johan von Schreeb, PhD, Nobels väg 9, 171 77 Sweden; email: [email protected].
The number of reported natural disasters is increasing, as the foreign medical teams (FMTs) sent to provide relief. Studies show that FMTs are not coordinated, nor they adapted needs victims. Another key challenge response has been lack common terminologies, definitions, and frameworks for following disasters.In this report, a conceptual health system framework captures two essential components care by after earthquakes presented. This was developed using expert panels personal experience,...
Summary It is known that smokers constitute an important risk group of patients undergoing surgery. unknown how smoking cessation intervention initiated 4 weeks prior to elective surgery affects the probability permanent cessation. We randomly assigned 117 patients, scheduled undergo orthopaedic and general surgery, control group. The underwent a programme initiated, on average, with weekly meetings or telephone counselling were provided free nicotine replacement therapy (NRT). received...
Abstract Background Hernia repair is the most commonly performed general surgical procedure worldwide. The prevalence poorly described in many areas, and access to surgery may not be met low- middle-income countries. objectives of this study were investigate groin hernia rate a defined sub-Saharan region Africa. Methods A two-part on was carried out eastern Uganda. first population-based with 900 randomly selected men Health Demographic Surveillance Site. second prospective facility-based...
Inguinal hernia is the most common general surgical condition in world. Although task sharing of care with nonsurgeons represents one method to increase access essential surgery, safety and outcomes this strategy are not well described for repair.To compare after inguinal repair mesh performed by medical doctors surgeons Ghana.This prospective cohort study was conducted from February 15, 2017, September 17, 2018, at Volta Regional Hospital Ho, Ghana. Following successful completion a...
Abstract Objectives COVID-19 presents challenges to the emergency care system that could lead department (ED) crowding. The Huddinge site at Karolinska university hospital (KH) responded through a rapid transformation of inpatient capacity together with changing working methods in ED. aim is describe KH response crisis, and how ED crowding, important input, throughput output factors for crowding developed during 30-day baseline period followed by first 60 days outbreak Stockholm Region....
Abstract Background The effect of body mass index (BMI) and smoking on the risk perforated appendix postoperative complications in patients undergoing open appendicectomy for acute appendicitis was studied. Methods Record linkage used to identify 6676 male construction workers who underwent between 1971 2004. Multivariable binomial logistic regression analyses were performed. Results After adjustment age, calendar period BMI, significantly associated with an increased (PA) (P = 0·004)....
<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,...
Abstract Background Understanding injury patterns specific for paediatric casualties of armed conflict is essential to facilitate preparations by organizations that provide medical care in areas. The aim this retrospective cohort study identify and treatment requirements are patients zones. Methods Characteristics children (age < 15 years) treated facilities supported the International Committee Red Cross (ICRC) between 1988 2014 Kabul, Kao-i-Dang, Lokichogio, Kandahar, Peshawar, Quetta...
Abstract Background Humanitarian organizations such as the International Committee of Red Cross (ICRC) provide worldwide protection and medical assistance for victims disaster conflict. It is important to gain insight into training needs professionals who are deployed these resource scarce areas optimally prepare them. This first study its kind assess self‐perceived preparedness, deployment experiences, learning concerning readiness ICRC personnel. Methods All enlisted employees were invited...
Limb amputation incidence is particularly high in fragile contexts due to conflict, accidents and poorly managed diabetes. The study aim was analyse (1) demographic characteristics of persons with any type acquired (PwA) (2) time between first access rehabilitation five conflict postconflict countries.
Improved trauma management can reduce the time between injury and medical interventions, thus decreasing morbidity mortality. Triage at emergency department is essential to ensure prioritization timely assessment of injured patients. The aim present study was investigate how a lack formal triage system impacts intervention mortality in sub-Saharan referral hospital. Further, attempts assess potential benefits towards efficient patients one middle income country. A prospective descriptive...
Abstract Introduction The aim of this study was to evaluate the association between parity and incidence rate groin hernia repair in women. Method This based on two Swedish national registers, Medical Birth Register (MBR), Hernia (SHR). cohort constituted women born 1956 1983. Data vaginal cesarean deliveries were retrieved from MBR. birth registers cross matched identify repairs carried out after deliveries. Results A total 1,535,379 Among these, 1,417,237 (92.3%) registered for at least...