The Vehicle, Spring 2002

Table of Contents Black Lace Under White OxfordAmee Bohrerpage 4 We Have ForgottenAubrey Bonannopage 4 The Grand Old Drink of the SouthNatalie Espositopage 5 SymphonyChristie Jean Hallpage 6 Sol from the CityJeremy Hartzellpage 7-10 Yellow TimeErika Larsonpage 10 Death of a Salesman\u27s WifeErika Larsonpage 11-12 This SideErika Larsonpage 12 JuiceTimothy Lockmanpage 13 Chess GameMike Scalespage 13 Facing HimTimothy Lockmanpage 14 ShameRon Lybargerpage 15 Sunlit HydrantMike Scalespage 15 11-22-63Reginald Mansfieldpage 16 four cornersDave Moutraypage 17 regretting PamDave Moutraypage 18-19 Chicago SummertimeLisa Sarmpage 19 Hands of TimeJessica Shekletonpage 20 An AppointmentJosh Sopiarzpage 21 Our Fates and Old Men\u27s GlassesJosh Sopiarzpage 22 An Apple Orchard PicnicJosh Sopiarzpage 23 November GraysJoe Webbpage 24 The AxJanet Windeguthpage 25-31 The Old Porch SwingJoe Webbpage 32 Green MachineQynn McCrory, H.S. Writing Contest Winnerpage 33 My Little PonyJ. Benjamin Blount, H.S. Writing Contest Winnerpage 34 Biographiespage 35-36https://thekeep.eiu.edu/vehicle/1077/thumbnail.jp

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

The Vehicle, Spring 2002

Table of Contents Black Lace Under White OxfordAmee Bohrerpage 4 We Have ForgottenAubrey Bonannopage 4 The Grand Old Drink of the SouthNatalie Espositopage 5 SymphonyChristie Jean Hallpage 6 Sol from the CityJeremy Hartzellpage 7-10 Yellow TimeErika Larsonpage 10 Death of a Salesman\u27s WifeErika Larsonpage 11-12 This SideErika Larsonpage 12 JuiceTimothy Lockmanpage 13 Chess GameMike Scalespage 13 Facing HimTimothy Lockmanpage 14 ShameRon Lybargerpage 15 Sunlit HydrantMike Scalespage 15 11-22-63Reginald Mansfieldpage 16 four cornersDave Moutraypage 17 regretting PamDave Moutraypage 18-19 Chicago SummertimeLisa Sarmpage 19 Hands of TimeJessica Shekletonpage 20 An AppointmentJosh Sopiarzpage 21 Our Fates and Old Men\u27s GlassesJosh Sopiarzpage 22 An Apple Orchard PicnicJosh Sopiarzpage 23 November GraysJoe Webbpage 24 The AxJanet Windeguthpage 25-31 The Old Porch SwingJoe Webbpage 32 Green MachineQynn McCrory, H.S. Writing Contest Winnerpage 33 My Little PonyJ. Benjamin Blount, H.S. Writing Contest Winnerpage 34 Biographiespage 35-36https://thekeep.eiu.edu/vehicle/1077/thumbnail.jp