Scholars@Duke
Catherine Ann Staton

Catherine Ann Staton

Professor of Emergency Medicine
Emergency Medicine

Selected Publications

Preliminary Assessment of Post-traumatic Stress Disorder Symptoms Among Emergency Medicine Physicians During the COVID-19 Outbreak.

Journal Article J Am Coll Emerg Physicians Open · June 2025 OBJECTIVES: The COVID-19 pandemic has caused significant increases in work-related emotional stress and emergency department (ED) volumes. Our study aimed to provide a preliminary assessment of posttraumatic stress disorder (PTSD) symptoms among emergency ... Full text Link to item Cite

The older the injured, the worse the outcomes: A comparison of injury patterns and in-hospital outcomes between younger and older adult trauma patients at a tertiary hospital in Northern Tanzania

Journal Article Plos Global Public Health · June 1, 2025 The number of older adults (>60 years) in Sub-Saharan Africa (SSA) is expected to double by 2050. This demographic shift has led to a rise in traumatic injuries among this population, with one in ten trauma patients in Tanzania being an older adult. Yet, g ... Full text Cite

Establishing Core Elements for a Prehospital Emergency Care Systems Evaluation Tool (PECSET) for Systems in Early Stages of Development: A Delphi Consensus.

Journal Article Prehosp Emerg Care · January 13, 2025 OBJECTIVES: International Prehospital Emergency Care (PEC) standards have been primarily developed by and for high resource settings. Most PEC systems in Asia, which are still in the early stages of development, struggle to achieve these standards. There i ... Full text Link to item Cite

Using the ADAPT guidance to culturally adapt a brief intervention to reduce alcohol use among injury patients in Tanzania.

Journal Article PLOS Glob Public Health · 2025 Harmful alcohol use is a leading risk factor for injury-related death and disability in low- and middle-income countries (LMICs). Brief negotiational interventions (BNIs) in emergency departments (EDs) effectively reduce alcohol intake and re-injury rates. ... Full text Link to item Cite

A systematic review and cross-sectional survey of rehabilitation resources for injury patients in the Kilimanjaro Region of Tanzania.

Journal Article Disabil Rehabil · March 2024 PURPOSE: An estimated 10 million people across Tanzania have a condition that would benefit from rehabilitative care. However, access to rehabilitation remains inadequate to meet the needs of Tanzania's population. The goal of this study was to identify an ... Full text Link to item Cite

Scaling up antivenom for snakebite envenoming in the Brazilian Amazon: a cost-effectiveness analysis.

Journal Article Lancet Reg Health Am · January 2024 BACKGROUND: Snakebite envenoming (SBE) affects nearly three million people yearly, causing up to 180,000 deaths and 400,000 cases of permanent disability. Brazil's state of Amazonas is a global hotspot for SBE, with one of the highest annual incidence rate ... Full text Link to item Cite

Development and validation of a minimum requirements checklist for snakebite envenoming treatment in the Brazilian Amazonia.

Journal Article PLoS Negl Trop Dis · January 2024 BACKGROUND: Currently, antivenoms are the only specific treatment available for snakebite envenoming. In Brazil, over 30% of patients cannot access antivenom within its critical care window. Researchers have therefore proposed decentralizing to community h ... Full text Link to item Cite

Applicability of machine learning algorithm to predict the therapeutic intervention success in Brazilian smokers.

Journal Article PLoS One · 2024 Smoking cessation is an important public health policy worldwide. However, as far as we know, there is a lack of screening of variables related to the success of therapeutic intervention (STI) in Brazilian smokers by machine learning (ML) algorithms. To ad ... Full text Link to item Cite

"When a man drinks alcohol it's cool but when a woman drinks she is a hoe": A qualitative exploration of alcohol, gender, stigma, and sexual assault in Moshi, Tanzania.

Journal Article PLOS Glob Public Health · 2024 Alcohol's ever-increasing global use poses a distinct threat to human well-being, with intake and associated burdens rising especially quickly in low- and middle-income countries like Tanzania. Prior research has shown alcohol use and related consequences ... Full text Link to item Cite

Perinatal loss in Tanzania: Perspectives of maternal-child healthcare providers.

Journal Article PLOS Glob Public Health · 2024 Over 98% of stillbirths and neonatal deaths occur in Low- and Middle-Income Countries, such as Tanzania. Despite the profound burden of perinatal loss in these regions, access to facility or community-based palliative and psychosocial care is poor and unde ... Full text Link to item Cite

Development of culturally-appropriate text message booster content to follow a brief intervention focused on reducing alcohol related harms for injury patients in Moshi, Tanzania.

Journal Article PLOS Glob Public Health · 2024 Alcohol use is a risk factor for death and disability and is attributed to almost one-third of injury deaths globally. This highlights the need for interventions aimed at alcohol reduction, especially in areas with high rates of injury with concurrent alco ... Full text Link to item Cite

Barriers and facilitators for developing a prehospital emergency care system evaluation tool (PEC-SET) for low-resource settings: a qualitative analysis.

Journal Article BMJ Open · December 9, 2023 OBJECTIVES: Strengthening of emergency care systems, including prehospital systems, can reduce death and disability. We aimed to identify perspectives on barriers and facilitators relating to the development and implementation of a prehospital emergency ca ... Full text Link to item Cite

The Impact of Time, Region, and Income Level on Stillbirth and Neonatal Mortality in Brazil, 2000-2019.

Journal Article J Pediatr · November 2023 OBJECTIVE: To describe trends in perinatal loss across Brazil, a country that transitioned in 2006 from a lower-middle income to an upper-middle income country, from 2000 to 2019 and analyze the effect of municipal wealth status on perinatal outcomes. STUD ... Full text Link to item Cite

Built environment influence on the incidence of elderly pedestrian collisions in a medium-large city in southern Brazil: a spatial analysis.

Journal Article Int J Inj Contr Saf Promot · September 2023 Trauma disproportionately affects vulnerable road users, especially the elderly. We analyzed the spatial distribution of elderly pedestrians struck by vehicles in the urban area of Maringa city, from 2014 to 2018. Hotspots were obtained by kernel density e ... Full text Link to item Cite

A qualitative assessment of stakeholder perspectives on barriers and facilitators to emergency care delays in Northern Tanzania through the Three Delays.

Journal Article Afr J Emerg Med · September 2023 INTRODUCTION: Emergency conditions cause a significant burden of death and disability, particularly in developing countries. Prehospital and Emergency Medical Services (EMS) are largely nonexistent throughout Tanzania and little is known about the communit ... Full text Link to item Cite

Brief Report: Task-Shifting "Gold Standard" Clinical Assessment and Safety Planning for Suicide Risk Among People Living With HIV: A Feasibility and Fidelity Evaluation in Tanzania.

Journal Article J Acquir Immune Defic Syndr · August 15, 2023 BACKGROUND: Suicide is a leading cause of death among people living with HIV (PLWH) worldwide, with suicide deaths occurring twice as frequently among PLWH than among the general public. In Tanzania, resources for mental health care are sorely lacking, wit ... Full text Link to item Cite

Evaluating the status of the Lancet Commission on Global Surgery indicators for India.

Journal Article Lancet Reg Health Southeast Asia · June 2023 For universal surgical, obstetric, trauma, and anesthesia care by 2030, the Lancet Commission on Global Surgery (LCoGS) suggested tracking six indicators. We reviewed academic and policy literature to investigate the current state of LCoGS indicators in In ... Full text Link to item Cite

Antivenom access impacts severity of Brazilian snakebite envenoming: A geographic information system analysis.

Journal Article PLoS Negl Trop Dis · June 2023 BACKGROUND: Snakebite envenoming (SBE) is a neglected tropical disease capable of causing both significant disability and death. The burden of SBE is especially high in low- and middle-income countries. The aim of this study was to perform a geospatial ana ... Full text Link to item Cite

Childhood and Adolescent Cancer Care at a Tertiary Hospital in Northern Tanzania: A Retrospective Study.

Journal Article JCO Glob Oncol · June 2023 PURPOSE: Over 400,000 children are diagnosed with cancer around the world each year, with over 80% of these children residing in low- and middle-income countries. This study aims to summarize the epidemiology and care patterns of newly diagnosed childhood ... Full text Link to item Cite

A Mixed-Methods Comparison of Gender Differences in Alcohol Consumption and Drinking Characteristics among Patients in Moshi, Tanzania.

Journal Article medRxiv · May 18, 2023 BACKGROUND: Excessive alcohol use stands as a serious threat to individual and community well-being, having been linked to a wide array of physical, social, mental, and economic harms. Alcohol consumption differs by gender, a trend seen both globally and i ... Full text Link to item Cite

River dataset as a potential fluvial transportation network for healthcare access in the Amazon region.

Journal Article Sci Data · April 6, 2023 Remote areas, such as the Amazon Forest, face unique geographical challenges of transportation-based access to health services. As transportation to healthcare in most of the Amazon Forest is only possible by rivers routes, any travel time and travel dista ... Full text Link to item Cite

Validation of the Pediatric Resuscitation and Trauma Outcome (PRESTO) model in injury patients in Tanzania.

Journal Article BMJ Open · April 5, 2023 INTRODUCTION: Sub-Saharan Africa has the highest rate of unintentional paediatric injury deaths. The Pediatric Resuscitation and Trauma Outcome (PRESTO) model predicts mortality using patient variables available in low-resource settings: age, systolic bloo ... Full text Link to item Cite

Delays in cancer care for children in low-income and middle-income countries: development of a composite vulnerability index.

Journal Article Lancet Glob Health · April 2023 BACKGROUND: Early access to diagnosis and care is essential to improve rates of survival from childhood cancer, particularly in low-income and middle-income countries (LMICs). Composite indices are increasingly used to compare country performance in many h ... Full text Link to item Cite

Determinants of delayed childhood cancer care in low- and middle-income countries: A systematic review.

Journal Article Pediatr Blood Cancer · March 2023 Early access to care is essential to improve survival rates for childhood cancer. This study evaluates the determinants of delays in childhood cancer care in low- and middle-income countries (LMICs) through a systematic review of the literature. We propose ... Full text Link to item Cite

Perspectives on snakebite envenoming care needs across different sociocultural contexts and health systems: A comparative qualitative analysis among US and Brazilian health providers.

Journal Article Toxicon X · March 2023 With the advancements in therapeutics and available treatment options, almost all deaths and permanent disabilities from snakebite envenoming (SBE) are preventable. The challenge lies in implementing these evidence-based treatments and practices across dif ... Full text Link to item Cite

Emergency unit capacity in Northern Tanzania: a cross-sectional survey.

Journal Article BMJ Open · February 22, 2023 INTRODUCTION: Emergency medicine (EM) is a growing field in Sub-Saharan Africa. Characterising the current capacity of hospitals to provide emergency care is important in identifying gaps and future directions of growth. This study aimed to characterise th ... Full text Link to item Cite

Shame and Guilt in EMS: A Qualitative Analysis of Culture and Attitudes in Prehospital Emergency Care.

Journal Article Prehosp Emerg Care · 2023 STUDY OBJECTIVES: The shame reaction is a highly negative emotional reaction shown to have long-term deleterious effects on the mental health of clinicians. Prior studies have focused on in-hospital personnel, but very little is known about what drives sha ... Full text Link to item Cite

Predictors of Non-Transport for Older Adult EMS Patients Encountered for Falls.

Journal Article Prehosp Emerg Care · 2023 BACKGROUND: Emergency medical services (EMS) encounters for falls among older adults have been linked to poor outcomes when the patient is not transported by EMS to a hospital. However, little is known regarding characteristics of this patient population. ... Full text Link to item Cite

Hypertension in an Emergency Department Population in Moshi, Tanzania; A Qualitative Study of Barriers to Hypertension Control.

Journal Article PLoS One · 2023 BACKGROUND: Sub-Saharan Africa has a high prevalence of hypertension with a low rate of awareness, treatment adherence, and control. The emergency department (ED) may represent a unique opportunity to improve hypertension screening, awareness, and linkage ... Full text Link to item Cite

Exploring regional disparities in lung cancer mortality in a Brazilian state: A cross-sectional ecological study.

Journal Article PLoS One · 2023 BACKGROUND: Lung cancer (LC) is one of the main causes of mortality in Brazil; geographic, cultural, socioeconomic and health access factors can affect the development of the disease. We explored the geospatial distribution of LC mortality, and associated ... Full text Link to item Cite

Spatial distribution of mortality from colorectal cancer in the southern region of Brazil.

Journal Article PLoS One · 2023 Colorectal cancer (CRC) is the leading cause of death due to cancer worldwide. In Brazil, it is the second most frequent cancer in men and women, with a mortality reaching 9.4% of those diagnosed. The aim of this study was to analyze the spatial heterogene ... Full text Link to item Cite

Protocol for a pilot randomized controlled trial of a telehealth-delivered counseling intervention to reduce suicidality and improve HIV care engagement in Tanzania.

Journal Article PLoS One · 2023 OBJECTIVE: Suicidal ideation is strikingly common among people living with HIV (PLWH) worldwide, leading to higher burden of disease, poor HIV care engagement, and loss of life. In low- and middle-income countries such as Tanzania, mental health resources ... Full text Link to item Cite

Feasibility of a pragmatic randomized adaptive clinical trial to evaluate a brief negotiational interview for harmful and hazardous alcohol use in Moshi, Tanzania.

Journal Article PLoS One · 2023 INTRODUCTION: Low-resourced settings often lack personnel and infrastructure for alcohol use disorder treatment. We culturally adapted a Brief Negotiational Interview (BNI) for Emergency Department injury patients, the "Punguza Pombe Kwa Afya Yako (PPKAY)" ... Full text Link to item Cite

Applicability of machine learning technique in the screening of patients with mild traumatic brain injury.

Journal Article PLoS One · 2023 Even though the demand of head computed tomography (CT) in patients with mild traumatic brain injury (TBI) has progressively increased worldwide, only a small number of individuals have intracranial lesions that require neurosurgical intervention. As such, ... Full text Link to item Cite

A mixed-methods comparison of gender differences in alcohol consumption and drinking characteristics among patients in Moshi, Tanzania.

Journal Article PLOS Glob Public Health · 2023 Excessive alcohol use stands as a serious threat to individual and community well-being, having been linked to a wide array of physical, social, mental, and economic harms. Alcohol consumption differs by gender, a trend seen both globally and in Moshi, Tan ... Full text Link to item Cite

Clinical evaluation of the alcohol use disorders identification test (AUDIT) in Moshi, Tanzania.

Journal Article PLoS One · 2023 BACKGROUND: Alcohol use disorder is a major cause of morbidity and mortality in low- and middle-income countries. Alcohol screening using a validated tool is a useful way to capture high-risk patients and engage them in early harm reduction interventions. ... Full text Link to item Cite

Alcohol use among emergency medicine department patients in Tanzania: A comparative analysis of injury versus non-injury patients.

Journal Article PLOS Glob Public Health · 2023 BACKGROUND: Alcohol is a leading behavioral risk factor for death and disability worldwide. Tanzania has few trained personnel and resources for treating unhealthy alcohol use. In Emergency Medicine Departments (EMDs), alcohol is a well-known risk factor f ... Full text Link to item Cite

Correction: Applicability of machine learning technique in the screening of patients with mild traumatic brain injury.

Journal Article PLoS One · 2023 [This corrects the article DOI: 10.1371/journal.pone.0290721.]. ... Full text Link to item Cite

Family caregiver perspectives on strengths and challenges in the care of pediatric injury patients at a tertiary referral hospital in Northern Tanzania.

Journal Article PLoS One · 2023 BACKGROUND: Pediatric injuries are a leading cause of morbidity and mortality in low- and middle-income countries (LMICs). It is important that injured children get quality care in order to improve their outcomes. Injured children are nearly always accompa ... Full text Open Access Link to item Cite

Injury characteristics and their association with clinical complications among emergency care patients in Tanzania.

Journal Article Afr J Emerg Med · December 2022 BACKGROUND: Over 5 million people annually die from injuries and millions more sustain non-fatal injuries requiring medical care. Ninety percent of injury deaths occur in low- and middle-income countries (LMICs). This study describes the characteristics, p ... Full text Open Access Link to item Cite

Mapping of clinical management resources for snakebites and other animal envenomings in the Brazilian Amazon.

Journal Article Toxicon: X · December 2022 Snakebite envenomings (SBEs) and other envenomings triggered by venomous animals (VAEs) represent a significant disease burden in Brazil, with 29,152 SBEs reported in 2021 alone with nearly half of those occurring in the remote Brazilian Amazon. In 2021, B ... Full text Cite

Impact of socioeconomic factors and health determinants on preterm birth in Brazil: a register-based study.

Journal Article BMC Pregnancy Childbirth · November 24, 2022 BACKGROUND: More than 15 million children are born preterm annually. While preterm survival rates have increased in high-income countries. Low- and middle-income countries, like Brazil, continue to battle high neonatal mortality rates due to a lack of adeq ... Full text Link to item Cite

Preventing Alcohol-Related Harm in East Africa: Stakeholder Perceptions of Readiness across Five Countries.

Journal Article Int J Environ Res Public Health · November 14, 2022 OBJECTIVE: While alcohol-related harm is a recognized public health priority, the capacity to address and mitigate its harm is lacking, primarily in low-income countries. Recent developments including new tools that can assess readiness for preventing alco ... Full text Link to item Cite

Impact of Education and Data Feedback on Antibiotic Prescribing for Urinary Tract Infections in the Emergency Department: An Interrupted Time-Series Analysis.

Journal Article Clin Infect Dis · September 30, 2022 BACKGROUND: Urinary tract infections (UTIs) are often misdiagnosed or treated with exceedingly broad-spectrum antibiotics, leading to negative downstream effects. We aimed to implement antimicrobial stewardship (AS) strategies targeting UTI prescribing in ... Full text Link to item Cite

Acupuncture for acute musculoskeletal pain management in the emergency department and continuity clinic: a protocol for an adaptive pragmatic randomised controlled trial.

Journal Article BMJ Open · September 23, 2022 INTRODUCTION: Chronic musculoskeletal pain causes a significant burden on health and quality of life and may result from inadequate treatment of acute musculoskeletal pain. The emergency department (ED) represents a novel setting in which to test non-pharm ... Full text Link to item Cite

A cohort of pediatric injury patients from a hospital-based trauma registry in Northern Tanzania.

Journal Article Afr J Emerg Med · September 2022 INTRODUCTION: Pediatric injuries in low- and middle-income countries are a leading cause of morbidity and mortality worldwide. Implementing hospital-based trauma registries can reduce the knowledge gap in both hospital care and patient outcomes and lead to ... Full text Link to item Cite

Utility of Family Reports in Predicting Emergency Department Patient Alcohol Use in Tanzania.

Journal Article J Stud Alcohol Drugs · September 2022 OBJECTIVE: Myriad reasons, including stigma, may prevent patients from self-reporting harmful use of alcohol in Tanzania. Family members may be more forthright but might not know the extent of the patient's alcohol use or suffer alcohol-related stigma as w ... Full text Link to item Cite

Cross-Cultural Adaptation and Psychometric Properties of the SF-8 Questionnaire in Tanzanian Swahili for Injury Population

Journal Article Disabilities · September 1, 2022 Background: There is a lack of tools to screen for health-related quality of life (HRQoL) in acute injury patients, despite the critical need for having a good understanding of the characteristics of mental health during the rehabilitation process. The SF- ... Full text Cite

Scarf Injury: a qualitative examination of the emergency response and acute care pathway from a unique mechanism of road traffic injury in Bangladesh.

Journal Article BMC Emerg Med · August 4, 2022 BACKGROUND: Road traffic injuries (RTI) are the leading cause of death worldwide in children over 5 and adults aged 18-29. Nonfatal RTIs result in 20-50 million annual injuries. In Bangladesh, a new mechanism of RTI has emerged over the past decade known a ... Full text Link to item Cite

Predictors of ICU admission and patient outcome for traumatic brain injury in a Tanzanian referral hospital: Implications for improving treatment guidelines.

Journal Article Injury · June 2022 Traumatic brain injuries (TBI) are a critical global health challenge, with disproportionate negative impact in low- and middle-income countries (LMICs). People who suffer severe TBI in LMICs are twice as likely to die than those in high-income countries, ... Full text Link to item Cite

Validation of a Culturally Relevant Snakebite Envenomation Clinical Practice Guideline in Brazil.

Journal Article Toxins (Basel) · May 28, 2022 Snakebite envenoming (SBE) is a neglected tropical disease with significant global morbidity and mortality. Even when antivenom is available in low-resource areas, health workers do not receive adequate training to manage SBEs. This study aims to develop a ... Full text Link to item Cite

Factors contributing to delayed childhood cancer care in low- and middle-income countries: A systematic review protocol.

Journal Article Pediatr Blood Cancer · May 2022 BACKGROUND: Significant disparities exist for timely access to cancer care for children, with the highest disparities in low- and middle-income countries (LMICs). This study aims to conduct a systematic review that identifies the factors contributing to de ... Full text Link to item Cite

Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary.

Journal Article PLoS Med · April 2022 BACKGROUND: Disease and disability from alcohol use disproportionately impact people in low- and middle-income countries (LMICs). While varied interventions have been shown to reduce alcohol use in high-income countries, their efficacy in LMICs has not bee ... Full text Link to item Cite

PRACT: a pragmatic randomized adaptive clinical trial protocol to investigate a culturally adapted brief negotiational intervention for alcohol use in the emergency department in Tanzania.

Journal Article Trials · February 5, 2022 BACKGROUND: Alcohol use in resource-limited settings results in significant morbidity and mortality. These settings lack the necessary specialty-trained personnel and infrastructure. Therefore, implementing evidence-based interventions from high-income set ... Full text Link to item Cite

Patient satisfaction with the Nigerian National Health Insurance Scheme two decades since establishment: A systematic review and recommendations for improvement.

Journal Article Afr J Prim Health Care Fam Med · January 13, 2022 BACKGROUND: To improve healthcare access and mitigate healthcare costs for its population, Nigeria established a National Health Insurance Scheme (NHIS) in 1999. The NHIS remains Nigeria's leading vehicle for achieving universal health coverage; nonetheles ... Full text Link to item Cite

Corticosteroid Randomization after Significant Head Injury and International Mission for Prognosis and Clinical Trials in Traumatic Brain Injury Models Compared with a Machine Learning-Based Predictive Model from Tanzania.

Journal Article J Neurotrauma · January 2022 Hospitals in low- and middle-income countries (LMICs) could benefit from decision support technologies to reduce time to triage, diagnosis, and surgery for patients with traumatic brain injury (TBI). Corticosteroid Randomization after Significant Head Inju ... Full text Link to item Cite

Impact of dispatcher-assisted cardiopulmonary resuscitation on performance of termination of resuscitation criteria.

Journal Article Resuscitation · January 2022 BACKGROUND: Current Advanced Life Support Termination of Resuscitation (TOR) guidelines suggest when to cease cardiopulmonary resuscitation (CPR). With the significant increase of Dispatch-Assisted CPR (DA-CPR) programs, the impact of DA-CPR on the TOR cri ... Full text Link to item Cite

Experiences of COVID-19 infection in North Carolina: A qualitative analysis.

Journal Article PLoS One · 2022 BACKGROUND AND AIM: It has been demonstrated that marginalized populations across the U.S. have suffered a disproportionate burden of the coronavirus disease 2019 (COVID-19) pandemic, illustrating the role that social determinants of health play in health ... Full text Open Access Link to item Cite

Barriers to accessing follow up care in post-hospitalized trauma patients in Moshi, Tanzania: A mixed methods study.

Journal Article PLOS Glob Public Health · 2022 Disproportionately high injury rates in Sub-Saharan Africa combined with limited access to care in both the acute injury phase and for injury patients requiring continued care after hospital discharge remains a challenge. We aimed to characterize barriers ... Full text Link to item Cite

Three delays model applied to pediatric injury care seeking in Northern Tanzania: A mixed methods study.

Journal Article PLOS Glob Public Health · 2022 Pediatric injuries are a leading cause of morbidity and mortality in low-and middle-income countries. Timely presentation to care is key for favorable outcomes. The goal of this study was to identify and examine delays that children experience between inju ... Full text Link to item Cite

The epidemiology of pediatric traumatic brain injury presenting at a referral center in Moshi, Tanzania.

Journal Article PLoS One · 2022 BACKGROUND: Over 95% of childhood injury deaths occur in low- and middle-income countries (LMICs). Patients with severe traumatic brain injury (TBI) have twice the likelihood of dying in LMICs than in high-income countries (HICs). In Africa, TBI estimates ... Full text Link to item Cite

Feasibility of SMS booster for alcohol reduction in injury patients in Tanzania.

Journal Article PLOS Glob Public Health · 2022 Alcohol use is associated with 3 million annual deaths globally. Harmful alcohol use, which is associated with a high burden of disease in low- and middle-income countries (LMICs), often increases the probability of traumatic injury. Treatments for harmful ... Full text Link to item Cite

[Spatial analysis of the quality of Primary Health Care services in reducing child mortality].

Journal Article Cien Saude Colet · December 2021 This study sought to analyze the correlation of the quality of Primary Health Care services in reducing child mortality, via geoprocessing. It involved an ecological study, with a cross-sectional approach, in which secondary data from all 5,565 Brazilian m ... Full text Link to item Cite

Data-driven risk stratification for preterm birth in Brazil: a population-based study to develop of a machine learning risk assessment approach.

Journal Article Lancet Reg Health Am · November 2021 BACKGROUND: Preterm birth (PTB) is a growing health issue worldwide, currently considered the leading cause of newborn deaths. To address this challenge, the present work aims to develop an algorithm capable of accurately predicting the week of delivery su ... Full text Link to item Cite

Microplanning for designing vaccination campaigns in low-resource settings: A geospatial artificial intelligence-based framework.

Journal Article Vaccine · October 8, 2021 Existing campaign-based healthcare delivery programs used for immunization often fall short of established health coverage targets due to a lack of accurate estimates for population size and location. A microplan, an integrated set of detailed planning com ... Full text Link to item Cite

Immune response profiling in patients with traumatic injuries associated with alcohol ingestion.

Journal Article Clinical and translational science · September 2021 Traumatic injuries afflict more than 5 million people globally every year. Current and past animal research has demonstrated association among alcohol, trauma, and impaired immune function, whereas human registries have shown association between alcohol an ... Full text Open Access Cite

Gender equity in global injury research-A case example from Bangladesh.

Journal Article Med · May 14, 2021 Global injury research and policy too often fail to acknowledge the need for gender-sensitive approaches in their efforts to effectively reduce the detrimental burden of traumatic road injuries. A case example from Bangladesh demonstrates the distinct chal ... Full text Link to item Cite

National COVID-19 vaccination plan: using artificial spatial intelligence to overcome challenges in Brazil.

Journal Article Cien Saude Colet · May 2021 This article explores the use of spatial artificial intelligence to estimate the resources needed to implement Brazil's COVID-19 immu nization campaign. Using secondary data, we conducted a cross-sectional ecological study adop ting a time-series design. T ... Full text Link to item Cite

Estimating prognosis for traumatic brain injury patients in a low-resource setting: how do providers compare to the CRASH risk calculator?

Journal Article J Neurosurg · March 1, 2021 OBJECTIVE: Traumatic brain injury (TBI), a burgeoning global health concern, is one condition that could benefit from prognostic modeling. Risk stratification of TBI patients on presentation to a health facility can support the prudent use of limited resou ... Full text Link to item Cite

Influence of the global crisis of 2008 and the brazilian political oscillations of 2014 on suicide rates: An analysis of the period from 2002 to 2017.

Journal Article SSM Popul Health · March 2021 Global suicide rates have increased in recent decades becoming a serious social and public health problem. In Brazil, rates have been increasing annually. We aimed to analyze the correlation between suicide mortality rates and global economic and political ... Full text Link to item Cite

The Impact of Socioeconomic Factors, Coverage and Access to Health on Heart Ischemic Disease Mortality in a Brazilian Southern State: A Geospatial Analysis.

Journal Article Glob Heart · January 20, 2021 BACKGROUND: No other disease has killed more than ischemic heart disease (IHD) for the past few years globally. Despite the advances in cardiology, the response time for starting treatment still leads patients to death because of the lack of healthcare cov ... Full text Open Access Link to item Cite

Progress and challenges in potential access to oral health primary care services in Brazil: A population-based panel study with latent transition analysis.

Journal Article PLoS One · 2021 OBJECTIVE: Compared indicators of potential access to oral health services sought in two cycles of the Program for Improvement of Access and Quality of Primary Care (PMAQ-AB), verifying whether the program generated changes in access to oral health service ... Full text Open Access Link to item Cite

Helicopter Transportation of Brazilian Trauma Patients: A Comparison of Times to Care.

Journal Article Air Med J · 2021 OBJECTIVE: The purpose of this study was to analyze helicopter emergency medical service (HEMS) transport with secondary land ambulance transfer, comparing landings performed inside and outside the hospital complex to the emergency department. METHODS: Thi ... Full text Link to item Cite

Access to care solutions in healthcare for obstetric care in Africa: A systematic review.

Journal Article PLoS One · 2021 BACKGROUND: Emergency Medical Services (EMS) systems exist to reduce death and disability from life-threatening medical emergencies. Less than 9% of the African population is serviced by an emergency medical services transportation system, and nearly two-t ... Full text Link to item Cite

Predictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.

Journal Article PLoS One · 2021 BACKGROUND: Injuries account for about 13% of all registered deaths in Sri Lanka and are the leading cause of admission to public hospitals. Prehospital trauma care is new to Sri Lanka, and in 2016, a free ambulance service was launched in the Western and ... Full text Link to item Cite

Emergency Care Gap in Brazil: Geographical Accessibility as a Proxy of Response Capacity to Tackle COVID-19.

Journal Article Front Public Health · 2021 Background: The new coronavirus disease (COVID-19) has claimed thousands of lives worldwide and disrupted the health system in many countries. As the national emergency care capacity is a crucial part of the COVID-19 response, we evaluated the Brazilian He ... Full text Link to item Cite

Spatial inequalities of major lower limb amputation rates in Paraná state, Brazil.

Journal Article BMJ Open · December 24, 2020 OBJECTIVE: The aim of this observational cross-sectional study was to analyse the spatial distribution of major lower limb amputation (MLLA) rates and associate them to socioeconomic, demographic and public healthcare access-related variables in the State ... Full text Link to item Cite

Alcohol stigma as it relates to drinking behaviors and perceptions of drink drivers: A mixed method study in Moshi, Tanzania.

Journal Article Alcohol · November 2020 BACKGROUND: Alcohol is a leading risk factor for road traffic injury in low- and middle-income countries, such as Tanzania. This research seeks to explore the drinking patterns, perceptions, and stigma of drink driving behavior of injury patients at Kilima ... Full text Link to item Cite

Alcohol Availability, Cost, Age of First Drink, and Its Association with At-Risk Alcohol Use in Moshi, Tanzania.

Journal Article Alcohol Clin Exp Res · November 2020 BACKGROUND: The Kilimanjaro region has one of the highest levels of reported alcohol intake per capita in Tanzania. Age at first drink has been found to be associated with alcohol problems in adulthood, but there is less information on the age of first dri ... Full text Link to item Cite

Alcohol-Related Risky Behavior Patterns and Their Association With Alcohol Use and Perceived Alcohol Stigma in Moshi, Tanzania.

Journal Article J Stud Alcohol Drugs · September 2020 OBJECTIVE: The Kilimanjaro region has one of the highest rates of reported alcohol use per capita in Tanzania. Alcohol-related risky behaviors pose substantial threats to the health and well-being of alcohol users and the people around them. This study see ... Full text Link to item Cite

A Mixed-Methods Study: Sex Differences in Experiences of Stigma Associated With Alcoholism and Alcohol Use Disorders Among Injury Patients in Tanzania.

Journal Article Alcohol Clin Exp Res · August 2020 BACKGROUND: Each year, alcohol use causes 3.3 million deaths globally and accounts for nearly 30% of injuries treated at Kilimanjaro Christian Medical Center (KCMC) in Moshi, Tanzania. Prior research found significant stigma toward patients reporting alcoh ... Full text Link to item Cite

An Attitude Survey and Assessment of the Feasibility, Acceptability, and Usability of a Traumatic Brain Injury Decision Support Tool in Uganda.

Journal Article World Neurosurg · July 2020 BACKGROUND: Traumatic brain injury (TBI) prognostic models are potential solutions to severe human and technical shortages. Although numerous TBI prognostic models have been developed, none are widely used in clinical practice, largely because of a lack of ... Full text Link to item Cite

Built Environment Analysis for Road Traffic Crash Hotspots in Kigali, Rwanda

Journal Article Frontiers in Sustainable Cities · June 5, 2020 Introduction: Road traffic injuries (RTIs) are a significant cause of morbidity and mortality in Rwanda. Investigations of the high risk areas for road traffic crashes (RTCs) are urgently needed to guide improvements in road safety. This study aims to iden ... Full text Cite

A traumatic brain injury prognostic model to support in-hospital triage in a low-income country: a machine learning-based approach.

Journal Article J Neurosurg · June 1, 2020 OBJECTIVE: Traumatic brain injury (TBI) is a leading cause of death and disability worldwide, with a disproportionate burden of this injury on low- and middle-income countries (LMICs). Limited access to diagnostic technologies and highly skilled providers ... Full text Link to item Cite

Road traffic crash experience among commercial motorcyclists in Kigali, Rwanda.

Journal Article Int J Inj Contr Saf Promot · June 2020 Objective: Road traffic injuries (RTI) cause ∼1.2 million deaths and 50 million injuries annually, disproportionately occurring in low- and middle-income countries. Although policy changes and infrastructural developments have continued to contribute to th ... Full text Link to item Cite

Perceptions of alcohol use among injury patients and their family members in Tanzanian society.

Journal Article Alcohol · March 2020 Alcohol is one of the leading causes of death and disability worldwide. Rates of alcohol abuse in Moshi, Tanzania, are about 2.5 times higher than the Tanzanian average. We sought to qualitatively assess the perceptions of alcohol use among injury patients ... Full text Link to item Cite

Suicide mortality among youth in southern Brazil: a spatiotemporal evaluation of socioeconomic vulnerability.

Journal Article Braz J Psychiatry · 2020 OBJECTIVE: To conduct a geospatial analysis of suicide deaths among young people in the state of Paraná, southern Brazil, and evaluate their association with socioeconomic and spatial determinants. METHODS: Data were obtained from the Mortality Information ... Full text Link to item Cite

Characteristics of primary care and rates of pediatric hospitalizations in Brazil.

Journal Article Rev Saude Publica · 2020 OBJECTIVE: To evaluate the association among characteristics of primary health care center (PHCC) with hospitalizations for primary care sensitive conditions (PCSC) in Brazil. METHOD: In this study, a cross-sectional ecological study was performed. This st ... Full text Open Access Link to item Cite

Association Between Socioeconomic and Demographic Characteristics and Non-fatal Alcohol-Related Injury in Maringá, Brazil.

Journal Article Front Public Health · 2020 Background: Previous research has corroborated a high burden of alcohol-related injury in Brazil and the presence of socioeconomic disparities among the injured. Yet, individual-level data is scarce. To fill this gap, we examined the association between de ... Full text Link to item Cite

Injury patients' perceptions of drink-driving: A qualitative assessment of drink-driving behavior in Moshi, Tanzania.

Journal Article PLoS One · 2020 BACKGROUND: Globally, about 2.3 billion people are current alcohol drinkers, and 283 million have an alcohol use disorder. Alcohol use while driving is a major contributor to road traffic injuries (RTI). We need to understand the culture and perception of ... Full text Link to item Cite

Good death: An exploratory study on perceptions and attitudes of patients, relatives, and healthcare providers, in northern Tanzania.

Journal Article PLoS One · 2020 IMPORTANCE: In the Kilimanjaro region of Tanzania, there are no advance care planning (ACP) protocols being used to document patient preferences for end-of-life (EoL) care. There is a general avoidance of the topic and contemplating ACP in healthcare-limit ... Full text Link to item Cite

Comprehending the lack of access to maternal and neonatal emergency care: Designing solutions based on a space-time approach.

Journal Article PLoS One · 2020 OBJECTIVE: The objective of this study was to better understand how the lack of emergency child and obstetric care can be related to maternal and neonatal mortality levels. METHODS: We performed spatiotemporal geospatial analyses using data from Brazilian ... Full text Link to item Cite

An analysis of emergency care delays experienced by traumatic brain injury patients presenting to a regional referral hospital in a low-income country.

Journal Article PLoS One · 2020 BACKGROUND: Trauma is a leading cause of death and disability worldwide. In low- and middle-income countries (LMICs), trauma patients have a higher risk of experiencing delays to care due to limited hospital resources and difficulties in reaching a health ... Full text Open Access Link to item Cite

Antivenom accessibility impacts mortality and severity of Brazilian snake envenomation: a geospatial information systems analysis

Journal Article · 2020 Background In 2017, the World Health Organization declared the snakebite envenomation as a neglected tropical disease. Annually, snakebite envenomation causes approximately 400,000 permanent disabilities and 95,000 deaths worldwide. People with th ... Full text Cite

Brazil Health Care System preparation against COVID-19

Journal Article · 2020 ABSTRACTBackground The coronavirus disease outbreak from 2019 (COVID-19) is associated with a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a highly contagious virus that claimed thousands of lives around the world and di ... Full text Open Access Cite

Mapping risk of ischemic heart disease using machine learning in a Brazilian state.

Journal Article PLoS One · 2020 Cardiovascular diseases are the leading cause of deaths globally. Machine learning studies predicting mortality rates for ischemic heart disease (IHD) at the municipal level are very limited. The goal of this paper was to create and validate a Heart Health ... Full text Link to item Cite

Prevention of childhood unintentional injuries in low- and middle-income countries: A systematic review.

Journal Article PLoS One · 2020 Injuries are a leading cause of death and disability among children. Numerous injury prevention strategies have been successful in high-income countries, but the majority of unintentional injuries happen to children living in low- and middle-income countri ... Full text Open Access Link to item Cite

An evaluation of outcomes in patients with traumatic brain injury at a referral hospital in Tanzania: evidence from a survival analysis.

Journal Article Neurosurg Focus · November 1, 2019 OBJECTIVE: The purpose of this study was to determine if patients with traumatic brain injury (TBI) in low- and middle-income countries who receive surgery have better outcomes than patients with TBI who do not receive surgery, and whether this differs wit ... Full text Link to item Cite

Knowledge, attitudes, and preventative practices regarding ischemic heart disease among emergency department patients in northern Tanzania.

Journal Article Public Health · October 2019 OBJECTIVES: The objective of this study is to increase understanding of knowledge, attitudes, and preventative practices regarding ischemic heart disease (IHD) in sub-Saharan Africa in order to develop patient-centered interventions to improve care and out ... Full text Link to item Cite

Cross-cultural adaptation and psychometric properties of the MMSE and MoCA questionnaires in Tanzanian Swahili for a traumatic brain injury population.

Journal Article BMC Neurol · April 8, 2019 BACKGROUND: Traumatic Brain Injury (TBI) is the most common cause of injury-related death and disability globally, and a common sequelae is cognitive impairment. Addressing post-TBI cognitive deficits is crucial because they affect rehabilitation outcomes, ... Full text Link to item Cite

Is there a fair distribution of the structure of dental services in the capitals of the Brazilian Federative Units?

Journal Article Int J Equity Health · January 8, 2019 BACKGROUND: Brazilian Primary Care Facilities (PCF) provide primary care and must offer dental services for diagnosis, prevention, and treatment of diseases. According to a logic of promoting equity, PCF should be better structured in less developed places ... Full text Link to item Cite

Temporal Delays Along the Neurosurgical Care Continuum for Traumatic Brain Injury Patients at a Tertiary Care Hospital in Kampala, Uganda.

Journal Article Neurosurgery · January 1, 2019 BACKGROUND: Significant care continuum delays between acute traumatic brain injury (TBI) and definitive surgery are associated with poor outcomes. Use of the "3 delays" model to evaluate TBI outcomes in low- and middle-income countries has not been perform ... Full text Open Access Link to item Cite

The distribution of cardiac diagnostic testing for acute coronary syndrome in the Brazilian healthcare system: A national geospatial evaluation of health access.

Journal Article PLoS One · 2019 BACKGROUND: Little is known about the utilization of cardiac diagnostic testing in Brazil and how such testing is related with local rates of acute coronary syndrome (ACS)-related mortality. METHODS AND RESULTS: Using data from DATASUS, the public national ... Full text Open Access Link to item Cite

The burden of hypertension in the emergency department and linkage to care: A prospective cohort study in Tanzania.

Journal Article PLoS One · 2019 OBJECTIVES: Globally, hypertension affects one billion people and disproportionately burdens low-and middle-income countries. Despite the high disease burden in sub-Saharan Africa, optimal care models for diagnosing and treating hypertension have not been ... Full text Link to item Cite

Cost-effectiveness of birth-dose hepatitis B vaccination among refugee populations in the African region: a series of case studies.

Journal Article Confl Health · 2019 BACKGROUND: Hepatitis B affects 257 million people worldwide. Mother-to-child hepatitis B virus (HBV) transmission is a preventable cause of substantial morbidity and mortality and poses greatest risk for developing chronic HBV infection. The World Health ... Full text Link to item Cite

The Burden of Hypertension and Diabetes in an Emergency Department in Northern Tanzania.

Journal Article Ethn Dis · 2019 INTRODUCTION: Little is known about the burden of hypertension and diabetes on emergency department (ED) utilization and hospitalizations in sub-Saharan Africa. METHODS: A retrospective review of adult ED patients in northern Tanzania was performed from Se ... Full text Link to item Cite

Lifetime prevalence of intimate partner violence against women in an urban Brazilian city: A cross-sectional survey.

Journal Article PLoS One · 2019 BACKGROUND: Intimate partner violence is a global health burden that disproportionately affects women and their health outcomes. Women in Brazil are also affected by interpersonal violence. We aimed to estimate the lifetime prevalence of three forms of int ... Full text Open Access Link to item Cite

Addressing inequalities in medical workforce distribution: evidence from a quasi-experimental study in Brazil.

Journal Article BMJ Glob Health · 2019 BACKGROUND: Brazil faces huge health inequality challenges since not all municipalities have access to primary care physicians. The More Doctors Programme (MDP), which started in 2013, was born out of this recognition, providing more than 18 000 doctors in ... Full text Link to item Cite

Road traffic crashes and built environment analysis of crash hotspots based on local police data in Galle, Sri Lanka.

Journal Article Int J Inj Contr Saf Promot · September 2018 Road traffic crashes (RTCs) are a leading cause of death and disability. In low- and middle-income countries, vulnerable road users are commonly involved in injurious RTCs. This study describes epidemiological and built environment analysis (BEA) of in Gal ... Full text Link to item Cite

Built environment analysis for road traffic hotspot locations in Moshi, Tanzania.

Journal Article Int J Inj Contr Saf Promot · September 2018 Road traffic injuries (RTIs) cause significant morbidity and mortality in low- and middle-income countries. Investigation of high risk areas for RTIs is needed to guide improvements. This study provides built environmental analysis of road traffic crash ho ... Full text Link to item Cite

Perceived barriers by health care providers for screening and management of excessive alcohol use in an emergency department of a low-income country.

Journal Article Alcohol · September 2018 Annually, alcohol causes 3.3 million deaths; countless more alcohol-related injury patients are treated in emergency departments (EDs) worldwide. Studies show that alcohol-related injury patients reduce their at-risk alcohol-use behavior with a brief negot ... Full text Link to item Cite

Cross-cultural adaptation and psychometric properties of the Kessler Scale of Psychological Distress to a traumatic brain injury population in Swahili and the Tanzanian Setting.

Journal Article Health Qual Life Outcomes · July 27, 2018 BACKGROUND: To evaluate the psychometric properties of a Swahili version of the Kessler Psychological Distress scale in an injury population in Tanzania. METHODS: Swahili version of the Kessler Psychological Distress scale was developed by translation and ... Full text Link to item Cite

A cross-sectional exploratory study of knowledge, attitudes, and practices of emergency health care providers in the assessment of child maltreatment in Maputo, Mozambique.

Journal Article BMC Emerg Med · May 9, 2018 BACKGROUND: In Mozambique, and other low-income countries (LICs), there is little information on the burden of child maltreatment (CM). Emergency care services (ECS) play an important role in recognizing, treating, and intervening in situations of CM. We a ... Full text Open Access Link to item Cite

Zika virus infection and microcephaly: Evidence regarding geospatial associations.

Journal Article PLoS Negl Trop Dis · April 2018 BACKGROUND: Although the Zika virus (ZIKV) epidemic ceased to be a public health emergency by the end of 2016, studies to improve knowledge about this emerging disease are still needed, especially those investigating a causal relationship between ZIKV in p ... Full text Link to item Cite

The impact of alcohol among injury patients in Moshi, Tanzania: a nested case-crossover study.

Journal Article BMC Public Health · February 21, 2018 BACKGROUND: Globally, alcohol is responsible for 3.3 million deaths annually and contributes to 5.9% of the overall global burden of disease. In Sub-Saharan Africa, alcohol is the leading avoidable risk factor accounting for a substantial portion of death ... Full text Link to item Cite

Cross-Cultural Adaptation and Psychometric Properties of the AUDIT and CAGE Questionnaires in Tanzanian Swahili for a Traumatic Brain Injury Population.

Journal Article Alcohol Alcohol · January 1, 2018 AIMS: To develop Swahili versions of the Alcohol Use Disorders Identification Test (AUDIT) and CAGE questionnaires and evaluate their psychometric properties in a traumatic brain injury (TBI) population in Tanzania. METHODS: Swahili versions of the AUDIT a ... Full text Link to item Cite

A systematic review and quality analysis of pediatric traumatic brain injury clinical practice guidelines.

Journal Article PLoS One · 2018 BACKGROUND: Traumatic brain injuries (TBI) are a significant cause of mortality and morbidity for children globally. Adherence to evidence-based treatment guidelines have been shown to improve TBI outcomes. To inform the creation of a pediatric TBI managem ... Full text Link to item Cite

Injury prevalence and safety habits of boda boda drivers in Moshi, Tanzania: A mixed methods study.

Journal Article PLoS One · 2018 BACKGROUND: Traffic crashes are a major cause of global morbidity and mortality disproportionately affecting low- and middle-income countries (LMICs). Motorcycle taxi (boda boda) drivers are particularly vulnerable because they are exposed to traffic risks ... Full text Link to item Cite

Cross-Culture Adaptation and Psychometric Properties of the DrInC Questionnaire in Tanzanian Swahili.

Journal Article Front Public Health · 2018 Aims: To develop Swahili versions of the Drinker Inventory of Consequences (DrInC) and evaluate its psychometric properties among a mixed population in Tanzania. Methods: A Swahili version of the DrInC was developed by a panel of bilingual Swahili and Engl ... Full text Link to item Cite

Qualitative evaluation of trauma delays in road traffic injury patients in Maringá, Brazil.

Journal Article BMC Health Serv Res · December 2, 2017 BACKGROUND: Road traffic injuries (RTIs) are the eighth leading cause of death worldwide, with an estimated 90% of RTIs occurring in low- and middle-income countries (LMICs) like Brazil. There has been minimal research in evaluation of delays in transport ... Full text Link to item Cite

Access to emergency care services: a transversal ecological study about Brazilian emergency health care network.

Journal Article Public Health · December 2017 OBJECTIVES: Studies of health geography are important in the planning and allocation of emergency health services. The geographical distribution of health facilities is an important factor in timely and quality access to emergency services; therefore, the ... Full text Link to item Cite

Epidemiology of hypertension in Northern Tanzania: a community-based mixed-methods study.

Journal Article BMJ Open · November 9, 2017 INTRODUCTION: Sub-Saharan Africa is particularly vulnerable to the growing global burden of hypertension, but epidemiological studies are limited and barriers to optimal management are poorly understood. Therefore, we undertook a community-based mixed-meth ... Full text Open Access Link to item Cite

Oral primary care: an analysis of its impact on the incidence and mortality rates of oral cancer.

Journal Article BMC Cancer · October 30, 2017 BACKGROUND: Oral cancer is a potentially fatal disease, especially when diagnosed in advanced stages. In Brazil, the primary health care (PHC) system is responsible for promoting oral health in order to prevent oral diseases. However, there is insufficient ... Full text Link to item Cite

Road traffic injury in sub-Saharan African countries: A systematic review and summary of observational studies.

Journal Article Traffic Inj Prev · October 3, 2017 OBJECTIVE: The aim of this study is to evaluate, through a systematic review of hospital-based studies, the proportion of road traffic injuries and fatalities in sub-Saharan Africa (SSA). METHODS: In accordance with Preferred Reporting Items for Systematic ... Full text Link to item Cite

Alcohol-related physical abuse of children in the slums of Kampala, Uganda

Journal Article International Journal of Environmental Research and Public Health · September 26, 2017 This study examines the patterns of alcohol-related physical abuse and alcohol use and related behaviors among children living in the slums of Kampala, Uganda. The study is based on a cross-sectional survey, conducted in spring 2014, of service-seeking chi ... Full text Cite

Alcohol-Related Physical Abuse of Children in the Slums of Kampala, Uganda.

Journal Article Int J Environ Res Public Health · September 26, 2017 This study examines the patterns of alcohol-related physical abuse and alcohol use and related behaviors among children living in the slums of Kampala, Uganda. The study is based on a cross-sectional survey, conducted in spring 2014, of service-seeking chi ... Full text Link to item Cite

Addressing geographic access barriers to emergency care services: a national ecologic study of hospitals in Brazil.

Journal Article Int J Equity Health · August 22, 2017 BACKGROUND: Unequal distribution of emergency care services is a critical barrier to be overcome to assure access to emergency and surgical care. Considering this context it was objective of the present work analyze geographic access barriers to emergency ... Full text Link to item Cite

The epidemiology and hotspots of road traffic injuries in Moshi, Tanzania: An observational study.

Journal Article Injury · July 2017 Road traffic injuries (RTIs) continue to increase with the proliferation of motor vehicles, especially in low-income countries where safe road infrastructure is lacking. Knowing where and why RTIs occur would allow for increased safety and prevention plann ... Full text Link to item Cite

Mortality-Associated Characteristics of Patients with Traumatic Brain Injury at the University Teaching Hospital of Kigali, Rwanda.

Journal Article World Neurosurg · June 2017 OBJECTIVE: Traumatic brain injury (TBI) is a leading cause of death and disability. Patients with TBI in low and middle-income countries have worse outcomes than patients in high-income countries. We evaluated important clinical indicators associated with ... Full text Link to item Cite

Epidemiology and Characteristics of Neurosurgical Conditions at Mbarara Regional Referral Hospital.

Journal Article World Neurosurg · June 2017 BACKGROUND: The unmet surgical need, specifically neurosurgical need, in Uganda is significant, yet only 2 public hospitals currently perform neurosurgery in the country. This study examines the epidemiology and outcomes of neurosurgical conditions present ... Full text Link to item Cite

A prospective registry evaluating the epidemiology and clinical care of traumatic brain injury patients presenting to a regional referral hospital in Moshi, Tanzania: challenges and the way forward.

Journal Article Int J Inj Contr Saf Promot · March 2017 Traumatic brain injury (TBI) is the most common cause of death and disability globally disproportionately affecting low- and middle-income countries where increasing injury rates are compounded by limited quality care. The objective of this study is to des ... Full text Link to item Cite

Geospatial Analysis of Unmet Surgical Need in Uganda: An Analysis of SOSAS Survey Data.

Journal Article World J Surg · February 2017 BACKGROUND: Globally, a staggering five billion people lack access to adequate surgical care. Sub-Saharan Africa represents one of the regions of greatest need. We sought to understand how geographic factors related to unmet surgical need (USN) in Uganda. ... Full text Link to item Cite

Sepsis Resuscitation in Resource-Limited Settings.

Journal Article Emerg Med Clin North Am · February 2017 Our evolving understanding of the physiologic processes that lead to sepsis has led to updated consensus guidelines outlining priorities in the recognition and treatment of septic patients. However, an enormous question remains when considering how to best ... Full text Link to item Cite

Primary Health Care and Cervical Cancer Mortality Rates in Brazil: A Longitudinal Ecological Study.

Journal Article J Ambul Care Manage · 2017 Cervical cancer is a common neoplasm that is responsible for nearly 230 000 deaths annually in Brazil. Despite this burden, cervical cancer is considered preventable with appropriate care. We conducted a longitudinal ecological study from 2002 to 2012 to e ... Full text Link to item Cite

A prospective neurosurgical registry evaluating the clinical care of traumatic brain injury patients presenting to Mulago National Referral Hospital in Uganda.

Journal Article PLoS One · 2017 BACKGROUND: Traumatic Brain Injury (TBI) is disproportionally concentrated in low- and middle-income countries (LMICs), with the odds of dying from TBI in Uganda more than 4 times higher than in high income countries (HICs). The objectives of this study ar ... Full text Open Access Link to item Cite

Psychosocial health concerns among service-seeking orphans in the slums of Kampala.

Journal Article Vulnerable Child Youth Stud · 2017 Orphans have many unmet needs. The purpose of the current study is to briefly examine the psychosocial correlates linked to being an orphan among service-seeking youth in the slums of Kampala in order to provide guidance for service provision for youth. Th ... Full text Link to item Cite

Hotspots and causes of motor vehicle crashes in Baltimore, Maryland: A geospatial analysis of five years of police crash and census data.

Journal Article Injury · November 2016 INTRODUCTION: Road traffic injuries are a leading killer of youth (aged 15-29) and are projected to be the 7th leading cause of death by 2030. To better understand road traffic crash locations and characteristics in the city of Baltimore, we used police an ... Full text Link to item Cite

Prevalence of occupational injury and its contributing factors among rubber tappers in Galle, Sri Lanka.

Journal Article Int J Occup Environ Health · October 2016 BACKGROUND: Rubber tapping involves carrying heavy loads, navigating rough terrain, and using sharp tools. However, little is known about occupational injury among this vulnerable working population. OBJECTIVE: To assesses the prevalence, severity, and con ... Full text Link to item Cite

The epidemiology of road traffic injury hotspots in Kigali, Rwanda from police data.

Journal Article BMC Public Health · August 2, 2016 BACKGROUND: Road traffic injuries (RTIs) are the eighth-leading cause of death worldwide, with low- and middle-income countries sharing a disproportionate number of fatalities. African countries, like Rwanda, carry a higher burden of these fatalities and w ... Full text Link to item Cite

Use of diagnosis codes for detection of clinically significant opioid poisoning in the emergency department: A retrospective analysis of a surveillance case definition.

Journal Article BMC Emerg Med · February 8, 2016 BACKGROUND: Although fatal opioid poisonings tripled from 1999 to 2008, data describing nonfatal poisonings are rare. Public health authorities are in need of tools to track opioid poisonings in near real time. METHODS: We determined the utility of ICD-9-C ... Full text Link to item Cite

High road utilizers surveys compared to police data for road traffic crash hotspot localization in Rwanda and Sri Lanka.

Journal Article BMC Public Health · January 20, 2016 BACKGROUND: Road traffic crashes (RTCs) are a leading cause of death. In low and middle income countries (LMIC) data to conduct hotspot analyses and safety audits are usually incomplete, poor quality, and not computerized. Police data are often limited, bu ... Full text Link to item Cite

Road Traffic Injury Prevention Initiatives: A Systematic Review and Metasummary of Effectiveness in Low and Middle Income Countries.

Journal Article PLoS One · 2016 BACKGROUND: Road traffic injuries (RTIs) are a growing but neglected global health crisis, requiring effective prevention to promote sustainable safety. Low- and middle-income countries (LMICs) share a disproportionately high burden with 90% of the world's ... Full text Open Access Link to item Cite

Quality of the Development of Traumatic Brain Injury Clinical Practice Guidelines: A Systematic Review.

Journal Article PLoS One · 2016 Traumatic brain injury (TBI) is a leading cause of death worldwide and is increasing exponentially particularly in low and middle income countries (LMIC). To inform the development of a standard Clinical Practice Guideline (CPG) for the acute management of ... Full text Link to item Cite

Descriptive study of the psychosocial and physical environments of school in relation to violence among adolescents in the Gampaha District of Sri Lanka

Journal Article Sri Lanka Journal of Child Health · January 1, 2015 Introduction: Adolescents spend a considerable proportion of their time in school and the physical and psychosocial dimensions of schools are important for their wellbeing. Objective: To assess the psychosocial and physical environments of schools for fact ... Full text Cite

Correlates of peer violence among 13- to 15-year-olds in Gampaha district schools in Sri Lanka: Findings from a comparison between violent and non-violent adolescents

Journal Article Sage Open · August 12, 2014 Violence among adolescents in schools is a relatively new research area in South Asian countries. Limited knowledge about factors associated with peer violence hinders the design of prevention programs. This study was carried out to assess correlates of pe ... Full text Cite

Acute myocardial infarction in sub-Saharan Africa: the need for data.

Journal Article PLoS One · 2014 BACKGROUND: Trends in the prevalence of acute myocardial infarction in sub-Saharan Africa have not been well described, despite growing recognition of the increasing burden of cardiovascular disease in low- and middle-income countries. The aim of this syst ... Full text Open Access Link to item Cite

Brazilian road traffic fatalities: a spatial and environmental analysis.

Journal Article PLoS One · 2014 BACKGROUND: Road traffic injuries (RTI) are a major public health epidemic killing thousands of people daily. Low and middle-income countries, such as Brazil, have the highest annual rates of road traffic fatalities. In order to improve road safety, this s ... Full text Open Access Link to item Cite

Development of the Sri Lankan early teenagers' violence inventory: an instrument to measure peer violence in schools.

Journal Article Biomed Res Int · 2014 This study was designed to develop an inventory to measure peer violence among early teens (13-15 years of age) in schools in Sri Lanka. Development of SLETVI was carried out in two phases. In phase I, development of an operational definition for peer viol ... Full text Link to item Cite

System dynamics modeling in the evaluation of delays of care in ST-segment elevation myocardial infarction patients within a tiered health system.

Journal Article PLoS One · 2014 BACKGROUND: Mortality rates amongst ST segment elevation myocardial infarction (STEMI) patients remain high, especially in developing countries. The aim of this study was to evaluate the factors related with delays in the treatment of STEMI patients to sup ... Full text Link to item Cite

Emergency care research funding in the global health context: trends, priorities, and future directions.

Journal Article Acad Emerg Med · December 2013 Over the past few decades there has been a steady growth in funding for global health, yet generally little is known about funding for global health research. As part of the 2013 Academic Emergency Medicine consensus conference, a session was convened to d ... Full text Link to item Cite

Under reporting of road traffic injuries in the district of Kandy, Sri Lanka.

Journal Article BMJ Open · November 8, 2013 OBJECTIVES: To conduct a community survey to estimate the degree to which road traffic injuries (RTIs) are under reported and to compare the characteristics of RTI reported to the police to those not reported. DESIGN: A cross-sectional population-based stu ... Full text Link to item Cite

Childhood drowning in Georgia: A geographic information system analysis

Journal Article Applied Geography · February 1, 2013 Drowning is one of the major causes of childhood mortality from unintentional injury in the United States. This study aims to delineate the drowning hot spots by aquatic environment and to examine the socioeconomic characteristics of neighborhoods with hig ... Full text Cite

Factors affecting compliance with clinical practice guidelines for pap smear screening among healthcare providers in africa: systematic review and meta-summary of 2045 individuals.

Journal Article PLoS One · 2013 BACKGROUND: Although the importance of the Pap smear in reducing cancer incidence and mortality is known, many countries in Africa have not initiated yet widespread national cervical cancer screening programs. The World Health Organization (WHO) has publis ... Full text Open Access Link to item Cite

Use of ultrasound guidance improves central venous catheter insertion success rates among junior residents.

Journal Article J Ultrasound Med · October 2012 OBJECTIVES: The purpose of this study was to determine whether junior residents had higher rates of first cannulation and overall success at central venous catheter insertions with the use of ultrasound (US) guidance compared to the landmark technique. MET ... Full text Link to item Cite

The economic impact of road traffic injuries on households in Kandy, Sri Lanka

Conference Injury Prevention · October 2012 BackgroundIn Sri Lanka, road traffic injuries (RTIs) kill one person every 4 h. RTI can cause serious economic difficulties for families. Although public sector healthcare is free in Sri Lanka, the household costs ... Full text Cite

The incidence of road traffic inuries in Kandy, Sri Lanka

Conference Injury Prevention · October 2012 BackgroundRoad traffic injuries (RTIs) are a major public health problem worldwide; in Sri Lanka RTI cause six fatalities daily. Traffic police records are the only available National data and are plagued with und ... Full text Cite

Serious Violence Victimization and Perpetration among Youth Living in the Slums of Kampala, Uganda.

Journal Article West J Emerg Med · August 2012 INTRODUCTION: Violence among youth is a major public health issue globally. Despite these concerns, youth violence surveillance and prevention research are either scarce or non-existent, particularly in developing regions, such as sub-Saharan Africa. The p ... Full text Link to item Cite

Retail Store-Related Traumatic Injuries in Paediatric and Elderly Populations

Journal Article Journal of Paramedic Practice · November 4, 2011 Retail stores are often frequent sources of emergency medical service (EMS) calls responding to traumatic injuries. At risk populations for trauma due to falls are paediatric and elderly persons. Methods: the authors reviewed the English literature ... Full text Cite

Evidence-based community consultation for traumatic brain injury.

Journal Article Acad Emerg Med · September 2011 OBJECTIVES: The objective was to determine if geospatial techniques can be used to inform targeted community consultation (CC) and public disclosure (PD) for a clinical trial requiring emergency exception from informed consent (EFIC). METHODS: Data from Ja ... Full text Link to item Cite

Characteristic of victims of family violence seeking care at health centers in Maputo, Mozambique.

Journal Article J Emerg Trauma Shock · July 2011 BACKGROUND: Family violence (FV) is a common, yet often invisible, cause of violence. To date, most literature on risk factors for family, interpersonal and sexual violence is from high-income countries and might not apply to Mozambique. AIMS: To determine ... Full text Link to item Cite

Treatment, services and follow-up for victims of family violence in health clinics in Maputo, Mozambique

Journal Article Western Journal of Emergency Medicine · July 1, 2011 Background: Family violence (FV) is a global health problem that not only impacts the victim, but the family unit, local community and society at large. Objective: To quantitatively and qualitatively evaluate the treatment and follow up provided to victims ... Cite