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  1. Article ; Online: Protocol for Evaluation of Robotic Technology in Orthopedic Surgery

    Milad Masjedi / Zahra Jaffry / Simon Harris / Justin Cobb

    Advances in Orthopedics, Vol

    2013  Volume 2013

    Keywords Orthopedic surgery ; RD701-811 ; Surgery ; RD1-811 ; Medicine ; R ; DOAJ:Surgery ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2013-01-01T00:00:00Z
    Publisher Hindawi Publishing Corporation
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Global impact of COVID-19 on surgeons and team members (GlobalCOST)

    Zahra Jaffry / Luis Carlos Uta Nakano / Peter A Brennan / Hassan Abdalla / Francesco Pata / Mohamed A Imam / Anshul Sobti / Siddarth Raj / April Camilla Roslani / Alexis P Arnaud / Harish Neelamraju Lakshmi / Abdulrasheed A Nasir / Stephen Lyman / Muhammed Elhadi / Adrian Jones / Bijayendra Singh / Asser Sallam / Ahmed Negida / Chi Fung Antony Yiu /
    Nelson Bua / Richard E Field / Rawad Hammad / Nadeem Qazi / Amr Hussein / Ali Narvani / Ghayur Abbas / Ademola Adetoyese Adeyeye / Ahmad Nayef Althaher / Firas Arnaout / Ana Vega Carreiro de Freitas / Krishna Kumar Govindarajan / Sachin Y Kale / Chandramohan Ravichandran / Edmund Leung-Kai Yau / Luiz Fernando Santetti Zanin

    BMJ Open, Vol 12, Iss

    a cross-sectional study

    2022  Volume 8

    Abstract: Objectives To investigate the impact of COVID-19 on the well-being of surgeons and allied health professionals as well as the support provided by their institutions.Design This cross-sectional study involved distributing an online survey through medical ... ...

    Abstract Objectives To investigate the impact of COVID-19 on the well-being of surgeons and allied health professionals as well as the support provided by their institutions.Design This cross-sectional study involved distributing an online survey through medical organisations, social media platforms and collaborators.Setting It included all staff based in an operating theatre environment around the world.Participants 1590 complete responses were received from 54 countries between 15 July and 15 December 2020. The average age of participants was 30–40 years old, 64.9% were men and 32.5% of a white ethnic background. 79.5% were surgeons with the remainder being nurses, assistants, anaesthetists, operating department practitioners or classified other.Main outcome measures Participants that had experienced any physical illness, changes in mental health, salary or time with family since the start of the pandemic as well as support available based on published recommendations.Results 32.0% reported becoming physically ill. This was more likely in those with reduced access to personal protective equipment (OR 4.62; CI 2.82 to 7.56; p<0.001) and regular breaks (OR 1.56; CI 1.18 to 2.06; p=0.002). Those with a decrease in salary (29.0%) were more likely to have an increase in anxiety (OR 1.50; CI 1.19 to 1.89; p=0.001) and depression (OR 1.84; CI 1.40 to 2.43; p<0.001) and those who spent less time with family (35.2%) were more likely to have an increase in depression (OR 1.74; CI 1.34 to 2.26; p<0.001). Only 36.0% had easy access to occupational health, 44.0% to mental health services, 16.5% to 24/7 rest facilities and 14.2% to 24/7 food and drink facilities. Fewer measures were available in countries with a low Human Development Index.Conclusions This work has highlighted a need and strategies to improve conditions for the healthcare workforce, ultimately benefiting patient care.
    Keywords Medicine ; R
    Subject code 360
    Language English
    Publishing date 2022-08-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Surgical site infection after gastrointestinal surgery in children

    Sèbastien Gaujoux / Nebyou Seyoum / Ville Sallinen / Ari Leppäniemi / Andrea Belli / Clare Skerritt / Naomi Wright / Savva Pronin / Azmina Verjee / Thomas Pinkney / Neil Smart / Oliver Warren / Michele Sacco / Arnav Agarwal / Simon Paterson-Brown / David Evans / Philip Choi / Ashish Gupta / Jonathan Myers /
    Victor Kong / Michael Wilson / Ewen M Harrison / Mircea Beuran / Zahra Jaffry / Leonardo Solaini / Thomas M Drake / Dmitri Nepogodiev / Adesoji O Ademuyiwa / Philip Alexander / Sara W Al-Saqqa / Sule Burger / Kathryn Chu / Dhruv Ghosh / Hosni Khairy Salem / Marie Carmela Lapitan / Ismail Lawani / Maria Lorena Aguilera / Mayaba Maimbo / Alex Makupe / Rachel Moore / Vanessa Msosa / Alphonse Zeta Mutabazi / Riinu Ots / Ahmad Uzair Qureshi / Sarah Rayne / Marie Dione Parreno-Sacdalan / Richard Spence / Stephen Tabiri / Richard Lilford / Dion Morton

    BMJ Global Health, Vol 5, Iss

    an international, multicentre, prospective cohort study

    2020  Volume 12

    Abstract: Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study ... ...

    Abstract Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings.Methods A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI).Results Of 1159 children across 181 hospitals in 51 countries, 523 (45·1%) children were from high HDI, 397 (34·2%) from middle HDI and 239 (20·6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12·8% (51/397) in middle HDI and 24·7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI.Conclusion The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.
    Keywords Medicine (General) ; R5-920 ; Infectious and parasitic diseases ; RC109-216
    Subject code 360
    Language English
    Publishing date 2020-12-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Towards defining the surgical workforce for children

    Charles Mock / Naomi Wright / Monica Langer / Niyi Ade-Ajayi / Harshjeet Singh Bal / Damian Clarke / Fred Bulamba / Lubna Samad / David Cunningham / George Youngson / Michael Cooper / Zahra Jaffry / Tamara Fitzgerald / Emily R Smith / Bistra Zheleva / David Drake / Emily Smith / Lars Hagander / Bassey Edem /
    Sridhar Gibikote / Ashish Minocha / Jessica Ng / Kokila Lakhoo / David Spiegel / Saurabh Saluja / Peter Ssenyonga / Thiago Augusto Hernandes Rocha / Joao Vissoci / Nubia Rocha / Mark Shrime / Henry E Rice / Mohamed Abdelmalak / Nurudeen Abdulraheem / Edna Adan Ismail / Adesoji Ademuyiwa / Eltayeb Ahmed / Sunday Ajike / Olugbemi Benedict Akintububo / Felix Alakaloko / Brendan Allen / Vanda Amado / Emmanuel Ameh / Shanthi Anbuselvan / Jamie Anderson / Theophilus Teddy Kojo Anyomih / Leopold Asakpa / Gudeta Assegie / Jason Axt / Ruben Ayala / Frehun Ayele

    BMJ Open, Vol 10, Iss

    a geospatial analysis in Brazil

    2020  Volume 3

    Abstract: ObjectivesThe optimal size of the health workforce for children’s surgical care around the world remains poorly defined. The goal of this study was to characterise the surgical workforce for children across Brazil, and to identify associations between ... ...

    Abstract ObjectivesThe optimal size of the health workforce for children’s surgical care around the world remains poorly defined. The goal of this study was to characterise the surgical workforce for children across Brazil, and to identify associations between the surgical workforce and measures of childhood health.DesignThis study is an ecological, cross-sectional analysis using data from the Brazil public health system (Sistema Único de Saúde).Settings and participantsWe collected data on the surgical workforce (paediatric surgeons, general surgeons, anaesthesiologists and nursing staff), perioperative mortality rate (POMR) and under-5 mortality rate (U5MR) across Brazil for 2015.Primary and secondary outcome measuresWe performed descriptive analyses, and identified associations between the workforce and U5MR using geospatial analysis (Getis-Ord-Gi analysis, spatial cluster analysis and linear regression models).FindingsThere were 39 926 general surgeons, 856 paediatric surgeons, 13 243 anaesthesiologists and 103 793 nurses across Brazil in 2015. The U5MR ranged from 11 to 26 deaths/1000 live births and the POMR ranged from 0.11–0.17 deaths/100 000 children across the country. The surgical workforce is inequitably distributed across the country, with the wealthier South and Southeast regions having a higher workforce density as well as lower U5MR than the poorer North and Northeast regions. Using linear regression, we found an inverse relationship between the surgical workforce density and U5MR. An U5MR of 15 deaths/1000 births across Brazil is associated with a workforce level of 5 paediatric surgeons, 200 surgeons, 100 anaesthesiologists or 700 nurses/100 000 children.ConclusionsWe found wide disparities in the surgical workforce and childhood mortality across Brazil, with both directly related to socioeconomic status. Areas of increased surgical workforce are associated with lower U5MR. Strategic investment in the surgical workforce may be required to attain optimal health outcomes for children in Brazil, ...
    Keywords Medicine ; R
    Subject code 360
    Language English
    Publishing date 2020-03-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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