Some discussions on functionalist housing and its economics in Romania by Lhe late 1950s and early 1960s

This paper proposes an analysis of the Romanian architectural practices in the late 1950's and early 1960's by considering the availability of financial resources. I premise that echoes of Moscow's approaches to the built environment overlapped the Bucharest politicians' priorities, whose lack of constancy in economic decision-making exacerbated itself as the urban construction programs advanced. From the Romanian authorities' point of view, therefore, raising the mass housing profitability could save important financial resources for other investments in heavy industry, while maintaining the appearance of a social state. Similarities between Soviet and Romanian modernist building projects suggested a coherent approach to housing throughout the bloc. However, this article will show that functionalist architectural modernism -cheap and fast to erect- also proved beneficial for Gheorghe Gheorghiu-Dej's economic plans, which questions urban construction projects' political agendas and the professional tensions between architects and economists. Therefore, investigating the functionalist architecture opens up several lines of inquiry: to what extent Nikita Khrushchev's housing program was transferred in Romania; the tortuous policies of the Romanian state's leadership in the field of housing as well as how local bureaucratic or professional actors appropriated, interpreted and adjusted such programs; and, the economic costs of the new functionalist approach to urban dwelling. In this way, this article reads the making of functionalist mass housing programs by the late 1950s to assess the Soviets' part in building the Romanian cities. To this end, the article contributes to the recent scholarly literature on multiple modernities

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Multiple Shape Correspondence by Dynamic Programming

We present a multiple shape correspondence method based on dynamic programming, that computes consistent bijective maps between all shape pairs in a given collection of initially unmatched shapes. As a fundamental distinction from previous work, our method aims to explicitly minimize the overall distortion, i.e., the average isometric distortion of the resulting maps over all shape pairs. We cast the problem as optimal path finding on a graph structure where vertices are maps between shape extremities. We exploit as much context information as possible using a dynamic programming based algorithm to approximate the optimal solution. Our method generates coarse multiple correspondences between shape extremities, as well as denser correspondences as by-product. We assess the performance on various mesh sequences of (nearly) isometric shapes. Our experiments show that, for isometric shape collections with non-uniform triangulation and noise, our method can compute relatively dense correspondences reasonably fast and outperform state of the art in terms of accuracy