Artistic, Aesthetic and Edificial Works as Constant Elements of the Inconsistent Physical Character of a City

Cities evolve and grow rapidly in a manner that is unprecedented throughout their long history. This great acceleration and growth is governed by many overlapping and intersecting factors (Economical, Social, Political, etc.), the process of identifying the city's character or identity is no longer an easy task. This appears more clearly in historic cities and historic areas that in most cases contrast with the civilizational, cultural and urban extension of the mother city. This therefore justifies the importance of polyphonic and edificial aesthetic works as they are elements of consistency and solidity of urbanism. Cities and their various components (facilities & planning, objectives & economics, construction & architecture) have witnessed a new turn and were influenced by many factors. These factors and their results should therefore be identified in order to understand how they reflect on cities and how artistic and aesthetic works reflect on the form and identity of cities

Artistic, Aesthetic and Edificial Works as Constant Elements of the Inconsistent Physical Character of a City

Cities evolve and grow rapidly in a manner that is unprecedented throughout their long history. This great acceleration and growth is governed by many overlapping and intersecting factors (Economical, Social, Political, etc.), the process of identifying the city's character or identity is no longer an easy task. This appears more clearly in historic cities and historic areas that in most cases contrast with the civilizational, cultural and urban extension of the mother city. This therefore justifies the importance of polyphonic and edificial aesthetic works as they are elements of consistency and solidity of urbanism. Cities and their various components (facilities & planning, objectives & economics, construction & architecture) have witnessed a new turn and were influenced by many factors. These factors and their results should therefore be identified in order to understand how they reflect on cities and how artistic and aesthetic works reflect on the form and identity of cities

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially