Surgery and Healing in the Developing World
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Glenn Geelhoed If you have trouble downloading this file, please right-click
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ISBN: Pub date: 2005-08-15 485 pages |
About this bookThere is a lot of very diverse world out there that needs healing, surgical and otherwise. Medicine in general and surgery in particular are getting more standardized in principle and practiced by technologic advances in the hyper-developed and over-serviced, advanced First World nations. There are increasingly numerous and more impoverished people in the majority part of the world’s “south” euphemistically referred to in the hopeful economic term “developing.” These people suffer lack of almost everything which is found in such redundancy in the neighboring “north.” Most of the globe’s citizens live and die without benefit of a physician’s attention. More than 90% of the world’s surgical needs exist outside Europe and North America. Yet all our training and technology are geared to service a minority representation of the world’s needs, while the vast majority of these needs are comfortably outside our view. This book assists in narrowing the divide between the labor and equipment intensive practice of medicine and surgery in Europe and North America (First World) and the Third World of constrained resources where ingenuity is not only rewarded, but is a requirement in medical/surgical care. It reviews tricks of ancillary trades which add to the resourcefulness that can be brought to the field in laboratory, anesthesia, nursing services, and even such taken-for-granted supply of one’s own utility services such as water, electricity and basic materials like IV fluids and suture. Specific surgical treatments can be adapted to resource constraints by applied ingenuity in a section on the tools and techniques that can be improvised to accommodate fundamental surgical principles. And an important component of the medical mission is the sustainability of it through the training and continuing encouragement and assistance to those who will carry on at the field site, passing on and indigenizing hope. In addition, the author believes that the improvisations and techniques reviewed in this text can be carried back as skills learned—a gift from the Third to the First World—and adapted to the care of increasingly diverse populations of patients closer to home. The intention is that lives should be enhanced on either side of the exchange. These goals are outlined in the intent and contents of this book. |
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Table of contents1. Preparation Time 2. Surgery in Developing Countries 3. A Commitment to Voluntary Health Care Service 4. International Surgical Education: The Perspective from Several Continents 5. Medicine Writ Large in the Raw, without Power or Plumbing 6. To My Son, the Urologist 7. Medicine and Surgery in the Third World 8. Lab in a Suitcase 9. Lab-in-a-Suitcase: Saving Lives in Remote Corners of the Globe 10. Establishing Electrical Power in Remote Facilities for Health Care 11. Tropical Nursing 12. Communication in the Third World: A One-Way Street 13. Anesthesia in the Third World 14. Outpatient Assessment of the Pregnant Patient: Dilatation and Curettage 15. Basic Obstetrics and Obstetric Surgery in a Mission Setting 16. Pointers for American Surgeons Going to the Developing World 17. Training to Serve the Unmet Surgical Needs Worldwide 18. Guide to the Operating Theater on $25 a Patient 19. Orthopedic Surgery 20. Chronic Pyogenic Osteomyelitis in a Rural Area: The Aggravating Factor
21. Study of the Epidemiology and Treatment of Fractures in Rural 22. The Prevention and Treatment of Landmine Injuries 23. Cleft Lip and Palate Surgery in Developing Countries 24. Outreach Dentistry: A World of Wonder Awaits in the Golden 25. Dentistry 26. Reconstructive Surgery in the Tropics 27. Factors Influencing Geographic Distribution and Incidence 28. Population Dynamics of Surgical Tropical Diseases 29. Metabolic Maladaptation 30. Nutrition and Development in Africa Risk: Factors on Either Side 31. Uterine Ruptures in Rural Zaire 32. Vesicovaginal Fistula of Obstetrical Origin in Northeast Democratic
33. Ophthalmology 34. Accommodating Deficits in Material and Assistance 35. Abscesses and Other Infections Treated by Surgery 36. Surgical Training of Nurses for Rural Areas: Necessity or Aberration? 37. Training of Medical Assitants in Mozambique for Surgery 38. Training Surgeons in the Developing World 39. Mobile Surgery 40. Public Health Problems on Burma Frontiers: A Window into a Nation
41. Medical Adventures in the Nigerian Bush 42. Wanted 43. World Health 44. Treating Others: Human Sciences in Theory and Practice |
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