LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 13

Search options

  1. Article ; Online: Community engagement and involvement in Ghana

    Karolin Kroese / Bernard Appiah Ofori / Darling Ramatu Abdulai / Mark Monahan / Angela Prah / Stephen Tabiri

    Research Involvement and Engagement, Vol 7, Iss 1, Pp 1-

    conversations with community stakeholders to inform surgical research

    2021  Volume 11

    Abstract: Plain English summary Evidence in the literature shows that research that was designed and implemented with the help of patients or other members of the community affected by the study, is more likely to be relevant to the needs of the end user. This can ...

    Abstract Plain English summary Evidence in the literature shows that research that was designed and implemented with the help of patients or other members of the community affected by the study, is more likely to be relevant to the needs of the end user. This can have positive effects on the quality and impact of the study. However, working collaboratively with patient or public contributors can have certain challenges, especially in low- and middle- income countries. For example, factors such as different languages or dialects, religious beliefs, health beliefs, level of literacy, understanding of research, and poverty can potentially make it more difficult for researchers to reach, communicate and involve relevant members of the public. On top of this, the evidence base for successfully implementing these so-called community engagement and involvement activities is sparse, making it more challenging for researchers to learn from others’ experiences. Members of the Global Surgery Unit, who are based in Ghana, proposed a clinical trial to address the shortfall of specialist surgeons at rural hospitals. This will be achieved by training medically qualified doctors, who have not yet gone through the specialist training to become qualified surgeons, to perform inguinal hernia repairs proficiently. Before the study gets funded and a protocol can be designed, the researchers need to ensure its relevance, acceptability, and feasibility. This is usually done by getting the opinion and thoughts of key stakeholders, mainly individuals who will be affected by the research. To achieve this, the team in Ghana worked together with Global Surgery Unit members in the UK to identify the best ways to approach and have conversations with 31 inguinal hernia patients who either previously had surgery or currently live with hernias, two Chiefs (community leaders), a community finance officer and a local politician in a variety of locations in Ghana that are representative of the patient cohort for the study. The intention was to understand ...
    Keywords Patient and public involvement ; Community engagement and involvement ; Low- and middle- income countries ; Ghana ; Surgery ; Communities ; patients ; patient contributors ; Medicine ; R ; Medicine (General) ; R5-920
    Subject code 306
    Language English
    Publishing date 2021-07-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

  2. Article ; Online: Economic evaluation of expanding inguinal hernia repair among adult males in Ghana.

    Zin Min Thet Lwin / Birger Forsberg / George Keel / Jessica H Beard / Joachim Amoako / Michael Ohene-Yeboah / Stephen Tabiri / Jenny Löfgren

    PLOS Global Public Health, Vol 2, Iss 4, p e

    2022  Volume 0000270

    Abstract: An unmet need for inguinal hernia repair is significant in Ghana where the number of specialist general surgeons is extremely limited. While surgical task sharing with medical doctors without formal specialist training in surgery has been adopted for ... ...

    Abstract An unmet need for inguinal hernia repair is significant in Ghana where the number of specialist general surgeons is extremely limited. While surgical task sharing with medical doctors without formal specialist training in surgery has been adopted for inguinal hernia repair in Ghana, no prior research has been conducted on the long-term costs and health outcomes associated with expanding operations to repair all inguinal hernias among adult males in Ghana. The study aimed to estimate cost-effectiveness of elective open mesh repair performed by medical doctors and surgeons for adult males with primary inguinal hernia compared to no treatment in Ghana and to project costs and health gains associated with expanding operation services through task sharing between medical doctors and surgeons. The study analysis adopted a healthcare system perspective. A Markov model was constructed to assess 10-year differences in costs and outcomes between operations conducted by medical doctors or surgeons and no treatment. A 10-year budget impact analysis on service expansion for groin hernia repair through increasing task sharing between the providers was conducted. Incremental cost-effectiveness ratios for medical doctors and surgeons were USD 120 and USD 129 respectively per disability-adjusted life year (DALY) averted compared to no treatment, which are below the estimated threshold value for cost-effectiveness in Ghana of USD 371-491. Repairing all inguinal hernias (1.4 million) through task sharing between the providers in the same timeframe is estimated to cost USD 194 million. Total health gains of 1.5 million DALYs averted are expected. Inguinal hernia repair is cost-effective regardless of the type of surgical provider. Scaling up of inguinal hernia repair is worthwhile, with the potential to substantially reduce the disease burden in the country.
    Keywords Public aspects of medicine ; RA1-1270
    Subject code 690
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

  3. Article ; Online: Governance for injury care systems in Ghana, South Africa and Rwanda

    Justine Davies / Kathryn Chu / Stephen Tabiri / Maria Lisa Odland / Anthony Howard / Abebe Bekele / Agnieszka Ignatowicz / Abdul-Malik Abdul-Latif / Jean Claude Byiringiro

    BMJ Open, Vol 13, Iss

    development and pilot testing of an assessment tool

    2023  Volume 9

    Abstract: Objectives This study aims to evaluate health systems governance for injury care in three sub-Saharan countries from policymakers’ and injury care providers’ perspectives.Setting Ghana, Rwanda and South Africa.Design Based on Siddiqi et al’s framework ... ...

    Abstract Objectives This study aims to evaluate health systems governance for injury care in three sub-Saharan countries from policymakers’ and injury care providers’ perspectives.Setting Ghana, Rwanda and South Africa.Design Based on Siddiqi et al’s framework for governance, we developed an online assessment tool for health system governance for injury with 37 questions covering health policy and implementation under 10 overarching principles of strategic vision, participation and consensus orientation, rule of law, transparency, responsiveness of institutions, equity, effectiveness or efficiency, accountability, ethics and intelligence and information. A literature review was also done to support the scoring. We derived scores using two methods—investigator scores and respondent scores.Participants The tool was sent out to purposively selected stakeholders, including policymakers and injury care providers in Ghana, Rwanda and South Africa. Data were collected between October 2020 and February 2021.Primary and secondary outcomes Investigator-weighted and respondent percentage scores for health system governance for injury care. This was calculated for each country in total and per principle.Results Rwanda had the highest overall investigator-weighted percentage score (70%), followed by South Africa (59%). Ghana had the lowest overall investigator score (48%). The overall results were similar for the respondent scores. Some areas, such as participation and consensus, scored high in all three countries, while other areas, such as transparency, scored very low.Conclusion In this multicountry governance survey, we provide insight into and evaluation of health system governance for trauma in three low- and middle-income countries (LMICs) in sub-Saharan Africa. It highlights areas of improvement that need to be prioritised, such as transparency, to meet the high burden of trauma and injuries in LMICs.
    Keywords Medicine ; R
    Subject code 360
    Language English
    Publishing date 2023-09-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

  4. Article ; Online: Assessment of the environmental risk factors for a gastric ulcer in northern Ghana

    Stephen Tabiri / Prosper Akanbong / Braimah Abubakari

    The Pan African Medical Journal, Vol 25, Iss

    2016  Volume 160

    Abstract: Numerous risk factors have been implicated in the development of a gastric ulcer. Common risk factors are Helicobacter pylori infection, chronic non-steroidal anti-inflammatory intake, and alcohol consumption. The aim of the current study was to identify ...

    Abstract Numerous risk factors have been implicated in the development of a gastric ulcer. Common risk factors are Helicobacter pylori infection, chronic non-steroidal anti-inflammatory intake, and alcohol consumption. The aim of the current study was to identify environmental risk factors for a gastric ulcer in northern Ghana. The data for this retrospective study were obtained from 2035 patient records from the Minimal Access Therapy and Operative Endoscopy unit of the Tamale Teaching Hospital in Tamale, Ghana from 2010 to 2014. A separate questionnaire was administered to assess the environmental risk factors. The rapid urease test was used to determine the presence of H. pylori. The Statistical Package for Social Sciences version 20.0 was used to analyse the data. Univariate and bivariate analyses were performed, and the results were presented in tables provided. Thp 2 = 27.3), fasting (P = 0.001, p 2 = 42.6), H. pylori infection (P = 0.01, p 2 = 19.9), and alcohol consumption (P = 0.001, p 2 = 30.6). There was no association between the traditional herbal preparation usage (P = 0.251, p2 = 1.8) and the gastric ulcer. Environmental risk factors responsible for the development of a gastric ulcer in people of the northern part of Ghana show a similar pattern to other geographical regions of the world.
    Keywords gastric ulcer disease ; dyspepsia ; h. pylori infection ; endoscopy ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2016-11-01T00:00:00Z
    Publisher The Pan African Medical Journal
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

  5. Article ; Online: Local anesthesia underutilized for inguinal hernia repair in northern Ghana.

    Stephen Tabiri / Katie W Russell / Frank E Gyamfi / Ali Jalali / Raymond R Price / Micah G Katz

    PLoS ONE, Vol 13, Iss 11, p e

    2018  Volume 0206465

    Abstract: INTRODUCTION:Inguinal hernia repair is a common procedure and a priority for public health efforts in Ghana. It is essential that inguinal hernia repair be performed in a safe, efficient manner to justify its widespread use. Local anesthesia has many ... ...

    Abstract INTRODUCTION:Inguinal hernia repair is a common procedure and a priority for public health efforts in Ghana. It is essential that inguinal hernia repair be performed in a safe, efficient manner to justify its widespread use. Local anesthesia has many favorable properties and has been shown to be superior, compared to regional or general anesthesia, in terms of pain control, safety profile, cost-effectiveness, resources required, and time to discharge. Local anesthesia is recommended for open repair of reducible hernias, provided clinician experience, by multiple international guidelines. Regional anesthesia is associated with myocardial infarction and other complications, and its use is discouraged by multiple guidelines, especially in older patients. This study aims to assess the current state of anesthesia for inguinal hernia repair in the northern and transitional zone of Ghana. In addition we will assess the perceptions of different types of anesthesia along with understanding of evidence-based guidelines among clinicians participating in inguinal hernia repair. METHODS:We performed a retrospective review of all inguinal hernia repairs for male patients, 18 and older, in over 90% of hospitals in northern Ghana. All 41 hospitals were visited and caselogs and patient charts were manually reviewed to extract data. Multivariate logistic regression was used to determine predictors of local anesthesia use. We designed a survey instrument to assess the perceptions of physicians and anesthetists regarding different types of anesthesia for inguinal hernia repair. The survey was designed by a Ghanaian surgeon, reviewed by all co-authors, and tested prior to implementation using a sample (n = 8) of clinicians having similar practices to those of the survey population. Of 70 clinicians, 66 responded, yielding a response rate of 94%. RESULTS:8080 patients underwent hernia repair of which 37% were performed under local anesthesia, while the majority, 60%, were performed under regional anesthesia. Negative predictors of ...
    Keywords Medicine ; R ; Science ; Q
    Subject code 616
    Language English
    Publishing date 2018-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

  6. Article ; Online: Equitable access to quality trauma systems in low-income and middle-income countries

    Justine I Davies / Antonio Belli / Kathryn Chu / Stephen Tabiri / John Whitaker / Maria Lisa Odland / Anthony Howard / Abebe Bekele / Agnieszka Ignatowicz / Barnabas Alayande / Abdul-Malik Abdul-Latif / Bernard Appia Ofori / Evangelos Balanikas / Karen Ferreira / Pascal Nzasabimana / Eyitayo O Owolabi / Samukelisiwe Nyamathe / Sheba Mary Pognaa Kunfah / Mustapha Yakubu /
    Jean Claude Byiringiro

    BMJ Global Health, Vol 7, Iss

    assessing gaps and developing priorities in Ghana, Rwanda and South Africa

    2022  Volume 4

    Keywords Medicine (General) ; R5-920 ; Infectious and parasitic diseases ; RC109-216
    Language English
    Publishing date 2022-04-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

  7. Article ; Online: A gist on an obscure neoplasm in Ghana

    Joseph Yorke / Samuel Gyasi Brenu / Ronald Awoonor-Williams / Stephen Tabiri / Anwar Sadat Seidu / Francis Akwaw Yamoah / Joseph Akpaloo / Edmund Muonir Der / Ernest Adjei / Isaac Okyere / Kenneth Kelechi Ihekanandu / Ernest Bawuah Osei Bonsu / Ishmael Kyei / Samuel Mensah / Michael Ofoe Adinku / Dennis Afful Yorke / Akwasi Opoku Agyapong / Francis Somiah-Kwaw Aitpillah / Martin Kofi Agyei /
    Nana Akosua Oppong-Nkrumah / Kwasi Dadzie Annan / Theodora-Ann Fremponma Ellis / Patrick Danso / Tonnies Abeku Buckman / Emmanuel Acheampong

    BMC Research Notes, Vol 16, Iss 1, Pp 1-

    gastrointestinal stromal tumours

    2023  Volume 10

    Abstract: Abstract Background Gastrointestinal Stromal Tumour is a rare but potentially curable tumour of the gastrointestinal tract accounting for up to 1% of all gastrointestinal tumours. The discovery of Imatinib mesylate, a novel tyrosine kinase inhibitor has ... ...

    Abstract Abstract Background Gastrointestinal Stromal Tumour is a rare but potentially curable tumour of the gastrointestinal tract accounting for up to 1% of all gastrointestinal tumours. The discovery of Imatinib mesylate, a novel tyrosine kinase inhibitor has improved the chances even for unresectable, recurrent, or metastatic diseases. Methods This study sought to document the clinical and pathological characteristics of GISTs from two tertiary hospitals in Ghana that have undergone immunohistochemistry confirmation between 2014 and 2021. Results The median age of the subjects was 50 years with most of them (28.0%) being above 61 years. There were more females than males (64.0% vs. 36.0%). Abdominal mass and abdominal pain made up the majority of the clinical presentations. The majority of the subjects had partial gastrectomy (32.0%) which was followed by wedge resection (28.0%). Appendectomy and sleeve gastrectomy were the least performed procedures (8% each). Four of the 25 patients (16.0%) had resections of involved contiguous organs done with splenectomy being the most common procedure. The majority of GISTs were found in the stomach (68.0%) followed by the appendix (12.0%) and small bowel (12.0%). Gastrointestinal bleeding (55.8%) and abdominal pain (38.5%) were the most reported symptoms. Free resection margins were observed in 84.0% of the subjects and only 3/25 (12.0%) experienced tumour recurrence. Conclusion GIST is a potentially curable tumour that once was obscure but currently gaining popularity. Surgical resection offers the hope of a cure for localized disease while targeted therapies is a viable option for recurrent, metastatic, or unresectable tumours.
    Keywords Gastrointestinal stromal tumours ; Partial gastrectomy ; Imatinib ; Medicine ; R ; Biology (General) ; QH301-705.5 ; Science (General) ; Q1-390
    Subject code 610
    Language English
    Publishing date 2023-11-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

  8. Article ; Online: Malnutrition and nutritional screening in patients undergoing surgery in low and middle income countries

    Debra Jones / Stephen R. Knight / Jana Sremanakova / Marie Carmela M. Lapitan / Ahmad U. Qureshi / Thomas M. Drake / Stephen Tabiri / Dhruva Ghosh / Maria Thomas / Pamela A. Kingsley / Sudha Sundar / Mayaba Maimbo / Edwin Yenli / Catherine Shaw / Apple P. Valparaiso / Aneel Bhangu / Laura Magill / John Norrie / Tracey E. Roberts /
    Evropi Theodoratou / Thomas G. Weiser / Ewen M. Harrison / Sorrel T. Burden / NIHR Global Health Research Unit on Global Surgery

    JCSM Clinical Reports, Vol 7, Iss 4, Pp 79-

    A systematic review

    2022  Volume 92

    Abstract: Abstract Background There is a high incidence of preoperative undernutrition in hospitalised patients in low and middle‐income countries (LMICs), leading to increased postoperative complications, length of hospital stay and early mortality. Review aims ... ...

    Abstract Abstract Background There is a high incidence of preoperative undernutrition in hospitalised patients in low and middle‐income countries (LMICs), leading to increased postoperative complications, length of hospital stay and early mortality. Review aims are to establish the prevalence of undernutrition and assess the use of validated nutritional screening tools in surgical patients across LMICs. Methods Protocol was PRISMA compliant and Prospero registered (CRD42019126765). Twelve international databases were searched from January 1990 to April 2021. Included studies were on nutritional screening in adults (≥16 years) undergoing surgery in LMICs. Two researchers screened studies and assessed quality. Prevalence of undernutrition was presented as a weighted percentage with confidence intervals (CI). Results Of the 4649 records identified, 16 studies (n = 4032) were eligible. Subjective global assessment (SGA) or patient generated (PG)‐SGA were the tools used most widely. SGA and PG‐SGA showed a high prevalence of undernutrition overall (0.61, 95% CI 0.50, 0.73), with a proportion identified with moderate undernutrition (0.44, 95% CI 0.31, 0.57) or severe undernutrition (0.32, 95% CI 0.19, 0.45). Conclusions Data show the prevalence of undernutrition in surgical patients as high as three in five patients within LMICs. Results indicate that the SGA is suitable for assessing this group of patients and that it may be the most appropriate tool to use due to its subjectivity and reliability. PG‐SGA although similar includes more symptom assessment, which is important for nutritionally depleted cancer patients. The limited data on validity and reliability of nutritional screening tools in LMICs indicates further research is required.
    Keywords Low and middle income countries ; Malnutrition ; Nutritional screening ; Surgical patients ; Systematic review ; Internal medicine ; RC31-1245
    Subject code 610
    Language English
    Publishing date 2022-10-01T00:00:00Z
    Publisher Wiley
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

  9. Article ; Online: Developing and implementing an interventional bundle to reduce mortality from gastroschisis in low-resource settings [version 1; peer review

    Naomi Wright / Francis Abantanga / Michael Amoah / William Appeadu-Mensah / Zaitun Bokhary / Bruce Bvulani / Justine Davies / Sam Miti / Bip Nandi / Boateng Nimako / Dan Poenaru / Stephen Tabiri / Abiboye Yifieyeh / Niyi Ade-Ajayi / Nick Sevdalis / Andy Leather

    Wellcome Open Research, Vol

    1 approved, 2 approved with reservations]

    2019  Volume 4

    Abstract: Background: Gastroschisis is associated with less than 4% mortality in high-income countries and over 90% mortality in many tertiary paediatric surgery centres across sub-Saharan Africa (SSA). The aim of this trial is to develop, implement and ... ...

    Abstract Background: Gastroschisis is associated with less than 4% mortality in high-income countries and over 90% mortality in many tertiary paediatric surgery centres across sub-Saharan Africa (SSA). The aim of this trial is to develop, implement and prospectively evaluate an interventional bundle to reduce mortality from gastroschisis in seven tertiary paediatric surgery centres across SSA. Methods: A hybrid type-2 effectiveness-implementation, pre-post study design will be utilised. Using current literature an evidence-based, low-technology interventional bundle has been developed. A systematic review, qualitative study and Delphi process will provide further evidence to optimise the interventional bundle and implementation strategy. The interventional bundle has core components, which will remain consistent across all sites, and adaptable components, which will be determined through in-country co-development meetings. Pre- and post-intervention data will be collected on clinical, service delivery and implementation outcomes for 2-years at each site. The primary clinical outcome will be all-cause, in-hospital mortality. Secondary outcomes include the occurrence of a major complication, length of hospital stay and time to full enteral feeds. Service delivery outcomes include time to hospital and primary intervention, and adherence to the pre-hospital and in-hospital protocols. Implementation outcomes are acceptability, adoption, appropriateness, feasibility, fidelity, coverage, cost and sustainability. Pre- and post-intervention clinical outcomes will be compared using Chi-squared analysis, unpaired t-test and/or Mann-Whitney U test. Time-series analysis will be undertaken using Statistical Process Control to identify significant trends and shifts in outcome overtime. Multivariate logistic regression analysis will be used to identify clinical and implementation factors affecting outcome with adjustment for confounders. Outcome: This will be the first multi-centre interventional study to our knowledge aimed at reducing ...
    Keywords Medicine ; R ; Science ; Q
    Subject code 360
    Language English
    Publishing date 2019-03-01T00:00:00Z
    Publisher Wellcome
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

  10. 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)

    More links

    Kategorien

To top