5 results on '"Sabina Siddiqui"'
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2. Towards defining the surgical workforce for children: a geospatial analysis in Brazil
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Charles Mock, Jonathan Lord, Monica Langer, Niyi Ade-Ajayi, Dan Poenaru, Harshjeet Singh Bal, Massimo Caputo, Damian Clarke, Fred Bulamba, Lubna Samad, David Cunningham, George Youngson, Michael Cooper, Tamara Fitzgerald, Henry Rice, Patrick Kamalo, Emily R Smith, Bistra Zheleva, David Drake, Emily Smith, Lars Hagander, Bassey Edem, Sridhar Gibikote, Jessica Ng, David Spiegel, Saurabh Saluja, Peter Ssenyonga, Thiago Augusto Hernandes Rocha, Joao Vissoci, Nubia Rocha, Mark Shrime, Henry E Rice, Mohamed Abdelmalak, Nurudeen Abdulraheem, Edna Adan Ismail, Eltayeb Ahmed, Sunday Ajike, Olugbemi Benedict Akintububo, Brendan Allen, Emmanuel Ameh, Shanthi Anbuselvan, Jamie Anderson, Theophilus Teddy Kojo Anyomih, Leopold Asakpa, Gudeta Assegie, Jason Axt, Ruben Ayala, Frehun Ayele, Rouma Bankole, Tahmina Banu, Tim Beacon, Stephen Bickler, Zaitun Bokhari, Hiranya Kumar Borah, Eric Borgstein, Nick Boyd, Jason Brill, Britta Budde-Schwartzman, Marilyn Butler, Bruce Bvulani, Sarah Cairo, Juan Francisco Campos Rodezno, Milind Chitnis, Maija Cheung, Bruno Cigliano, Tessa Concepcion, Scott Corlew, Sergio D’Agostino, Shukri Dahir, Bailey Deal, Miliard Derbew, Sushil Dhungel, Elizabeth Drum, Stella Eguma, Beda R. Espineda, Samuel Espinoza, Faye Evans, Jacques Fadhili Bake, Diana Farmer, Tatiana Fazecas, Mohammad Rafi Fazli, Graham Fieggen, Anthony Figaji, Jean Louis Fils, Randall Flick, Gacelle Fossi, George Galiwango, Mike Ganey, Zipporah Gathuya, Maryam Ghavami Adel, Vafa Ghorban Sabagh, Hetal Gohil, Laura Goodman, David Grabski, Sarah Greenberg, Russell Gruen, Rahimullah Hamid, Erik Hansen, William Harkness, Mauricio Herrera, Intisar Hisham, Andrew Hodges, Sarah Hodges, Ai-Xuan Holterman, Andrew Howard, Romeo Ignacio, Dawn Ireland, Enas Ismail, Rebecca Jacob, Anette Jacobsen, Deeptiman James, Ebor Jacob James, Adiyasuren Jamiyanjav, Kathy Jenkins, Guy Jensen, Maria Jimenez, Tarun John K Jacob, Walter Johnson, Anita Joselyn, Nasser Kakembo, Neema Kaseje, Bertille Ki, Phyllis Kisa, Peter Kim, Krishna Kumar, Rashmi Kumar, Charlotte Kvasnovsky, Ananda Lamahewage, Christopher Lavy, Colin Lazarus, Chelsea Lee, Basil Leodoro, Allison Linden, Katrine Lofberg, Jerome Loveland, Leecarlo Millano Lumban Gaol, Vrisha Madhuri, Pavrette Magdala, Luc Kalisya Malemo, Aeesha Malik, John Mathai, Marcia Matias, Bothwell Mbuwayesango, Merrill McHoney, Liz McLeod, Mubarak Mohamed, Ivan Molina, Ashika Morar, Zahid Mukhtar, Mulewa Mulenga, Bhargava Mullapudi, Jack Mulu, Byambajav Munkhjargal, Arlene Muzira, Mary Nabukenya, Mark Newton, Karissa Nguyen, Laurence Isaaya Ntawunga, Peter M. Nthumba, Alp Numanoglu, Benedict Nwomeh, Kristin Ojomo, Keith Oldham, Maryrose Osazuwa, Doruk Ozgediz, Emmanuel Owusu Abem, Shazia Peer, Norgrove Penny, Robin Petroze, Vithya Priya, Ekta Rai, Lola Raji, Vinitha Paul Ravindran, Desigen Reddy, Yona Ringo, Amezene Robelie, Jose Roberto Baratella, David Rothstein, Coleen Sabatini, Soumitra Saha, Lily Saldaña Gallo, John Sekabira, Bello B. Shehu, Ritesh Shrestha, Sabina Siddiqui, David Sigalet, Martin Situma, Adrienne Socci, Etienne St-Louis, Jacob Stephenson, Erin Stieber, Richard Stewart, Vinayak Shukla, Thomas Sims, Faustin Felicien Mouafo Tambo, Robert Tamburro, Mansi Tara, Ahmad Tariq, Reju Thomas, Leopold Torres Contreras, Stephen Ttendo, Benno Ure, Luca Vricella, Luis Vasquez, Vijayakumar Raju, Jorge Villacis, Gustavo Villanova, Catherine deVries, Amira Waheeb, Saber Waheeb, Albert Wandaogo, Anne Wesonga, Sigal Willner, Nyo Nyo Win, Hussein Wissanji, Paul Mwindekuma Wondoh, Garreth Wood, Benjamin Yapo, Yasmine Yousef, Denle'wende' Sylvain Zabsonre, Luis Enrique, Zea Salazar, and Adiyasuren Zevee
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Medicine - Abstract
Objectives The optimal size of the health workforce for children’s surgical care around the world remains poorly defined. The goal of this study was to characterise the surgical workforce for children across Brazil, and to identify associations between the surgical workforce and measures of childhood health.Design This study is an ecological, cross-sectional analysis using data from the Brazil public health system (Sistema Único de Saúde).Settings and participants We collected data on the surgical workforce (paediatric surgeons, general surgeons, anaesthesiologists and nursing staff), perioperative mortality rate (POMR) and under-5 mortality rate (U5MR) across Brazil for 2015.Primary and secondary outcome measures We performed descriptive analyses, and identified associations between the workforce and U5MR using geospatial analysis (Getis-Ord-Gi analysis, spatial cluster analysis and linear regression models).Findings There were 39 926 general surgeons, 856 paediatric surgeons, 13 243 anaesthesiologists and 103 793 nurses across Brazil in 2015. The U5MR ranged from 11 to 26 deaths/1000 live births and the POMR ranged from 0.11–0.17 deaths/100 000 children across the country. The surgical workforce is inequitably distributed across the country, with the wealthier South and Southeast regions having a higher workforce density as well as lower U5MR than the poorer North and Northeast regions. Using linear regression, we found an inverse relationship between the surgical workforce density and U5MR. An U5MR of 15 deaths/1000 births across Brazil is associated with a workforce level of 5 paediatric surgeons, 200 surgeons, 100 anaesthesiologists or 700 nurses/100 000 children.Conclusions We found wide disparities in the surgical workforce and childhood mortality across Brazil, with both directly related to socioeconomic status. Areas of increased surgical workforce are associated with lower U5MR. Strategic investment in the surgical workforce may be required to attain optimal health outcomes for children in Brazil, particularly in rural regions.
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- 2020
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3. Case report of idiopathic cecal perforation presenting as acute appendicitis on ultrasound
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Calista Harbaugh, Sabina Siddiqui, Cabrini Sutherland, Raja Rabah-Hammad, and Ronald Hirschl
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Surgery ,Intestinal perforation ,Histology ,Pediatrics ,RJ1-570 ,RD1-811 - Abstract
Cecal perforation is an uncommon phenomenon in a pediatric population. It has been linked to a number of underlying medical conditions, which may result in focal inflammation or relative ischemia including hematologic malignancy, infection, and inflammatory bowel disease. We present an otherwise healthy 16-year-old male diagnosed with acute uncomplicated appendicitis on ultrasound, who was found to have cecal perforation with normal appendix intraoperatively, ultimately requiring ileocectomy. With this report, we aim to present the numerous pathophysiologic etiologies of cecal perforation, and to promote a comprehensive differential diagnosis despite the clinical and radiologic findings consistent with uncomplicated appendicitis.
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- 2016
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4. Preliminary findings of long-term neurodevelopmental outcomes of infants treated with intravenous fat emulsion reduction for the management of parenteral nutrition-associated cholestasis
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Karolyn Horn, Daniel H. Teitelbaum, Sabina Siddiqui, Micah Warschausky, Kathleen B. Welch, Allison B. Blackmer, Seth Warschausky, and Ashley Wester
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Parenteral Nutrition - Associated Cholestasis ,Central Nervous System ,Male ,Pediatrics ,medicine.medical_specialty ,Fat Emulsions, Intravenous ,Parenteral Nutrition ,Medicine (miscellaneous) ,Fat emulsion ,Cholestasis ,Surveys and Questionnaires ,medicine ,Humans ,Prospective Studies ,Prospective cohort study ,Nutrition and Dietetics ,Dose-Response Relationship, Drug ,business.industry ,Infant ,Effective management ,medicine.disease ,Soybean Oil ,Logistic Models ,Treatment Outcome ,Socioeconomic Factors ,Child, Preschool ,Female ,Predictive variables ,business - Abstract
Parenteral nutrition-associated cholestasis (PNAC) is linked with the administration of soybean-based intravenous fat emulsion (IVFE). IVFE reduction (IFER) may be an effective management strategy for PNAC; however, long-term associated neurodevelopmental outcomes (NDOs) for infants undergoing IFER have not been measured previously. This single-institution, prospective study examined the risk for negative NDOs and key predictors of NDOs associated with IFER.Patients (2-5 years) treated with soybean-based IFER as neonates underwent NDO measurements, including Ages and Stages Questionnaires-3 (ASQ-3), Parents' Evaluations of Developmental Status (PEDS), and Behavior Assessment System for Children, Second Edition Preschool, Parent (BASC-2 PRS-P). The relationship between NDOs and predictive variables was evaluated.A total of 25 children had a complete PEDS survey, and 17 were found to be "not at risk." The BASC-2 PRS-P evaluation (n = 18 patients) showed that all 4 composite domains fell within the normative developmental range, and 67%-89% of patients were observed to be "typically developing." For the primary outcome measure, ASQ-3, 82.4%-94.4% of patients were "not at risk." Logistical regression analyses were performed to examine risk factors contributing to negative NDOs. Of children completing all NDO studies, IFER-related variables (eg, development of essential fatty acid deficiency, duration of IFER, and mean IVFE dose) were not found to be predictors of adverse NDOs.This study represents the first report of NDOs in pediatric patients treated with IFER. IFER-treated patients score within the normative range most of the time. IFER-related variables were not found to be associated with negative NDOs. The results set the stage for a larger, multicenter, prospective study.
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- 2014
5. Improving central line infection rates in the neonatal intensive care unit: Effect of hospital location, site of insertion, and implementation of catheter-associated bloodstream infection protocols
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Marcus D. Jarboe, Samir K. Gadepalli, Jennifer J. Freeman, Ronald B. Hirschl, and Sabina Siddiqui
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Male ,medicine.medical_specialty ,Catheterization, Central Venous ,Michigan ,Percutaneous ,Neonatal intensive care unit ,Bacteremia ,Article ,Risk Factors ,Bloodstream infection ,Intensive Care Units, Neonatal ,medicine ,Odds Ratio ,Central Venous Catheters ,Humans ,Child ,Retrospective Studies ,Central line ,Central Line Infection ,business.industry ,Incidence ,Infant, Newborn ,General Medicine ,Odds ratio ,Quality Improvement ,Surgery ,Catheter ,Anatomical sites ,Catheter-Related Infections ,Pediatrics, Perinatology and Child Health ,Female ,business - Abstract
Introduction Catheter associated blood stream infections (CABSIs) are morbid and expensive for all ages, including neonates. Thus far, the impact of CABSI prevention protocols, such as insertion and maintenance bundles, in the neonatal intensive care unit (NICU) is largely unknown. We hypothesized that lines placed in the operating room (OR) would have a lower infection rate due to established insertion protocols and a more sterile environment. Methods A retrospective chart review of NICU patients who received a percutaneous or tunneled central venous catheter between 2005 and 2012 was performed. ECMO cannulas, PICC and umbilical catheters were excluded. Variables of interest included demographics, anatomical site, hospital location, line days, and line infection. Line infection was defined as a positive blood culture drawn through the catheter. Results A total of 368 catheters were placed in 285 NICU patients. Majority of catheters (65.5%) were placed in OR. Saphenous and femoral veins were most common anatomical sites (50.8%). Twenty-eight catheters were infected (7.6%). After adjusting for preoperative antibiotics, anatomical site, and SNAPPE-II scores, lines placed in OR were three times less likely to become infected (Odds Ratio=0.32, p=0.038). Although implementation of CABSI prevention protocols resulted in statistically significant reductions in infection (Odds Ratio=0.4, p=0.043), lines placed in the OR remained less likely to become infected. Conclusions NICU line infection rates decreased with implementation of CABSI prevention protocols. Despite this implementation, catheters placed in the NICU continued to have higher infection rates. As a result, when patient status allows it, we recommend that central lines in newborns be placed in the operating room.
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- 2014
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