The Experts below are selected from a list of 34302 Experts worldwide ranked by ideXlab platform
Tamara N Fitzgerald - One of the best experts on this subject based on the ideXlab platform.
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access to Pediatric Surgery delivered by general surgeons and anesthesia providers in uganda results from 2 rural regional hospitals
Surgery, 2021Co-Authors: David F Grabski, Tamara N Fitzgerald, Margaret Ajiko, Peter Kayima, Nensi M Ruzgar, David Nyeko, Monica Langer, Maija Cheung, Bruno Cigliano, Sergio DagostinoAbstract:Abstract Background Significant limitations in Pediatric surgical capacity exist in low- and middle-income countries, especially in rural regions. Recent global children’s surgical guidelines suggest training and support of general surgeons in rural regional hospitals as an effective approach to increasing Pediatric surgical capacity. Methods Two years of a prospective clinical database of children’s Surgery admissions at 2 regional referral hospitals in Uganda were reviewed. Primary outcomes included case volume and clinical outcomes of children at each hospital. Additionally, the disability-adjusted life-years averted by delivery of Pediatric surgical services at these hospitals were calculated. Using a value of statistical life calculation, we also estimated the economic benefit of the Pediatric surgical care currently being delivered. Results From 2016 to 2019, more than 300 surgical procedures were performed at each hospital per year. The majority of cases were standard general Surgery cases including hernia repairs and intussusception as well as procedures for surgical infections and trauma. In-hospital mortality was 2.4% in Soroti and 1% in Lacor. Pediatric surgical capacity at these hospitals resulted in over 12,400 disability-adjusted life-years averted/year. This represents an estimated economic benefit of 10.2 million US dollars/year to the Ugandan society. Conclusion This investigation demonstrates that lifesaving Pediatric procedures are safely performed by general surgeons in Uganda. General surgeons who perform Pediatric Surgery significantly increase surgical access to rural regions of the country and add a large economic benefit to Ugandan society. Overall, the results of the study support increasing Pediatric surgical capacity in rural areas of low- and middle-income countries through support and training of general surgeons and anesthesia providers.
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guidelines and checklists for short term missions in global Pediatric Surgery recommendations from the american academy of Pediatrics delivery of surgical care global health subcommittee american Pediatric surgical association global Pediatric surger
Pediatric Anesthesia, 2018Co-Authors: Marilyn W Butler, Elizabeth T Drum, Faye M Evans, Tamara N Fitzgerald, Jason D Fraser, Ai Xuan Holterman, Howard C Jen, Matthew J Kynes, Jenny Kreiss, Craig D McclainAbstract:Pediatric surgeons, anesthesia providers, and nurses from North America and other high-income countries are increasingly engaged in resource-limited areas, with short-term missions as the most common form of involvement. However, consensus recommendations currently do not exist for short-term missions in Pediatric general Surgery and associated perioperative care. The American Academy of Pediatrics (AAP) Delivery of Surgical Care Subcommittee and American Pediatric Surgical Association (APSA) Global Pediatric Surgery Committee, with the American Pediatric Surgical Nurses Association, Inc. (APSNA) Global Health Special Interest Group, and the Society for Pediatric Anesthesia (SPA) Committee on International Education and Service generated consensus recommendations for short-term missions based on extensive experience with short-term missions. Three distinct, but related areas were identified: (i) Broad goals of surgical partnerships between high-income countries and low- and middle-income countries. A previous set of guidelines published by the Global Paediatric Surgery Network Collaborative (GPSN) was endorsed by all groups; (ii) Guidelines for the conduct of short-term missions were developed, including planning, in-country perioperative patient care, post-trip follow-up, and sustainability; and (iii) travel and safety considerations critical to short-term mission success were enumerated. A diverse group of stakeholders developed these guidelines for short-term missions in low- and middle-income countries. These guidelines may be a useful tool to ensure safe, responsible, and ethical short-term missions given increasing engagement of high-income country providers in this work.
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guidelines and checklists for short term missions in global Pediatric Surgery recommendations from the american academy of Pediatrics delivery of surgical care global health subcommittee american Pediatric surgical association global Pediatric surger
Journal of Pediatric Surgery, 2017Co-Authors: Marilyn W Butler, Elizabeth T Drum, Faye M Evans, Tamara N Fitzgerald, Jason D Fraser, Ai Xuan Holterman, Howard C Jen, Matthew J Kynes, Jenny Kreiss, Craig D McclainAbstract:Abstract Introduction Pediatric surgeons, anesthesia providers, and nurses from North America and other high-income countries (HICs) are increasingly engaged in resource-limited areas, with short-term missions (STMs) as the most common form of involvement. However, consensus recommendations currently do not exist for STMs in Pediatric general Surgery and associated perioperative care. Methods The American Academy of Pediatrics (AAP) Delivery of Surgical Care Subcommittee and American Pediatric Surgical Association (APSA) Global Pediatric Surgery Committee, with the American Pediatric Surgical Nurses Association, Inc. (APSNA) Global Health Special Interest Group, and the Society for Pediatric Anesthesia (SPA) Committee on International Education and Service generated consensus recommendations for STMs based on extensive experience with STMs. Results Three distinct, but related areas were identified: 1) Broad goals of surgical partnerships between HICs- and low and middle-income countries (LMICs). A previous set of guidelines published by the Global Paediatric Surgery Network Collaborative (GPSN), was endorsed by all groups; 2) Guidelines for the conduct of STMs were developed, including planning, in-country perioperative patient care, post-trip follow-up, and sustainability; 3) travel and safety considerations critical to STM success were enumerated. Conclusion A diverse group of stakeholders developed these guidelines for STMs in LMICs. These guidelines may be a useful tool to ensure safe, responsible, and ethical STMs given increasing engagement of HIC providers in this work. Level of evidence 5.
Sarah L M Greenberg - One of the best experts on this subject based on the ideXlab platform.
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an investment in knowledge research in global Pediatric Surgery for the 21st century
Seminars in Pediatric Surgery, 2016Co-Authors: Sarah L M Greenberg, Joshua S Ngkamstra, Emmanuel A Ameh, Doruk Ozgediz, Dan Poenaru, Stephen W BicklerAbstract:The body of literature addressing surgical and anesthesia care for children in low- and middle-income countries (LMICs) is small. This lack of research hinders full understanding of the nature of many surgical conditions in LMICs and compromises potential efforts to alleviate the significant health, welfare and economic burdens surgical conditions impose on children, families and countries. This article will evaluate the need for improved global Pediatric Surgery research by (1) presenting the current state of surgical research for children in LMICs and (2) discussing methods and opportunities for improvement within the political context of current global health priorities.
Marilyn W Butler - One of the best experts on this subject based on the ideXlab platform.
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guidelines and checklists for short term missions in global Pediatric Surgery recommendations from the american academy of Pediatrics delivery of surgical care global health subcommittee american Pediatric surgical association global Pediatric surger
Pediatric Anesthesia, 2018Co-Authors: Marilyn W Butler, Elizabeth T Drum, Faye M Evans, Tamara N Fitzgerald, Jason D Fraser, Ai Xuan Holterman, Howard C Jen, Matthew J Kynes, Jenny Kreiss, Craig D McclainAbstract:Pediatric surgeons, anesthesia providers, and nurses from North America and other high-income countries are increasingly engaged in resource-limited areas, with short-term missions as the most common form of involvement. However, consensus recommendations currently do not exist for short-term missions in Pediatric general Surgery and associated perioperative care. The American Academy of Pediatrics (AAP) Delivery of Surgical Care Subcommittee and American Pediatric Surgical Association (APSA) Global Pediatric Surgery Committee, with the American Pediatric Surgical Nurses Association, Inc. (APSNA) Global Health Special Interest Group, and the Society for Pediatric Anesthesia (SPA) Committee on International Education and Service generated consensus recommendations for short-term missions based on extensive experience with short-term missions. Three distinct, but related areas were identified: (i) Broad goals of surgical partnerships between high-income countries and low- and middle-income countries. A previous set of guidelines published by the Global Paediatric Surgery Network Collaborative (GPSN) was endorsed by all groups; (ii) Guidelines for the conduct of short-term missions were developed, including planning, in-country perioperative patient care, post-trip follow-up, and sustainability; and (iii) travel and safety considerations critical to short-term mission success were enumerated. A diverse group of stakeholders developed these guidelines for short-term missions in low- and middle-income countries. These guidelines may be a useful tool to ensure safe, responsible, and ethical short-term missions given increasing engagement of high-income country providers in this work.
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guidelines and checklists for short term missions in global Pediatric Surgery recommendations from the american academy of Pediatrics delivery of surgical care global health subcommittee american Pediatric surgical association global Pediatric surger
Journal of Pediatric Surgery, 2017Co-Authors: Marilyn W Butler, Elizabeth T Drum, Faye M Evans, Tamara N Fitzgerald, Jason D Fraser, Ai Xuan Holterman, Howard C Jen, Matthew J Kynes, Jenny Kreiss, Craig D McclainAbstract:Abstract Introduction Pediatric surgeons, anesthesia providers, and nurses from North America and other high-income countries (HICs) are increasingly engaged in resource-limited areas, with short-term missions (STMs) as the most common form of involvement. However, consensus recommendations currently do not exist for STMs in Pediatric general Surgery and associated perioperative care. Methods The American Academy of Pediatrics (AAP) Delivery of Surgical Care Subcommittee and American Pediatric Surgical Association (APSA) Global Pediatric Surgery Committee, with the American Pediatric Surgical Nurses Association, Inc. (APSNA) Global Health Special Interest Group, and the Society for Pediatric Anesthesia (SPA) Committee on International Education and Service generated consensus recommendations for STMs based on extensive experience with STMs. Results Three distinct, but related areas were identified: 1) Broad goals of surgical partnerships between HICs- and low and middle-income countries (LMICs). A previous set of guidelines published by the Global Paediatric Surgery Network Collaborative (GPSN), was endorsed by all groups; 2) Guidelines for the conduct of STMs were developed, including planning, in-country perioperative patient care, post-trip follow-up, and sustainability; 3) travel and safety considerations critical to STM success were enumerated. Conclusion A diverse group of stakeholders developed these guidelines for STMs in LMICs. These guidelines may be a useful tool to ensure safe, responsible, and ethical STMs given increasing engagement of HIC providers in this work. Level of evidence 5.
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fragmented international volunteerism need for a global Pediatric Surgery network
Journal of Pediatric Surgery, 2010Co-Authors: Marilyn W ButlerAbstract:INTRODUCTION: Pediatric general surgeons volunteering internationally often work independently, some without prior assessment of the needs of those they wish to assist. Consequently, care may be inefficient, duplicated, or misdirected. A study was performed to assess whether a network for Pediatric Surgery volunteer work exists. METHODS: A search of the Internet was performed to determine whether a Pediatric Surgery network exists. Worldwide Pediatric Surgery societies were identified and grouped by country according to income. Web sites for medical volunteer organizations were examined for links to a network of Pediatric Surgery volunteer work. RESULTS: A search of the Internet revealed no Pediatric Surgery volunteer network. Ninety-seven Pediatric Surgery societies were identified. Fifty-one of the organizations were identified as residing in low- and middle-income countries. Searching 50 Web sites for these societies revealed no existing Pediatric Surgery network. Of 45 Web sites for volunteer medical work, 1 Surgery networking Web site was identified. Only 4 Pediatric general Surgery international volunteer opportunities were cited on that Web site. CONCLUSIONS: This study demonstrated that no Pediatric Surgery volunteer network exists. By identifying Pediatric Surgery organizations in low- and middle-income countries, it is speculated that one might link the surgeons in these regions with those wishing to volunteer their services.
Craig D Mcclain - One of the best experts on this subject based on the ideXlab platform.
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guidelines and checklists for short term missions in global Pediatric Surgery recommendations from the american academy of Pediatrics delivery of surgical care global health subcommittee american Pediatric surgical association global Pediatric surger
Pediatric Anesthesia, 2018Co-Authors: Marilyn W Butler, Elizabeth T Drum, Faye M Evans, Tamara N Fitzgerald, Jason D Fraser, Ai Xuan Holterman, Howard C Jen, Matthew J Kynes, Jenny Kreiss, Craig D McclainAbstract:Pediatric surgeons, anesthesia providers, and nurses from North America and other high-income countries are increasingly engaged in resource-limited areas, with short-term missions as the most common form of involvement. However, consensus recommendations currently do not exist for short-term missions in Pediatric general Surgery and associated perioperative care. The American Academy of Pediatrics (AAP) Delivery of Surgical Care Subcommittee and American Pediatric Surgical Association (APSA) Global Pediatric Surgery Committee, with the American Pediatric Surgical Nurses Association, Inc. (APSNA) Global Health Special Interest Group, and the Society for Pediatric Anesthesia (SPA) Committee on International Education and Service generated consensus recommendations for short-term missions based on extensive experience with short-term missions. Three distinct, but related areas were identified: (i) Broad goals of surgical partnerships between high-income countries and low- and middle-income countries. A previous set of guidelines published by the Global Paediatric Surgery Network Collaborative (GPSN) was endorsed by all groups; (ii) Guidelines for the conduct of short-term missions were developed, including planning, in-country perioperative patient care, post-trip follow-up, and sustainability; and (iii) travel and safety considerations critical to short-term mission success were enumerated. A diverse group of stakeholders developed these guidelines for short-term missions in low- and middle-income countries. These guidelines may be a useful tool to ensure safe, responsible, and ethical short-term missions given increasing engagement of high-income country providers in this work.
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guidelines and checklists for short term missions in global Pediatric Surgery recommendations from the american academy of Pediatrics delivery of surgical care global health subcommittee american Pediatric surgical association global Pediatric surger
Journal of Pediatric Surgery, 2017Co-Authors: Marilyn W Butler, Elizabeth T Drum, Faye M Evans, Tamara N Fitzgerald, Jason D Fraser, Ai Xuan Holterman, Howard C Jen, Matthew J Kynes, Jenny Kreiss, Craig D McclainAbstract:Abstract Introduction Pediatric surgeons, anesthesia providers, and nurses from North America and other high-income countries (HICs) are increasingly engaged in resource-limited areas, with short-term missions (STMs) as the most common form of involvement. However, consensus recommendations currently do not exist for STMs in Pediatric general Surgery and associated perioperative care. Methods The American Academy of Pediatrics (AAP) Delivery of Surgical Care Subcommittee and American Pediatric Surgical Association (APSA) Global Pediatric Surgery Committee, with the American Pediatric Surgical Nurses Association, Inc. (APSNA) Global Health Special Interest Group, and the Society for Pediatric Anesthesia (SPA) Committee on International Education and Service generated consensus recommendations for STMs based on extensive experience with STMs. Results Three distinct, but related areas were identified: 1) Broad goals of surgical partnerships between HICs- and low and middle-income countries (LMICs). A previous set of guidelines published by the Global Paediatric Surgery Network Collaborative (GPSN), was endorsed by all groups; 2) Guidelines for the conduct of STMs were developed, including planning, in-country perioperative patient care, post-trip follow-up, and sustainability; 3) travel and safety considerations critical to STM success were enumerated. Conclusion A diverse group of stakeholders developed these guidelines for STMs in LMICs. These guidelines may be a useful tool to ensure safe, responsible, and ethical STMs given increasing engagement of HIC providers in this work. Level of evidence 5.
Stephen W Bickler - One of the best experts on this subject based on the ideXlab platform.
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an investment in knowledge research in global Pediatric Surgery for the 21st century
Seminars in Pediatric Surgery, 2016Co-Authors: Sarah L M Greenberg, Joshua S Ngkamstra, Emmanuel A Ameh, Doruk Ozgediz, Dan Poenaru, Stephen W BicklerAbstract:The body of literature addressing surgical and anesthesia care for children in low- and middle-income countries (LMICs) is small. This lack of research hinders full understanding of the nature of many surgical conditions in LMICs and compromises potential efforts to alleviate the significant health, welfare and economic burdens surgical conditions impose on children, families and countries. This article will evaluate the need for improved global Pediatric Surgery research by (1) presenting the current state of surgical research for children in LMICs and (2) discussing methods and opportunities for improvement within the political context of current global health priorities.
