- Global Maternal and Child Health
- Maternal and Perinatal Health Interventions
- Reproductive Health and Contraception
- Maternal and fetal healthcare
- Assisted Reproductive Technology and Twin Pregnancy
- Pregnancy and preeclampsia studies
- Adolescent Sexual and Reproductive Health
- Global Health Workforce Issues
- Gallbladder and Bile Duct Disorders
- Child Nutrition and Water Access
- Ectopic Pregnancy Diagnosis and Management
- Neonatal Respiratory Health Research
- Ureteral procedures and complications
- Migration, Health and Trauma
- Biliary and Gastrointestinal Fistulas
- HIV/AIDS Research and Interventions
- Gestational Diabetes Research and Management
- Sex work and related issues
- Maternal and Neonatal Healthcare
- Diverticular Disease and Complications
- Menstrual Health and Disorders
- Poverty, Education, and Child Welfare
- Reproductive tract infections research
- Birth, Development, and Health
- ICT Impact and Policies
University of Colorado System
2021-2024
University of Colorado Denver
2018-2024
University of Colorado Anschutz Medical Campus
2019-2024
Colorado School of Public Health
2022-2024
Center for Global Health
2022-2024
University of Colorado Boulder
2022
Outcomes Research Consortium
2021
University of Colorado Hospital
2018-2020
Hospital Authority
2020
Aurora University
2020
Abstract A group of 292 consecutive patients underwent cholecystectomy for gallstones with presumed biliary pain over a 4-year period and all completed self-assessment questionnaire before operation. Over the following 2 years 18 died but no others were lost to follow-up. The remaining 274 further 1 after Demographic characteristics abdominal symptoms have been compared an age- sex-matched control using same questionnaire. Before operation flatulent dyspepsia far more frequent in markedly...
Despite global improvements in maternal and newborn health (MNH), maternal, fetal mortality rates Pakistan remain stagnant. Using data from the Global Network's Maternal Newborn Health Registry (MNHR) objective of this study is to compare mortality, stillbirth levels putative risk factors between Pakistani site those other countries. collected through a multi-site, prospective, ongoing, active surveillance system track pregnancies births communities discrete geographical areas seven sites...
This population-based study sought to quantify maternal, fetal, and neonatal morbidity mortality in low- middle-income countries associated with obstructed labor, prolonged labor failure progress (OL/PL/FTP). A prospective, observational of pregnancy outcomes was performed at seven sites Argentina, Guatemala, India (2 sites, Belgaum Nagpur), Kenya, Pakistan Zambia. Women were enrolled delivery 6-week follow-up obtained evaluate rates OL/PL/FTP resulting from OL/PL/FTP, including: maternal...
Cesarean section (CS) rates are increasing globally with an unclear effect on pregnancy outcomes. The study objective was to quantify maternal and perinatal morbidity mortality associated CS compared vaginal delivery (VD) both within across sites in low- middle-income countries.
A prospective study of the prevalence gall stone disease at necropsy in a stable population has been undertaken over 10 year period up to June 1988. In women, remained static but men aged 50-59 years it rose from 7% (n = 148) first three 18% 138) last (p less than 0.01) and 60-69 12% 370) 20% 366, p 0.01). latter age group female: male ratio fell 2:1 0.8:1. The proportion deaths coronary heart slightly those 70 during period. There was fall all groups women. Men with stones were likely have...
In a prospective study of gall stone related deaths in single Health District, the biliary tract was examined at necropsy 1701 cases and 8078 death certificates were searched. Gall stones identified as cause only 21 (0.26%) but 291 subjects found to have or cholecystectomy necropsy, mortality 3.4%. The prevalence adult population 17.1% nine out 10 with had not women three times more likely their removed than men. There five postoperative (mean age 60 years) an operative for district 1.2%....
Death certification data from pleural cancer in eight European countries providing to the World Health Organization database over period 1970-1994 were analysed using a log-linear Poisson model disentangle effects of age, birth cohort and death. The age effect reached values between 10 15/100,000 males at 80-84 most countries, except Hungary (6.7), Switzerland (18.0), France (20.6) Netherlands (36.5). Cohort steadily appreciably upwards all up generations born 1940 or 1945, levelled off for...
Worldwide, 98% of stillbirths occur in low-income countries (LIC), where stillbirth rates are ten-fold higher than high-income (HIC). Although most HIC prenatally, LIC at term and during labor/delivery. Conditions causing include those maternal origin (obstructed labor, trauma, antepartum hemorrhage, preeclampsia/eclampsia, infection, diabetes, other diseases), fetal (fetal growth restriction, distress, cord prolapse, multiples, malpresentations, congenital anomalies). In LIC, aside from...
Abstract Background Nulliparity has been associated with lower birth weight (BW) and other adverse pregnancy outcomes, most of the data coming from high-income countries. In this study, we examined for gestational age z-scores neonatal (28-day) mortality in a large prospective cohort women dated by first trimester ultrasound multiple sites low middle-income Methods Pregnant were recruited during followed through 6 weeks postpartum Maternal Newborn Health Registry (MNHR) Democratic Republic...
Objective Few data are available on cesarean delivery and operative vaginal trends in low- middle-income countries. Our objective was to analyze a prospective population-based registry including eight sites seven countries observe versus rates over time, across sites. Study Design A study, home facility births among women enrolled from 2010 2016, performed communities Argentina, Democratic Republic of Congo, Guatemala, India, Kenya, Pakistan, Zambia. Women were during pregnancy outcome...
Abstract Background The objectives of this analysis were to document trends in and risk factors associated with the cesarean birth rate low- middle-income country sites participating Global Network for Women’s Children’s Health Research (Global Network). Methods This is a secondary prospective, population-based study home facility births conducted sites. Results Cesarean rates increased uniformly across all between 2010 2018. Across multivariable analyses, women younger than age twenty had...
Objective The aim of the study is to evaluate clinical interventions significantly reduce maternal mortality from prolonged labor, obstructed and labor (PL/OL/POL) in sub-Saharan Africa (SSA). Methods A mathematical model-Maternal Neonatal Directed Assessment Technology ("MANDATE")-was created for SSA with estimated prevalence PL/OL/POL case fatality rates hemorrhage, infection, uterine rupture. Based on a literature review expert opinion, model was populated likelihoods current healthcare...