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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.
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.
Coronary artery bypass surgery in the elderly: Too often or too seldom? It is a testimony to scientific advances that raising a simple inquiry today, such as whether coronary artery bypass surgery is done too often or too seldom in elderlypatients, requiresanexplorationofwhatviewsonemightholdonseveral medical as well as non-medical issues. Unlike earlier years when doctors were clinically free to decide what should be done with a patient, health has become an expensive human right, decisions about which also involve the patient, the epidemiologist, the health policy administrator, politicians, the exchequer, and the philosopher. In its broadest definition health has come to mean the core of well-being and, therefore, the goal ofany socio-economic system. Until only a decade ago, medical opinion regarding how often coronary artery bypass surgery (CABG) was indicated or useful was unclear. Becauseof multi-organ senescence, the elderly were expected to have a higher rate operative morbidity and mortality and, having crossed an advanced life span, might not live very long after the operation. Decision making on medical grounds first depends on knowing if a patient can survive an operation compared to how long they would survive without it, i. e.