Mass Communication and Mass Incommunication: A Revisit

The need to revisit Adesanoye’s view on the prevailing communication gap between the urban and the rural areas over twenty-five years ago which he termed “mass incommunication” was as a result of the fact that the situation, rather than improving is increasingly deteriorating.  The authors in analyzing the situation discovered that even when and where concerted efforts are made by the media industry to involve the Nigerian populace in a participatory and interactive communication process, the success is always limited by factors such as  poverty, illiteracy, infrastructure, ownership, legal constraints, technology and media commercialization.  The writers suggested and agreed with other media scholars on the establishment of rural radio and community newspaper.  The government must revive the Adult Literacy campaign to improve the literacy level among the populace. Finally, there should be a return to the era of public service broadcasting. In essence, government news media should be well funded so as to accommodate the interest of everybody in participatory and interactive process of communication. Keywords: Mass Communication, Mass Incommunicatio

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

Abstract 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