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Article ; Online: Compartment syndrome following minimally invasive mitral valve repair

Vinh Duc An Bui / Michael Minh Le / Dang Nguyen / Chuong Tran Viet Pham / Hannah Thomas / Dinh Hoang Nguyen

SAGE Open Medical Case Reports, Vol

A case report

2022 Volume 10

Abstract: A 38-year-old Asian male with severe mitral valve regurgitation underwent elective minimally invasive mitral valve repair with artificial chordae and concomitant Cox-Maze procedure. Cardiopulmonary bypass required large peripheral cannulas due to the ... ...

Abstract	A 38-year-old Asian male with severe mitral valve regurgitation underwent elective minimally invasive mitral valve repair with artificial chordae and concomitant Cox-Maze procedure. Cardiopulmonary bypass required large peripheral cannulas due to the patient’s increased body surface area with a total bypass time of 216 min. At 10 h, the patient reported progressive right lower extremity pain with evidence of swelling, diffuse paresthesias, and weak peripheral pulses. The patient underwent double-incision lower leg fasciotomies, revealing significant interstitial fluid and bulging muscle chambers. Compartment syndrome demonstrates non-traumatic etiologies. Elevated body mass index, Kawashima Type D femoral artery classification, prolonged bypass times, driven partially due to concomitant Cox-Maze, and larger cannula sizes should increase the index of suspicion.
Keywords	Medicine (General) ; R5-920
Language	English
Publishing date	2022-11-01T00:00:00Z
Publisher	SAGE Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: An Assessment of Economic Viability of the Ascension Island Tuna Longline Fishery Management

Angela Muench / Elena Mengo / Sam Weber / Diane Baum / Andrew James Richardson / Hannah Thomas / Paul Whomersley

Frontiers in Marine Science, Vol

Implications for Marine Protected Area Planning and Future Fisheries Management

2022 Volume 9

Abstract: The designation of large scale marine protected areas (MPAs) has increased in recent years to address global issues such as biodiversity loss and the conservation of vulnerable marine habitats. While designing a large scale MPAs in the Exclusive Economic ...

Abstract	The designation of large scale marine protected areas (MPAs) has increased in recent years to address global issues such as biodiversity loss and the conservation of vulnerable marine habitats. While designing a large scale MPAs in the Exclusive Economic Zone (EEZ) of Ascension Island, the monitoring and enforcement costs were estimated for the two options under consideration: partial closure or full closure of the EEZ for the international commercial fleet. It was found that number of licenses to be sold to the international fleet to allow them access to the EEZ of Ascension Island would need to be increased to fund the monitoring and enforcement cost in case of a partial closure of the EEZ of Ascension Island. In this study, the future economic viability of the licensed big eye tuna fishery was addressed. The study explored economic drivers thought to be linked to license sales. It was shown that cost of licenses had not caused the observed decline in license sales but a shift in consumer demand toward lighter tuna species resulted in a decrease in Japanese imports for bigeye tuna (Thunnus obesus). This change in demand led to global changes in fishing effort and a drop in demand for licenses to fish within the Ascension Island EEZ. This study provided a valuable insight into the economic viability of the bigeye tuna fishery within the Ascension Island EEZ which informed the subsequent decision to close the bigeye tuna fishery as part of the designation of an Ascension Island highly protected large-scale MPA.
Keywords	MPA (marine protected area) ; bigeye tuna ; global demand and supply ; fisheries management ; economic assessment ; sustainability ; Science ; Q ; General. Including nature conservation ; geographical distribution ; QH1-199.5
Subject code	333 ; 910
Language	English
Publishing date	2022-02-01T00:00:00Z
Publisher	Frontiers Media S.A.
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Medical equipment donation in low-resource settings

Isobel H Marks / Hannah Thomas / Marize Bakhet / Edward Fitzgerald

BMJ Global Health, Vol 4, Iss

a review of the literature and guidelines for surgery and anaesthesia in low-income and middle-income countries

2019 Volume 5

Abstract: BackgroundMedical equipment donation to low-resource settings is a frequently used strategy to address existing disparities, but there is a paucity of reported experience and evaluation. Challenges such as infrastructure gaps, lack of technological and ... ...

Abstract	BackgroundMedical equipment donation to low-resource settings is a frequently used strategy to address existing disparities, but there is a paucity of reported experience and evaluation. Challenges such as infrastructure gaps, lack of technological and maintenance capabilities, and non-prioritisation of essential supplies have previously been highlighted. This pragmatic review summarises existing guidelines and literature relevant to surgical and anaesthesia equipment, with recommendations for future initiatives and research.MethodsRetrospective literature review including both academic and grey literature from 1980 to 2018. We conducted a narrative synthesis to identify key factors that were condensed thematically.ResultsThirty-three biomedical equipment donation guidelines were identified from governments, WHO, World Bank, academic colleges and non-governmental organisations, and 36 relevant studies in peer-reviewed literature. These highlighted the need to consider all stages of the donation process, including planning, sourcing, transporting, training, maintaining and evaluating equipment donation. Donors were advised to consult national guidelines to ensure equipment was appropriate, desirable and non-costly to both parties. User training and access to biomechanical engineers were suggested as necessary for long-term sustainability. Finally, equitable partnerships between donors and recipients were integral to reducing inappropriate donations and to improve follow-up and evaluation.ConclusionThere is a paucity of evidence on the causes of success or failure in medical equipment donation, despite its domination of equipment sourcing across many low-resource settings. Equitable partnerships, consultation of policies and guidelines, and careful planning may improve equipment usability and life span. A concerted effort is required to increase awareness of guidelines among health professionals worldwide.
Keywords	Medicine (General) ; R5-920 ; Infectious and parasitic diseases ; RC109-216
Subject code	650
Language	English
Publishing date	2019-09-01T00:00:00Z
Publisher	BMJ Publishing Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Investigation of Health-Related Topics on TikTok

Joelie Mandzufas / Jeremiah Ayalde / Daniel Ta / Emily Munro / Rigel Paciente / Emmanuel Philip Pranoto / Kaelyn King / Kelly How / Alanna Sincovich / Mary Brushe / Nicole Wickens / Gabriella Wells / Alix Woolard / Melinda Edmunds / Hannah Thomas / Gina S. A. Trapp / Karen Lombardi

Digital, Vol 3, Iss 7, Pp 97-

A Descriptive Study Protocol

2023 Volume 108

Abstract: The social media application TikTok allows users to view and upload short-form videos. Recent evidence suggests it has significant potential for both industry and health promoters to influence public health behaviours. This protocol describes a ... ...

Abstract	The social media application TikTok allows users to view and upload short-form videos. Recent evidence suggests it has significant potential for both industry and health promoters to influence public health behaviours. This protocol describes a standardised, replicable process for investigations that can be tailored to various areas of research interest, allowing comparison of content and features across public health topics. The first 50 appearing videos in each of five relevant hashtags are sampled for analysis. Utilising a codebook with detailed definitions, engagement metadata and content variables applicable to any content area is captured, including an assessment of the video’s overall sentiment (positive, negative, neutral). Additional specific coding variables can be developed to provide targeted information about videos posted within selected hashtags. A descriptive, cross-sectional content analysis is applied to the generic and specific data collected for a research topic area. This flexible protocol can be replicated for any health-related topic and may have a wider application on other platforms or to assess changes in content and sentiment over time. This protocol was developed by a collaborative team of child health and development researchers for application to a series of topics. Findings will be used to inform health promotion messaging and counter-advertising.
Keywords	TikTok ; social media ; protocol ; content analysis ; public health ; health promotion ; Electronic computers. Computer science ; QA75.5-76.95
Subject code	070
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The lemur diversity of the Fiherenana - Manombo Complex, southwest Madagascar

Darren Kidney / Hannah Thomas / Eibleis Fanning / Charlie J. Gardner

Madagascar Conservation & Development, Vol 4, Iss 1, Pp 38-

2009 Volume 43

Abstract: We conducted the first comprehensive lemur survey of the Fiherenana - Manombo Complex (Atsimo - Andrefana Region), site of PK32-Ranobe, a new protected area within the Madagascar Protected Area System. Our cross - seasonal surveys of three sites revealed ...

Abstract	We conducted the first comprehensive lemur survey of the Fiherenana - Manombo Complex (Atsimo - Andrefana Region), site of PK32-Ranobe, a new protected area within the Madagascar Protected Area System. Our cross - seasonal surveys of three sites revealed the presence of eight lemur species representing seven genera and four families, of which three are diurnal and five are nocturnal species. Six species were only recorded in the riparian and transitional forests of the Fiherenana and Manombo river valleys, while the spiny thicket at Ranobe contains only Microcebus (two species), all larger species having been extirpated by hunting in recent years. Two of our records (Mirza coquereli and Cheirogaleus sp.) represent new locality records or range extensions, but we failed to record one species (Phaner pallescens) expected to occur in the area, and question the literature supporting its presence south of the Manombo river. Our findings highlight the importance of the Fiherenana-Manombo Complex for the conservation of lemurs in southwest Madagascar, but also show that PK32 - Ranobe fails to protect the full lemur diversity of the Complex. The protected area does not include the riparian forests of the Manombo and Fiherenana rivers, and at least three lemur species are therefore unprotected. We strongly support the proposed extension of the protected area to include these riparian forests as well as other important habitats for locally endemic bird and reptile taxa. RÉSUMÉ: La zone du Complexe Fiherenana - Manombo (Région d’Atsimo- Andrefana), site de PK32 - Ranobe, une nouvelle aire protégée dans le Système des Aires Protégées de Madagascar (SAPM), a fait l’objet d’un premier inventaire de lémuriens. Nos prospections dans trois sites à différentes saisons ont révélé la présence de huit espèces de lémuriens représentés dans sept genres et trois familles, dont trois sont des espèces diurnes et cinq sont des espèces nocturnes. Nous n’avons pas pu identifier l’espèce du genre Lepilemur ni celle du genre Cheirogaleus à défaut de disposer de spécimens. Six espèces ne se trouvaient que dans les forêts riveraines et les forêts de transition des vallées des fleuves Fiherenana et Manombo. Le fourré épineux de Ranobe n’abrite que des Microcebus (deux espèces), toutes les espèces plus grandes ayant déjà été exterminées par la chasse au cours des dernières années. Nos estimations de densité indiquent que la population des Microcebus est deux fois plus importante dans le fourré épineux que dans la forêt riveraine (1,078 individus / km² vs. 546 individus / km²). Nous avons estimé la densité d’Eulemur rufus à 40 groupes / km² dans la vallée du Fiherenana, mais nos transects ne nous ont pas permis d’obtenir des estimations fiables pour les densités de Lemur catta et de Propithecus verreauxi. Deux des espèces répertoriées (Mirza coquereli et Cheirogaleus sp.) représentent de nouvelles observations pour la zone ou des extensions de leurs aires de répartition connues, mais nous n’avons pas pu trouver l’espèce Phaner pallescens qui devait être présente dans la zone et nous émettons des doutes portant sur les références publiées rapportant la présence de l’espèce au sud du fleuve Manombo. Nos résultats mettent en exergue l’importance du Complexe Fiherenana - Manombo pour la conservation des lémuriens dans le sud - ouest de Madagascar, mais ils indiquent que l’aire protégée de PK32 - Ranobe ne protège pas la diversité complète des lémuriens du Complexe. Les forêts riveraines des fleuves Fiherenana et Manombo ne sont pas incluses dans l’aire protégée de sorte qu’au moins trois espèces de lémuriens ne bénéficient alors d’aucune protection. Compte tenu des objectifs du SAPM et plus particulièrement de l’Objectif 1, à savoir ‘Conserver l’ensemble de la biodiversité unique de Madagascar’, nous estimons que la nouvelle aire protégée du PK32-Ranobe n’atteint pas ces objectifs et nous appuyons les efforts des promoteurs afin de re-délimiter l’aire protégée pour inclure les forêts riveraines ainsi que d’autres habitats importants pour la conservation des oiseaux et des reptiles localement endémiques.
Keywords	Lemurs ; PK32-Ranobe ; spiny thicket ; SAPM ; protected area ; Madagascar ; forêts riveraines ; Manombo ; Fiherenana ; lémuriens ; Ecology ; QH540-549.5 ; Biology (General) ; QH301-705.5 ; Science ; Q ; DOAJ:Ecology ; DOAJ:Earth and Environmental Sciences
Language	English
Publishing date	2009-06-01T00:00:00Z
Publisher	Madagascar Wildlife Conservation, Jane Goodall Institute Switzerland
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Multistate Outbreak of SARS-CoV-2 Infections, Including Vaccine Breakthrough Infections, Associated with Large Public Gatherings, United States

Radhika Gharpure / Samira Sami / Johanna Vostok / Hillary Johnson / Noemi Hall / Anne Foreman / Rebecca T. Sabo / Petra L. Schubert / Hanna Shephard / Vance R. Brown / Ben Brumfield / Jessica N. Ricaldi / Andrew B. Conley / Lindsay Zielinski / Lenka Malec / Alexandra P. Newman / Michelle Chang / Lauren E. Finn / Cameron Stainken /

Anil T. Mangla / Patrick Eteme / Morgan Wieck / Alison Green / Alexandra Edmundson / Diana Reichbind / Vernell Brown / Laura Quiñones / Allison Longenberger / Elke Hess / Megan Gumke / Alicia Manion / Hannah Thomas / Carla A. Barrios / Adrianna Koczwara / Thelonious W. Williams / Marcia Pearlowitz / Moussokoura Assoumou / Alessandra F. Senisse Pajares / Hope Dishman / Cody Schardin / Xiong Wang / Kendalyn Stephens / Nakema S. Moss / Gurpalik Singh / Christine Feaster / Lindsey Martin Webb / Anna Krueger / Kristen Dickerson / Courtney Dewart / Bree Barbeau

Emerging Infectious Diseases, Vol 28, Iss 1, Pp 35-

2022 Volume 43

Abstract: During July 2021, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) B.1.617.2 variant infections, including vaccine breakthrough infections, occurred after large public gatherings in Provincetown, Massachusetts, USA, prompting a multistate ... ...

Abstract	During July 2021, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) B.1.617.2 variant infections, including vaccine breakthrough infections, occurred after large public gatherings in Provincetown, Massachusetts, USA, prompting a multistate investigation. Public health departments identified primary and secondary cases by using coronavirus disease surveillance data, case investigations, and contact tracing. A primary case was defined as SARS-CoV-2 detected <14 days after travel to or residence in Provincetown during July 3–17. A secondary case was defined as SARS-CoV-2 detected <14 days after close contact with a person who had a primary case but without travel to or residence in Provincetown during July 3–August 10. We identified 1,098 primary cases and 30 secondary cases associated with 26 primary cases among fully and non–fully vaccinated persons. Large gatherings can have widespread effects on SARS-CoV-2 transmission, and fully vaccinated persons should take precautions, such as masking, to prevent SARS-CoV-2 transmission, particularly during substantial or high transmission.
Keywords	COVID-19 ; severe acute respiratory syndrome coronavirus 2 ; SARS-CoV-2 ; coronaviruses ; viruses ; coronavirus disease ; Medicine ; R ; Infectious and parasitic diseases ; RC109-216
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	Centers for Disease Control and Prevention
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Effects of hospital facilities on patient outcomes after cancer surgery

Stephen R Knight / Catherine A Shaw / Riinu Pius / Thomas M Drake / Lisa Norman / Adesoji O Ademuyiwa / Adewale O Adisa / Maria Lorena Aguilera / Sara W Al-Saqqa / Ibrahim Al-Slaibi / Aneel Bhangu / Bruce M Biccard / Peter Brocklehurst / Ainhoa Costas-Chavarri / Kathryn Chu / Anna Dare / Muhammed Elhadi / Cameron J Fairfield / J Edward Fitzgerald /

Dhruv Ghosh / James Glasbey / Mark I. van Berge Henegouwen / J.C. Allen Ingabire / T Peter Kingham / Marie Carmela Lapitan / Ismaïl Lawani / Bettina Lieske / Richard Lilford / Janet Martin / Kenneth A McLean / Rachel Moore / Dion Morton / Dmitri Nepogodiev / Faustin Ntirenganya / Francesco Pata / Thomas Pinkney / Ahmad Uzair Qureshi / Antonio Ramos-De la Medina / Aya Riad / Hosni Khairy Salem / Joana Simões / Richard Spence / Neil Smart / Stephen Tabiri / Hannah Thomas / Thomas G Weiser / Malcolm West / John Whitaker / Ewen M Harrison / Arben Gjata

The Lancet Global Health, Vol 10, Iss 7, Pp e1003-e

an international, prospective, observational study

2022 Volume 1011

Abstract: Summary: Background: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of ... ...

Abstract	Summary: Background: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery ...
Keywords	Public aspects of medicine ; RA1-1270
Subject code	616
Language	English
Publishing date	2022-07-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Book: Medical practice in the British empire

Hannah, Thomas

(technical information for the guidance of the courts); a herculean struggle for freedom,

1918

Author's details	by Thomas Hannah
Language	English
Size	279 p., ports.
Publisher	P. Davis & sons, ltd
Publishing place	Pietermaritzburg
Document type	Book
Database	Catalogue of the US National Library of Medicine (NLM)

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