Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Prerequisite of a Holistic Blend of Traditional and Modern Approaches of Cancer Management

Background: With the advent of changes in lifestyle of people all around the world, cancer cases have been showing an exponential rise. Researchers from varied fields have been trying to solve this tricky issue. Methods: We undertook a systematic search of bibliographic databases of peer-reviewed research literature to evaluate the holistic blend of modern and traditional approaches, especially the Ayurvedic perspective of treatment of cancer along with the effect of our diet and lifestyle on the management (both prevention and cure) of cancer. Results: On the basis of extensive literature survey, it was found that Ayurveda as one of the ancient medicinal systems had been very well documented for utilizing its best practices for the treatment of various diseases including cancer, by utilization of several herbal plants and dietary interventions as therapeutics. Active components present in various herbs, which interfere with certain molecular targets to inhibit carcinogenesis are also summarized. Further, beneficial effects of yoga and exercise on psychological distress, cancer-related fatigue and global side-effects as well as their mechanism of action are also discussed. In addition, we recapitulate an upcoming field of Ayurgenomics to understand the possible correlation of Prakriti with genetics as well as epigenetics. Conclusion: Both genetic as well as environmental factors have shown their linkage with cancer. Substantial advancements in the field of targeted therapies have opened new horizons for the cancer patients. To fight with this grave situation, a combination of ancient and modern medicinal systems seems to be the need of the hour

Functional near infrared optical imaging in cognitive neuroscience: an introductory review

Cognitive neuroscience is a multidisciplinary field focused on the exploration of the neural substrates underlying cognitive functions; the most remarkable progress in understanding the relationship between brain and cognition has been made with functional brain imaging. Functional near infrared (fNIR) spectroscopy is a non-invasive brain imaging technique that measures the variation of oxygenated and deoxygenated haemoglobin at high temporal resolution. Stemming from the first pioneering experiments, the use of fNIR spectroscopy in cognitive neuroscience has constantly increased. Here, we present a brief review of the fNIR spectroscopy investigations in the cognitive neuroscience field. The topics discussed encompass the classical issues in cognitive neuroscience, such as the exploration of the neural correlates of vision, language, memory, attention and executive functions. Other relevant research topics are introduced in order to show the strengths and the limitations of fNIR spectroscopy, as well as its potential in the biomedical field. This review is intended to provide a general view of the wide variety of optical imaging applications in the field of cognitive neuroscience. The increasing body of studies and the constant technical improvement suggest that fNIR spectroscopy is a versatile and promising instrument to investigate the neural correlates of human cognition