scholarly journals The Italian story of HEMS: the HEMS Association

Rescue Press ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 1-1
Author(s):  

Mountain HEMS Association was born, with a notarial deed of incorporation, in April 2008 following the initiative of 7 autonomous Region /Provinces of the Alps and Apennines: in 2005, Dr. Enrico Visetti, Anesthetist Doctor of the Aosta hospital, organized a helicopter rescue training course aimed at new doctors to be included in the local helicopter rescue. In December 2006, access to the course was offered to all the other operational bases in the Alps. The invitation was extended to the various figures operating within the Service, therefore doctors, nurses, and subsequently the CNSAS Helicopter Rescue Technicians: with the participation of new external experiences, the course objective was also modified. In 2007, 90% of the participants in the training course were Doctors and Nurses who already had experience and actively operated in the helicopter rescue in the bases of origin: the participants themselves had to bring their own ideas and experiences and simultaneously cover the role of speakers. Until now, the main objective, concentrated in the training addressed to new doctors, became, thanks to the support of the various experiences, an exchange of opinions and a training ground for discussion between the various actors. The technical mountaineering part was managed thanks to the support of the mountain rescue, always present in the external activities alongside the staff. In the theoretical part, various lines of common behavior were discussed to be adopted in the interventions of Helicopter Rescue, while in the context of the scientific discussion, the total lack of a database of helicopter rescue services in which to obtain useful information was recognized. During the Courmayer course, in the spring of 2007, the idea of creating a website was born with the aim of developing a data acquisition system from the various operational bases of the Alpine and Apennine arc: from this initiative, the establishment of the Association.

Author(s):  
Rudolph Pavuza ◽  
Lukas Plan

Loess caves account for a negligible amount of Austria's caves only – despite the fact that the areas covered by loess and loess-loam comprise several thousand square kilometres. Loess can be found in the northern and eastern foreland of the Alpine Mountain Range as well as in the Styrian Basin south of the Alps. Only a handful of caves have been mapped so far, concentrated at a few spots. This eye-catching fact documents a certain lack of exploration rather than a general lack of loess caves. According to Striebel (2005) and others most loess caves are formed by piping and gully erosion, initiated by inhomogeneities like disintegrating roots and animal burrows where the infiltrating water causes fast-growing pipe structures, subsequently enlarging to caves that can be entered by cavers.The rate of cave evolution is tremendous. In several cases – so far investigated – the earliest onset of cave formation lies within the early 20th Century. This can be dated as the required gradient was man-made at that time. On the other hand distinctive alterations of the caves took place within 30 years. This can be documented strikingly by comparing old and new cave maps. The crucial points – from a quantitative point of view – for the formation of loess caves are still under fundamental discussion as there are severe differences in local climatic parameters – some of the areas belong to the driest in Austria – lithologies, gradients and human interventions. Furthermore, the role of dissolution of calcitic components enhancing the subsequent erosion remains ambiguous.


Author(s):  
Lucie Greyl ◽  
Hali Healy ◽  
Emanuele Leonardi ◽  
Leah Temper

The Susa Valley situated between Maurienne, France and Turin, Italy, has been urbanised by the economic development of the region. Scarred by infrastructure like the Frejus highway, an international railway, and numerous dams, tunnels and industries, this "development" has had significant environmental and social impacts. The high speed train line (Treno Alta Velocitŕ in Italian, or TAV) between Turin and Lyon is planned at the intersection of 2 main European axes to complement the European railway network by increasing the transport of passengers as well as goods. The train would pass through the Susa Valley, via 2 main tunnels and numerous shorter ones to cross the Alps. The "No TAV" movement is the grass-roots movement of the Susa Valley population against the construction of the line. This article, explores the motives and rationale of opponents and proponents, highlighting the role of power relations and an underlying clash of ideologies. It shows how the success and longevity of No TAV movement relies on one hand on the versatility and diversity of its arguments, and on the other, a renewed legitimacy in the context of the current social and economic crises of its arguments in favour of strong sustainability, degrowth and participatory democracy.


1977 ◽  
Vol 44 (2) ◽  
pp. 363-366 ◽  
Author(s):  
E. J. Robinson ◽  
W. P. Robinson

Two dolls were made to play a game in which one, the speaker, described one of a set of drawings so that the other, the listener, could pick the matching one from an identical set. The dolls took turns as speaker and listener. The children sat by one doll. When communication failed, the child was asked to ascribe blame to the listener and/or speaker and to say why. All ten children who blamed the listener when communication failed because the message applied to more than one card, located the fault with the speaker when the message referred uniquely to a card other than that selected by the speaker. Their failure to locate blame with the speaker under the other condition cannot therefore be attributed to a total lack of understanding of the role of the message in communication failure.


1995 ◽  
Vol 74 (05) ◽  
pp. 1271-1275 ◽  
Author(s):  
C M A Henkens ◽  
V J J Bom ◽  
W van der Schaaf ◽  
P M Pelsma ◽  
C Th Smit Sibinga ◽  
...  

SummaryWe measured total and free protein S (PS), protein C (PC) and factor X (FX) in 393 healthy blood donors to assess differences in relation to sex, hormonal state and age. All measured proteins were lower in women as compared to men, as were levels in premenopausal women as compared to postmenopausal women. Multiple regression analysis showed that both age and subgroup (men, pre- and postmenopausal women) were of significance for the levels of total and free PS and PC, the subgroup effect being caused by the differences between the premenopausal women and the other groups. This indicates a role of sex-hormones, most likely estrogens, in the regulation of levels of pro- and anticoagulant factors under physiologic conditions. These differences should be taken into account in daily clinical practice and may necessitate different normal ranges for men, pre- and postmenopausal women.


1998 ◽  
pp. 61-62
Author(s):  
N. S. Jurtueva

In the XIV century. centripetal tendencies began to appear in the Moscow principality. Inside the Russian church, several areas were distinguished. Part of the clergy supported the specificobar form. The other understood the need for transformations in society. As a result, this led to a split in the Russian church in the 15th century for "non-possessors" and "Josephites". The former linked the fate of the future with the ideology of hesychasm and its moral transformation, while the latter sought support in alliance with a strong secular power.


2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Tamara Feldman

This paper is a contribution to the growing literature on the role of projective identification in understanding couples' dynamics. Projective identification as a defence is well suited to couples, as intimate partners provide an ideal location to deposit unwanted parts of the self. This paper illustrates how projective identification functions differently depending on the psychological health of the couple. It elucidates how healthier couples use projective identification more as a form of communication, whereas disturbed couples are inclined to employ it to invade and control the other, as captured by Meltzer's concept of "intrusive identification". These different uses of projective identification affect couples' capacities to provide what Bion called "containment". In disturbed couples, partners serve as what Meltzer termed "claustrums" whereby projections are not contained, but imprisoned or entombed in the other. Applying the concept of claustrum helps illuminate common feelings these couples express, such as feeling suffocated, stifled, trapped, held hostage, or feeling as if the relationship is killing them. Finally, this paper presents treatment challenges in working with more disturbed couples.


Moreana ◽  
2017 ◽  
Vol 54 (Number 207) (1) ◽  
pp. 36-56
Author(s):  
Gerard Wegemer

After establishing a context of More's lifelong engagement with the “calculus” of pleasure, this essay shows how the section devoted to the Utopians' pleasure philosophy is structured around five formulations of a “rule” to calculate “true and honest [honesta]” pleasure in ways that playfully imitate and echo the “rule” Cicero formulates several times in De officiis to discern one's duty when there seems to be a conflict between honestas et utilitas. When followed, the Utopian pleasure calculus shows the necessary role of societas, officii, iustitia, caritas, and the other aspects of human nature, most importantly friendship, that Cicero stresses in his rule and that he argued Epicurus ignored. Much of the irony and humor of this section depends on seeing the predominance of Ciceronian vocabulary in Raphael's unusual defense [patrocinium] of pleasure, rather than a Ciceronian defense of duty rooted in honestas. Throughout, however, this essay also shows how More goes beyond Cicero by including Augustinian and biblical allusions to suggest ways that our final end is not as Epicurus or the Stoics or Cicero claim; the language and allusions of this section point to a level of good cheer and care for neighbors and for God in ways quite different from any classical thinker.


1973 ◽  
Vol 74 (4) ◽  
pp. 769-774 ◽  
Author(s):  
Akira Yokoyama ◽  
Hiroshi Tomogane ◽  
Katuaki Ôta
Keyword(s):  

ABSTRACT A non-steroidal oestrogen antagonist, MER-25, was administered to cycling rats for elucidating the role of oestrogen in the surge of prolactin observed on the afternoon of pro-oestrus (POe). In animals injected with 20 mg of MER-25 intramuscularly on the afternoon (16.30 h) of the first day of dioestrus (D-1), the surge of prolactin was blocked while the level of prolactin on the afternoon of POe of these animals was significantly higher than that of the corresponding controls injected with oil. Ovulation was also blocked in these animals treated with the drug on the afternoon of D-l. On the other hand, treatment on the morning (10.30 h) of the 2nd day of dioestrus failed to prevent not only the surge of prolactin but also ovulation. These observations provide strong evidence for the view that oestrogen is responsible for the surge of prolactin on the afternoon of POe, and that the surge is accompanied by that of LH.


1960 ◽  
Vol XXXIV (III) ◽  
pp. 411-429 ◽  
Author(s):  
Melvin J. Fregly ◽  
Kenneth M. Cook

ABSTRACT The anti-thyroid drugs, thiouracil, propylthiouracil, and methimazole, prevented both development of elevated blood pressure and cardiac hypertrophy usually accompanying kidney encapsulation with latex envelopes. These drugs also reduced elevated blood pressure of rats with hypertension of 13 to 40 weeks' duration prior to drug administration. Addition of desiccated thyroid powder to diet containing an anti-thyroid drug overcame the anti-hypertensive effect of the latter. Withdrawal of thyroid powder only was followed by return of blood pressure to previous low level within 3 weeks. The results suggest that the anti-hypertensive effect of these drugs is related directly to the hypothyroidism produced rather than to extrathyroidal effects of the drugs. Comparison of potencies of the 3 drugs in terms of anti-hypertensive effect, inhibition of growth rate, increase in testicular size, and increase in thyroid size suggests that propylthiouracil and methimazole are equally potent per unit weight of drug. Thiouracil has approximately half the potency of the other two.


2017 ◽  
Vol 4 (1) ◽  
pp. 189-215
Author(s):  
Yoiz Shofwa Shafrani

Perkembangan dunia perbankan syariah tidak lepas dari peran para nasabah yang memberikan kepercayaan terhadap pihak perbankan untuk penyimpanan asset keuangannya. Faktanya banyak kelompok nasabah yang memutuskan untuk menjadi nasabah di perbankan syariah karena faktor religiusitasnya. Faktor lain yang dapat ikut mempengaruhi keputusan nasabah adalah kualitas produk. Di mana kualitas produk merupakan karakteristik yang melekat dari suatu produk. Kemungkinan yang terjadi bahwa kebanyakan nasabah pada perbankan syariah juga masih merupakan nasabah perbankan konvensional.Tujuan yang ingin dicapai dalam penelitian ini adalah untuk mengetahui pengaruh kualitas produk dan tingkat religiusitas nasabah terhadap keputusan nasabah untuk menyimpan dananya atau tidak di BSM Cabang Purwokerto. Alat analisis yang digunakan adalah analisis regresi linier berganda, dengan jumlah sampel 100 nasabah. Diperoleh hasil Y = 5,046 + 0,101X1 + 0,218X2. Berdasarkan uji F yang sudah dilakukan maka dapat diketahui bahwa variabel kualitas produk dan religiusitas secara bersama – sama berpengaruh terhadap keputusan nasabah untuk menyimpan dananya di BSM Cabang Purwokerto. Berdasarkan uji t yang sudah dilakukan dapat diketahui bahwa secara partial baik variabel kualitas produk maupun variabel religiusitas berpengaruh terhadap keputusan nasabah untuk menyimpan dananya di BSM Cabang Purwokerto. The progress of the Islamic bank cannot be separated from the role of its customers who give trust to the bank to deposit their financial assets. It is a fact many groups of customers decide to be the customers of the Islamic bank because of their religiosity. The other influences factor of a customer’s decision is the quality of the product. The aim of this research was to determine the effect of product quality and level of customers’ religiosity towards customers’ decision whether to keep their funds in Syariah Mandiri Bank, Branch of Purwokerto, or not. The analytical tool used was multiple linear regression analysis, with a sample of 100 customers. The results indicate Y = 5,046 + 0,101X1 + 0,218X2. Based on F, it can be seen that both variables of product quality and religiosity simultanously affect the customers’ decision to keep theirfunds in BSM Branch of Purwokerto. Based on t test, it can be seen that independently, either variable of product quality or variables of religiosityinfluences the customers’ decision to keep their funds in BSM Branch of Purwokerto.


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