Access to surgery remains inequitable worldwide, with 5 billion people lacking safe and affordable surgical and anaesthesia care when needed.1 The Lancet Commission on Global Surgery was convened in 2013 to assess the state of surgery around the world, provide recommendations for improving access, and propose indicators for assessing national surgical systems. A key safety indicator is the perioperative mortality rate (POMR). This is defined by the Commission as the number of all-cause deaths before discharge in patients who have undergone a procedure in an operating theatre, divided by the total number of procedures, and presented as a percentage.
Objective To design a methodology for rigorously eliciting narratives about patients’ experiences with clinical care that is potentially useful for public reporting and quality improvement.
No abstract available
by Michael A. Mandell, Stephen M. Beverley Background Many microbes have evolved the ability to co-exist for long periods of time within other species in the absence of overt pathology
by Jean-Pierre Dangy, Nicole Scherr, Philipp Gersbach, Melanie N. Hug, Raphael Bieri, Claudio Bomio, Jun Li, Sylwia Huber, Karl-Heinz Altmann, Gerd Pluschke Background Mycolactone, the macrolide exotoxin produced by Mycobacterium ulcerans, causes extensive tissue destruction by inducing apoptosis of host cells.
To allow research organisations to co-ordinate activity to the benefit of national and international funding strategies requires assessment of the funding landscape; this, in turn, relies on a consistent appro…
Background: Temperature–mortality relationships have been extensively probed with varying temperature range but with relatively similar patterns and in some instances are being modified by specific mortality groups such as causes of mortality, sex, and age.Objective: This study aimed to determine the risk attributions in the extreme temperatures and also identified the risks associated with the various mortality subgroups.Design: We used the 2006–2010 daily average meteorological and daily mortality variables from the Philippine Atmospheric Geophysical and Astronomical Services Administration and Philippine Statistics Authority–National Statistics Office, respectively.
This study used the global WageIndicator web survey to answer the following research questions: (RQ1) What are the migration patterns of health workers?
Background: Low- and middle-income countries need to sustain efficiency and equity in health financing on their way to universal health care coverage.
The life expectancy of patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) reported by several epidemiological studies is inconsistent.
by Katarina Resman Rus, Luka Fajs, Miša Korva, Tatjana Avšič-Županc Hemorrhagic fever with renal syndrome (HFRS) and Crimean-Congo hemorrhagic fever (CCHF) are common representatives of viral hemorrhagic fevers still often neglected in some parts of the world. Infection with Dobrava or Puumala virus (HFRS) and Crimean-Congo hemorrhagic fever virus (CCHFV) can result in a mild, nonspecific febrile illness or as a severe disease with hemorrhaging and high fatality rate.
Adverse neighborhood conditions play an important role beyond individual characteristics.
In light of the growing emphasis on individualization in healthcare, it is vital to take the diversity of inhabitants and users into consideration.
by Dimitris Varvaki Rados, Lana Catani Pinto, Luciana Reck Remonti, Cristiane Bauermann Leitão, Jorge Luiz Gross
At least 69 people were killed and eight others were missing after a landslide in Shenzhen, north of Hong Kong, on Dec 20, 2015.1 Unlike most landslides triggered by high-intensity rainfall or earthquakes, this disaster was man-made and triggered by the collapse of a construction waste disposal site. This landslide highlights the health implications of both disaster resilience and waste management during rapid urbanisation in developing countries.
This study complements the growing amount of research on the psychosocial impact of war on children in Sierra Leone by examining local perceptions of child mental health, formal and informal care systems, help…