Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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9 70 Surgery and Healing in the Developing World Table 1. Manuals Include Optional Items “Morphology of human blood cells” $45 Microscope case “So you’re going to collect a blood specimen”, $5 Microscope bulb 12v “Atlas of uring sediment” kit $30 Gram stain “Manual of modern urine chemistry” TB Quick Stain Kit (3 step/3 bottles) $95 “Diagnostic Microbiology-Bailey and Scott” CBC Quick Stain 16 oz, $20 Intruction Manual Reagents Per request: glucose, BUN, Creatinine, TB, Albumin, Hemoglobin and standards. Note: We reserve the right to limit quantities Fees subject to change without notice. Shipping cost vary per individual needs. Taxes applicable without tax number. Revisions made 1-17-00). International Aid, Inc. 17011 W. Hickory St., Spring Lake, MI 49456, U.S.A. Ph: 616-846-7490/Fax: 616-846-3842. E-mail: vanderveenh@internationalaid.org Hemotology Supply Kit $45, 1 box slides, 1 box cover slides, drying rack, powered chlorine bleach, coplin jar (plastic, screw top), CBC quick stain, 16 oz (cannot be flown; hand carry only) ESR Sedimentation Supply Kit $55, ESR sedimentation rack, 100 sedi tubes, 22g stainless steel needles, powered chlorine bleach, 2 3cc syringes Colorimeter Supply Kit $135, 2 auto pipettes (5-25 ul) (200-1000 ul), pipette tips, 100 polystyrene culture tubes (12x75 mm), test tube rack, timer, powedered chlorine bleach Urine Supply Kit. $35, urine specimen cups (1 sleeve w/lids), urine micro-centrifuge tubes w/ attached lids/1.5 ml, 1 box (9 para 100) urine test strips, microscope slides/box, cover slides Blood Collection Supply Kit $70, 10 tourniquets, 5 vacutainer holders, EDTA vacutainer tubes, 100 needles, red top vacutainer tubes, powered chlorine bleach
CHAPTER 1 CHAPTER 10 Establishing Electrical Power in Remote Facilities for Health Care Jeffrey A. Mazer Remote Electrical Power Is Readily Available through Photovoltaic Technology In Western hospitals and clinics, medical delivery is heavily dependent on electric-powered devices. This is very different from the situation in many rural areas of the developing world where utility-supplied electric power is not available. In Mozambique, for example, with a population of about 16 million, 80% of the people live in rural areas and have no access to grid-connected electric power. In Kenya, about 88% of the people have no access to the utility grid. Indeed, it has been estimated that approximately two billion people (roughly 75% of the population in developing countries) have no access to any electric power. 1 This is a consequence of both poverty and logistics. For much of the developing world, the expense of extending a utility line from a central generating station to a remote facility is prohibitive. The cost varies with the local cost of labor and the difficulty of the terrain. In South Africa, for example, the extension of a utility line costs about US$ 8700 per kilometer. This is exacerbated by the anticipated low household demand for electric power in many poor rural areas, typically only about 50 kWh/month— a fact which assures an unacceptably long payback time for the utility company. In some developing areas, stand-alone diesel-electric generation is used for several hours per day. For a demand of only a few hundred watts, a small gasoline engine is sometimes used. Gasoline engines are less expensive than diesels, but have a shorter service life. In any case, with either gasoline or diesel engines, the cost of fuel and the challenging logistics of reliable fuel delivery to remote locations are often prohibitive. Not surprisingly, the constraint of limited (or no) electric power has a dramatic effect on the available level of diagnostic and surgical technology in a rural clinic. Without electric power, even rudimentary equipment such as surgical lighting, suction pumps, refrigeration for vaccines and ice packs, autoclaves, optical microscopes, and water purifiers for potable water become highly unreliable if not totally inaccessible. The installation of a reliable and affordable on-site electric power generation system that is not dependent on the transport of fuel can substantially improve clinic effectiveness by enabling some of these appliances. And it allows radio communication with medical resources at distant medical centers. Within the last decade, a major candidate for providing reliable electric power to remote clinics has appeared in the form of photovoltaic (PV) systems. Numerous countries in sub-Sahara Africa and in other parts of the world have installed modest Surgery and Healing in the Developing World, edited by Glenn Geelhoed.
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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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15 120 Surgery and Healing in the D
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CHAPTER 16 Pointers for American Su
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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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