The Fate of the Buried Hair

Mahler, Dan; Yanai, Eli; Rosenberg, Lior; Goldstein, Jed

doi:10.1097/00000637-198008000-00007

Cited by 5 publications

(3 citation statements)

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“…In 1980, Halfdan Mahler, the then Director-General of the WHO, identified surgery as a critical part of primary healthcare and challenged the global health community to address the gross inequities in access to surgical care that were present at that time. 1 However, over 30 years later, 5 billion people—a number greater than the world's total population at the time of Mahler's speech—are unable to access safe, affordable surgical and anaesthesia care when needed. 1–3 Concerted action from multiple sectors in all countries is required to ensure that the world will have made progress in closing the access gap by 2030.…”

Section: Introductionmentioning

confidence: 99%

“… 1 However, over 30 years later, 5 billion people—a number greater than the world's total population at the time of Mahler's speech—are unable to access safe, affordable surgical and anaesthesia care when needed. 1–3 Concerted action from multiple sectors in all countries is required to ensure that the world will have made progress in closing the access gap by 2030. 4 …”

Section: Introductionmentioning

confidence: 99%

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Global Surgery 2030: a roadmap for high income country actors

et al. 2016

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The Millennium Development Goals have ended and the Sustainable Development Goals have begun, marking a shift in the global health landscape. The frame of reference has changed from a focus on 8 development priorities to an expansive set of 17 interrelated goals intended to improve the well-being of all people. In this time of change, several groups, including the Lancet Commission on Global Surgery, have brought a critical problem to the fore: 5 billion people lack access to safe, affordable surgical and anaesthesia care when needed. The magnitude of this problem and the world's new focus on strengthening health systems mandate reimagined roles for and renewed commitments from high income country actors in global surgery. To discuss the way forward, on 6 May 2015, the Commission held its North American launch event in Boston, Massachusetts. Panels of experts outlined the current state of knowledge and agreed on the roles of surgical colleges and academic medical centres; trainees and training programmes; academia; global health funders; the biomedical devices industry, and news media and advocacy organisations in building sustainable, resilient surgical systems. This paper summarises these discussions and serves as a consensus statement providing practical advice to these groups. It traces a common policy agenda between major actors and provides a roadmap for maximising benefit to surgical patients worldwide. To close the access gap by 2030, individuals and organisations must work collectively, interprofessionally and globally. High income country actors must abandon colonial narratives and work alongside low and middle income country partners to build the surgical systems of the future.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Global Surgery 2030: a roadmap for high income country actors

et al. 2016

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“…23 Two studies of patients, shaved versus not shaved for elective surgery, showed an increase in postoperative wound infection rates in the shaved groups. 31 Clipping hair around the wound with scissors and shaving with a recessed blade razor are techniques for hair removal that avoid dermal damage. 28 Hair can be cleansed easily and successfully using standard techniques for applying antiseptic solutions.…”

Section: Wound Area Hair Removalmentioning

confidence: 99%

Wound Cleansing and Irrigation

Trott

2012

Wounds and Lacerations

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Abnormalities of the Neonatal Ear: Otoscopic Observations, Histologic Observations, and a Model for Contamination of the Middle Ear by Cellular Contents of Amniotic Fluid

Eavey

1993

The Laryngoscope

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It is unknown whether childhood ear disease could be present long before symptoms provoke an initial otoscopic examination. A newborn middle ear might or might not start in a pristine, privileged state. The clinician evaluating later infant and childhood ear disease is often unaware of the status of a patient's ear from the neonatal period, the earliest time at which the tympanic membrane can be evaluated. Adding to the physician's handicap, normative otoscopic and histologic data on the neonatal ear are incomplete. In order to test the hypothesis that disease in the neonatal middle ear may be more common than is generally appreciated, the population of critically ill neonates was selected for study since this group can provide both clinical as well as histologic data. This manuscript is divided into three parts. Clinically, otoscopic observations were analyzed on infants in an intensive care unit. Histologically, neonatal temporal bones were studied for normal anatomy and pathology of the middle ear and antrum. Experimentally, an animal study was performed to evaluate the potential effect of amniotic fluid cellular contents aspirated into the middle ear. I. Clinical Otoscopic Observations. Daily otoscopic examination was conducted on 44 neonates in an intensive care unit. Specific parameters of the otoscopic examination were evaluated to compare with the normal, translucent tympanic membrane of the older child. The otoscopic appearance was found to be abnormal in 97. 7% of neonatal ears. Of the otoscopic parameters evaluated, right ears averaged 2.6 abnormalities and left ears averaged 2.5 otoscopic abnormalities. The otoscopic appearance of the neonate in the neonatal intensive care unit is nearly universally abnormal. II. Temporal Bone Histologic Observations. One hundred eleven temporal bones from 56 neonates were collected for histologic study by light microscopy. Mesenchyme filling more than 60% of the middle ear space was found in 13 bones. Amniotic fluid cellular content was detected in 90 bones. Purulent otitis media was detected in 24 bones. Varying amounts of blood were found in the middle ear space of 34 bones. Only 7 of the bones had no significant middle ear abnormality. It is concluded that in the critically ill neonate, the middle ear and antrum usually contain cellular or fluid material, often in significant volume, that would not be considered normal in the older patient. III. An Animal Model Simulating Contamination of the Middle Ear by Cellular Contents of Amniotic Fluid. In human neonatal ears the histologic residue of refluxed amniotic fluid, keratinized epithelial cells and lanugo hair, initiates a foreign‐body giant‐cell reaction with granulation tissue formation. It was hypothesized that this residue might not be evacuated easily and potentially could persist as an inflammatory nidus. An animal model· was designed to determine if the human findings could be reproduced and to analyze the host reaction over 2 months. An aliquot of autologous, sterilized hair and keratinized epithelial cells...

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The Fate of the Buried Hair

Cited by 5 publications

References 0 publications

Global Surgery 2030: a roadmap for high income country actors

Global Surgery 2030: a roadmap for high income country actors

Wound Cleansing and Irrigation

Abnormalities of the Neonatal Ear: Otoscopic Observations, Histologic Observations, and a Model for Contamination of the Middle Ear by Cellular Contents of Amniotic Fluid

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