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Browsing by Author "Batra, Maneesh"
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Item Global health electives in the COVID-19 era: resuming travel and strengthening global health academic partnerships(IJME, 2022-05) Haq, Heather; Msekandiana, Amos; Matshaba, Mogomotsi; Thahane, Linoeo; Watts, Jennifer; Tam, Reena; St Clair, Nicole; Schubert, Charles; Rule, Amy; Pannaraj, Pia; Pitt, Michael; Oleson, David; Murray, Brittany; Morris, Lee; Mendoza, Joanne; McHenry, Megan; Keating, Elizabeth; Ferrer, Kathy; Crouse, Heather; Condurache, Tania; Batra, Maneesh; Barnes, Adelaide; Conway, James; Pediatrics, School of MedicineItem Respiratory distress syndrome management in resource limited settings-Current evidence and opportunities in 2022(Frontiers Media, 2022-07-29) Ekhaguere, Osayame A.; Okonkwo, Ikechukwu R.; Batra, Maneesh; Hedstrom, Anna B.; Pediatrics, School of MedicineThe complications of prematurity are the leading cause of neonatal mortality worldwide, with the highest burden in the low- and middle-income countries of South Asia and Sub-Saharan Africa. A major driver of this prematurity-related neonatal mortality is respiratory distress syndrome due to immature lungs and surfactant deficiency. The World Health Organization's Every Newborn Action Plan target is for 80% of districts to have resources available to care for small and sick newborns, including premature infants with respiratory distress syndrome. Evidence-based interventions for respiratory distress syndrome management exist for the peripartum, delivery and neonatal intensive care period- however, cost, resources, and infrastructure limit their availability in low- and middle-income countries. Existing research and implementation gaps include the safe use of antenatal corticosteroid in non-tertiary settings, establishing emergency transportation services from low to high level care facilities, optimized delivery room resuscitation, provision of affordable caffeine and surfactant as well as implementing non-traditional methods of surfactant administration. There is also a need to optimize affordable continuous positive airway pressure devices able to blend oxygen, provide humidity and deliver reliable pressure. If the high prematurity-related neonatal mortality experienced in low- and middle-income countries is to be mitigated, a concerted effort by researchers, implementers and policy developers is required to address these key modalities.Item Supporting Global Health at the Pediatric Department Level: Why and How(AAP, 2017-06) Pitt, Michael B.; Moore, Melissa A.; John, Chandy C.; Batra, Maneesh; Butteris, Sabrina M.; Airewale, Gladstone E.; Suchdev, Parmi S.; Steinhoff, Mark C.; Pediatrics, School of MedicineOver the past 20 years, involvement in pediatric global health (GH), the study and practice of improving the health of children worldwide, has evolved from an extracurricular activity to a robust academic pursuit that enhances the clinical, educational, and research missions of academic health centers (Fig 1). As evidenced by the paradigm shift laid out in the United Nations Sustainable Development Goals, which focus on the health of all people worldwide, GH is no longer a field constrained by arbitrary borders.1 Likewise, pediatric departments seeking to expand knowledge, train pediatricians, or improve care for children through research and innovation must be concerned with the health of all children and addressing health equity, which by definition, implies GH work.2 This article aims to provide pediatric department leadership with the background and action steps necessary to respond to the call that support for GH should not be a luxury limited to a few elite institutions but a core part of pediatric education and research across the country.3