Older women in Jimani
Black ladies in Jimani looking girls from Dominican Republic to sex single horney seeking sex lady.
.jpg)
.jpg)
.jpeg)
.jpeg)
.jpeg)
.jpeg)
.jpeg)
.jpg)
.jpg)
.jpeg)
.jpeg)
.jpg)
.jpg)
.jpeg)
.jpg)
.jpeg)
.jpeg)
.jpeg)
.jpeg)
.jpeg)
.jpeg)
.jpg)
.jpeg)
.jpg)
See other girls from Dominican Republic: Older asian women having sex in Comendador, Clinton girls xxx in Azua, Meet for sex in Bani
You have full access to this open access article. The earthquake that occurred in Haiti on 12 January elicited an unprecedented response from the American orthopedic community. Many small organizations, such as Operation Rainbow, were thrust into the unfamiliar environment of relief surgery, whereas they normally provide short elective reconstruction missions in developing countries.
The last couple of decades have seen a significant increase in the number of groups and organizations providing elective surgical care of all sorts to low-income countries [ 1 — 4 ]. Sizes from individuals to large organizations such as Interplast or Operation Smile and affiliations academic, religious, political may vary, but almost all share basic principles of humanitarianism and volunteerism. Although models may differ from one organization to another, surgical missions are usually short, primarily focused on service provision rather than capacity building, and target people who could not be treated otherwise because of barriers such as costs, lack of local capacity, or lack of patient access [ 4 , 5 ].
There are also drawbacks: short-term follow-up is usually in the hands of local providers, who are sometimes ill equipped or ill prepared to manage some complications; and long-term follow-up is often almost nonexistent, so the outcomes of surgical procedures are usually assumed rather than verified. Outcomes and cost-effectiveness of volunteer surgery can be documented in developed countries [ 8 ], but with few very rare exceptions, this is not the case in poorer countries [ 7 ].
This lack of documentation is unfortunate, considering that the magnitude of the problem, particularly the high burden of injuries, is widely recognized [ 9 ]. It started in as a plastic surgery team and in an orthopedic surgery section was added, which has since been responsible for the bulk of the surgical activity, with more than 10, surgical procedures in over 10 countries, with over 50, patients seen, evaluated, and treated in the clinic.
