PP14 An investigation of ambulance clinical recommendations for the management of obstetric emergencies in Australia and New Zealand

2021 ◽  
Vol 38 (9) ◽  
pp. A7.1-A7
Author(s):  
Belinda Flanagan ◽  
James Pearce ◽  
Nigel Barr ◽  
Kathryn Eastwood
Keyword(s):  
New Zealand ◽  
Clinical Guidelines ◽  
Treatment Plan ◽  
National Standards ◽  
National Standard ◽  
Expert Advice ◽  
International Studies ◽  
Guideline Quality ◽  
Obstetric Emergencies ◽  
Health Organization

BackgroundVarious international studies have recognised that paramedics receive limited obstetric training and historically lack confidence in managing obstetric and neonatal emergencies. This lack of confidence, deficits in training and limited exposure to such cases may be sustained by absent, dated or insufficient clinical guidance provided by the employer. Clinical guidelines are an essential tool and cognitive aid to provide guidance when formulating an appropriate treatment plan, however paramedics have reported the use of varying and dated practices and procedures that have the potential to cause significant patient harm. The aim of this study was to conduct a qualitative textual/document analysis on five publicly available obstetric guidelines published by ambulance services in Australia and New Zealand.MethodPublicly available electronic guidelines from Australian and New Zealand ambulance jurisdictions were imported into a custom designed data collection frame for comparison. This frame focused on five specific areas of obstetric presentations. Guideline quality was measured against a recognised national standard for the development and publication of clinical guidelines. Information and recommendations presented were compared against expert advice provided by the Royal Australian and New Zealand College of Obstetrics and Gynaecology (RANZCOG), Word Health Organization (WHO), state health clinical guidelines and systematic reviews.ResultsAll ambulance service guidelines reviewed failed to meet the national standards for the development and publication of clinical guidelines in the area of transparency and grading of evidence. Some advice within the guidelines was found to be inconsistent, not supported by evidence, have the potential to cause harm or be absent. Some were found to be heavily reliant on hospital-based mnemonics that were either not ambulance specific or contained advice that was outside a paramedic scope of practice.ConclusionThis study has identified inconsistent recommendations and highlighted conflicting and inadequate advice for paramedics when managing obstetric and neonatal emergencies.

scholarly journals Nonlinear modelling of the seismic response of masonry structures: Calibration strategies

2021 ◽  
Author(s):  
Antonio Maria D’Altri ◽  
Francesco Cannizzaro ◽  
Massimo Petracca ◽  
Diego Alejandro Talledo
Keyword(s):  
Mechanical Properties ◽  
Numerical Models ◽  
Shear Stiffness ◽  
Model Material ◽  
National Standards ◽  
National Standard ◽  
Masonry Structures ◽  
Nonlinear Modelling ◽  
Various Boundary Conditions ◽  
Panel Stiffness

AbstractIn this paper, a simple and practitioners-friendly calibration strategy to consistently link target panel-scale mechanical properties (that can be found in national standards) to model material-scale mechanical properties is presented. Simple masonry panel geometries, with various boundary conditions, are utilized to test numerical models and calibrate their mechanical properties. The calibration is successfully conducted through five different numerical models (most of them available in commercial software packages) suitable for nonlinear modelling of masonry structures, using nonlinear static analyses. Firstly, the panel stiffness calibration is performed, focusing the attention to the shear stiffness. Secondly, the panel strength calibration is conducted for several axial load ratios by attempts using as reference the target panel strength deduced by well-known analytical strength criteria. The results in terms of panel strength for the five different models show that this calibration strategy appears effective in obtaining model properties coherent with Italian National Standard and Eurocode. Open issues remain for the calibration of the post-peak response of masonry panels, which still appears highly conventional in the standards.

American National Standard for Human Factors Engineering of Visual Display Terminal Workstations: A Report to the Society

1985 ◽  
Vol 29 (10) ◽  
pp. 987-987 ◽  
Author(s):  
Gene Lynch
Keyword(s):  
Human Factors ◽  
Text Processing ◽  
Data Entry ◽  
Visual Display ◽  
Measurement Methods ◽  
National Standards ◽  
National Standard ◽  
Human Factors Engineering ◽  
Visual Display Terminal ◽  
The Individual

The American National Standard for Human Factors Engineering of Visual Display Terminal Workstations, the first standard sponsored by the Human Factors Society, is in the final stages of acceptance as an American National Standard. This standard addresses the physical and perceptual aspects of the visual display terminal workstation as used in text processing, data entry, and data inquiry. Standards take on many different forms and fill a variety of needs. Basically a standard provides a reference. Some standards are written so that two systems may be designed to complement each other or fit together. Lightbulbs and fixtures designed to the same standard will work together. In the case of human factors standards one half of the system is already designed, the human. The variety of the design of this part of the system requires that human factors standards identify the parameters to be considered and the corresponding measurement methods needed to insure that the equipment is designed to fit the individual human. A good solution needs to be based on the particular set of circumstances at hand. The voluntary standards method, known as the American National Standards, provides a vehicle for specifying the appropriate parameters and measurement methods while incorporating the necessary flexibility required to insure good designs for individuals. The purpose of this panel session is to provide the society with an interactive session with representatives of the standards drafting committee. A brief history of the committee and its activities will be presented. The panelists will then describe the approach taken in each of the major sections, the mandatory requirements, and the elements the panelists consider to be of particular interest

Discussion on Determination of Non-Methane Hydrocarbons

2014 ◽  
Vol 1073-1076 ◽  
pp. 562-566
Author(s):  
Zhe Min Li
Keyword(s):  
International Standards ◽  
National Standards ◽  
National Standard ◽  
Measure Methods

This paper summarized the measure methods which include both Chinese national standards and international standards of how to determine the concentration of Non-methane Hydrocarbons (NMHC).Some problems and suggestions were discussed in this paper to improve the level of the measure methods and prompt the establishment of relative Chinese national standard.

scholarly journals Fever in children: review of national and international studies and clinical guidelines

2020 ◽  
Vol 65 (3) ◽  
pp. 153-159
Author(s):  
E. E. Lokshina ◽  
O. V. Zaytseva ◽  
S. V. Zaytseva
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Clinical Guidelines ◽  
Professional Communities ◽  
International Studies ◽  
Pediatric Practice ◽  
Safety And Efficacy ◽  
Adequate Therapy ◽  
Efficacy Criteria

Fever in children is one of the most common reasons for seeking medical care and use of antipyretic drugs. The reasons can be various. It is extremely important for the pediatrician to find the cause of the fever and prescribe adequate therapy. Antipyretic drugs are symptomatic, they only relieve the condition of the child and improve the quality of life. The article reviews national and international studies and clinical guidelines of professional communities on fever in children. Currently, only ibuprofen and paracetamol fully meet the safety and efficacy criteria, and they are recommended for use in pediatric practice as antipyretic drugs.

scholarly journals EXPERIENCE OF ICT IMPLEMENTATION IN PRIMARY CURRICULUM IN UKRAINE AND THE UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND

2020 ◽  
Vol 75 (1) ◽  
pp. 42-55
Author(s):  
Ірина Василівна Борисенко ◽  
Оксана Павлівна Биконя ◽  
Ольга Олександрівна Рембач ◽  
Лариса Петрівна Шумна ◽  
Олександр Іванович Олійник ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Computer Science ◽  
Primary Education ◽  
Digital Literacy ◽  
Primary Schools ◽  
National Standards ◽  
European Countries ◽  
National Standard ◽  
Advantages And Disadvantages ◽  
Ict Implementation

The study was formulated within the context of an increasing recognition of ICT as curriculum priorities in primary schools of many European countries. The implementation of ICT-centered curriculum is a step towards realizing the goals of the new Law of Ukraine “On Education” (2017), National Strategy for the Development of Education in Ukraine until 2021, European strategic programme “Education and Training 2020”. Actuality of approaches to ICT implementation in present-day primary schools is caused by the substantial development of digital technologies and requirement of digital literacy for people’s work, social, and personal lives. The unique opportunity of primary education as a large sub-sector of any education system is to contribute to the renewal of societies through education of the young. The paper aims to study implementation of Computer science into national standard of primary education in Ukraine and the UK. In the recent years, many European countries have seen some changes of the content one of which relates to the area of computer science education that resulted in implementing an ambitious new curriculum in this subject. The author gives a comparative analysis of primary ICT within national standards in term of the Computer science development from the initial stage to present day situation. The comparative analysis specifies areas of similarities (aims, objectives, approaches to implementation, priorities of developing digital skills, teaching hours) and differences (programme topics, characterization of learning outcomes) in the study of ICT covering the subject content, expected learning results and general principles of ICT in education, as well as examples of ICT implementation. The paper is also focused at discussing the role of the ICT curriculum in modern-day primary classroom; advantages and disadvantages of ICT integration at primary stage. Much attention is paid to how it is integrated into daily learning modes to allow and encourage active learning. In primary education there are two main models of ICT implementation into curriculum, these are: ICT integrated across the curriculum; ICT (or Informatics, Computer Science and Computing) as a discrete subject within national standard.

scholarly journals Improving of judicial education through the institutional development of the National School of Judges of Ukraine

2019 ◽  
pp. 6-18
Author(s):  
Mykola Onishuk
Keyword(s):  
Institutional Development ◽  
Education Institution ◽  
Psychological Adaptation ◽  
Educational Process ◽  
National Standards ◽  
National Standard ◽  
Initial Training ◽  
Special Training ◽  
Judicial Education ◽  
National School

The article reveals the peculiarities of establishment and institutional development of National school of judges of Ukraine (NSJU) as an institution with a special status in the judicial system. The paper discusses main methodological principles for initial and periodical training of judges, as well as special training of candidates for the position of judge, which are defined in the Concept of National Standards for Judicial Education, approved by NSJU as a special document. According to the values which are declared in the document the main scope of judicial education is not only giving knowledge but also special skills development. It is the reason for implementing of interactive approaches to the learning process. The institution aims to integrate digital innovations into judicial education. It is the digitization of judicial education that will allow NSJU to move to the identification of individual educational needs of the judge and the formation of personalized training programs. Distance learning as a form of periodic training of judges plays a significant role in the development of judicial education. This form of training makes educational process flexible and dynamic, creates an opportunity for each listener, regardless of the level of court and judicial specialization, to work on the recommended personal schedule of the course. The article also deals with the specialties of initial training of candidates for the position of judge which is conducted in accordance with European standards for the organization of judicial educational events. In addition to law courses, the focus of initial training is also on issues of judicial ethics and integrity, anti-corruption legislation, psychological adaptation to judicial activity, judicial discipline, litigation management and alternative dispute resolution, international and European law. Interactive trainings and internships for candidates for the position of judge are aimed to expand and deepen legal knowledge, as well as to develop judicial skills and understanding the social context of justice. It is declared in the article that NSJU has introduced the Judicial Education Assessment Methodology, which has become a criterion for the effectiveness of the School's activity as a judicial education institution and is an important element of improving of all components of the educational process. Key words:National School of Judges of Ukraine, judicial education, methods of judicial education, training of judges, special training of candidates for the position of judge. References Strategy for the Reform of the Judiciary, Judiciary and Related Legal Institutions for 2015-2020: Approved by Presidential Decree of May 20, 2015 No. 276/2015. URL: http://zakon.rada.gov.ua/laws/show/276/2015 [Ukr.]. On the Judiciary and the Status of the Court: Law of Ukraine in Ed. from 02.06.2016. URL: https://zakon.rada.gov.ua/laws/show/1402-19/ed20160602 [Ukr.]. The concept of national standard judicial educational institutions: Annex 5 to the NSAU Regulations, required order dated 24.06.2016 No. 34. URL: http://www.nsj.gov.ua/en/about/symbols/ [Ukr.]. NSJU Development Strategy for 2016-2020. URL: http://www.nsj.gov.ua/files/14676144821452070855%D0%A1%D1%82%D1%80%D0%B0%D1%82%D0%B5%D0%B3%D1% 96% D1% 8F_% D1% 80% D0% BE% Opinion No 4 (2003) Advisory Councils of the Council of the European Courts, with respect, Committee on the Activity and the Ministry of Justice at the national and European levels, dedicated to November 27, 2003. URL: https://court.gov.ua/inshe/mss/ [Ukr.].

First measurement service applied to event dating for reliable business transactions: metrology for digital transformation using Colombian legal time.

2021 ◽  
Author(s):  
Claudia Fernanda Rodriguez ◽  
Keyword(s):  
Digital Transformation ◽  
National Standards ◽  
National Standard ◽  
National Metrology Institute ◽  
Remote Measurement ◽  
Time Service ◽  
Network Time ◽  
Network Time Protocol ◽  
National Comparison ◽  
The Difference

Diffusing the legal time in Colombia is one missional assessment of INM (National Metrology Institute of Colombia). This is done via a public IP through an NTP server (Network Time Protocol Server) disciplined to the National Standard of Time and Frequency. So, the companies can synchronize their servers, but they do not have certainty about the difference that exists between the time of the client-server and the legal time of the INM server because there is not a constant verification implemented by themselves. In Colombia, the demand for the legal time service has increased because it is used by many companies due to the rise of innovative applications such as time-stamp, digital signature, electronic invoice, and economic transactions. This has an impact on the economic environment of a country for world trade. For this reason, the INM of Colombia implemented a new service to measure the synchronization offset with the legal time, which allows the companies to have a new service that generates reliability respecting the time they use to provide their services. Inspired by the INM contribution to the international comparison Universal Time Coordinated (UTC) and the intercomparison of the National Standards of Time and Frequency implemented through the SIM time scale (SIMT) using GPS (Global Positioning System), the INM developed a customized application for national comparison using NTP. As a result, this is the first remote measurement service as evidence of metrology for digital transformation in Colombia in the field of time and frequency.

National standard on heavyweight marine booms: development experience and general requirements

2021 ◽  
pp. 203-213
Author(s):  
Григорий Викторович Зябкин ◽  
Сергей Алексеевич Половков ◽  
Александр Эдуардович Гончар ◽  
Владислав Николаевич Слепнев
Keyword(s):  
Oil Spills ◽  
National Level ◽  
National Standards ◽  
National Standard ◽  
Development Experience ◽  
Production Technologies ◽  
First Time ◽  
Reference Document ◽  
Standard Development

Основными средствами локализации нефтяных разливов в акваториях являются боновые заграждения. Несмотря на их повсеместное использование, в течение долгого времени отсутствовал национальный стандарт, регламентирующий требования к данному виду оборудования. Соответствующий стандарт - ГОСТ Р 58190-2018 - был введен в действие 1 апреля 2019 года. Основой для его создания стал нормативный документ ПАО «Транснефть», доработанный с учетом анализа зарубежного опыта нормирования требований к боновым заграждениям, опыта эксплуатации бонов морских тяжелых, состояния рынка данного вида оборудования, используемых материалов и технологий производства. ГОСТ Р 58190-2018 впервые определил боны морские тяжелые как отдельный класс боновых заграждений, установил и закрепил на национальном уровне требования к ним, что надо расценивать как важный шаг в обеспечении качества данного вида оборудования. В настоящей статье авторы, принимавшие участие в разработке стандарта, представляют анализ итогов разработки и рассматривают возникшие в связи с этим проблемные вопросы. Сформулированы рекомендации с целью повышения качества деятельности в области технического регулирования. Сделан вывод о целесообразности рассмотрения вопроса о создании в перспективе национального стандарта, определяющего основные типы боновых заграждений, требования к ним, рекомендации по применению. Опыт разработки ГОСТ Р 58190-2018 может быть распространен на другие виды оборудования и использован при разработке других национальных стандартов. The basic means for the containment of oil spills in water areas are booms. Despite its common usage, for a long period of time there were no national standard regulating the requirements to this kind of equipment. Such standard, GOST R 58190-2018, became effective on April 1, 2019. The basis for its establishment was Transneft PJSC reference document, which was revised with regard to the analysis of foreign experience in standardizing the requirements for booms, experience in operating heavyweight marine booms, the state of the market for such equipment, materials and production technologies used. GOST R 58190-2018 for the first time determined heavyweight marine booms as a separate group of defense booms, established and consolidated the requirements for such equipment effective on the national level. Within the present article the authors, who took part in the standard development, set forth the analysis of the development results and consider problems related to this issue. The authors present recommendations with the purpose of increasing the quality of measures taken in the field of technical regulation. The conclusion is made whether it is practical to consider the question of creating national standard, which defines basic types of defense booms in general, the requirements and application recommendations. The experience of developing GOST R 58190-2018 can also be applied to other types of equipment and used for the development of other national standards.

Recent Updates in Both the Diagnosis and Treatment Options that Impact the Clinical Treatment of Pulmonary Arterial Hypertension

2010 ◽  
Vol 2 ◽  
pp. CMT.S4192
Author(s):  
Charles D. Burger
Keyword(s):  
Pulmonary Arterial Hypertension ◽  
Arterial Hypertension ◽  
Treatment Plan ◽  
Treatment Options ◽  
Pharmaceutical Formulations ◽  
World Health ◽  
New Agents ◽  
Pulmonary Arterial ◽  
New Treatment ◽  
Health Organization

The evaluation and management of pulmonary arterial hypertension (PAH) is a rapidly evolving area of subspecialty medicine requiring regular clinical updates. Most notably are changes in the World Health Organization diagnostic scheme whereby the clinician categorizes the correct type of pulmonary hypertension in order direct the most specific evaluation and treatment plan. In addition, there have been several changes in both the FDA-approved pharmaceutical formulations and new agents for the treatment of PAH. This review will provide an update in these areas and more importantly, guidance to the clinician on the most appropriate utilization of these new treatment options.

scholarly journals Governance of Rapid Response Teams in Australia and New Zealand

2018 ◽  
Vol 46 (3) ◽  
pp. 304-309 ◽  
Author(s):  
S. S. Sethi ◽  
R. Chalwin
Keyword(s):  
New Zealand ◽  
Life Support ◽  
Advanced Life Support ◽  
Rapid Response Team ◽  
Rapid Response ◽  
Public Hospitals ◽  
National Standard ◽  
Local Network ◽  
Public And Private ◽  
Benchmark Assessment

Rapid response systems (RRS) in hospitals in Australia and New Zealand (ANZ) have been present for more than 20 years but governance of the efferent limb—the rapid response team (RRT)—has not been previously reported in detail. The objectives of this study were to describe current governance arrangements for RRTs within ANZ and contrast those against expected implementation, using the Australian Commission for Safety and Quality in Health Care National Standard 9 (S9) as a benchmark. Assessment focused on S9 subclauses 9.1.1 (governance and oversight), 9.1.2 (RRT implementation), 9.2.3 (data collection and dissemination), 9.2.4 (quality improvement), 9.5.2 (call reviews), 9.6.1 and 9.6.2 (basic and advanced life support [ALS] skill set). We identified public and private hospitals across ANZ from government-maintained registers. Those reasonably expected to have an RRT were contacted and invited to participate. Responses were obtained via an online anonymised questionnaire. Three hundred and forty-two hospitals were contacted, of whom 284 (83.0%) responded. Two hundred and thirty-two hospitals submitted data, and the other 52 declined to participate or did not have an RRT. In hospitals with an intensive care unit (ICU), intensivist attendance at RRT calls occurred less often outside office hours (odds ratio, OR, 0.49, 95% confidence interval, CI, 0.32 to 0.75]). Where intensivists were not on the RRT, consultation with them about calls also occurred less often outside office hours (OR 0.39, 95% CI 0.22 to 0.66). Consultation with patients’ admitting specialists occurred more often during office hours versus out of hours RRT calls and in private versus public hospitals. The presence of ICU staff on the RRT decreased the likelihood of admitting specialists being consulted about RRT calls (OR 0.66, 95% CI 0.47 to 0.93). Most hospitals maintained databases of RRT calls and regularly audited RRT activity (92% and 90% respectively). However, most (63.7%) did not make that information available beyond their hospital or local network. We concluded that the majority of hospitals in the ANZ region had governance mechanisms for their RRT. However, there was a notable lack of consistency, especially around specialist involvement and audit processes. Although some findings from this study are reassuring, there is still potential for improvement. Further development of guidelines and the establishment of a regional RRS database may assist with achieving this.

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