Publications by authors named "Ayla Gerk Rangel"

Article Synopsis
  • Appendicitis is the most common surgical emergency in children, and a study analyzed how well the Brazilian public healthcare system handles it based on various hospital features and patient profiles.
  • In 2022, nearly 30,000 pediatric appendectomies were performed, with over 90% being open surgeries, predominantly in basic-facility general hospitals.
  • Although full-facility hospitals had higher costs for surgeries, the overall mortality rate was low across all hospital types, indicating that children received adequate care regardless of the facility's resources.
View Article and Find Full Text PDF

Introduction: Women are underrepresented in surgical authorship. Using big data analyses, we aimed to investigate women's representation as first and last authors in surgical publications worldwide and identify underlying predictors.

Methods: We retrieved eligible surgical journals using Scimago Journal & Country Rank 2021.

View Article and Find Full Text PDF

The 35th Brazilian Congress of Surgery marked a turning point for surgical education in the country. For the first time, the Brazilian College of Surgeons included Global Surgery on the main congressional agenda, providing a unique opportunity to rethink how surgical skills are taught from a public health perspective. This discussion prompts us to consider why and how Global Surgery education should be expanded in Brazil.

View Article and Find Full Text PDF
Article Synopsis
  • The study examined women's representation on editorial boards of surgical, anesthesia, and obstetric (SAO) journals in Latin America in 2021.
  • Despite analyzing 19 out of 25 journals, women only held 17% of editorial positions, with fewer in academic roles (14.3%) compared to senior (28.9%) and non-academic (38.4%) ones.
  • The findings indicate significant underrepresentation of women, particularly in surgical journals, and suggest the need for strategies to promote gender equity in SAO specialties.
View Article and Find Full Text PDF

Background: The impact of public health policy to reduce the spread of COVID-19 on access to surgical care is poorly defined. We aim to quantify the surgical backlog during the COVID-19 pandemic in the Brazilian public health system and determine the relationship between state-level policy response and the degree of state-level delays in public surgical care.

Methods: Monthly estimates of surgical procedures performed per state from January 2016 to December 2020 were obtained from Brazil's Unified Health System Informatics Department.

View Article and Find Full Text PDF