A5047221975- Global Health and Surgery
- Global Health Workforce Issues
- Intimate Partner and Family Violence
- Gender, Security, and Conflict
- Global Maternal and Child Health
- Migration, Health and Trauma
- Cardiac, Anesthesia and Surgical Outcomes
- Pancreatitis Pathology and Treatment
- Pancreatic and Hepatic Oncology Research
- Diversity and Career in Medicine
- Trauma and Emergency Care Studies
- COVID-19 and healthcare impacts
- Sex work and related issues
- Intestinal and Peritoneal Adhesions
- Trauma Management and Diagnosis
- Appendicitis Diagnosis and Management
- Grief, Bereavement, and Mental Health
- Restraint-Related Deaths
- Congenital Diaphragmatic Hernia Studies
- Adolescent Sexual and Reproductive Health
- Hernia repair and management
- Cerebrospinal fluid and hydrocephalus
- Orthopaedic implants and arthroplasty
- Travel-related health issues
- Medical Education and Admissions
Harvard University
2012-2025
Massachusetts General Hospital
2015-2025
MGH Institute of Health Professions
2023
Mbarara University of Science and Technology
2017-2019
Karolinska Institutet
2019
Mbarara National Referral Hospital
2019
American College of Surgeons
2019
Lemuel Shattuck Hospital
2017-2018
Ministry of Health
2017
Boston Children's Hospital
2017
Objective: To examine the impact of hospital volume on mortality and healthcare utilization in patients admitted with necrotizing pancreatitis (NP). Background: Over 20% acute develop NP, which has been associated higher rates procedural intervention, morbidity, mortality. Methods: Adult NP were identified 2016-2019 Nationwide Readmissions Database 2016-2019. Hospital cutoffs defined by tertiles total admissions per year (low-volume [<9 admissions/year]; medium-volume [9-25 high-volume...
Studies report that between 6 per cent and 29 of survivors sexual violence in eastern Democratic Republic the Congo (DRC) are rejected by their families communities. This research project was designed to provide insights into survivors' experiences stigmatisation rejection. Surveys were conducted with 310 women as they sought psychosocial services DRC. In total, 44.3 reported suffering rejection after violence. The majority felt status household (58.0 cent) community (54.9 diminished rape....
Emergency and essential surgical, obstetric anaesthesia (SOA) care are now recognized components of universal health coverage, necessary for a functional system. To improve surgical at national level, strategic planning addressing the six domains system is needed. This paper details process development plan (NSOAP) based on experiences frontline providers, Ministry Health officials, WHO leaders, consultants. Development NSOAP involves eight key steps: support ownership; situation analysis...
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...
Assess mental health outcomes among women raising children from sexual violence-related pregnancies (SVRPs) in eastern Democratic Republic of Congo and stigma toward acceptance their children.Participants were recruited using respondent-driven sampling.Bukavu, 2012.757 adult SVRPs interviewed. A woman aged 18 older was eligible for the study if she self-identified as a violence survivor since start conflict (∼1996), conceived an SVRP, delivered liveborn child currently child. ineligible SVRP...
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...
Sexual violence is prevalent in eastern Democratic Republic of Congo (DRC) and has potentially devastating psychosocial consequences. Previous studies have reported on sexual its impact the mental health survivors, but there are few conducted among women with violence-related pregnancies (SVRPs). Women SVRPs may be at greater risk complex outcomes, including social stigmatization. This study aimed to describe outcomes this subgroup survivors order inform future interventions. A mixed methods...
Female survivors of sexual violence in conflict experience not only physical and psychological sequelae from the event itself, but often many negative social outcomes, such as rejection ostracisation their families community. Male relatives - whether husbands, fathers, brothers play a key role determining how family community respond to survivor violence. Understanding these perspectives could help improve services for violence, well communities.This study draws on qualitative data gathered...
Sexual violence has been prevalent throughout the armed conflict in eastern Democratic Republic of Congo (DRC). Research on sexual violence-related pregnancies (SVRPs) and pregnancy termination DRC, a context with high prevalence violence, maternal mortality, restrictive abortion laws, is scant but crucial to improving overall health women DRC. Understanding women's perceptions experiences related an SVRP, particular this context, critical for developing effective, targeted programming....
Sexual violence is prevalent in eastern Democratic Republic of Congo (DRC), and has resulted sexual violence-related pregnancies (SVRPs). Despite restrictive laws, women may seek to terminate SVRPs; however, there are limited data on termination SVRPs. A mixed methods study was conducted 2012 Bukavu, DRC. Adult who self-reported an SVRP that were recruited using respondent-driven sampling (RDS). Trained female interviewers verbally administered a quantitative survey all participants...
Since armed conflict began in 1996, widespread sexual violence eastern Democratic Republic of Congo has resulted many violence-related pregnancies (SVRPs). However, there are limited data on the relationships between mothers and their children from violence. This study aimed to evaluate nature determinants these maternal-child relationships.
Endometriosis is a common gynecologic disorder wherein ectopic endometrial glands and stroma are found at extrauterine sites. Extrapelvic endometriosis well-documented, yet rare, disease entity that can affect almost any organ system. Inguinal an extremely rare characterized by tender inguinal swelling. Here we report case of sudden-onset acutely painful left hernia with concordant endometriosis. A review the literature presented. The presence isolated contained within left-sided sac has, to...
Sexual violence is prevalent in conflict-affected settings and may result sexual violence-related pregnancies (SVRPs). There are limited data on how women with SVRPs make decisions about pregnancy continuation or termination, especially contexts restricted access to comprehensive reproductive health services. A qualitative study was conducted Bukavu, Democratic Republic of the Congo (DRC) as part a larger mixed methods 2012. Utilizing respondent-driven sampling (RDS), adult who self-reported...
Osteoarthritis of the knee has been identified as most common disability in Pakistan. Total replacement (TKR) surgery is curative treatment for advanced osteoarthritis knee; however, cost remains one barriers to effective and timely service delivery.
Sexual violence is pervasive in eastern Democratic Republic of Congo (DRC). Survivors sexual encounter numerous challenges, and women with a violence-related pregnancy (SVRP) face even more complex sequelae. Because the stigma associated SVRP, there no conventional sampling frame and, therefore, paucity research on SVRP outcomes. Respondent-driven (RDS), used to study this "hidden" population, uses peer recruitment system that maintains strict participant privacy controls tracks recruitment....
The Democratic Republic of the Congo (DRC) has experienced nearly two decades civil conflict in Eastern regions North and South Kivu. This been notorious for use sexual violence as a weapon war, leading many cases to pregnancy after rape. objectives this analysis were: 1) describe patterns violence-related (SVRP) disclosure; 2) consider why survivors chose disclose particular individuals; 3) examine dialogue around SVRPs between women with their confidants. In Kivu Province, Congo,...