Trauma systems and early management of severe injuries in Scandinavia: Review of the current state

Injury ◽  
2010 ◽  
Vol 41 (5) ◽  
pp. 444-452 ◽  
Author(s):  
Thomas Kristiansen ◽  
Kjetil Søreide ◽  
Kjetil G. Ringdal ◽  
Marius Rehn ◽  
Andreas J. Krüger ◽  
...  
Author(s):  
Thomas Kristiansen ◽  
Kjetil Søreide ◽  
Kjetil Ringdal ◽  
Marius Rehn ◽  
Andreas J Krüger ◽  
...  

Author(s):  
Ranjana K. Mehta ◽  
S. Camille Peres ◽  
Linsey M. Steege ◽  
Jim R. Potvin ◽  
Mike Wahl ◽  
...  

Fatigue, often defined as a physiological state of reduced mental or physical performance capability resulting from sleep loss, circadian phase, or workload (physical or cognitive), has been implicated as a critical risk factor resulting in severe injuries and accidents. A great deal of research has been done into the identification, measurement, and management of fatigue, however it is still poorly understood. This may be due to the characteristics and variability of work conditions across different industries; for example, fatigue in manufacturing is largely related to physical demands, and in aviation fatigue is related to sleep and shift-work. This panel will comprise of academics and practitioners across manufacturing, healthcare, transportation, aviation, and oil and gas industries. Topics covered within each industry will include fatigue causes and consequences, existing fatigue monitoring/management practices, barriers to fatigue monitoring and management, and recommendations/discussions around improving the current state.


2020 ◽  
Vol 21 (2) ◽  
pp. 40-47
Author(s):  
Yu. G. Shapkin ◽  
P. A. Seliverstov ◽  
N. Yu. Stekolnikov

The review discusses the current problems of organizing prehospital care for victims of severe trauma in overseas developed regional trauma systems. The results of studies on the features of pre-hospital triage, the choice of the amount of emergency medical care, the route and type of transportation of victims in the functioning of trauma systems are systematized. Foreign experience in providing emergency medical care for severe injuries can be useful for the creation and implementation of domestic trauma systems.


2021 ◽  
Author(s):  
Helene-Rosina Ayi

Working in an academic laboratory (lab) often involves handling hazardous substances (Shariff & Norazahar, 2012). These substances are dangerous due to their toxic, flammable, explosive, carcinogenic, pathogenic or radioactive properties (Furr, 2000). Therefore, it is crucial that those working in these environments do so safely. Recently, many researchers and students from various universities in the U.S. and globally have suffered severe injuries and fatalities from lab accidents. For example, in 2008 a lab fire at the University of California Los Angeles led to the death of a student(Van Noorden, 2011). Following this and other similar accidents that transpired afterwards, an international study was conducted to understand the state of safety within the wet labs of today’s universities(Van Noorden, 2013a). The findings revealed numerous safety gaps and an overall lack of a strong and positive safety culture within the labs (Benderly, 2013;and Schröder, Huang, Ellis, Gibson, & Wayne, 2016). Since the majority of the accidents and study reports were predominantly from the U.S., it is unknown if the same safety gaps and risks also exist in the wet labs of Canadian universities. Therefore, this research study examined the state of safety within the wet laboratories of a medium-sized Canadian university. This was achieved by: 1) conducting an inventory of the labs’ hazardous substances to identify their labeling and storage conditions, 2) inspecting the labs to identify potential hazards or risky conditions, and 3) surveying lab personnel to understand how safety is perceived and practiced. The results show several safety deficiencies and a negative perception on certain safety elements among the lab personnel. As in universities in the U.S. there is an overall need to enhance thecurrent culture of safety at this Canadian university.


2021 ◽  
Author(s):  
Helene-Rosina Ayi

Working in an academic laboratory (lab) often involves handling hazardous substances (Shariff & Norazahar, 2012). These substances are dangerous due to their toxic, flammable, explosive, carcinogenic, pathogenic or radioactive properties (Furr, 2000). Therefore, it is crucial that those working in these environments do so safely. Recently, many researchers and students from various universities in the U.S. and globally have suffered severe injuries and fatalities from lab accidents. For example, in 2008 a lab fire at the University of California Los Angeles led to the death of a student(Van Noorden, 2011). Following this and other similar accidents that transpired afterwards, an international study was conducted to understand the state of safety within the wet labs of today’s universities(Van Noorden, 2013a). The findings revealed numerous safety gaps and an overall lack of a strong and positive safety culture within the labs (Benderly, 2013;and Schröder, Huang, Ellis, Gibson, & Wayne, 2016). Since the majority of the accidents and study reports were predominantly from the U.S., it is unknown if the same safety gaps and risks also exist in the wet labs of Canadian universities. Therefore, this research study examined the state of safety within the wet laboratories of a medium-sized Canadian university. This was achieved by: 1) conducting an inventory of the labs’ hazardous substances to identify their labeling and storage conditions, 2) inspecting the labs to identify potential hazards or risky conditions, and 3) surveying lab personnel to understand how safety is perceived and practiced. The results show several safety deficiencies and a negative perception on certain safety elements among the lab personnel. As in universities in the U.S. there is an overall need to enhance thecurrent culture of safety at this Canadian university.


Author(s):  
G.D. Danilatos

Over recent years a new type of electron microscope - the environmental scanning electron microscope (ESEM) - has been developed for the examination of specimen surfaces in the presence of gases. A detailed series of reports on the system has appeared elsewhere. A review summary of the current state and potential of the system is presented here.The gas composition, temperature and pressure can be varied in the specimen chamber of the ESEM. With air, the pressure can be up to one atmosphere (about 1000 mbar). Environments with fully saturated water vapor only at room temperature (20-30 mbar) can be easily maintained whilst liquid water or other solutions, together with uncoated specimens, can be imaged routinely during various applications.


Author(s):  
C. Barry Carter

This paper will review the current state of understanding of interface structure and highlight some of the future needs and problems which must be overcome. The study of this subject can be separated into three different topics: 1) the fundamental electron microscopy aspects, 2) material-specific features of the study and 3) the characteristics of the particular interfaces. The two topics which are relevant to most studies are the choice of imaging techniques and sample preparation. The techniques used to study interfaces in the TEM include high-resolution imaging, conventional diffraction-contrast imaging, and phase-contrast imaging (Fresnel fringe images, diffuse scattering). The material studied affects not only the characteristics of the interfaces (through changes in bonding, etc.) but also the method used for sample preparation which may in turn have a significant affect on the resulting image. Finally, the actual nature and geometry of the interface must be considered. For example, it has become increasingly clear that the plane of the interface is particularly important whenever at least one of the adjoining grains is crystalline.A particularly productive approach to the study of interfaces is to combine different imaging techniques as illustrated in the study of grain boundaries in alumina. In this case, the conventional imaging approach showed that most grain boundaries in ion-thinned samples are grooved at the grain boundary although the extent of this grooving clearly depends on the crystallography of the surface. The use of diffuse scattering (from amorphous regions) gives invaluable information here since it can be used to confirm directly that surface grooving does occur and that the grooves can fill with amorphous material during sample preparation (see Fig. 1). Extensive use of image simulation has shown that, although information concerning the interface can be obtained from Fresnel-fringe images, the introduction of artifacts through sample preparation cannot be lightly ignored. The Fresnel-fringe simulation has been carried out using a commercial multislice program (TEMPAS) which was intended for simulation of high-resolution images.


2005 ◽  
Vol 41 ◽  
pp. 205-218
Author(s):  
Constantine S. Mitsiades ◽  
Nicholas Mitsiades ◽  
Teru Hideshima ◽  
Paul G. Richardson ◽  
Kenneth C. Anderson

The ubiquitin–proteasome pathway is a principle intracellular mechanism for controlled protein degradation and has recently emerged as an attractive target for anticancer therapies, because of the pleiotropic cell-cycle regulators and modulators of apoptosis that are controlled by proteasome function. In this chapter, we review the current state of the field of proteasome inhibitors and their prototypic member, bortezomib, which was recently approved by the U.S. Food and Drug Administration for the treatment of advanced multiple myeloma. Particular emphasis is placed on the pre-clinical research data that became the basis for eventual clinical applications of proteasome inhibitors, an overview of the clinical development of this exciting drug class in multiple myeloma, and a appraisal of possible uses in other haematological malignancies, such non-Hodgkin's lymphomas.


1995 ◽  
Vol 38 (5) ◽  
pp. 1126-1142 ◽  
Author(s):  
Jeffrey W. Gilger

This paper is an introduction to behavioral genetics for researchers and practioners in language development and disorders. The specific aims are to illustrate some essential concepts and to show how behavioral genetic research can be applied to the language sciences. Past genetic research on language-related traits has tended to focus on simple etiology (i.e., the heritability or familiality of language skills). The current state of the art, however, suggests that great promise lies in addressing more complex questions through behavioral genetic paradigms. In terms of future goals it is suggested that: (a) more behavioral genetic work of all types should be done—including replications and expansions of preliminary studies already in print; (b) work should focus on fine-grained, theory-based phenotypes with research designs that can address complex questions in language development; and (c) work in this area should utilize a variety of samples and methods (e.g., twin and family samples, heritability and segregation analyses, linkage and association tests, etc.).


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