Publications by authors named "Kironji A"

Objectives: This study aimed to identify factors associated with urban youth and parent's perception of the preventability of medically attended youth assault injuries to guide future violence prevention strategies.

Methods: Assault-injured youth (n = 188; ages, 10-15 years; 60% male; 96% black) and their parents were recruited from 2 pediatric emergency departments in 2 cities. Mental health, injury severity, circumstances of injury, and family composition were some of the factors explored as cross-sectional predictors of the perception of the preventability of youth assault injury.

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Article Synopsis
  • Many medical and nursing schools offer global health training, but the effectiveness of pre-departure training in preparing students is not well studied.
  • A survey of 517 students revealed that while most felt prepared for global experiences, merely attending pre-departure training wasn't enough; targeted training in areas like travel safety and cultural awareness was key.
  • Students prefer interactive teaching methods and prioritized learning about travel safety, cultural skills, and personal health, suggesting these elements can enhance their readiness for global health experiences.*
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Background: Medical student and resident participation in short-term international trips for trainees (STINTTs) has increased in the past few decades. However, there has been no systematic review of trainees' actual ethical experiences. The authors sought to identify what ethical issues medical trainees encounter during STINTTs, as elicited by and reported in peer-reviewed, quantitative and qualitative research papers.

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Background: Out-of-hospital emergency care (OHEC), also known as prehospital care, has been shown to reduce morbidity and mortality from serious illness. We sought to summarize literature for low and low-middle income countries to identify barriers to and key interventions for OHEC delivery.

Methods: We performed a systematic review of the peer reviewed literature from January 2005 to March 2015 in PubMed, Embase, Cochrane, and Web of Science.

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Background: Global health experiences undertaken in international settings (GHEs) are becoming an increasingly prevalent aspect of health professions education and, as such, merit comprehensive analysis of the impact they have on students and host communities.

Objective: To assess the associations between demographic/experiential factors and the interest of health professions students in careers involving global health.

Methods: A cross-sectional survey was administered online to a convenience sample of medical and nursing students at Johns Hopkins University.

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Background: In low resource settings, an inadequate number of trained healthcare workers and high volumes of children presenting to Primary Healthcare Centers (PHC) result in prolonged waiting times and significant delays in identifying and evaluating critically ill children. The Sick Children Require Emergency Evaluation Now (SCREEN) program, a simple six-question screening algorithm administered by lay healthcare workers, was developed in 2014 to rapidly identify critically ill children and to expedite their care at the point of entry into a clinic. We sought to determine the impact of SCREEN on waiting times for critically ill children post real world implementation in Cape Town, South Africa.

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Background: Studies have demonstrated racial/ethnic disparities in surgical outcomes and care. Surgeon awareness and its association with institutional action remain unclear. The study sought to assess surgeons' awareness of racial/ethnic disparities, ascertain whether demographic and practice factors influence acknowledgement of disparities, and determine whether surgeons are seeking to mitigate disparities.

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Global health is increasingly present in the formal educational curricula of medical schools across North America. In 2008, students at Johns Hopkins University School of Medicine (JHUSOM) perceived a lack of structured global health education in the existing curriculum and began working with the administration to enhance global health learning opportunities, particularly in resource-poor settings. Key events in the development of global health education have included the introduction of a global health intersession mandatory for all first-year students; required pre-departure ethics training for students before all international electives; and the development of a clinical global health elective (Global Health Leadership Program, GHLP).

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Article Synopsis
  • International clinical experiences are gaining popularity among medical students and healthcare professionals seeking global health work.
  • The Johns Hopkins University School of Medicine created a pre-departure handbook to help practitioners prepare for their international experiences, focusing on logistics and cultural readiness.
  • Although not a complete replacement for thorough pre-departure training, the handbook serves as a helpful starting point in the preparation process.
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