Where surgery is lacking

first_imgOn a screen in the cavernous hall at the Harvard Club of Boston were images of two patients, one with a hernia and the second with breast cancer, conditions routinely treated with surgery in the United States.Only these patients were not in this country. They were in the developing world, where access to surgery is a rarity. Instead of neat scars from conditions treated early, the images showed a hernia so distended that it was as large as a football, and a cancer left untreated until it consumed a breast.For decades, the focus of medical professionals fighting to improve health in the developing world has been on defeating infectious disease. In more recent times, the focus has shifted toward chronic illnesses, such as heart disease and diabetes, which until recently were thought of as problems limited to industrialized nations.Public health professionals and surgeons gathered on Friday (Nov. 5) to begin addressing another major area of unmet need in global health: surgery.Though people in the developing world have regular surgical needs — not just from hernias and cancer but also from car accidents, cooking fires, industrial accidents, even childbirth — surgical care is often not considered part of the global health picture.“Surgery is the neglected stepchild of global health,” said Paul Farmer, Maude and Lillian Presley Professor of Global Health and Social Medicine at Harvard Medical School (HMS) and co-founder of Partners In Health, a nonprofit that specializes in providing care to the world’s poor in countries such as Haiti, Rwanda, and Lesotho.Farmer was just one speaker at the all-day session, “The Role of Surgery in Global Health.” The event was introduced by Kelly McQueen, a research fellow at the Harvard Humanitarian Initiative (HHI), and by HHI director Michael VanRooyen, associate professor of global health and population at the Harvard School of Public Health (HSPH). McQueen said the problem of treating surgical disease internationally is largely unknown and hard to estimate. Often, she said, the underlying unmet needs don’t become apparent until a disaster, such as Haiti’s earthquake last January, brings in surgeons to treat the trauma.VanRooyen asked surgeons in the room to help make the case that surgery needs to be considered part of the right to basic health care.“Our task together is to make this argument,” VanRooyen said.Atul Gawande, associate professor of surgery at HMS and Brigham and Women’s Hospital and associate professor of health policy and management at HSPH, said not only are too few surgeries performed, but the ones that are performed are too often unsafe, resulting in infection and sometimes death.Gawande said the number of operating rooms per capita varies widely in the world, from 10 per 100,000 people in the developing world to fewer than two per 100,000. Gawande said he believes that having fewer than five operating rooms per 100,000 is inadequate — which is the situation for 3 billion people. Two billion people live in areas without even one operating room per 100,000 people, which Gawande said translates to a lack of access to even minimal surgical services.Gawande told the story of a man he met while working at a hospital in India. The man, who had trouble breathing, had been to a number of hospitals and clinics. X-rays showed fluid in his lung, but he had received little treatment.  When Gawande found the man, he could barely breathe, and Gawande and the local doctor with whom he was working understood that they needed to drain fluid from his chest. The hospital, however, didn’t have a chest tube, so they wrote a prescription for one. The man’s brother raced to nearby medical suppliers to get it. When he returned, they had to wait again, this time for an operating room. When they got to the operating room, there were no knives. So the man waited again while the brother was sent to buy a knife.By the time the brother returned for the second time, the man was dead, of a tubercular abscess in his lung.“It’s about people and skill. It’s about systems and capacity,” Gawande said.While a lack of resources is a constant problem, Gawande said there are ways to reduce the cost of vital resources. He described a new collaborative effort aimed at getting critical blood oxygen monitoring equipment, called pulse oximeters, to resource-poor hospitals. Because of a lack of demand in the developing world, hospitals had been paying $2,000 to $3,000 for each unit, while American hospitals pay just $900 to $1,000, in part because of their economy of scale. By banding together and approaching manufacturers directly, the poor hospitals got a price of $189 for manufacturing and a delivered cost of $240 per unit.Gawande said global health is in the charter school phase of learning how to adequately deliver surgical services in resource-poor settings. Like charter schools, many groups are struggling, though a few, such as Partners In Health, offer shining examples of ways to succeed.“We are in the charter school phase in our efforts to do global surgery in a good way,” Gawande said. “We’re looking for the city on the hill.”The session was sponsored by half a dozen organizations, including HHI, the Massachusetts General Hospital’s Center for Global Health and the MGH International Trauma and Disaster Institute, the HMS Department of Global Health and Social Medicine, Brigham and Women’s Hospital, and the Harvard Institute for Global Health.Harvard Humanitarian Initiative director Michael VanRooyen asked surgeons in the room to help make the case that surgery needs to be considered part of the right to basic health care. “Our task together is to make this argument,” VanRooyen said.last_img read more

Orsted reaffirms offshore wind investment plans for Taiwan, Japan

first_imgOrsted reaffirms offshore wind investment plans for Taiwan, Japan FacebookTwitterLinkedInEmailPrint分享Bloomberg:The world’s biggest developer of offshore wind farms is weighing nearly $13 billion worth of projects in Taiwan, saying that so far the coronavirus outbreak hasn’t shifted its optimism about the region.The potential investments by Orsted A/S would include the Greater Changhua 3 wind farm, which it plans to bid for in the next round of auctions if the conditions are “manageable,” Matthias Bausenwein, the president for Asia Pacific of the Danish utility, said in a phone interview. The auction is due to take place at the end of this year, and the company will wait to see the framework and rules for the contest before deciding whether to participate.Orsted has already built and commissioned Formosa 1, the first commercial-scale offshore wind farm in Taiwan, with joint venture partners. It’s also building the Greater Changhua 1 & 2a wind farms, which are estimated to be completed in 2021 or 2022. Another plan is to build the Greater Changhua 2b & 4 wind farms in 2025.Total capital expenditure for all four projects with a capacity of 2.4 gigawatts are estimated to be up to NT$380 billion ($12.5 billion).Orsted said on Wednesday it’s sticking to its 2020 guidance despite the coronavirus and that its liquidity position is strong.In addition to Taiwan, Japan is the next big step for Orsted in the Asia-Pacific region. The company recently formed a joint venture with Tokyo Electric Power Co. to prepare a bid for an auction at end-2020. Japan and Taiwan both are mountainous and rely heavily on fossil fuels imports, with highly populated coastal areas which makes offshore wind an ideal renewable energy source.[Cindy Wang]More: Unfazed by virus, Orsted weighs almost $13 billion in Taiwanlast_img read more

Zombies, hardware stores and your brand

first_img ShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblr continue reading » Our family has always gone all-in for Halloween (think the Griswold house from “Christmas Vacation”). Spooky lights, tombstones, fog machine—the works. We’ve also added, over the years, several animatronic zombies.Unfortunately a few weeks ago, one of our first zombies stopped moving. You could hear the motor spinning but his head and arms were just dead (pun intended). I didn’t have much hope for a repair but I still sent an email to the Halloween store from which he was purchased.To my surprise, I quickly received a reply with a few ideas regarding what may have caused the problem, as well as an offer to send a replacement part. However, the technician was frank and said I could probably get a better quality replacement part—and faster—at a local hardware store.I took the zombie technician up on his advice and visited my local hardware store (I actually walked in with the entire zombie in my arms).last_img read more

Alan Smith sends warning to new Arsenal signing Denis Suarez following Barcelona move

first_imgAlan Smith sends warning to new Arsenal signing Denis Suarez following Barcelona move Unai Emery is a known admirer of Suarez (Picture: Getty)While rating Suarez, former Arsenal goalkeeper David Seaman questioned why Arsenal pursued another attacking player in January rather than a defender.He told talkSPORT: ‘We don’t need midfielders, we need defenders.‘We’ve got big injuries to quite a few of them already, we need good defenders coming in. ‘Emery knows him [Suarez] and likes what he sees, but for me we’re crying out for defenders.‘We’re great going forward, but what’s happening with the defence? It’s just not got any better all season. ‘At the moment it’s not working. It’s frustrating.’Arsenal face Premier League defending champions Manchester City on Sunday.More: FootballBruno Fernandes responds to Man Utd bust-up rumours with Ole Gunnar SolskjaerNew Manchester United signing Facundo Pellistri responds to Edinson Cavani praiseArsenal flop Denis Suarez delivers verdict on Thomas Partey and Lucas Torreira moves Denis Suarez has joined Arsenal on loan from Barcelona (Picture: Getty)Alan Smith has warned new Arsenal signing Denis Suarez he may be forced to accept a role as a ‘squad player’ at the Emirates.Spanish midfielder Suarez completed a loan move to the Gunners on transfer deadline day, with a view to making his stay in north London permanent in the summer.Unai Emery is a known admirer of the 25-year-old having managed him at Sevilla four years ago.Suarez played over 70 games for Barcelona – most from the bench – and is a Spain international but is not guaranteed a place in Arsenal’s starting XI, according to Smith.ADVERTISEMENTMore: FootballRio Ferdinand urges Ole Gunnar Solskjaer to drop Manchester United starChelsea defender Fikayo Tomori reveals why he made U-turn over transfer deadline day moveMikel Arteta rates Thomas Partey’s chances of making his Arsenal debut vs Man CityThe Gunners hero told Sky Sports: ‘Arsenal fans would have loved to have seen a little bit more business in January, but they did manage to bring in Denis Suarez.AdvertisementAdvertisement‘How much will he play though? You would imagine he may be a bit of a squad player.‘Unai Emery knows him from Sevilla, he is versatile, while another young lad in Smith Rowe has gone out to Germany to get some game time.‘I do not think Emery would have given up on him and it will be good for his education, so hopefully he can come back a better player. Emery speaks after his Arsenal’s 2-1 win over CardiffTo view this video please enable JavaScript, and consider upgrading to a web browser that supports HTML5 video Play VideoLoaded: 0%0:00Progress: 0%PlayMuteCurrent Time 0:00/Duration Time 7:09FullscreenEmery speaks after his Arsenal’s 2-1 win over Cardiffhttps://metro.co.uk/video/emery-speaks-arsenals-2-1-win-cardiff-1852266/This is a modal window.Beginning of dialog window. Escape will cancel and close the window.TextColorWhiteBlackRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentBackgroundColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentTransparentWindowColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyTransparentSemi-TransparentOpaqueFont Size50%75%100%125%150%175%200%300%400%Text Edge StyleNoneRaisedDepressedUniformDropshadowFont FamilyProportional Sans-SerifMonospace Sans-SerifProportional SerifMonospace SerifCasualScriptSmall CapsReset restore all settings to the default valuesDoneClose Modal DialogEnd of dialog window. Advertisementcenter_img Comment Metro Sport ReporterFriday 1 Feb 2019 8:13 amShare this article via facebookShare this article via twitterShare this article via messengerShare this with Share this article via emailShare this article via flipboardCopy link1.2kShares Advertisementlast_img read more

Alderley home goes for over a million in hotly contested auction

first_imgPlace Auctioneer Peter Bergin found a new owner for an Alderley home. (AAP image, John Gass)A TRADIE that sold up his childhood home after he got a job in New South Wales became an instant millionaire at auction.Rhys Lawler made the difficult decision to sell the Alderley home he grew up in when he took a job at power company Port Macquarie.With him departing the Sunshine State, 9 Edith St in Alderley was put up to auction, and he found no shortage of people wanting to move into his old digs.“It’s a great house, I bought it off my parents,” Mr Lawler said.“The (suburb) has become very family friendly and relatively sought after.”After some heated bidding between five interested parties in the backyard, the old Queenslander went for $1.021 million.The auction attracted a number of bidders and curious onlookers. (AAP image, John Gass)It was a high price considering the median for a house in the area is currently at $813,750, and he was clearly pleased with how smoothly the sale went.More from newsParks and wildlife the new lust-haves post coronavirus20 hours agoNoosa’s best beachfront penthouse is about to hit the market20 hours agoAgent Matthew Jabs from Place Newmarket said the house was a bit more than you average old Queenslander in a good suburb.“This is a very tightly held street, a lot of the people here have been here for 30 to 40 years,” Mr Jabs said.“If anything comes up it gets a lot of interest.”At 602 sqm it was a lot larger than a lot of other homes in the neighbourhood, and with a recent renovation, the elevated home four bedrooms, a covered deck an office and a living room on each storey.The home has had a dramatic makeover yet retained its original character.Buyers agent for the winning bidder Belinda Shields said the family from Wavell Heights would be the new owners.“It’s a character home which they liked very much, we recognise that Alderley is a very good area especially in this location,” Ms Shields said.9 Edith Street, Alderley was held by the same family for decades.As for Mr Lawler he will have the pick of the litter of Port Macquarie homes when he moved down in a few weeks, with the median house price currently at $570,000.“Yeah, it is a very different market,” Mr Lawler said.last_img read more

Young professionals and families drawn to new development

first_img More from newsParks and wildlife the new lust-haves post coronavirus10 hours agoNoosa’s best beachfront penthouse is about to hit the market10 hours agoVideo Player is loading.Play VideoPlayNext playlist itemMuteCurrent Time 0:00/Duration 2:21Loaded: 0%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -2:21 Playback Rate1xChaptersChaptersDescriptionsdescriptions off, selectedCaptionscaptions settings, opens captions settings dialogcaptions off, selectedQuality Levels720p720pHD540p540p360p360p270p270pAutoA, selectedAudio Tracken (Main), selectedFullscreenThis is a modal window.Beginning of dialog window. Escape will cancel and close the window.TextColorWhiteBlackRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentBackgroundColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentTransparentWindowColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyTransparentSemi-TransparentOpaqueFont Size50%75%100%125%150%175%200%300%400%Text Edge StyleNoneRaisedDepressedUniformDropshadowFont FamilyProportional Sans-SerifMonospace Sans-SerifProportional SerifMonospace SerifCasualScriptSmall CapsReset restore all settings to the default valuesDoneClose Modal DialogEnd of dialog window.This is a modal window. This modal can be closed by pressing the Escape key or activating the close button.Close Modal DialogThis is a modal window. This modal can be closed by pressing the Escape key or activating the close button.PlayMuteCurrent Time 0:00/Duration 0:00Loaded: 0%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -0:00 Playback Rate1xFullscreenBuyer’s agent reveals her biggest horror stories02:21 Local buyers are also drawn to the premium trackside location, with many apartments boasting views of the racecourse. Designed to take full advantage of its premier position with extensive glazing and spacious balconies, Tulloch House has been architecturally designed to complement the development’s historical surroundings and respect the existing heritage.Mr Bible said further appeal for Tulloch House buyers was the ability to customise floorplans to suit their individual needs.“Our customers still have a limited opportunity to customise their Tulloch House apartments,” said Mr Bible. “We’ve worked with several families to amalgamate apartments, tailoring the interior floorplan to accommodate their requirements and create a home that’s uniquely their own.“Many customers appreciate having that personal touch in the creation and final design of their new home.” Situated in the heart of the quiet Eagle Farm precinct, Tulloch House is set to attract a range of buyers.Mirvac general manager of residential in Queensland, Warwick Bible, said the close-knit community offered the perfect location for residents who were seeking a sense of neighbourhood connection with easy CBD access.“While many of our initial buyers were traditional downsizers, Ascot Green’s unique blend of community and convenience has also captured the attention of young professionals and families,” he said. “Families enjoy having the green space for their children to play in while young professionals appreciate being in close proximity to the city for work.“Both groups are attracted to the sense of space both inside and out of the apartments – something that certainly sets Ascot Green above its competition.”center_img Tulloch House will be surrounded by iconic heritage-listed buildings and expansive open spaces.As part of Ascot Green’s latest development release, Tulloch House is surrounded by iconic heritage-listed buildings and expansive open space.With 95 per cent of apartments sold in the first building delivered at the prestigious Ascot Green development, Ascot House, the second building has been officially launched to the public.The Ascot Green development is a joint venture with the Brisbane Racing Club and forms part of the $1.2 billion Eagle Farm masterplan. The residential project has a position alongside the iconic Eagle Farm Racecourse, with a childcare centre, future aquatics centre and recently opened Racecourse Village retail precinct continuing to add a wealth of amenity on the doorstop of Ascot Green. last_img read more

Jermain Defoe delighted signing for Aribo’s Rangers

first_imgBournemouth striker Jermain Defoe has agreed a permanent deal with Rangers. Loading… The 37-year-old striker, who has been on loan from Bournemouth this season, has signed a pre-contract agreement with the Ibrox club for the 2020-21 campaign. Speaking on the Rangers website about the move, Defoe said: “I’m just delighted to be honest.Advertisement “When I first signed, as I’ve said many times, it was an easy decision because I have always known about the size of this football club and the history and the great players that have played for this club, so I think for it to get all sorted and for me to secure my future here for another year is really special.” Read Also:Gerrard: I will return to Liverpool when I’m ready Gers boss Steven Gerrard added: “He is still contributing heavily, he is a major part of this group, this team and this squad and, hopefully, together we can go and share some success as I think he deserves that.” FacebookTwitterWhatsAppEmail分享 Promoted Content9 Movie Scenes That Got Re-Shot Because Viewers Didn’t Like Them7 Theories About The Death Of Our UniverseTop 10 Most Romantic Nations In The World2020 Tattoo Trends: Here’s What You’ll See This YearWho Is The Most Powerful Woman On Earth?Playing Games For Hours Can Do This To Your Body9 Facts You Should Know Before Getting A Tattoo5 Of The World’s Most Unique Theme ParksWhich Country Is The Most Romantic In The World?Couples Who Celebrated Their Union In A Unique, Unforgettable Way7 Black Hole Facts That Will Change Your View Of The Universe7 Thailand’s Most Exquisite Architectural Wonderslast_img read more

Unlicensed gun sends man to jail

first_imgWhen frisked, Brillantes yielded asachet of suspected shabu and drug paraphernalia. Police also impounded hismotorcycle. Prior to his arrest, Brillantes – residentof Barangay Mansilingan – had a heatedargument with traffic enforcer Alvin Rivera around 11 a.m. on Jan. 11, thereport added. A .45-caliber pistol with seven livebullets was confiscated from 42-year-old Ronel Brillantes, a police reportshowed. The suspect was detained in the lockup cell of Police Station 1, facing charges./PN BACOLOD City – A man was nabbed forpossessing an unlicensed gun in Barangay 38. last_img read more

Lampard: I’m committed to New York

first_imgFrank Lampard has insisted he remains fully committed to New York City and said he only ever joined Manchester City as a way of staying fit ahead of the Major League Soccer season. Press Association Although City have been cleared of breaking any rules in the deal, their attempts to clarify the situation on Friday brought fresh confusion as they initially said Lampard’s deal with the club ran until December 31 – which would be in contravention of Premier League rules. That came only 24 hours after the club had been cleared by the league of breaking regulations. The PR damage has been extensive on both sides of the Atlantic, most keenly felt in New York where their new MLS franchise must mend fences with supporters before a ball has been kicked in competitive action. The scale of the problem in the United States was clear when the New York Post described Lampard’s signing as a “fraud” in a headline. But Lampard, in a lengthy interview with the Times, insisted his commitment to New York came first. Describing the talks he had with Ferran Soriano, chief executive of both City and New York, after leaving Chelsea, Lampard said: “It was 100 per cent New York. I had sat down with Ferran and it was all about New York. There was no mention of Man City. If they had wanted to speak to me on behalf of Man City, with New York in the pipeline beyond that, they could have done that, because I was a free agent, but that was never the question at all.” Lampard said City did not enter the equation until he began to consider ways to keep fit during the long wait for New York’s season to start, and insisted there was no question over his commitment to New York going forward. “I have signed for New York,” he said. “The original intention was for that to start on January 1. I signed a Man City agreement in the interim (in August). Now that has obviously changed. I have extended my period here and will join New York later.” When New York City originally announced the deal on their website in July, they said Lampard’s contract began on August 1, and City initially described his arrival in Manchester as a loan. Both those announcements were described as “mistakes” by the City Football Group – parent company to both clubs – on Friday, but their ‘clarification’ also suggested Lampard had only agreed a short-term deal with Manchester City until December 31. That would be in contravention of Premier League rules which state all contracts must run to the end of the season unless exceptional circumstances apply. On Thursday, the Premier League had said it was satisfied no rules had been broken because Lampard’s deal was until the end of the season. It was only the latest in a series of developments in the saga which have sown mistrust in the deal. “That is what has frustrated me, that people were sort of saying ‘You knew what you were doing’,” Lampard added. “I never would have done that. If I had wanted to come to Man City, then I would stand up and come to Man City. That wouldn’t have been a problem. “And in terms of Man City being ‘sneaky’, they could have signed me on a free anyway if that’s what they wanted to do. People mention Financial Fair Play but what difference would that have made? No difference. It would have been a slippery move, a dodgy move, for nothing. The fact is I signed for New York, then I signed for Man City in the interim and now it has been extended.” City manager Manuel Pellegrini sought to draw a line under the affair on Friday, saying: “I think it’s an issue which is finished. “Frank now is here. I know that there a lot of different opinions about Frank, about that. I respect all of them, but the decision is taken already and Frank will stay here until the end of the season.” Manchester City have faced a storm of criticism for their handling of Lampard’s situation since it was confirmed on New Year’s Eve that the 36-year-old will remain with the Barclays Premier League champions until the end of the season, delaying his debut for sister club New York until midway through their inaugural MLS campaign. There has been much confusion over Lampard’s contractual situation, with differing accounts as to when he signed for which club and for how long. last_img read more

Violent Incidents in Miami Include Children, Fatal Shooting of Suspect

first_imgThe weekend has proven to be unusually violent in some Miami-Dade County neighborhoods.On Friday night, a confrontation with a fleeing motorist resulted in a fatal shooting along SW 153 Ct.Police say they tried to stop the suspect’s car on SW 162 Ave., but he drove off and eventually crashed at a nearby construction site.According to the police report, officers fired shots during a confrontation with the suspect, who was killed.He has not been identified. Another man who was wounded in the initial shooting is still recovering in the hospital.Meanwhile, four people, including two young children, found themselves in the line of fire during a drive-by shooting in a NW Miami-Dade on Saturday night.A large police presence remained on scene Sunday morning, near the intersection of NW 27th Ave. and 51st St.The incident resulted in immediate reaction from local law enforcement and education leaders.Alfredo Ramirez III, director of the Miami-Dade Police Department, tweeted:Anyone with information is urged to call @CrimeStopper305 at 305-471-TIPS. @MiamiDadePD will be contributing to increase the reward by $5000 for information that results in an arrest or filing of criminal charges.— Alfredo “Freddy” Ramirez III (@MDPD_Director) July 26, 2020 He added that the incident took place during a party, but officers have not confirmed that information.Authorities are still in the early stages of the investigation, and have not released any information on a suspect or a vehicle description.Anyone with information about the shooting is asked to contact Miami-Dade Crime Stoppers at (305) 471-TIPS. Superintendent of Schools Alberto Carvalho tweeted:Heartbroken to learn that yet again, a precious child was shot during a drive-by incident tonight. I am with pleading with the community…if you saw something, PLEASE say something. We must not remain silent when the lives of our children are at stake. #EnoughisEnough— Alberto M. Carvalho (@MiamiSup) July 26, 2020last_img read more