A Global Collaborative Effort to Enhance Design in a Mechanical Engineering Curriculum in Saudi Arabia

In 2008, King Fahd University of Petroleum and Minerals (KFUPM) in Saudi Arabia and the Massachusetts Institute of Technology (MIT) partnered together to develop project-based curricular material to be tested out in a new undergraduate course offering in KFUPM’s Department of Mechanical Engineering. This paper details some of the unique challenges to collaborating across countries and time zones, and the approaches the KFUPM-MIT team used to address these. These approaches have so far included the establishment of a shared vision for the project and the use of an array of technologies to facilitate distance communication. The paper concludes with a description of lessons learned that might be useful for future programs that plan to engage in international collaboration on design education.Jāmiʻat al-Malik Fahd lil-Batrūl wa-al-Maʻādi

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