One in 700 children around the world are born with cleft lip and/or palate (CL/P). Although reconstructive surgery is widely available in high-income settings, over 2 billion people in low- and middle-income countries lack access to essential surgical care. The mission model has been demonstrated to be highly effective in responding to the global surgical workforce crisis, but has been questioned in regard to its sustainability, value, and overall impact. Through effective health systems integration, the mission model presents abundant opportunities for streamlined delivery and horizontal impact. Still, the primary goal of the mission model is direct care delivery; and although the value of sustainability is indisputably vital, we contend that the mission model, when executed responsibly, creates high-value, sustained impact on the individual lives of those presently in need. We furthermore advocate for the sustained commitment of implementing organizations, patient safety, local integration, and a new focus on patient centeredness as key elements of the responsible mission model.
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Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA, 91011, USA.
A new proliferation of optical instruments that can be attached to towers over or within ecosystems, or 'proximal' remote sensing, enables a comprehensive characterization of terrestrial ecosystem structure, function, and fluxes of energy, water, and carbon. Proximal remote sensing can bridge the gap between individual plants, site-level eddy-covariance fluxes, and airborne and spaceborne remote sensing by providing continuous data at a high-spatiotemporal resolution. Here, we review recent advances in proximal remote sensing for improving our mechanistic understanding of plant and ecosystem processes, model development, and validation of current and upcoming satellite missions.
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As the Army continues to adapt to evolving mission demands and global threats, those who execute the mission - both soldiers and Department of the Army (DA) civilians - must also adapt to changing occupational demands and requirements. Occupational stress within the military community is a threat to health and wellbeing that impacts not only individual soldiers and civilian personnel, but also units, families, and the broader military community. Hardiness is an operational requirement for military success, spirituality might be a means to positively impact soldier and DA Civilian hardiness.
View Article and Find Full Text PDFEnhancing equity in academic surgery promotion practices.
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Section of Otolaryngology Head and Neck Surgery, Department of Surgery, University of Chicago, Pritzker School of Medicine, IL. Electronic address:
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