Survival after emergency department thoracotomy: review of published data from the past 25 years21No competing interests declared.22This article represents the personal viewpoint of the authors and cannot be construed as a statement of official US Navy policy.

2000 ◽  
Vol 190 (3) ◽  
pp. 288-298 ◽  
Author(s):  
Peter M Rhee ◽  
Jose Acosta ◽  
Amy Bridgeman ◽  
Dennis Wang ◽  
Marion Jordan ◽  
...  
2018 ◽  
Vol 34 (8) ◽  
pp. 857-860 ◽  
Author(s):  
Eliza E. Moskowitz ◽  
Clay Cothren Burlew ◽  
Ann M. Kulungowski ◽  
Denis D. Bensard

Entropy ◽  
2021 ◽  
Vol 23 (5) ◽  
pp. 626
Author(s):  
Ramya Gupta ◽  
Abhishek Prasad ◽  
Suresh Babu ◽  
Gitanjali Yadav

A global event such as the COVID-19 crisis presents new, often unexpected responses that are fascinating to investigate from both scientific and social standpoints. Despite several documented similarities, the coronavirus pandemic is clearly distinct from the 1918 flu pandemic in terms of our exponentially increased, almost instantaneous ability to access/share information, offering an unprecedented opportunity to visualise rippling effects of global events across space and time. Personal devices provide “big data” on people’s movement, the environment and economic trends, while access to the unprecedented flurry in scientific publications and media posts provides a measure of the response of the educated world to the crisis. Most bibliometric (co-authorship, co-citation, or bibliographic coupling) analyses ignore the time dimension, but COVID-19 has made it possible to perform a detailed temporal investigation into the pandemic. Here, we report a comprehensive network analysis based on more than 20,000 published documents on viral epidemics, authored by over 75,000 individuals from 140 nations in the past one year of the crisis. Unlike the 1918 flu pandemic, access to published data over the past two decades enabled a comparison of publishing trends between the ongoing COVID-19 pandemic and those of the 2003 SARS epidemic to study changes in thematic foci and societal pressures dictating research over the course of a crisis.


2007 ◽  
Vol 96 (3) ◽  
pp. 214-220 ◽  
Author(s):  
J. A. Asensio ◽  
P. Petrone ◽  
L. Garcí-Núñez ◽  
B. Kimbrell ◽  
E. Kuncir

Background: Complex hepatic injuries grades IV—V are highly lethal. The objective of this study is to assess the multidisciplinary approach for their management and to evaluate if survival could be improved with this approach. Study Design: Prospective 54-month study of all patients sustaining hepatic injuries grades IV—V managed operatively at a Level I Trauma Center. Main outcome measure: survival. Statistical analysis: univariate and stepwise logistic regression. Results: Seventy-five patients sustained penetrating (47/63%) and blunt (28/37%) injuries. Seven (9%) patients underwent emergency department thoracotomy with a mortality of 100%. Out of the 75 patients, 52 (69%) sustained grade IV, and 23 (31%) grade V. The estimated blood loss was 3,539±-3,040 ml. The overall survival was 69%, adjusted survival excluding patients requiring emergency department thoracotomy was 76%. Survival stratified to injury grade: grade IV 42/52–81%, grade V 10/23–43%. Mortality grade IV versus V injuries (p <0.002; RR 2.94; 95% CI 1.52–5.70). Risk factors for mortality: packed red blood cells transfused in operating room (p=0.024), estimated blood loss (p<0.001), dysryhthmia (p<0.0001), acidosis (p=0.051), hypothermia (p=0.04). The benefit of angiography and angioembolization indicated: 12% mortality (2/17) among those that received it versus a 36% mortality (21/58) among those that did not (p=0.074; RR 0.32; 95% CI 0.08–1.25). Stepwise logistic regression identified as significant independent predictors of outcome: estimated blood loss (p=0.0017; RR 1.24; 95% CI 1.08–1.41) and number of packed red blood cells transfused in the operating room (p=0.0358; RR 1.16; 95% CI 1.01–1.34). Conclusions: The multidisciplinary approach to the management of these severe grades of injuries appears to improve survival in these highly lethal injuries. A prospective multi-institutional study is needed to validate this approach.


1982 ◽  
Vol 11 (8) ◽  
pp. 413-416 ◽  
Author(s):  
Timothy C. Flynn ◽  
Richard E. Ward ◽  
Priscilla W. Miller

Author(s):  
Tehreem Naveed ◽  
Rehan Zahid ◽  
Riaz Ahmad Mufti ◽  
Muhammad Waqas ◽  
Muhammad Talha Hanif

All the moving components in an internal combustion engine require a lubricant that allows smooth sliding and/or rolling of interacting surfaces. Lubricant not only minimizes the friction and wear but also dissipates the heat generated due to friction and removes debris from the area of contact. Environmental concerns, decreasing mineral oil reserves and difficult disposal of nonbiodegradable conventional lubricants have urged the researchers to shift towards environmental-friendly lubricants. Number of tribological studies carried out in the past have proved that ionic liquid-based bio-lubricants are sustainable and biodegradable alternative to mineral oils. This paper presents a brief review of properties of ionic liquids and their ability to reduce friction and wear between the interacting surfaces. Tribological performance and compatibility of ionic liquids with various base-oils have been compared under boundary lubrication. The results reveal that phosphonium-based ionic liquids namely tetra-decyl tri-hexyl phosphonium bis(2,4,4-trimethylpentyl) phosphinate (P66614)i(C8)2PO2 and tri-hexyl tetra-decyl phosphonium bis(2-ethylhexyl) phosphate (P-DEHP) are more suitable for tribological applications. Since, ionic liquids can be tailored according to the application and millions of combinations are possible therefore, there is a need to summarize the published data in a more systematic and logical way.


CFD letters ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 13-27
Author(s):  
Mohamad Lutfi Samsudin ◽  
Hasril Hasini

Meshing of domain in CFD is an important step to ensure accuracy of the solution. In the past, hexahedral or tetrahedral mesh systems were commonly used, and both have their merits and demerits. For large and complex geometry, polyhedral is another option but its accuracy is claimed to be lacking. In this paper, the use of polyhedral mesh system by past researchers are reviewed. Evaluation on the application of polyhedral mesh system for the study of the vortex formation with a simple single pump sump model is made. Validation was made through the comparison of the results from hexahedral, tetrahedral and polyhedral mesh sizes and the experimental data from published data. The polyhedral mesh system was found to perform satisfactorily and was able to match the results from the hexahedral mesh system as well as the experimental data.


2021 ◽  
pp. 000313482110234
Author(s):  
Elias Degiannis ◽  
Konstantinos Degiannis ◽  
Dietrich Doll

Cross-clamping of the descending thoracic aorta is one of the operative maneuvers, that can be necessitated in an Emergency Department Thoracotomy and it is important for the Emergency Department medical staff to theoretically familiarize itself with its technique before need arises.


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