International Trauma System Development Program: Estrategía para el Desarrollo de Politicas de Prevención Basado en Datos Reales

2016 ◽  
Vol 5 (3) ◽  
pp. 117-125
Author(s):  
Marisol Badiel ◽  
Luis Fernando Pino ◽  
Mónica Morales ◽  
Juan Pablo Herrera ◽  
Johanna Carolina Rojas-Mirquez ◽  
...  
Keyword(s):  
System Development ◽  
Trauma System ◽  
Development Program

RESUMEN Objetivo Describir la experiencia y utilidad del registro de trauma durante dos años en un hospital de alta complejidad del suroccidente Colombiano. Materiales y métodos Registro poblacional a partir del cual se realizó un estudio de corte transversal durante dos años con pacientes con lesiones externas y/o traumáticas que ingresaron al Hospital Universitario del Valle de la ciudad de Cali. Se recolectaron variables demográficas, relacionadas con mecanismos de trauma, severidad (ISS) y mortalidad. Resultados Se registraron 16.579 pacientes. El 71,8% eran hombres con edad promedio de 29 (±20) años y la mayoría de ellos tenían entre 18 a 35 años de edad (37,8%). El 20,7% de las lesiones fueron secundarias a hechos violentos, ocurridas en un 50,2% en calles y avenidas de la ciudad. Las caídas como mecanismo de trauma representan un 33,2% de los pacientes, seguido de lesiones de tránsito en un 22,3%, lesión por arma de fuego 11,9% y lesión por arma blanca 10%. El 29,4% de los pacientes presentaron trauma múltiple, 26,7% trauma en miembros inferiores y 22% trauma en cabeza. Los pacientes con ISS ≥15 en su mayoría se encontraron entre los 18-35 años (7,5%). La mayoría de pacientes (25%) que sufrieron lesión por arma de fuego presentaron un ISS ≥15, y la mortalidad de estos pacientes fue de 77,9%. Conclusión Un porcentaje importante de la población entre los 18-35 años presentó algún tipo de trauma, en quienes se hace imperativo la implementación y seguimiento de programas enfocados a prevenir la violencia y disminuir las conductas de riesgo. El registro de trauma ha demostrado ser útil y efectivo para la institución y para la población del suroccidente Colombiano, pues permite el desarrollo de nuevos procesos de atención e investigación clínica basado en datos reales que mejoraran la calidad del servicio y la capacidad instalada en atención del trauma. How to cite this article Ordoñez CA, Rojas-Mirquez JC, Morales M, Badiel M, Pino LF, Herrera JP, Puyana JC, Toro DAM, Abutanos M, Ivatury RR. International Trauma System Development Program: Estrategía para el Desarrollo de Politicas de Prevención Basado en Datos Reales. Panam J Trauma Crit Care Emerg Surg 2016;5(3):117-125.

Advanced Thermally Stable Jet Fuels Development Program Annual Report. Volume 1. Model and Experiment System Development

1990 ◽  
Author(s):  
Elmer Klavetter ◽  
Tim O'Hern ◽  
Bill Marshall ◽  
Merrill Jr. ◽  
Frye Ray ◽  
...  
Keyword(s):  
Annual Report ◽  
System Development ◽  
Development Program ◽  
Jet Fuels ◽  
Thermally Stable ◽  
Experiment System

NAVAIRDEVCEN FY-84 Program Accomplishments for Arming System Development Program.

1984 ◽  
Author(s):  
Cheri Wallace ◽  
Kenneth J. Melvin ◽  
William D. Meiklejohn
Keyword(s):  
System Development ◽  
Development Program

scholarly journals An inventory of Canadian trauma systems: opportunities for improving access to trauma care

CJEM ◽  
2014 ◽  
Vol 16 (03) ◽  
pp. 207-213 ◽  
Author(s):  
Christopher C.D. Evans ◽  
J.M. Tallon ◽  
Jennifer Bridge ◽  
Avery B. Nathens
Keyword(s):  
Trauma Care ◽  
System Development ◽  
Trauma System ◽  
Mail Survey ◽  
Trauma Systems ◽  
Trauma Centres ◽  
Improved Outcomes ◽  
System Components ◽  
Trauma Surgeons ◽  
Future Work

ABSTRACT Objective: Despite evidence that patients suffering major traumatic injuries have improved outcomes when cared for within an organized system, the extent of trauma system development in Canada is limited. We sought to compile a detailed inventory of trauma systems in Canada as a first step toward identifying opportunities for improving access to trauma care. Methods: We distributed a nationwide online and mail survey to stakeholders intended to evaluate the extent of implementation of specific trauma system components. Targeted stakeholders included emergency physicians, trauma surgeons, trauma program medical directors and program managers, prehospital providers, and decision makers at the regional and provincial levels. A “snowball” approach was used to expand the sample base of the survey. Descriptive statistics were generated to quantify the nature and extent of trauma system development by region. Results: The overall response rate was 38.7%, and all levels of stakeholders and all provinces/territories were represented. All provinces were found to have designated trauma centres; however, only 60% were found to have been accredited within the past 10 years. Components present in 50% or fewer provinces included an inclusive trauma system model, interfacility transfer agreements, and a mechanism to track bed availability within the system. Conclusion: There is significant variability in the extent of trauma system development in Canada. Although all provinces have designated trauma centres, opportunities exist in many systems to implement additional components to improve the inclusiveness of care. In future work, we intend to quantify the strength of the relationship between different trauma system components and access to definitive trauma care.

Trauma system development in the United States

1999 ◽  
Vol 14 (3) ◽  
pp. 197-209 ◽  
Author(s):  
Charles N. Mock ◽  
Gregory J. Jurkovich
Keyword(s):  
United States ◽  
System Development ◽  
Trauma System ◽  
The United States

Development of Perforating System for Unique HPHT Injection Application

2021 ◽  
Author(s):  
Brenden Grove ◽  
Joseph MacGillivray ◽  
Jason Cook ◽  
Chris Hoelscher
Keyword(s):  
System Development ◽  
Development Program ◽  
Integrated System ◽  
Operational Flexibility ◽  
Test Configuration ◽  
Performance Requirements ◽  
Field Environment ◽  
High Pressure High Temperature ◽  
Sand Control ◽  
And Performance

Abstract An operator was developing a High-Pressure High-Temperature (HPHT) field in the U.S. Gulf of Mexico (GOM). Completion design for the injector wells was cased-and-perforated, with no mechanical sand control. This led to the requirement for a tubing-conveyed perforating (TCP) system, featuring deep-penetrating (DP) charges which would meet specific performance requirements, in order to enable the wells to achieve injectivity targets. A perforating system was therefore developed and qualified to meet these requirements. This was an integrated system development, including both mechanical and explosive components, with simultaneous attention to performance, reliability, and quality assurance in the eventual field environment. The development program yielded a 4-3/4-inch carrier system, perforating charges, firing head, and gun hanger. All key components and systems were qualified in customer-witnessed testing, and demonstrated to meet or exceed operational function and performance requirements. The pressure and temperature rating of the newly-developed system is 30,000 psi at 425 °F. Explosive train function reliability was demonstrated at 380 °F for up to 28 days. The newly-developed perforating shaped charge was confirmed to exceed the stringent penetration depth and casing hole diameter performance requirements at downhole conditions. The firing head offers operational flexibility by being configurable for up to 15 pressure cycles prior to detonation, with an adjustable initiation threshold pressure to reduce risk to the completion string. The gun hanger was customized and demonstrated to exceed load requirements, and reliably set and release, in a test configuration featuring operator-provided field casing.

Trauma System Development and Future Directions

1993 ◽  
Vol 8 (2) ◽  
pp. 111-114 ◽  
Author(s):  
Judith B. Braslow ◽  
Joan A. Snyder
Keyword(s):  
Public Health ◽  
Emergency Medical Services ◽  
Trauma Care ◽  
System Development ◽  
Trauma System ◽  
The United States ◽  
Advisory Council ◽  
Medical Services ◽  
Emergency Medical ◽  
Care Systems

AbstractTraumatic injury, both unintentional and intentional, is a serious public health problem. Trauma care systems play a significant role in reducing mortality, morbidity, and disability due to injuries. However, barriers to the provision of prompt and appropriate emergency medical services still exist in many areas of the United States. Title XII of the Public Health Service Act provides for programs in support of trauma care planning and system development by states and localities. This legislation includes provisions for: 1) grants to state agencies to modify the trauma care component of the state Emergency Medical Services (EMS) plan; 2) grants to improve the quality and availability of trauma care in rural areas; 3) development of a Model Trauma Care System Plan for states to use as a guide in trauma system development; and 4) the establishment of a National Advisory Council on Trauma Care Systems.

scholarly journals The Ultimate Impacts for Thai Teachers: Teachers Development System in Learning Management

2015 ◽  
Vol 8 (12) ◽  
pp. 193
Author(s):  
Thikamporn Boonmak ◽  
Kowat Tesaputa ◽  
Amparn Duangpaeng
Keyword(s):  
Teacher Development ◽  
Professional Training ◽  
System Development ◽  
School Administrators ◽  
Evaluation Research ◽  
Development Program ◽  
Structure Interview ◽  
Data Survey ◽  
Learning Management ◽  
Competency Evaluation

<p class="apa">This research was aimed to 1) study current conditions, problems, and needs of teachers for development and learning management in the extended educational opportunities schools (EEOSs: schools where they extended fundamental education from primary level of six years to lower secondary level of nine years), in Thailand, 2) develop the system of teacher development for the learning management, 3) implement and extend the results of study to other EEOSs. Research methodology was based on research and development approach which divided into three stages as follows: Stage 1) Preliminary study on current conditions, problems, and needs from related literature. The synthesis of related ideas and theories were then validated by the survey on the subjects representing school administrators and academic affairs teachers. Statistics used were percentage, means, and standard deviation. Stage 2) System development for the learning management was validated by nine educational experts. The validity of the system was based on feasibility and content appropriateness. Stage 3) Implementation of the system. The school performed teacher development program according to the procedures described in the manual. There were five research tools used which included: data survey, semi-structure interview, knowledge evaluation, learning management competency evaluation, and satisfaction evaluation. Research finding reported that the teachers needed professional development on professional training, study visit, and internal supervision. The system of teacher development has four main factors: input, process, output, and feedback. Overall, the system was the standard baseline for effective training in the EEOSs and possible to implement in other schools for learning management and student effectiveness.</p>

An Assessment of the Impact of Trauma Systems Consultation on the Level of Trauma System Development

2008 ◽  
Vol 207 (5) ◽  
pp. 623-629 ◽  
Author(s):  
Robert J. Winchell ◽  
Jane W. Ball ◽  
Gail F. Cooper ◽  
Nels D. Sanddal ◽  
Michael F. Rotondo
Keyword(s):  
System Development ◽  
Trauma System ◽  
Trauma Systems ◽  
The Impact
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