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Book ; Online: Measuring poverty and wellbeing in developing countries

Arndt, Channing / Tarp, Finn

(WIDER studies in development economics)

2017

Institution	World Institute for Development Economics Research
Author's details	edited by Channing Arndt and Finn Tarp ; a study prepared by the United Nations University World Institute for Development Economics Research (UNU-WIDER)
Series title	WIDER studies in development economics
Keywords	Entwicklungsländer ; Armut ; Gesundheit
Subject	Gesundheitsstatus ; Gesundheitszustand ; Arme Leute ; Armer ; Besitzloser ; Verarmung
Language	English
Size	1 Online-Ressource (xxiv, 347 Seiten)
Edition	First edition
Publisher	Oxford University Press
Publishing place	Oxford
Publishing country	Great Britain
Document type	Book ; Online
Note	Open Access
HBZ-ID	HT019240742
ISBN	9780198744801 ; 0198744803
DOI	10.1093/acprof:oso/9780198744801.001.0001
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: Perceived Implications of Compensation Structure for Academic Surgical Practice: A Qualitative Study.

Finn, Caitlin B / Syvyk, Solomiya / Bergmark, Regan W / Yeo, Heather L / Waljee, Jennifer F / Wick, Elizabeth C / Kelz, Rachel R

JAMA surgery

2023 Volume 159, Issue 1, Page(s) 106–107

MeSH term(s)	Humans ; United States ; Academic Medical Centers ; Organizations ; Qualitative Research ; Salaries and Fringe Benefits
Language	English
Publishing date	2023-10-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	2701841-6
ISSN	2168-6262 ; 2168-6254
ISSN (online)	2168-6262
ISSN	2168-6254
DOI	10.1001/jamasurg.2023.4669
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Article: Penile and testicular prosthesis following gender-affirming phalloplasty and scrotoplasty: a narrative review and technical insights.

Fascelli, Michele / Hennig, Finn / Dy, Geolani W

Translational andrology and urology

2023 Volume 12, Issue 10, Page(s) 1568–1580

Abstract: Background and objective: Transgender and gender diverse (TGD) individuals may seek gender-affirming phalloplasty with specific functional goals, including erectile function sufficient for penetrative sexual intercourse. Individuals seeking penile ... ...

Abstract	Background and objective: Transgender and gender diverse (TGD) individuals may seek gender-affirming phalloplasty with specific functional goals, including erectile function sufficient for penetrative sexual intercourse. Individuals seeking penile prosthesis placement must accept the potential risks to their phallic anatomy. Methods: We review current practices at our center and narrative review of literature discussing techniques for penile prosthesis and testicular prosthesis placement after phalloplasty and scrotoplasty, as well as surgical outcomes, and quality of life outcomes where available. Key content and findings: Early discussion of a staged approach to phallic construction with a last step of implant placement is important during initial phalloplasty counseling. Pre-operative counseling at our multi-disciplinary center includes: discussion of surgical history, complications, goals and priorities; physical exam to evaluate phallic size and position, scrotal size, and other anatomic findings that may influence prosthesis selection; urinary evaluation, including uroflowmetry with post-void residual, and a cystoscopy with retrograde urethrogram if indicated based on symptoms or urinary studies, and discussion of surgical risks, benefits and alternatives. Although none of the commercially available penile prosthesis devices in the United States are designed for phalloplasty, modern inflatable and malleable prostheses are adapted for use in the post-phalloplasty setting. Due to the lack of native corpora cavernosa, highly variable phallic anatomy, and the need to adapt implants designed for natal penile anatomy, complication rates of prosthesis placement after phalloplasty remain high, with reported ranges of complications from 20% to 80%. Conclusions: Major complications requiring surgical revision are common relative to implant placement in natal penile anatomy, and include: infection requiring explantation, device extrusion, erosion, migration or malposition, inadequate rigidity, poor aesthetic result, pain, decrease or loss of erogenous and/or tactile sensation, device failure, injury to the urethra, and injury to the neurovascular supply of the penis with resultant partial or complete flap loss. This broad range of complication rates represents the variability with which results are reported and reflect a lack of clear reporting guidelines, significant variability in techniques, and need for more standardization. To optimize outcomes, it is important that surgeons have an in-depth understanding of phalloplasty anatomy and are equipped to manage potential complications in the short- and long-term.
Language	English
Publishing date	2023-10-20
Publishing country	China
Document type	Journal Article ; Review
ZDB-ID	2851630-8
ISSN	2223-4691 ; 2223-4691 ; 2223-4683
ISSN (online)	2223-4691
ISSN	2223-4691 ; 2223-4683
DOI	10.21037/tau-23-122
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Article ; Online: Management of Urologic Complications After Genital Gender-Affirming Surgery in Transgender and Nonbinary Patients.

Sineath, R Craig / Hennig, Finn / Dy, Geolani W

The Urologic clinics of North America

2023 Volume 50, Issue 4, Page(s) 587–596

Abstract: Transgender and nonbinary (TGNB) patients are a population with unique urologic needs that are often overlooked in urologic training. Most urology residents think that learning to take care of this population is important in their training; however, ... ...

Abstract	Transgender and nonbinary (TGNB) patients are a population with unique urologic needs that are often overlooked in urologic training. Most urology residents think that learning to take care of this population is important in their training; however, there is much variation in this educational content within urology residency programs. This review provides information on the current state of teaching regarding the unique needs of caring for TGNB patients as urologists and overviews some basic principles that every urologist should know.
MeSH term(s)	Humans ; Sex Reassignment Surgery ; Transgender Persons ; Urology/education ; Transsexualism/surgery ; Genitalia/surgery
Language	English
Publishing date	2023-08-05
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	192293-2
ISSN	1558-318X ; 0094-0143
ISSN (online)	1558-318X
ISSN	0094-0143
DOI	10.1016/j.ucl.2023.06.009
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Article: Paying for Parenthood: Understanding Parental Leave Policies in Infectious Disease Fellowship.

Gardiner, Catherine P / Desrochers, Laura / Finn, Kathleen / McDonald, Furman / Melia, Michael / Melfe, Michael / Stead, Wendy

Open forum infectious diseases

2024 Volume 11, Issue 2, Page(s) ofad685

Abstract: Background: Many physician trainees plan pregnancy during residency and fellowship. A study of internal medicine program directors (PDs) demonstrated frequent misinterpretation of American Board of Internal Medicine (ABIM) leave policies applied to ... ...

Abstract	Background: Many physician trainees plan pregnancy during residency and fellowship. A study of internal medicine program directors (PDs) demonstrated frequent misinterpretation of American Board of Internal Medicine (ABIM) leave policies applied to parental leave. The primary aim was to investigate how infectious disease (ID) PDs interpret current ABIM leave policies. Methods: We surveyed 155 ID PDs in an online anonymous questionnaire about knowledge of ABIM leave policies and application toward trainee leaves. Results: Of 155 PDs, 56 (36%) responded to the survey. Nearly 70% incorrectly identified leave limits permitted. A majority mistakenly chose to extend training when a competent fellow was within the allowed duration of leave. PDs reported that the majority of ID trainee maternity/birth parent leaves (60%) were ≤7 weeks and only 7% were ≥12 weeks; 50% of paternity/nonbirth parent leaves were ≤3 weeks. Conclusions: Surveyed ID fellowship PDs often misinterpret ABIM leave policies and apply policies incorrectly when given sample scenarios..
Language	English
Publishing date	2024-01-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	2757767-3
ISSN	2328-8957
ISSN	2328-8957
DOI	10.1093/ofid/ofad685
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Article ; Online: A decade of Clostridioides difficile infection: a constant challenge to maintain the status quo.

Skally, M / Bennett, K / Burns, K / Brennan, R / Finn, C / O'Connell, K / Dinesh, B / O'Donnell, S / Fawley, W / Wilcox, M / Humphreys, H / Fitzpatrick, F

The Journal of hospital infection

2023 Volume 135, Page(s) 59–66

Abstract: Introduction: Clostridioides difficile infection (CDI) is a leading cause of healthcare-associated (HA) diarrhoea. We retrospectively investigated data from a comprehensive, multidisciplinary C. difficile surveillance programme focusing on hospitalized ... ...

Abstract	Introduction: Clostridioides difficile infection (CDI) is a leading cause of healthcare-associated (HA) diarrhoea. We retrospectively investigated data from a comprehensive, multidisciplinary C. difficile surveillance programme focusing on hospitalized patients in a tertiary Irish hospital over 10 years. Methods: Data from 2012 to 2021 were extracted from a centralized database, including patient demographics, admission, case and outbreak details, ribotypes (RTs), and (since 2016) antimicrobial exposures and CDI treatments. Counts of CDI by origin of infection were explored using ꭓ Results: Over 10 years, 954 CDI patients had a 9% recurrent CDI rate. CDI testing requests occurred in only 22% of patients. Most CDIs were HA (82.2%) and affected females (odds ratio: 2.3, P<0.01). Fidaxomicin significantly reduced the hazard ratio of time to recurrent CDI. No trends in HA-CDI incidence were observed despite key time-point events and increasing hospital activity. In 2021, community-associated (CA)-CDI increased. RTs did not differ for HA versus CA for the most common RTs (014, 078, 005 and 015). Average length-of-stay differed significantly between HA (67.1 days) and CA (14.6 days) CDI. Conclusion: HA-CDI rates remained unchanged despite key events and increased hospital activity, whereas by 2021, CA-CDI was at its highest in a decade. The convergence of CA and HA RTs, and the proportion of CA-CDI, question the relevance of current case definitions when increasingly patients receive hospital care without an overnight hospital stay.
MeSH term(s)	Female ; Humans ; Cross Infection/epidemiology ; Clostridioides difficile ; Retrospective Studies ; Clostridium Infections/epidemiology ; Tertiary Care Centers
Language	English
Publishing date	2023-02-28
Publishing country	England
Document type	Journal Article
ZDB-ID	779366-2
ISSN	1532-2939 ; 0195-6701
ISSN (online)	1532-2939
ISSN	0195-6701
DOI	10.1016/j.jhin.2023.02.008
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Article ; Online: Current impact of inpatient dermatological consultations at a university hospital in Germany.

Hansen, Inga / Köser, Clara / Kött, Julian / Schneider, Stefan W / Abeck, Finn

Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG

2024

Language	English
Publishing date	2024-03-07
Publishing country	Germany
Document type	Letter
ZDB-ID	2093479-8
ISSN	1610-0387 ; 1610-0379
ISSN (online)	1610-0387
ISSN	1610-0379
DOI	10.1111/ddg.15365
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Article ; Online: Successful treatment of non-uremic calciphylaxis with combination therapy with sodium thiosulfate, iloprost, and heparin.

Abeck, Finn / Hansen, Inga / Rünger, Alessandra / Booken, Nina / Schneider, Stefan W

International journal of dermatology

2024

Language	English
Publishing date	2024-03-20
Publishing country	England
Document type	Letter
ZDB-ID	412254-9
ISSN	1365-4632 ; 0011-9059 ; 1461-1244
ISSN (online)	1365-4632
ISSN	0011-9059 ; 1461-1244
DOI	10.1111/ijd.17131
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Article ; Online: The association between gut microbiome and growth in infants with cystic fibrosis.

Deschamp, A R / Chen, Y / Wang, W F / Rasic, M / Hatch, J / Sanders, D B / Ranganathan, S C / Ferkol, T / Perkins, D / Finn, P / Davis, S D

Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society

2023 Volume 22, Issue 6, Page(s) 1010–1016

Abstract: Background: In cystic fibrosis (CF), pathophysiologic changes in the gastrointestinal tract lead to malnutrition and altered gut microbiome. Microbiome alterations have been linked to linear growth, gut inflammation and respiratory manifestations. ... ...

Abstract	Background: In cystic fibrosis (CF), pathophysiologic changes in the gastrointestinal tract lead to malnutrition and altered gut microbiome. Microbiome alterations have been linked to linear growth, gut inflammation and respiratory manifestations. Elucidating these gut microbiome alterations may provide insight into future nutritional management in CF. Methods: Infants were followed for 12-months at four sites in the United States (US-CF) and Australia (AUS-CF). 16S rRNA gene sequencing was performed on longitudinal stool samples. Associations between microbial abundance and age, antibiotic prophylaxis, malnutrition, and breast feeding were evaluated using generalized linear mixed models. Taxonomic and predictive functional features were compared between groups. Results: Infants with CF (N = 78) were enrolled as part of a larger study. AUS-CF infants had higher mean weight-for-age z-scores than US-CF infants (p = 0.02). A subset of participants (CF N = 40, non-CF disease controls N = 10) provided stool samples for microbiome analysis. AUS-CF infants had lower stool alpha diversity compared to US-CF infants (p < 0.001). AUS-CF infants had higher relative abundance of stool Proteobacteria compared to US-CF infants which was associated with antibiotic prophylaxis (p < 0.001). Malnutrition (weight-for-age <10th percentile) was associated with depleted Lactococcus (p < 0.001). Antibiotic prophylaxis (p = 0.002) and malnutrition (p = 0.012) were linked with predicted decreased activity of metabolic pathways responsible for short chain fatty acid processing. Conclusions: In infants with CF, gut microbiome composition and diversity differed between the two continents. Gut microbial diversity was not linked to growth. The relationship between malnutrition and antibiotic prophylaxis with reduced SCFA fermentation could have implications for gut health and function and warrants additional investigation.
MeSH term(s)	Female ; Infant ; Humans ; Cystic Fibrosis/complications ; Gastrointestinal Microbiome ; RNA, Ribosomal, 16S/genetics ; Gastrointestinal Tract ; Feces/microbiology ; Malnutrition/diagnosis ; Malnutrition/etiology
Chemical Substances	RNA, Ribosomal, 16S
Language	English
Publishing date	2023-08-17
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2084724-5
ISSN	1873-5010 ; 1569-1993
ISSN (online)	1873-5010
ISSN	1569-1993
DOI	10.1016/j.jcf.2023.08.001
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Article ; Online: Barriers and Facilitators to Clinical Practice Development in Men and Women Surgeons.

Finn, Caitlin B / Syvyk, Solomiya / Bakillah, Emna / Brown, Danielle E / Mesiti, Andrea M / Highet, Alexandra / Bergmark, Regan W / Yeo, Heather L / Waljee, Jennifer F / Wick, Elizabeth C / Shea, Judy A / Kelz, Rachel R

JAMA surgery

2023 Volume 159, Issue 1, Page(s) 43–50

Abstract: Importance: Many early-career surgeons struggle to develop their clinical practices, leading to high rates of burnout and attrition. Furthermore, women in surgery receive fewer, less complex, and less remunerative referrals compared with men. An ... ...

Abstract	Importance: Many early-career surgeons struggle to develop their clinical practices, leading to high rates of burnout and attrition. Furthermore, women in surgery receive fewer, less complex, and less remunerative referrals compared with men. An enhanced understanding of the social and structural barriers to optimal growth and equity in clinical practice development is fundamental to guiding interventions to support academic surgeons. Objective: To identify the barriers and facilitators to clinical practice development with attention to differences related to surgeon gender. Design, setting, and participants: A multi-institutional qualitative descriptive study was performed using semistructured interviews analyzed with a grounded theory approach. Interviews were conducted at 5 academic medical centers in the US between July 12, 2022, and January 31, 2023. Surgeons with at least 1 year of independent practice experience were selected using purposeful sampling to obtain a representative sample by gender, specialty, academic rank, and years of experience. Main outcomes and measures: Surgeon perspectives on external barriers and facilitators of clinical practice development and strategies to support practice development for new academic surgeons. Results: A total of 45 surgeons were interviewed (23 women [51%], 18 with ≤5 years of experience [40%], and 20 with ≥10 years of experience [44%]). Surgeons reported barriers and facilitators related to their colleagues, department, institution, and environment. Dominant themes for both genders were related to competition, case distribution among partners, resource allocation, and geographic market saturation. Women surgeons reported additional challenges related to gender-based discrimination (exclusion, questioning of expertise, role misidentification, salary disparities, and unequal resource allocation) and additional demands (related to appearance, self-advocacy, and nonoperative patient care). Gender concordance with patients and referring physicians was a facilitator of practice development for women. Surgeons suggested several strategies for their colleagues, department, and institution to improve practice development by amplifying facilitators and promoting objectivity and transparency in resource allocation and referrals. Conclusions and relevance: The findings of this qualitative study suggest that a surgeon's external context has a substantial influence on their practice development. Academic institutions and departments of surgery may consider the influence of their structures and policies on early career surgeons to accelerate practice development and workplace equity.
MeSH term(s)	Humans ; Female ; Male ; Surgeons ; Qualitative Research ; Academic Medical Centers ; Burnout, Professional ; Delivery of Health Care
Language	English
Publishing date	2023-10-18
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	2701841-6
ISSN	2168-6262 ; 2168-6254
ISSN (online)	2168-6262
ISSN	2168-6254
DOI	10.1001/jamasurg.2023.5125
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