Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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23 208 Surgery and Healing in the Developing World Table 2. Continued 5. On-Site Transportation Transportation from hotel to hospital? Transportation to official events and receptions? What is the cost? Can the hospital or Health Ministry cover the cost? Can cars or minibuses for VIPs or media crew be rented? If so, at what cost? On which side of the road do you drive? Can a driver be hired for the VIPs or media crew? At what cost? 6. Patient Needs and Mission Goals What patients would the country/site like us to help? Have any other similar medical missions been conducted in the area in the past year? If so, who, when and where? What does the country/site want from us for each of these fields? Plastic surgery Craniofacial surgery Microsurgery Burns Anesthesia Orthopedics Neurosurgery ENT Nursing Pre-Hospital Care Dental and Dental Hygiene Speech Pathology Physical Therapy Bio-Medical Engineering 7. Hospital Facilities 7a Screening Area Lights, tables, chairs, electricity, medical equipment, etc 7b Medical Records Charts system, compatibility, location of charts, etc 7c Laboratory Hematology, Biochemistry, Blood Bank, etc 7d Holding Area Admission the night before for larger surgeries? Appropriate size for patients and families? Can family eat while waiting for surgery? Possibility to do patient education? Pre-op checklist and IV line? Table continued on next page
Cleft Lip and Palate Surgery in Developing Countries Table 2. Continued 7e Operating Room How many rooms? How many can we use? Size of each? Standard equipment? How many OR tables? Air conditioning or heating? What solution is used for cleaning the rooms? Any operating room theater or video capacity? Number and location of electrical outlets? Voltage? Number and location of oxygen outlet? Type of gases available? Type of gas connectors? Number of lights? Any portable lights available? Wall suction? Instrument trays? Electrocautery? Location and size of the supply room. Possibility of locking the supply room? Please obtain or draw a plan of the OR. 7f Recovery Room How many beds? How many beds available to us? Standard equipment? How many beds available? Air conditioning or heating? What solution is used for cleaning the rooms? Number and location of electrical outlets? Type of electrical connectors? Voltage? Number and location of oxygen outlets? Type of gas connectors? Number of lights? Wall suction? Please obtain or draw a plan of the RR. 7g Post-Op How many beds? How many beds available to us? Any isolation beds available? Who provides the meals to the patients? Can the family stay with the patient overnight? Who provides the meals to the family? Is there linen available? How many nurses during the day, evening, night? Do nurses know CPR? Do nurses know airway management? 209 Table continued on next page 23
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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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CHAPTER 9 Lab-in-a-Suitcase: Saving
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10 72 Surgery and Healing in the De
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CHAPTER 12 Communication in the Thi
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CHAPTER 13 Anesthesia in the Third
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13 100 Surgery and Healing in the D
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CHAPTER 15 Basic Obstetrics and Obs
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CHAPTER 16 Pointers for American Su
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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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