Global Surgery (GS) is a movement that advocates access of every individual to safe and affordable surgery despite geographic location or socioeconomic status. It has recently received increased attention within the global health arena, but many patients are still without access to care because of geographical, social and economic disparities. Due to the multi-disciplinary nature of surgical services, GS requires that a worldwide network of healthy surgical systems be developed and sustained. Healthy surgical systems have many components, and this paper will briefly address 3 of those components: Improved access to care, safety and quality, and multidisciplinary strengthening.
Alan J. Kossman, DDS has been in private practice since 1992 after earning his dental degree from the University of Illinois. Dr. Kossman is an active member of the American Dental Society, the Illinois State Dental Society, the Winnebago County Dental Society, the Academy of General Dentistry, the Boone County Dental Study Club, and International Congress of Oral Implatologists.
Dr. Kossman is on the cutting edge of dental technology. He frequently attends seminars on dental implants, office automation, and the latest in dental techniques and materials. He strives to continue his education so that might better serve his patients and his staff. Recently, Dr. Kossman and his staff have taken courses on, CPR and Basic Lifesaving, OSHA Compliance, Laser Dentistry, Periodontal Disease Prevention and Treatment, Simple Implant Placement, Advanced Bone Grafting and Ridge Augmentation, and the Successful Esthetic Practice.
Dr. Kossman, his wife Ann, and their two sons, reside in Belvidere. He enjoys sports, travel, photography, coaching, and anything with his kids. He is a history buff and enjoys collecting antiques and sports memorabilia.
Dr. Ismail Dogar is native Illinoisan from the west suburbs of Chicago. He attended Benedictine University in Lisle, Illinois where he received his dual Bachelors in International Business and Economics and Health Sciences. He then received his Doctor of Dental Medicine from Midwestern University College of Dental Medicine in Downers Grove, Illinois. Upon completion of dental school, Dr. Dogar choose to pursue a one year residency in advanced education in general dentistry (AEGD) at the University of New Mexico Hospital in Albuquerque, New Mexico. During his residency, Dr. Dogar was exposed to many aspects of dentistry, including management of medically complex patients, as well as surgery and hospital based dentistry.
When Dr. Dogar is not at the office treating patients, he loves to travel and to try new foods, so bring him your favorite restaurant recommendations! Additionally, he loves the outdoors and playsing tennis. Dr. Dogar is committed to continuously furthering his education and is an active member of the American Dental Association (ADA) as well as the Academy of General Dentistry (AGD) and the Chicago Dental Society (CDS).
Trina was originally from Cherry Valley, Illinois, and Rockford. She graduated from SIU in Carbondale, Illinois in 2000, with a bachelor's degree in Applied Science and Arts, Dental Hygiene. She graduated Magna Cum Laude and belonged to the Gamma Beta Phi Honors Society. After graduating from SIU, she moved to Chicago and practiced dental hygiene in downtown Chicago for seven years. She joined Belvidere Dental in 2014. Trina enjoys meeting, educating, and caring for her patients. Outside of the office, she enjoys spending time with her son and her boyfriend. She also loves to boat, garden, swim, hula hoop and time with friends.
Nakiah, born in Freeport, IL spent half of his childhood life there before moving to Winnebago, IL where he graduated high school. After that he pursued a college education at Rock Valley Community College where he obtained an Associates degree in Applied Sciences. Upon acceptance, Nakiah then chose to pursue the Dental Hygiene program at Rock Valley where he received his degree in Applied Sciences, Dental Hygiene in early 2018. Post graduation, he worked in the Rockford area for a year before joining Belvidere Dental mid 2019. Nakiah really enjoys helping his patients in any way that he can and is committed to furthering his education to pass onto his patients.
Denise and Trina and are Registered Dental Hygienists who serve as prevention Coordinators. They are experienced clinicians who will work with you during your dental exams and cleanings. These people oriented professionals are thorough, yet gentle, and will offer you suggestions for the prevention of dental disease.
Congenital absence of the appendix is an extremely rare condition. Often found incidentally during surgical procedures, it poses a surgical dilemma. Surgeons must be well versed in the congenital abnormalities and positional variations of the appendix and must know the steps required during surgery to diagnose this abnormality. In this case report, we discuss the first ever occurrence of congenital absence of appendix in association with malrotation.
N2 - Congenital absence of the appendix is an extremely rare condition. Often found incidentally during surgical procedures, it poses a surgical dilemma. Surgeons must be well versed in the congenital abnormalities and positional variations of the appendix and must know the steps required during surgery to diagnose this abnormality. In this case report, we discuss the first ever occurrence of congenital absence of appendix in association with malrotation.
AB - Congenital absence of the appendix is an extremely rare condition. Often found incidentally during surgical procedures, it poses a surgical dilemma. Surgeons must be well versed in the congenital abnormalities and positional variations of the appendix and must know the steps required during surgery to diagnose this abnormality. In this case report, we discuss the first ever occurrence of congenital absence of appendix in association with malrotation.
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Copyright: 2022 Qazi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: The study was funded by Bill and Melinda Gates Foundation under grant number OPP 1148892 to JKD. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Surgical conditions are responsible for up to 15% of total disability-adjusted life years (DALYs) lost globally [1]. Worldwide estimates have found that approximately 4.8 billion people have no access to surgical care, and within South Asia, greater than 95% of the population do not have access to care for conditions that require surgical management [2]. Considering that greater than 50% of the population in the least developed regions worldwide is children, we can surmise that the surgical burden amongst children in Low and Low Middle-Income Countries (LMICs) is immense [3, 4]. Currently, a large disproportion exists between the wealthiest and poorest third of the population globally, with the wealthy receiving a major share of 73.6% of surgical procedures and the poor receiving only 3.5% [5]. Within poorer countries, surgical services are concentrated almost wholly in cities and reserved largely for those who can pay for them out of pocket [1].
Until recently, pediatric surgical care in low and middle-income countries (LMICs) was largely overlooked, with global health attention primarily addressing communicable diseases, and maternal and infant mortality [5]. However, improvement of surgical care delivery for children is now being prioritized as a fundamental component of health care in LMICs [6]. Improving surgical care delivery also has significant economic and welfare benefits for the population, as untreated surgical conditions increase medical costs, disability, and death [4]. Hence, the development of methods to enhance the quality of pediatric surgical care in low-resource regions can remarkably decrease childhood morbidity and mortality [7] and alleviate the associated financial and emotional stress.
Sindh is the second largest province by population (approximately six million people) and the third largest province in Pakistan [22]. TMK is one of the 29 districts in Sindh with an area of 1,814 square kilometers (km2), an overall population of 677,228, and a population density of 373 people/km2, Sindhi as the most commonly spoken language [23]. TMK district was chosen as the site for our project due to our established office in the district, the availability of skilled manpower and other resources to conduct this large-scale survey. TMK is also a representative of any rural district in Sindh.
The SOSAS survey consists of two portions. The first section collects demographic details, including the age and sex of household members, and number of deaths in the household within the past year. Household members are defined as people living in the same physical structure. The second half of the survey gathers information from caregivers on both current and previous surgical conditions of their children, which is categorized into six distinct anatomical regions: face, head, and neck; chest and breast; abdomen; groin, genitals, and buttocks; back; arms, hands, legs, and feet. The caregivers answered questions based on their recall and their perception of a surgical condition. Additional questions cover the type of injury/accident, timing of the condition, and health-seeking behavior, which includes the type of health care sought, type of health care received, and reasons if care was not accessed. The survey questions were translated into Sindhi, the primary language of TMK by coordination of experts in both English and Sindhi language and was pilot tested in the field.
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