BACKGROUND Clinical officers perform much of major emergency surgery in Malawi, in the absence of medical officers. The aim of this study was to validate the advantages and disadvantages of delegation of major obstetric surgery to non-doctors. METHODS During a three month period, data from 2131 consecutive obstetric surgeries in 38 district hospitals in Malawi were collected prospectively. Th...

Cognitive Radio (CR) can optimize system objects by dynamically assigning network resource and adjusting network operations in terms of network environments and conditions. So CR technology is very suitable for building emergency communication system to improve resource utilization ratio and enhancing dependability and availability of communication services apparently. In this paper, background...

During an emergency, laws designed for normal operations and circumstances may sometimes hinder response efforts, potentially endangering the public's health rather than protecting it. Pursuant to declared states of emergency, however, officials may be authorized to waive or suspend some provisions of state law to address emergency conditions. Such authority can play a critical role in response...

background: u sing non-absorbable suture in children hernia repair to decrease of recurrence is recommended in the most pediatric surgery centers. the aim of this study was to determine relationship between kind of suture material and rate of hernia recurrence. methods: in this clinical trial 200 children (age 1-5 years) with inguinal hernia who operated in imam-reza hospital (kermanshah –iran ...

In this paper we describe a distributed architecture that could be used to link emergency medical centres, hospitals, telephone operators, and ambulances into a hybrid Peer-to-Peer (P2P) and Grid system for the sharing of information and transport of data. Distributed computing techniques can be used to connect static and mobile systems, bringing the different tools, expertise and databases tog...

Emergency response organizations are faced with complex, unprecedented events with the potential for catastrophic losses. To assist emergency response organizations in responding to unprecedented events, new models must be developed and the traditional command and control structure of decision making must be revised to accommodate greater flexibility and creativity by teams. In this paper we pr...

Abstract Introduction Despite the practice of evidence-based medicine, superstitions remain common amongst healthcare workers around world. Friday 13th is a day that can cause anxiety many surgeons on-call. Our aim was to determine whether there significant difference between working an on-call as surgeon on compared preceding at large teaching hospital. Method We conducted retrospective, longi...

BACKGROUND Appendectomies are the most common operations performed on an emergency basis. The accepted rate of "white" appendectomies is around 20%. In recent years, computed tomography (CT) scanning has been recognized as a valuable tool with high sensitivity and specificity in the diagnosis of acute appendicitis. The use of CT scans in the management of patients with suspected acute appendici...

UNLABELLED Background / Aim: Incisional hernia is still relatively common in our practice. The aim of the study was to identify risk factors associated with incisional hernia in our region. The setting is the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria during a period when prosthetic mesh was not readily available. PATIENTS AND METHODS All the women who presented w...