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Tracking perioperative mortality and maternal mortality: challenges and opportunities

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.

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Breaking Narrative Ground: Innovative Methods for Rigorously Eliciting and Assessing Patient…

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.

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Large Price Premiums for Unprotected Sex Among Female Sex Workers in Kenya: A Potential…

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Concomitant Immunity Induced by Persistent <i>Leishmania major</i> Does Not…

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


Antibody-Mediated Neutralization of the Exotoxin Mycolactone, the Main Virulence Factor…

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.


Proactive enrollment of parents to tobacco quitlines in pediatric practices is associated with…

Every U.S.


United Kingdom health research analyses and the benefits of shared data

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…


Effect modification in the temperature extremes by mortality subgroups among the tropical…

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.


Does migration ‘pay off’ for foreign-born migrant health workers? An exploratory analysis…

This study used the global WageIndicator web survey to answer the following research questions: (RQ1) What are the migration patterns of health workers?


Opportunities and challenges for implementing cost accounting systems in the Kenyan health…

Background: Low- and middle-income countries need to sustain efficiency and equity in health financing on their way to universal health care coverage.


Survival rate of AIDS disease and mortality in HIV-infected patients: a meta-analysis

The life expectancy of patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) reported by several epidemiological studies is inconsistent.


HMGB1 Is a Potential Biomarker for Severe Viral Hemorrhagic Fevers

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.


Emerging technologies to measure neighborhood conditions in public health: implications for…

Adverse neighborhood conditions play an important role beyond individual characteristics.


When they talk about motherhood: a qualitative study of three groups’ perceptions in a…

In light of the growing emphasis on individualization in healthcare, it is vital to take the diversity of inhabitants and users into consideration.


Correction: The Association between Sulfonylurea Use and All-Cause and Cardiovascular…

by Dimitris Varvaki Rados, Lana Catani Pinto, Luciana Reck Remonti, Cristiane Bauermann Leitão, Jorge Luiz Gross


Chinese landfill collapse: urban waste and human health

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.


Child mental health in Sierra Leone: a survey and exploratory qualitative study

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…


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