Posted on May 20th, in Covid19, UCC Communiques & News, News, Featured. May 20, 2020. The COVID-19 Children’s Relief Initiative was launched today as…
By New Pathway -Dec 24, 2019 Yuri Bilinsky, New Pathway – Ukrainian News. The Berlin wall came down 30 years ago but psychologically it still…
Posted on August 10th, in News
From May 2020 to July 2020 HelpAge International in Ukraine implemented the project aimed to reducing the risks of coronavirus infection among older women and men living along the contact line (0- 5) in government-controlled areas (GCA) in Donetsk and Luhansk regions with financial support from HelpAge Canada.
The project covered 20 settlements in the Donbass area, Governmental-controlled area (GCA).
Donetsk region – settlements: Marinka, Krasnogorivka, Taramchuk, Stepne, Novomykhailivka, Novobakhmutivka, Zalizne, Opytne, Vodiane, Pervomaiske.
Lugansk region – settlements: Novotoshkivske, Nyzhnie, Orikhove, Troitske, Komyshuvakha, Zolote, Stanitsa Luhanska, Makarove, Petropavlivka, Valuiske.
For implement the project HAI recruited one project officer (PO) in each region, one project assistant (PA) and 10 community volunteers (CVs). All these people were employees of HAI in a previous project funded by ECHO, so they are aware of the policies of HAI, humanitarian principles and rules of personal safety and protection of the older people. Before the start of the project implementation the POs conducted a short update training on the rules of working in a pandemic, the using of Personal Protective Equipment (PPE) and understanding the project’s objectives for volunteers and PAs. Also, when choosing volunteers for the project, we took into account the factor that each of the 20 settlements should be covered by one of our volunteers in order to ensure better access to the beneficiaries and the delivery of non-food items (NFI). The major focus was on provision of COVID-19 adapted hygiene kits, personal protective equipment, COVID-19 prevention through information sharing and guidance on steps needed if one has symptoms and also provide remote psychosocial support via regular check-in mobile phone calls and a HelpAge ‘telephone hotline’ provide accurate and update information on COVID-19.
Additionally, volunteers provided the First Psychological Aid during the visit and provided information about the available services for the older people in specific localities. Since the project is aimed at quick response, it was decided to focus on the beneficiaries of the previous project “ACCESSIII” funded by ECHO. This decision made it possible to save time on additional needs assessment as it relied on its own database of older people. Considering that the ECHO project ended in April and we distributed only sanitizers at that time we have had evidence on high need of hygiene products. Also, according to WHO recommendations, adherence to personal hygiene rules and social distancing are the main factors in curbing the spread of coronavirus infection.
HAI project assistants with the support of volunteers conducted previous database verification. HAI Finance/Log Department selected suppliers in accordance with the HAI procurement procedures and policies. 1000 hygiene kits were purchased (around 16 tons). 1000 stickers with HelpAge Canada and HelpAge International logos were printed for ensure visibility. When forming the set, HAI also guided by the recommendations of the WASH Cluster developed as part of the response to COVID-19. The quantitative composition of the kit is designed for use within three months. Please see Annex 1 for hygiene kits composition. Since the start of the pandemic, we have experienced significant price fluctuations. But since the purchasing power of the population fell, suppliers began to reduce prices for wholesale buyers. Consequently, HAI was able to procure a hygienic kit for three months at the cost of the kit budgeted for one month. Considering that all beneficiaries have chronic diseases and serious health problems, the assistance provided will help significantly reduce the risk of contracting coronavirus infection, improve the quality of life of the beneficiaries and help them adhere to the self-isolation regime.
As at the end of July 2020 the distribution process is coming to an end. A total of 917 sets were distributed. The remaining 51 packs will be delivery to the older people during last week of July 2020. HAI also continued collecting photos and video stories. Unfortunately, during the implementation of the project 32 beneficiaries died, so the hygienic kits will be kept in HAI warehouse and will be delivered to the new beneficiaries as soon as they will be identified in August 2020.
HAI continues providing advocacy through Age and Disability Technical Working Group (ADTWG) on amplifying older people’s voices for ensuring that they are involved in decision-making and that their dignity and autonomy are respected in pandemic. HelpAge chairs the Technical Working group on Age and Disability (ADTWG) formed under the UNOCHA Protection Cluster. The ADTWG aims to strengthen the coordination and capacity of the humanitarian actors to develop and implement age and disability-friendly humanitarian response.
Summary information on beneficiaries included in the 041 project as of 24.07.2020
Photos from the distribution
Hygiene Kits composition.
|3||Soap bars||13 x 75 g soap \(900 g total)|
|4||Shampoo (hypoallergenic if possible)||750 ml|
|5||Washing powder for clothes, universal and hypoallergenic||4.5 kg|
|6||Liquid Bleach||6 of 1-liter containers|
|7||Dishwashing gel / Washing-up liquid||1,5 liters|
|8||Toilet Paper||6 rolls|
|9||Garbage bags (35 Litres)||2 rolls of 30 pcs|
|10||Rubber gloves for cleaning||3 pairs|
May 20, 2020. The COVID-19 Children’s Relief Initiative was launched today as an online appeal to provide support to children in Ukraine in need of basic supplies during the COVID-19 pandemic.
Almost 100,000 children in Ukraine were living in government-run residential institutions or rehabilitation centres prior to the quarantine announced on March 11, 2020. In an effort to contain the spread of the COVID-19 virus approximately 50,000 children were sent home to their biological families, many of whom are unable to provide or care for them.
“These families are in dire need right now because tens of thousands of children were sent back from government-run institutions to family residences for isolation purposes,” said Mykola Kuleba, the Ombudsman for Children with the President of Ukraine.
“Currently thousands of families are unable to provide basic food and hygiene supplies to their children,” said Mr. Kuleba. “With your support, these vulnerable children can remain where they belong, at home, with their families. Information gathered during this time will guide the creation of a long-term strategy”.
Donations are now being accepted to support the purchase of food packages and hygiene kits for these children and their families in Ukraine. These materials will be distributed by social workers as they visit the families to assess the health and well-being of the children.
This initiative is being led by Help Us Help and the Canada-Ukraine Foundation. It is supported by Meest Corporation and the Ukrainian Canadian Congress, in partnership with the Ombudsman for Children with the President of Ukraine.
Donations to purchase these kits can be made to either Help Us Help or Canada-Ukraine Foundation and are eligible for tax receipts. The project website can be found at www.covid19childrensrelief.ca.
The Canada-Ukraine Foundation was established to coordinate, develop, organize, and deliver assistance projects generated by Canadians and directed to Ukraine. Help Us Help is a member of the Canada-Ukraine Foundation and since 1993, has distributed over $25 million in charitable aid to projects and organizations engaged in education, literacy, arts and culture, social work, civil society, and humanitarian aid.
All food packages and hygiene kits are curated by Meest in partnership with Ukrainian retailers and distributed throughout Ukraine by Meest Express directly to social workers. Packages and kits can also be purchased directly through Meest’s eCommerce website giftsforukraine.com. Giftsforukraine.com is a new online service, powered by Meest, that allows users to purchase goods and gifts online for their relatives and friends back home in Ukraine. Meest Corporation Inc. was founded in Toronto in 1989 with the main goal of uniting the Ukrainian diaspora abroad, in Canada, with the homeland, in Ukraine. True to its goal of strengthening ties between Ukraine and the Diaspora in Canada, Meest has long been a sponsor of humanitarian aid shipments from Canada to Ukraine and has a long-standing partnership with Help Us Help and Canada-Ukraine Foundation in delivering aid all across Ukraine.
Ukraine has among the highest numbers of institutionalized children in Europe. The majority of these children have families that are unable to provide or care for them.
Just under 100,000 children were living in residential institutions or rehabilitation centres prior to the quarantine announced on March 11, 2020. In an effort to contain the spread of the COVID-19 virus approximately 50,000 children were sent home to their biological families. There is great concern that, due to a lack of support from social services in place, these children and families will endure additional hardships during the pandemic.
Mr. Kuleba has long been an advocate for Ukraine to take steps in transitioning from a society that puts parentless or neglected children in institutions, to one with an extensive Social-Care network that allows children to safely remain in their homes or to enter into foster care.
The pandemic has brought about an opportunity for Ukraine to begin this transition by better understanding the needs of the families of children that have been sent home.
About Deinstitutionalization (DI) Reforms
In 2017, the Ukrainian government adopted the National Deinstitutionalization (DI) Reform Strategy and Action Plan, which involves supporting families and creating favourable conditions for the upbringing of children. While a pilot DI reform project was launched in the Zhytomyr region that same year, the full dismantling of the orphanage system is planned for 2026.
For more information:
Krystina Waler, Interim Executive Director Help Us Help
Tel: 1-416-627-9941 Email: firstname.lastname@example.org
By New Pathway -Dec 24, 2019
Yuri Bilinsky, New Pathway – Ukrainian News.
The Berlin wall came down 30 years ago but psychologically it still shapes the economic and political lives of the people in Eastern Germany. Canada-Ukraine Foundation’s President Victor Hetmanczuk provided this example of how long societal change can take under the best of circumstances, at the UCC’s XXVI Congress in Ottawa in November.
The war in Ukraine has gone for six years and we do not know how long this war will continue, Victor Hetmanczuk said. When the war does end, how long is it going to take us to come up with a meaningful plan to help the people in Luhansk and Donetsk oblast? Are Ukrainians willing to pay a 5.5% solidarity tax that the Germans still pay to subsidize the construction of an equal society in Eastern Germany? Will the Ukrainian diaspora agree to pay a 5.5% tax to help rebuild the Donbas? Who is going to invest an amount comparable to $3 trillion that has been invested into Eastern Germany since late 1980s?
All these questions, which Victor Hetmanczuk posed in his speech at the Humanitarian Aid for Ukraine workshop during the Congress, demonstrate the magnitude of the problems facing Ukraine. These problems won’t be solved with band-aids, it’s going to be a marathon, he said.
This marathon for the Canada-Ukraine Foundation started in 1995 when CUF was established as a National Charitable Public Foundation. Between 2014-2018, CUF conducted 114 projects in Canada and Ukraine. Over these five years, CUF collected more than CAD 9.6 million ($4.9 million were provided by federal and provincial governments). This kind of financing puts CUF among the biggest charitable donors of Ukraine-related projects globally.
The Foundation is also active in Canada. In 2018, it was successful in obtaining new grants for the Holodomor Bus: $1.5 million from the Federal Government and $750,000 from the Ontario Trillium Foundation. Since the start of the Bus Tour in 2015, around 53 thousand people visited the Bus.
The Canadian Holodomor Bus project has had its repercussions even for Ukraine. During the Toronto Reform Conference in July 2019, President Zelenskyy and his wife visited the Bus at the Holodomor Monument in the CNE grounds. It made an impact on them to the point of further meetings were held in Kyiv recently that could lead to a draft Memorandum of Understanding about CUF’s participation in the building and programming of a similar bus for Ukraine.
CUF has as its charitable objectives relief of poverty, advancement of education, health care and religion, assisting in observation of elections and other purposes beneficial to the community.
In Ukraine, CUF’s medical mission has consisted of the following: surgical missions, upgrading of medical skills, assistance for the Dzherelo Rehabilitation Centre, dental program for orphans and PTSD support for veterans.
CUF’s Ukrainian medical missions have just seen a significant extension. The Foundation has signed a three-year agreement with the Sunnybrook Health Science Centre to participate in the Sunnybrook Ukraine Surgery Education Partnership located in Lviv. Within the partnership, there will be master classes for surgeons, a symposium and an observership in Toronto. In October 2019, on the first mission, 26 patients had operations done in three operation rooms simultaneously, while 138 doctors attended the one-day symposium.
Within CUF’s Ukrainian dental program, 427 orphaned children were examined and received 448 dental appointments where they had 720 dental fillings and numerous other treatments. 47 professionals and volunteers from Ukraine were involved in this program.
The Defenders of Ukraine projects in 2018 were funded by the Ukrainian Canadian Congress National from the proceeds of the Invictus Games event in Toronto in 2018. These projects included Ukrainian Social Academy for “Boots to Business” entrepreneurship training program for veterans and funding for the Donbas ATO Veterans Union and Centre Poruch for psychological support of veterans and their families. The Defenders of Ukraine projects also funded the Veterans House for ATO veterans providing temporary shelter and rehabilitation programs. Pobratymy and Dopomoha Ukraini organizations funded the training in overcoming combat shock trauma and preventing PTSD for veterans.
CUF expects that its revenue in 2019 will amount to $2.3M. These funds will help the Foundation remain the focal point of the Ukrainian Canadian community’s assistance to Ukraine. One of the UCC Congress’ resolutions reads that the UCC will continue to support and augment Canadian humanitarian assistance to Ukraine through the existing mandate of the Canada-Ukraine Foundation. CUF will collaborate with UCC to coordinate, promote, help prioritize and maximize the effectiveness of aid to Ukraine. UCC’s provincial councils are encouraged to communicate to their membership CUF’s mission and objectives. Member organizations of UCC are also encouraged to access the CUF advisory groups for information, guidance and assistance.
The Foundation’s marathon in helping Ukraine overcome its hardships is continuing.
At the XXVI Triennial Congress of Ukrainian Canadians, Alexandra Chyczij, the National President of the Ukrainian Canadian Congress presented the Shevchenko Medal award to Victor Hetmanczuk, the president, and Roman Petryshyn, a founder of the Canada-Ukraine Foundation.
At the XXVI Triennial Congress of Ukrainian Canadians, Alexandra Chyczij, the National President of the Ukrainian Canadian Congress presented the…
By New Pathway -Mar 6, 2018
The Calgary Branch of UCC organized a “Meet and Greet” fellowship on January 22, 2018 for three visiting medical doctors from Ukraine. The meeting was held in the board room of the Assumption of the BVM Ukrainian Catholic Church, who support cultural events. The University of Calgary had just held a 3-day course “Emergency Medicine for Rural Hospitals.” This was the 34th Annual Conference and was held at the Banff Park Lodge. The vision of this course was to provide clinical topics relevant to physicians, nurses and other healthcare professionals who practice in rural communities The Ukrainian Canadian Professional and Business Association (UCPBA) of Calgary co-sponsored this community event.
Bohdan Romaniuk, President of the UCPBA Calgary opened the meeting by welcoming the doctors and shared information about the Canada-Ukraine Foundation (CUF) and its President Victor Hetmanczuk and the phenomenal work that he and the organization is doing with help in Ukraine. The three doctors — Orest Kulenych from Ternopil, Vadym Vus from Rivne and Ihor Zastavnyy from Lviv region, had come to Alberta. Travelling and morally supporting the visitors was Victor Hetmanczuk. CUF has raised millions of dollars in funding for emergency medical assistance to Ukraine, especially to those affected by the war in the Donbas. Both Bohdan Romaniuk, and Victor explained the function of the Canada Ukraine Foundation and how it has been supporting medical help and doctors going to Ukraine to take care of the needs of patients and their families hurt in the war ongoing in Ukraine
Having visited our hospitals in Calgary, the three visiting doctors with amazement in their voices told those present how impressed they were with our Canadian system of healthcare. The availability of buses fitted with medical equipment and supplies that go to rural areas here in Alberta with help to those in need, including our STARS ambulance helicopter service. The sharing of ideas and support of medical staff was another important realization for them. Ukraine’s medical system differs from the Canadian one. The young doctors, and medical students present shared information. For example, the doctors who work in the villages are not allowed to do sutures, they send their patients to hospitals in the nearby cities, yet Danylo a first year medical student at U of C, learned to do them his first day in medical school.
Dr. Semkuley, who with his wife Elaine of Medical Mercy have been going to Ukraine for over 30 years with humanitarian help, compared experiences they had during their visits every May to villages in Western Ukraine and teaching the villagers to help themselves by building and renovating in their villages. Learning how they could improve their facilities on their own, not waiting for the government to help them. It has changed very slowly over the years and sometimes not. Dr. Ihor Zastavnyy mentioned that Ukrainians are starting to understand volunteerism, especially since the Revolution of Dignity and making positive changes by volunteering and organizing volunteer groups.
One of the doctors shared an experience of how it hasn’t changed. While attending to a patient when volunteering for ATO in Eastern Ukraine, a woman from the village learned he was from Western Ukraine and referred to him as Bandera “Banderivets”. She was apprehensive about him caring for her. He, in turn, said let me examine you and then you can judge me. She ended up telling him that she is immediately going to call her friends in Russia and Crimea and tell them that he was normal.
Most rewarding for those of us attending that evening was that we shared our love for Ukraine and wanting Ukraine to have the same level of healthcare that we in Canada are blessed with. In fact, within days Dr. Vadym Vus wrote the following: “Thank you very much for your warm meeting! We are already in our Motherland and it is pleasant to realize that your hearts are open to Ukraine. We will already extend the knowledge, experience and contacts that you have discovered for us. Blessing to your community and waiting to meet with you in Ukraine!” Vadym Vus.
By New Pathway -Apr 23, 2019 – Victor Hetmanczuk, Canada-Ukraine Foundation.
CUF’s team operates at the Ukrainian Military Hospital.
Photo: Adriana Luhovy
During the missions, we also provided training to military surgeons, surgical trainees and nursing staff at the Central Military Hospital Clinic (CMHCK). These Ukrainian medical personnel are already in the front lines treating war casualties in the country’s foremost trauma centre. All patient consultations and all surgical procedures were performed in collaboration and with the active participation of Ukrainian surgeons and anesthetists. The projected number of people that would be trained and have their surgical skills enhanced was exceeded. There was such a huge thirst for learning and knowledge from our Ukrainian colleagues that people were constantly coming and observing. Operating tables would have up to 20 people surrounding each of them at any given time.
Each of the 2 missions provided direct intensive intraoperative training to the CMHCK staff: 3 anesthetists, 3 anesthesia assistants, 5 surgeons, 3 surgery assistants/trainees, and 2 nurses. In addition to these 16 people, direct intraoperative training and teaching was provided to 65 visiting surgeons, nurses and medical students. Throughout the mission, military neurosurgeons, maxillofacial surgeons, ENT (ear nose and throat), trauma and plastic surgeons and trainees from Kyiv, Odessa, Lviv, Dnipropetrovsk came and went. In total, over the two medical missions, 81 people (many that observed the first mission returned to observe during the second mission) were able to enhance their skills through training obtained during the course of the medical missions.
The training was provided according to standards employed in Canada for Continuing Medical Education (CME) and resident training. Ukrainian health professionals actively participated in:
- Patient assessment, physical examination, radiographic examination
- Formulation of treatment plan and surgery preparation
- Discussion of options, variables, risks, and risk management
- Practical demonstration of requisite surgical skills
- Instruction in postop management of pain, infection prophylaxis, etc.
Resident teaching and training is vastly different in Canada and Ukraine, with the Canadian system being much more formal and defined in terms of teaching standards, methods, requirements for competence-based learning, availability of educational resources. One of the unexpected outcomes and legacies of these missions was the demonstration of resident training methods employed in Canada, and the enthusiasm with which local Ukrainian trainees responded to these efforts.
In an effort to maintain and develop this ongoing clinical and educational collaboration across borders, a decision was made to develop a Telemedicine Program. Experience previously obtained in developing live surgery demonstrations for International CME programs (Advanced Craniomaxillofacial Forums) and research of current technology and standards for two way videoconferencing through “Sunnybrook telemedicine” and “Ontario Telemedicine Network” facilitated the design of a telemedicine system that would optimally serve the patient care and educational needs at the Kyiv Main Military Hospital.
The Telemedicine system will be used to:
- Document relevant surgical cases performed by orthopaedic, craniofacial, hand and microsurgeons, and neurosurgeons at Sunnybrook Hospital
- Conduct combined surgical rounds and seminars featuring recorded surgical cases
- Perform remote clinical or radiological consultations
The equipment necessary to establish a telemedicine/ telesurgery link between Ukrainian and Canadian Trauma Centres was selected following presentations and quotes by Stryker Endoscopic Systems and Panasonic. Panasonic was chosen based on quality of product and best price. The system comprises 3 hubs:
- A portable OR cart with camera and video recorder. This will be available to any Sunnybrook OR performing relevant surgery. The recorder allows documentation of data from multiple sources: overhead camera, head cam, and computer (for CT data, and powerpoints)
- Telecommunications Hub at Sunnybrook Hospital
- Telecommunications Hub at Kyiv Main Military Hospital
Panasonic professionals came to Sunnybrook to teach Dr. Antonyshyn the most effective way to set-up and use the equipment. Dr. Antonyshyn shared this information with his Ukrainian colleagues.
The use of two-way videoconferencing and advanced information communication technologies to deliver examinations, treatments, clinical, and education services will allow Sunnybrook Health Sciences in Toronto and the CMHCK to collaborate, share knowledge and consult patient cases for years to come. Dr. Antonyshyn has the same implants, instrument sets and pieces of equipment that were purchased for the CMHCK (to create a centre of excellence in Craniofacial surgery) at Sunnybrook Health Sciences. Since our second medical mission, our colleagues have continued to use the new technologies that were purchased for them. Through telemedicine, Dr. Antontyshyn will continue to train his Ukrainian colleagues to use the new equipment, instruments and implants, that were donated to them, as efficiently and effectively as possible by consulting on specific cases and organizing viewings of his complex surgeries. Dr. Antonyshyn in Canada and Dr. Ihor Fedirko in Ukraine are both committed to using this educational tool for years to come.
Further refinement of these initial efforts and wider adaptation of Telemedicine through Ukrainian Medical teaching centres can potentially revolutionize training of health professionals and delivery of health care. This leaves a legacy.
By New Pathway -Apr 18, 2019 – Victor Hetmanczuk
Canada Ukraine Foundation’s medical missions, which were held in 2015-2016 at the Central Military Hospital Clinic in Kyiv (CMHCK), provided consultations and surgical reconstructions to patients with complex traumatic defects. The missions also aimed to deliver technology, equipment, surgical tools and supplies to create a centre of excellence at the CMHCK. The specific resource deficiencies that restrict delivery of primary trauma care and sophisticated trauma reconstruction in Ukraine were previously identified during two prior CUF-sponsored missions to the CMHCK and a country-wide needs assessment mission performed in April, 2014. This project’s objective was to provide the technology, surgical equipment and supplies, and the device training that ensure maintenance of global standards of care, during the course of surgical missions and in the future.
List of purchased equipment:
- Complete sets of surgery instruments: (purchased in Canada)
- Complete power system for bone cutting and shaping (purchased in Canada)
- Complete Stryker bone fixation system with sufficient hardware and implants to perform surgery for 2 years (purchased in Canada)
- 1 tourniquet to allow bloodless extremity surgery (purchased in Canada)
- 3 reusable cuffs for the tourniquet (purchased in Canada)
- Orbital implants (purchased in Canada)
- Titanium meshes for bone defect reconstruction (purchased in Canada)
- Suction drains (donated in Canada)
- 3 cautery and haemorrhage control systems (purchased in Ukraine)
- 8 bipolar cautery forceps (purchased in Ukraine)
- 2 advanced surgical head-lighting systems (purchased in Ukraine)
- 1 computer system to allow intraoperative visualization of patient CT and other Xray data (purchased in Ukraine)
- 1 pantographic X-ray system (purchased in Ukraine)
- 1 multi-use operating table (purchased in Ukraine)
- 1 portable autoclave for sterilization (purchased in United States)
The capital equipment purchase made possible by GPSF generated a tremendous impetus for industry, institutional and volunteer donations of medical devices and disposables. Hospitals and medical supply companies contributed in-kind donations towards both missions (this includes but is not limited to Sunnybrook Health Sciences Centre, Trillium Heath Care providers and St. Michael’s Hospital in Toronto). Disposables (sutures, staples, gloves, gowns, drapes, medication, etc worth tens of thousands of dollars) were essential for surgery, and were sent to Ukraine in advance of each of the missions.
Some of the larger donations included:
- Stryker Canada provided us with a grant for equipment and implants for the first medical mission valued at $152, 544 (as mentioned previously).
- Calavera Surgical Design donated $37,500 worth of custom, molds, forming tools, and custom implants for skull defect reconstruction.
- For each mission, Health Partners International Canada provided us with medications to support our mission that valued over $20,000 each.
- $9,000 McGvath Video Laryngoscope
It is important to note that in addition to the purchase and delivery of the latest surgical technology, specific training in the direct application of this technology was provided during the course of both missions.
- Prior to this mission, CT scan images essential for surgery had to be anticipated and printed on photgraphic transparency sheets as hardcopy to be brought to the Operating Room on the day of Surgery. The Canadian mission installed a computer system with the necessary software in the operating room to allow sophisticated CT data visualization intraoperatively.
- Bone fixation systems were grossly deficient and most complications in fracture healing occurred as a direct consequence of inadequate fracture stabilization. The GPSF allowed delivery and implementation of state-of-the-art bone fixation systems which dramatically altered craniofacial fracture repair outcomes.
- Calavera Surgical Design system was specifically designed to facilitate rapid, efficient, durable and anatomically accurate reconstruction of skull defects resulting from gunshot and shrapnel wounds. This provided a very practical and readily adaptable solution for the neurosurgical services.