12 research outputs found

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

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    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

    Performance analysis of voice services in hybrid fiber/coax networks

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    IEEE International Conference on Communications3701-70

    Innovative large-diameter RO system for water reclamation and seawater desalination

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    10.2166/ws.2008.008Water Science and Technology: Water Supply8193-99WSTW

    Immunoglobulin (Ig) and IgG subclasses in Asian children with bronchial asthma

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    Annals of Tropical Paediatrics154279-284ATPA

    Session Management protocol for mobile computing

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    Conference Record / IEEE Global Telecommunications Conference52592-2598CRIE

    Modulation of MHC expression on human endothelial cells by sera from patients with systemic lupus erythematosus

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    10.1006/clin.1993.1133Clinical Immunology and Immunopathology683321-326CLII
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