scholarly journals Surgical care in Jamaica in the laparoendoscopic era: challenges and future prospects for developing nations

2013 ◽  
Vol 15 (1) ◽  
pp. 57-61 ◽  
Author(s):  
Joseph Plummer
2021 ◽  
Vol 37 (10) ◽  
pp. 3083-3087
Author(s):  
Rahul Jandial ◽  
Pranay Narang ◽  
Jorge Daniel Brun Aramayo ◽  
Michael Levy

AbstractWith respect to the tremendous deficit in surgical care plaguing developing nations, it is critical that medical outreach models be organized in such a fashion that sustainable advancements can be durably imparted beyond the duration of targeted missions. Using a didactic framework focused on empowering host neurosurgeons with an enhanced surgical skillset, a mission was launched in Managua, Nicaragua, after previous success in Kiev, Ukraine, and Lima, Peru. Unfortunately, the failure to critically assess the internal and external state of affairs of the region’s medical center compromised the outreach mission. Herein lies the visiting team’s lessons from failure and insights on facilitating effective communication with host institutions, circumventing geopolitical instability, and utilizing digital collaboration and video-conferencing tools in the post-COVID-19 era to advance the surgical care of developing regions in a fashion that can be generationally felt.


Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 549
Author(s):  
Jenna K. Lovely ◽  
David W. Larson

This work aims to describe the implementation and subsequent learnings from the first decade after the full implementation of enhanced recovery pathway for colorectal surgery at a single institution. This paper will describe the diffusion efforts and plans through the Define, Measure, Analyze, Improve, Control (DMAIC) process of ongoing quality improvement and through research efforts. The information applies to all readers that provide surgical care within their organization as the fundamental principles of enhanced recovery for surgery are applicable regardless of the setting.


2018 ◽  
Vol 8 (4) ◽  
pp. 42-56
Author(s):  
Victor H. Mlambo

With rapid globalization sweeping through the globe, the movement of people throughout the world has increased significantly over the last 20 years. Motivated by the thrill of earning better salaries and living in countries characterised by better standards of living, people have travelled long distances in search of such opportunities. Undoubtedly, the economic buoyancy of countries like South Africa and Botswana has attracted thousands of migrants from the SADC who are seeking job opportunities, further straining government resources and impeding the effective functioning of border immigration services. The unequal rate of economic development in the region has further created an increasing gap between fast-developing and slow developing nations, hence the unequal rate of migration. Skills transfer and collaborations have been the major benefits of cross border-migration for SADC, although crime and xenophobia have also been identified as problems associated with cross-border migration in Southern Africa. The flow of remittances from South Africa has played a crucial role in fighting poverty and hunger in the migrant’s home country and contributed significantly to government finances. However, the absence of a regionally accepted policy aimed at regulating migration means that illegal cross-border migration will carry on being a problem in the region and unfortunately the absence of policies aiming at spurring collective regional economic growth means illegal cross-border migration will increase in the years to come.


2021 ◽  
pp. 004947552110387
Author(s):  
Shamir O Cawich ◽  
Marlon Mencia ◽  
Dexter Thomas ◽  
Richard Spence ◽  
David Milne ◽  
...  

When the COVID-19 pandemic unfolded in March 2020, surgical care was impacted globally. The developing nations in the Caribbean were unprepared with fragile, resource poor healthcare systems. A series of rapid policy changes in response to the pandemic radically changed surgical care and prevented the usual oversight in the operating theatre. Attending surgeons responded utilising readily available technology for distance mentoring. Using this model, postgraduate surgical residents were able to complete 96% of trauma laparotomies safely without major complications.


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