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Sharma D, Agarwal P, Cotton M. Academic surgery: A road less travelled. Trop Doct 2025; 55:1-3. [PMID: 39632781 DOI: 10.1177/00494755241301425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2024]
Affiliation(s)
- Dhananjaya Sharma
- Professor and Head (Retd), Department of Surgery, Government NSCB Medical College, Jabalpur, India
| | - Pawan Agarwal
- Professor and Head, Department of Surgery, Government NSCB Medical College, Jabalpur, India
| | - Michael Cotton
- Professor Family Medicine, Quai Santé, Montreux, Switzerland
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Brown C, Sharma D, Cotton M. Using the Stanford Biodesign framework to develop frugal surgical innovations. Trop Doct 2024; 54:305-306. [PMID: 39113625 DOI: 10.1177/00494755241271573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2024]
Affiliation(s)
- Cyan Brown
- Health Equity Innovation Lead, Stanford Biodesign, Stanford, CA, USA
| | - Dhananjaya Sharma
- Professor and Head (Retd), Department of Surgery, NSCB Government Medical College Jabalpur, MP, India
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Sharma D, Mairal A, Prabhu J, Cotton M. Challenges faced by frugal surgical innovations. Trop Doct 2024; 54:223-226. [PMID: 38752260 DOI: 10.1177/00494755241253098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2024]
Affiliation(s)
- Dhananjaya Sharma
- Professor and Head, Department of Surgery, NSCB Government Medical College, Jabalpur, IN-MP, India
| | - Anurag Mairal
- Director, Global Outreach Programs, Center for Biodesign, Stanford University Byers Center for Biodesign, Stanford, CA, USA
| | - Jaideep Prabhu
- Jawaharlal Nehru Professor of Indian Business and Enterprise, Cambridge Judge Business School, University of Cambridge, Cambridge, UK
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Zadey S, Sharma D, Cotton M. Advocacy for surgeons: Ensuring excellence in patient care. Trop Doct 2024; 54:85-87. [PMID: 38456731 DOI: 10.1177/00494755241237599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Affiliation(s)
- Siddhesh Zadey
- Association for Socially Applicable Research (ASAR), Pune, MH, India
| | - Dhananjaya Sharma
- Professor and Head, Department of Surgery, NSCB Government Medical College Jabalpur (MP), MH, India
| | - Michael Cotton
- Professor of Clinical Practice, Consultant Surgeon, Quai Santé, Montreux, Switzerland
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Sharma D, Cotton M. Overcoming the barriers between resource constraints and healthcare quality. Trop Doct 2023; 53:341-343. [PMID: 37366617 DOI: 10.1177/00494755231183784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/28/2023]
Affiliation(s)
- Dhananjaya Sharma
- Department of Surgery, Government NSCB Medical College, Jabalpur, Madhya Pradesh, India
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Sharma D, Agarwal P, Agrawal V, Bajaj J, Yadav SK. Low Value Surgical Care: Are We Choosing Wisely? Indian J Surg 2023. [DOI: 10.1007/s12262-023-03739-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023] Open
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Kumar Yadav S, Sharma D, Bala Sharma D, Mishra A, Agarwal P. Low-cost solutions incorporated in a standard surgical pathway for early breast cancer: A pilot study. Trop Doct 2023; 53:81-84. [PMID: 36426550 DOI: 10.1177/00494755221141932] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
We present the results of incorporation of low-cost solutions to provide a standard surgical care for early breast cancer (EBC) patients. This surgical pathway consists of a low-cost vacuum-assisted core needle biopsy, sentinel lymph node biopsy (SLNB) using low-cost methylene blue and fluorescin dyes under local anesthesia and oncoplastic breast surgery. Patients assessed as clinically node-negative axilla underwent such treatment. SLNB using low-cost dyes was performed without any complication. Oncoplastic surgical techniques were opted for in 32 patients, and the lumps were all excised with a ∼1-cm all-around margin on the final histopathological examination. Standard breast cancer surgery can be provided in low-resource settings to eligible EBC patients with low-cost solutions.
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Affiliation(s)
| | | | | | - Arpan Mishra
- 534313Department of Surgery, NSCB Medical College, Jabalpur, India
| | - Pawan Agarwal
- 534313Department of Surgery, NSCB Medical College, Jabalpur, India
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Kutalek R, Lahlal M, Kaawa-Mafigiri D, Ryan-Coker M, Böll S, Parisi S, Cheah PY, Pritsch M. Putting global health high on the agenda of medical schools. Wien Med Wochenschr 2022; 173:131-137. [PMID: 36229742 PMCID: PMC9559117 DOI: 10.1007/s10354-022-00974-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 09/12/2022] [Indexed: 12/03/2022]
Abstract
In this opinion paper, we reflect on global health and global health education as well as challenges that the coming generation are likely to face. As the field is rapidly changing, it is vital to critically reflect categories of “global south” and “global north” as geographical boundaries, and rather think in terms of inequalities that are present in all countries. Global perspectives on health are useful to analyze structural challenges faced in all health care systems and help understand the diversity of cultures and patients’ concepts of disease. We first discuss burning questions and important challenges in the field and how those challenges are tackled. Rather than going into detail on topical issues, we reflect on approaches and attitudes that we think are important in global health education and present opportunities and challenges for young scholars who are interested in working in this field.
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Affiliation(s)
- Ruth Kutalek
- Medical University of Vienna, Department of Social and Preventive Medicine, Unit Medical Anthropology and Global Health, Kinderspitalgasse 15, 1090, Vienna, Austria.
| | - Mina Lahlal
- Department of Trauma Surgery, Wilhelminenspital, Vienna, Austria
| | - David Kaawa-Mafigiri
- Department of Social Work and Social Administration, School of Social Sciences, Makerere University, Kampala, Uganda
| | - Marcella Ryan-Coker
- Department of Surgery, University of Nairobi, Nairobi, Kenya.,College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK
| | - Simone Böll
- Medical University of Vienna, Department of Social and Preventive Medicine, Unit Medical Anthropology and Global Health, Kinderspitalgasse 15, 1090, Vienna, Austria.,Department of Dermatology, Inselspital, Bern, Switzerland
| | - Sandra Parisi
- Department for General Practice, Universitätsklinikum Würzburg, Würzburg, Germany
| | - Phaik Yeong Cheah
- Mahidol Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.,Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK
| | - Michael Pritsch
- Division of Infectious Diseases and Tropical Medicine, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany
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Occam’s Razor and Surgeons. Indian J Surg 2022. [DOI: 10.1007/s12262-022-03483-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Sharma D. Surgical Education and Academic Surgery: Quo Vadis? Indian J Surg 2022; 84:2-4. [PMID: 35250195 PMCID: PMC8882217 DOI: 10.1007/s12262-022-03361-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Accepted: 02/23/2022] [Indexed: 11/30/2022] Open
Affiliation(s)
- Dhananjaya Sharma
- Department of Surgery, Government NSCB Medical College, Jabalpur, MP 482 003 India
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