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Basic surgery is a crucial part of public health prevention. A teenage mother arrives by donkey cart to a hospital after attempting to deliver her baby in the bush. A young father faces the loss of a leg after receiving a gunshot wound that will not heal. A man walks miles to a hospital for a pain in his side caused by an appendix that burst five days earlier. Without access to surgical resources, millions of people with conditions like these become disabled or die. In Operation Health, Adam L. Kushner argues that not only are severe medical conditions— like a strangulated hernia or obstetric fistula—treatable by surgical means in low-income countries; they are, in fact, surgically preventable. Although the World Bank estimates that 11 percent of the global disease burden is treatable by surgery, more than a quarter of the world's population lacks access to straightforward and life-saving surgical procedures. Operation Health makes a strong and compelling justification for adding surgical care to the global health agenda by providing an overview of dangerous but repairable medical conditions common in developing countries. Every chapter opens with a vignette by Kushner which tells the remarkable story of the patients and situations he encountered in the field. Carefully crafted case studies demonstrate the power of surgery to heal people suffering from potentially debilitating conditions, including clubfoot, obstructed labor, and broken bones. The chapters—written by world-renowned surgical experts—cover related medical topics such as epidemiology, women's health, cancer, and trauma in locations from Sierra Leone to Nepal, Ghana, Mongolia, and elsewhere. This detailed and compassionate book will be of great interest to medical professionals, students, public health policy makers, philanthropic donors, and those with a general interest in global health.
In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.
This book includes original, peer-reviewed research papers from the 7th PURPLE MOUNTAIN FORUM on Smart Grid Protection and Control(PMF2022), held in Nanjing, China, on August 14-15, 2022. The accepted papers cover the following topics: 1. Advanced power transmission technology2. AC/DC hybrid power grid technology3. Power Internet of Things Technology and Application4. Operation, control and protection of smart grid5. Active distribution network technology6. Power electronic technology and application7. New technology of substation automation8. Energy storage technology and application9. Application of new technologies such as artificial intelligence, blockchain, and big data10. Application of Information and Communication Technology11. Low-carbon energy planning and security12. Low-carbon operation of the power system13. Low-carbon energy comprehensive utilization technology14. Carbon trading and power market15. Carbon emission stream and carbon capture technology16. Energy saving and smart energy technology17. Analysis and evaluation of low-carbon efficiency of power system18. Carbon flow modelling in power system operationThe papers included in this proceeding share the latest research results and practical application examples on the methodologies and algorithms in these areas, which makes the book a valuable reference for researchers, engineers, and university students.
Life-Cycle of Structures and Infrastructure Systems contains the lectures and papers presented at IALCCE 2023- The Eighth International Symposium on Life-Cycle Civil Engineering, held at Politecnico di Milano, Milan, Italy, 2-6 July, 2023. This book contains the full papers of 514 contributions presented at IALCCE 2023, including the Fazlur R. Khan Plenary Lecture, nine Keynote Lectures, and 504 technical papers from 45 countries. The papers cover recent advances and cutting-edge research in the field of life-cycle civil engineering, including emerging concepts and innovative applications related to life-cycle design, assessment, inspection, monitoring, repair, maintenance, rehabilitation, and management of structures and infrastructure systems under uncertainty. Major topics covered include life-cycle safety, reliability, risk, resilience and sustainability, life-cycle damaging processes, life-cycle design and assessment, life-cycle inspection and monitoring, life-cycle maintenance and management, life-cycle performance of special structures, life-cycle cost of structures and infrastructure systems, and life-cycle-oriented computational tools, among others. This Open Access Book provides both an up-to-date overview of the field of life-cycle civil engineering and significant contributions to the process of making more rational decisions to mitigate the life-cycle risk and improve the life-cycle reliability, resilience, and sustainability of structures and infrastructure systems exposed to multiple natural and human-made hazards in a changing climate. It will serve as a valuable reference to all concerned with life-cycle of civil engineering systems, including students, researchers, practicioners, consultants, contractors, decision makers, and representatives of managing bodies and public authorities from all branches of civil engineering.