Publications by authors named "S A C Wren"
Background: Humanitarian mine action (HMA) stakeholders have an organized presence with well-resourced medical capability in many conflict and post-conflict settings. Humanitarian mine action has the potential to positively augment local trauma care capacity for civilian casualties of explosive ordnance (EO) and explosive weapons (EWs). Yet at present, few strategies exist for coordinated engagement between HMA and the health sector to support emergency care system strengthening to improve outcomes among EO/EW casualties.
View Article and Find Full Text PDFBackground: Risk models to predict perioperative mortality rates (POMR) are critical to surgical quality improvement yet are not widely adapted for use in humanitarian and low-resource settings (LRS). We developed a POMR and corresponding nomogram and calculator for use in humanitarian surgical care.
Methods: Electronic health record data from a high-income academic medical center from 2015 to 2019 were retrospectively extracted, selecting variables and operations specific to LRS.
Article Synopsis
- Dry deposition plays a significant role in removing reactive organic carbon from the atmosphere, impacting airborne chemical reactions and transferring this carbon to other environmental systems.
- Using aircraft measurements, researchers found that oil operations can lead to high deposition rates of organic carbon, reaching up to 100 tons per hour, with rapid lifetimes of about 4 hours that can compete with oxidation processes.
- Traditional models for gas-phase deposition may not capture all deposited organic carbon, indicating a need to consider these deposition processes in assessing the effects on freshwater ecosystems, as they contribute significantly to the overall carbon balance compared to terrestrial sources.
Objective: We aimed to determine the most important perceived barriers to the implementation of self-administered training and assessment in surgical education according to subject matter experts. With these findings, design thinking was used to explore possible interventions and develop a theory of change for overcoming identified barriers. Specifically, implementation was focused on expanding the surgical skills of associate clinicians (ACs) in low-to-middle-income countries (LMICs).
View Article and Find Full Text PDFArticle Synopsis
- * Patients undergoing MIP experienced better perioperative outcomes than those who had OS for non-PD, including shorter hospital stays and fewer complications, while outcomes for PD were similar for both methods.
- * The robotic-assisted surgery (RS) approach showed a lower rate of conversion to open surgery compared to laparoscopic surgery (LS) in both PD and non-PD cases, and MIP has gained traction in non-PD procedures while showing stagnant adoption rates for PD.