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

Study on the use of ethnic priming and target marketing on the attitudes towards models in print media.

Prior studies have shown that ethnicity of models moderate consumer response to targeted advertising. Our research extends this finding by showing how ethnic priming and target marketing can be effectively used in print media on Singaporean Chinese

A controlled study of personality traits in female adolescents with eating disorders

Background: Among adults, personality traits have been implicated in the development and maintenance of eating disorders (EDs); whether these findings extend to youth is unknown. The aim of this study was to investigate personality traits of adolescents with EDs.Methods: A case-control approach was performed by comparing a clinical group of female adolescents with EDs (n = 23) to a control group of adolescents in the general community (n = 26) on personality traits of inhibited, self-demeaning, and borderline tendency. Controls were frequency-matched to cases on age and sex, were drawn from a similar geographic catchment area, and observed in the same year as clinical cases. Results: The clinical group demonstrated significantly higher scores on self-demeaning (F(1,47) = 41.39, p < .001, η2 = .075), borderline (F(1,47) = 24.50, p < .001, η2 = .093), and inhibited (F(1,47) = 13.33, p = .001, η2 = .014) personality styles. Adjustment for affective symptomatology diminished the strength of these relationships, but personality pathology still demarcated the group with clinical EDs. Conclusions: The well-established link between personality pathology and EDs in adults generalised to adolescents

Singapore 1994-1996: Bibliographies

10.1177/002200949803300306The Journal of Commonwealth Literature333134-15