Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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12 96 Surgery and Healing in the Developing World Centre in Kerala said, “The journal should stimulate a search for cancer strategies compatible with the socioeconomic realities in developing countries.” He states what is evident, that doctors in developing countries often prescribe advanced drug therapy protocols discussed in Western journals. “This has jacked up treatment costs to such levels that cancer care has become inaccessible to a large number of patients. The great majority of tumours in developing countries are diagnosed late, and resources are directed at treating incurable conditions,” said Dr. Mohammad Al-Jarallah, who is Kuwait’s health minister and also a consultant surgeon and the journal’s joint Editor-in-Chief. The full article provides several eye opening examples and insights. This is an excellent step forward in dealing with the realities of health care in developing countries. The communication of alternatives demanded by the socioeconomic realities is worthy of credible useful reasearch of the highest order. The complexity of developing countries’ circumstances demands the best and brightest to address the problems. Developing countries, much like the term Third World, denies the uniqueness and individuality of each nation and region. Resources and problems vary so widely as to make the terms meaningless and counterproductive. We must learn to be discerning and specific when entering the arena of country and regional health matters. The Austral-Asian Journal of Cancer should be a beginning of communication and a field of research that is originated by professionals in developing countries and is about developing country health matters. The challenge is to combine the information gleaned from the Western sources and the information generated in developing areas to apply to developing nations problems. The result should be a credible, legitimized body of research, articles and reports that has its place in the mainstream of global health sciences communication. This body of information will go beyond the visiting experts from the West who arrive and define the problem in Western terms then vanish. This will begin to put meaning and purpose into developing country-based professionals who are often highly frustrated by the technology and costly protocols they read about on the Web or other Western sources. Evidence-based practice is not widely affordable when the evidence is generated in an affluent community. Problem- and reality-based research and a new relevant body of literature and communication is needed. It is a time of change and progress. The literature as we have known it is in flux. Information is being distributed globally by a variety of facilitated technologies most of which are computer-related. Content is the issue rather than the technology of communication. Admittedly the Internet is not fully developed, and there are many problems with the technology of the computer. But we have a tool that is so fast and cheap that it is not waiting for someone to use it but rather it is the driving force of change. As individuals and organizations adopt the technology, the forms of information exchange grow and modify our needs and the formats for information communication. The following is a list of innovations in communication devices and results of applications of the technology that are changing the way we obtain and use our information. 1. Standard articles in the health sciences archived in online databases or on CDROMs and other memory devices. 2. The National Institutes of Health proposed database that will include not only peer-reviewed articles but expert-reviewed articles and work in progress reports that will allow updating as research progresses. Virtually all submissions will be included and categorized. Commercial publishers are developing similar mega databases of information.
Communication in the Third World: A One-Way Street 3. Live computer-mediated telemedicine consultations. Already implemented in some areas and a step away from more common use internationally. 4. The email-based communication that has exponentially grown over the last decade. 5. Disaster assistance and management via the Internet. 6. Multiple “.com” services for information access and sharing of opinion or consultaion in real time chats or more conventionally email-based. 7. Individual urgent requests for medical or monetary assistance distributed through organizational entities. These are variable in credibility, and one should be cautious with response. These and many other worthy mechanisms and programs are exploring the landscape of health sciences communication and information management. This exploration is nowhere more urgent and potentially productive than in the developing, redeveloping and emerging health professional communities worldwide. It is for the talented and competent professionals residing in these areas to use the tools available and let their voices be heard and their dignity confirmed. 97 12
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Surgery and Healing in the Developi
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Contents Foreword .................
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25. Dentistry .....................
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Editor Contributors Harold P. Adolp
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Foreword Surgery and Healing in the
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“poor, but modern”, as for exam
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There may be at least one considera
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It is that higher accountability th
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1 2 Surgery and Healing in the Deve
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CHAPTER 2 Surgery in Developing Cou
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2 10 Surgery and Healing in the Dev
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CHAPTER 4 International Surgical Ed
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Page 134 and 135: CHAPTER 15 Basic Obstetrics and Obs
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16 146 Surgery and Healing in the D
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CHAPTER 20 Chronic Pyogenic Osteomy
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CHAPTER 23 Cleft Lip and Palate Sur
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CHAPTER 24 Outreach Dentistry: A Wo
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CHAPTER 1 CHAPTER 26 Reconstructive
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Reconstructive Surgery in the Tropi
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CHAPTER 1 CHAPTER 27 Factors Influe
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Distribution and Incidence of Tropi
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CHAPTER 1 CHAPTER 28 Population Dyn
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Population Dynamics Of Surgical Tro
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Metabolic Maladaptation 289 Introdu
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Metabolic Maladaptation 291 some of
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Metabolic Maladaptation 293 In this
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Metabolic Maladaptation Table 1. Si
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Metabolic Maladaptation Table 4. Go
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Metabolic Maladaptation 299 the rev
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Metabolic Maladaptation Table 5. As
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Metabolic Maladaptation Table 6. Co
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Metabolic Maladaptation 305 the ris
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Metabolic Maladaptation Table 8. Go
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Metabolic Maladaptation Table 10. G
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Metabolic Maladaptation Table 12. C
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Metabolic Maladaptation 313 cell an
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Metabolic Maladaptation 315 Biologi
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Metabolic Maladaptation 317 from io
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Metabolic Maladaptation 319 25. Lon
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CHAPTER 1 CHAPTER 30 Nutrition and
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Nutrition and Development in Africa
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CHAPTER 1 CHAPTER 31 Uterine Ruptur
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Uterine Ruptures in Rural Zaire Tab
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Uterine Ruptures in Rural Zaire 329
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CHAPTER 1 CHAPTER 32 Vesicovaginal
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Vesicovaginal Fistula in Democratic
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CHAPTER 1 CHAPTER 33 Ophthalmology
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Ophthalmology Figure 2. Refractive
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Ophthalmology Figure 4. A tonometer
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Ophthalmology 341 ml of 40 mg/ml IV
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Ophthalmology Figure 6. Axis determ
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Ophthalmology 345 thalmic set prepa
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Ophthalmology 347 Procedures Region
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Accommodating Deficits in Material
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Abscesses and Other Infections Trea
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CHAPTER 1 CHAPTER 36 Surgical Train
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Surgical Training of Nurses for Rur
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Training of Medical Assitants in Mo
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CHAPTER 1 CHAPTER 38 Training Surge
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Training Surgeons in the Developing
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Mobile Surgery Figure 1. 405 of tec
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Mobile Surgery Figure 3. 407 Childr
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Mobile Surgery 409 We have realized
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CHAPTER 1 CHAPTER 40 Public Health
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Public Health Problems on Burma Fro
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Medical Adventures in the Nigerian
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CHAPTER 1 CHAPTER 42 Wanted Glenn G
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Wanted 431 Studies Center (//www.am
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Wanted 433 MacArthur (The John D. a
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Wanted 435 most pathologic presenta
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Wanted 437 “outliers” in the he
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World Health 439 challenge: name fo
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CHAPTER 1 CHAPTER 44 Treating Other
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Treating Others: Human Sciences in
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Treating Others: Human Sciences in
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CHAPTER 1 CHAPTER 45 The Impact of
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The Impact of a Volunteer Medical M
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CHAPTER 1 CHAPTER 46 Field Notes on
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Field Notes on a Typical Day in a H
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Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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