A5064936214- Global Health and Surgery
- Trauma and Emergency Care Studies
- Spinal Dysraphism and Malformations
- Traumatic Brain Injury and Neurovascular Disturbances
- Fetal and Pediatric Neurological Disorders
- Global Health Workforce Issues
- Head and Neck Surgical Oncology
- Cerebrospinal fluid and hydrocephalus
- Cardiac Arrest and Resuscitation
- Craniofacial Disorders and Treatments
- Global Maternal and Child Health
- Organ Donation and Transplantation
- Diversity and Career in Medicine
- Medical Imaging and Analysis
- Brain Metastases and Treatment
- Anorectal Disease Treatments and Outcomes
- Injury Epidemiology and Prevention
- Chronic Lymphocytic Leukemia Research
- Sepsis Diagnosis and Treatment
- Scoliosis diagnosis and treatment
- Facial Trauma and Fracture Management
- Diagnosis and treatment of tuberculosis
- Global Health and Epidemiology
- Neurosurgical Procedures and Complications
- Global Healthcare and Medical Tourism
Children's Hospital of Philadelphia
2024-2025
University of Pennsylvania Health System
2022-2024
Duke University
2017-2023
University of Pennsylvania
2023
University of California, Los Angeles
2016-2019
Social Change and Development
2019
Harvard University
2017-2019
Ministry of Health
2017
Mbarara University of Science and Technology
2017
Boston Children's Hospital
2017
Traumatic brain injury (TBI)-the "silent epidemic"-contributes to worldwide death and disability more than any other traumatic insult. Yet, TBI incidence distribution across regions socioeconomic divides remain unknown. In an effort promote advocacy, understanding, targeted intervention, the authors sought quantify case burden of World Health Organization (WHO) Bank (WB) income groups.
Background Five billion people lack access to safe, affordable, and timely surgical anesthesia care. Significant challenges remain in the provision of care low-resource settings. Uganda is no exception. Methods From September November 2016, we conducted a mixed-methods countrywide capacity assessment at 17 randomly selected public hospitals Uganda. Researchers 35 semi-structured interviews with key stakeholders understand factors related The framework approach was used for thematic...
Delivery of pediatric critical care in low-income countries is limited by a lack infrastructure, resources, and providers. Few studies have analyzed the epidemiology disease associated with PICU country. The aim this study was to document primary diagnoses mortality rates patients presenting tertiary Mozambique order formulate quality improvement projects through an international academic partnership. We hypothesized that rate would be high sepsis common cause death.
INTRODUCTION: Addressing global neurosurgical disparities necessitates innovative educational and collaborative approaches that transcend geographical boundaries. Virtual hackathons provide a platform for medical students from high- low-income countries to collaborate, fostering diversity in thinking resource sharing. METHODS: Hackathon programming events were conducted. Pre- post-event surveys assessed changes attitudes toward innovation collaboration. Further analysis was completed assess...
OBJECTIVE Causes, clinical presentation, management, and outcomes of chronic subdural hematoma (CSDH) in low- middle-income countries are not well characterized the literature. Knowledge regarding these factors would be beneficial development implementation effective preventive management measures for affected patients. The authors conducted a study to gain better understanding low-income setting. METHODS This prospective was performed at Mbarara Regional Referral Hospital (MRRH) Uganda...
Little is known about operative volume, distribution of cases, or capacity the public sector to deliver essential surgical services in Uganda.A standardized mixed-methods assessment and retrospective logbook review were completed at 16 randomly selected hospitals serving 64·0% Uganda's population.A total 3014 operations recorded, annualizing a volume 36,670 cases/year 144·5 operations/100,000people/year. Absolute was greater regional referral than general (p < 0·001); but, relative...
The natural history of cephaloceles is not well understood. goal this study was to better understand the fetal from prenatal diagnosis postnatal period. Between January 2013 and April 2023, all patients evaluated with a cephalocele at Center for Fetal Diagnosis Treatment were identified. All underwent MRI. Demographic imaging covariates obtained electronic medical record. Volumetric analyses performed determine percentage neural tissue within cephalocele. Progressive herniation defined as an...
Short-term surgical relief efforts have helped close some gaps in the provision of care remote settings. We reviewed published literature on short-term missions to compare their cost-effectiveness across subspecialties.PubMed was searched using algorithm ["cost-effectiveness" AND "surgery" ("mission" OR "volunteer")]. Articles detailing low and middle-income countries (LMIC) were included. Only direct mission costs considered, all converted into 2014 USD.Eight articles, representing 27 9...
OBJECTIVE Myelomeningocele (MMC) is a lifelong condition requiring complex multidisciplinary management. Using the National Spina Bifida Patient Registry (NSBPR), authors tested association between sociodemographic variables and odds of undergoing neurosurgical procedures. METHODS The extracted sociodemographic, clinical, procedure data on participants with MMC aged ≥ 1 year who visited an NSBPR clinic 2009 2020. zip code participant’s residence at time last spina bifida visit was linked to...
A low-power microscope-based cytological system to assess the quality of expectorated sputum provided for tuberculosis (TB) diagnosis was piloted in Bolivia. total 3688 samples were subjected visual and examination nine laboratories: these, 591 (16%) misclassified by 294 (8%) found be degraded. The degree discordance varied between locations, laboratories received a higher number degraded specimens from isolated health clinics. Cytological assessment feasible identified areas improvement...
Abstract Purpose Mexico has the second highest incidence of central and peripheral nervous system cancer cases in Latin America, but clinical research resources to improve oncologic care are biased towards high-income countries. We carried out a retrospective study identify sociodemographic factors associated with more severe presentation among surgical neuro-oncology who underwent surgery at major public referral hospital City. Methods The electronic medical record was reviewed all patients...
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...
INTRODUCTION: Pediatric traumatic brain injury (pTBI) is the leading cause of death and disability among children globally. However, few studies have explored pTBI in low- middle-income countries (LMICs) compared to high-income (HICs). METHODS: Patient records were extracted from Duke University Hospital subset National Trauma Data Bank (NTDB, n = 866) a dataset at Mbarara Regional Referral Uganda (MRRH, 571). Descriptive statistics performed compare across settings. Logistic regression was...
INTRODUCTION: Gray matter heterotopia is a cortical malformation and known risk factor for seizures epilepsy. Historically, presence of in one or both cerebral ventricles was concern postnatal neurological status patients undergoing fetal closure myelomeningocele/myeloschisis. There little information regarding the overall impact this patient population. METHODS: A retrospective chart review conducted all evaluated at Center Fetal Diagnosis Treatment with diagnosis myelomeningocele...
<title>Abstract</title> Purpose Historically, the presence of gray matter heterotopia was a concern for adverse postnatal neurocognitive status in patients undergoing fetal closure open spinal dysraphism. The purpose this study to evaluate neurodevelopmental outcomes and onset seizures during early childhood with prenatal diagnosis myelomeningocele/myeloschisis (MMC) periventricular nodular (PVNH). Methods All evaluated at Center Fetal Diagnosis Treatment MMC between June 2016 March 2023...
You have accessJournal of UrologyPediatrics III (MP50)1 May 2024MP50-11 PREDICTORS OF UROLOGIC FUNCTION IMPROVEMENT AFTER SECONDARY SPINAL CORD DETETHERING Maria Punchak, Christopher J. Long, Jason P. Van Batavia, Dawud Hamdan, Stephen Zderic, Tracy M. Flanders, Gregory G. Heuer, and Dana A. Weiss PunchakMaria Punchak , LongChristopher Long BataviaJason Batavia HamdanDawud Hamdan ZdericStephen Zderic FlandersTracy Flanders HeuerGregory Heuer WeissDana View All Author...