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https://www.readbyqxmd.com/read/29992507/can-variable-practice-habits-and-injection-port-dead-volume-put-patients-at-risk
#1
Michael T Kuntz, Roman Dudaryk, Richard R McNeer
Injection ports used to administer medications and draw blood samples have inherent dead-volume. This volume can potentially lead to inadvertent drug administration, contribute to erroneous laboratory values by dilution of blood samples, and increase the risk of vascular air embolism. We sought to characterize provider practice in management of intravenous (IV) and arterial lines and measure dead-volumes of various injection ports. A survey was circulated to anesthesiology physicians and nurses to determine practice habits when administering medications and drawing blood samples...
July 10, 2018: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/29971114/investigating-youth-sport-coach-perspectives-of-an-asthma-education-module
#2
Francesca S Cardwell, Susan J Elliott
Physical activity can reduce symptoms and improve wellbeing in people who have asthma, and organized sport is one way for children and youth with asthma to engage in exercise. While asthmatic youth may experience a number of barriers to sport participation, healthy physical and social sport environments supported by coaches can help asthmatic youth athletes maintain long-term engagement in activity. This paper reports results of an assessment of an online coach education tool related to air quality, physical activity, and allergic disease (e...
2018: Journal of Environmental and Public Health
https://www.readbyqxmd.com/read/29963977/political-airs-from-monitoring-to-attuned-sensing-air-pollution
#3
Nerea Calvillo
In Madrid, as in many European cities, air pollution is known about and made accountable through techno-scientific monitoring processes based on data, and the toxicity of the air is defined through epidemiological studies and made political through policy. In 2009, Madrid's City Council changed the location of its air quality monitoring stations without notice, reducing the average pollution of the city and therefore provoking a public scandal. This scandal challenged the monitoring process, as the data that used to be the evidence of pollution could not be relied on anymore...
June 2018: Social Studies of Science
https://www.readbyqxmd.com/read/29889952/management-of-suspected-tension-pneumothorax-in-tactical-combat-casualty-care-tccc-guidelines-change-17-02
#4
Frank K Butler, John B Holcomb, Stacy Shackelford, Harold R Montgomery, Shawn Anderson, Jeffrey S Cain, Howard R Champion, Cord W Cunningham, Warren C Dorlac, Brendon Drew, Kurt Edwards, John V Gandy, Elon Glassberg, Jennifer Gurney, Theodore Harcke, Donald A Jenkins, Jay Johannigman, Bijan S Kheirabadi, Russ S Kotwal, Lanny F Littlejohn, Matthew Martin, Edward L Mazuchowski, Edward J Otten, Travis Polk, Peter Rhee, Jason M Seery, Zsolt Stockinger, Jeremy Torrisi, Avi Yitzak, Ken Zafren, Scott P Zietlow
This change to the Tactical Combat Casualty Care (TCCC) Guidelines that updates the recommendations for management of suspected tension pneumothorax for combat casualties in the prehospital setting does the following things: (1) Continues the aggressive approach to suspecting and treating tension pneumothorax based on mechanism of injury and respiratory distress that TCCC has advocated for in the past, as opposed to waiting until shock develops as a result of the tension pneumothorax before treating. The new wording does, however, emphasize that shock and cardiac arrest may ensue if the tension pneumothorax is not treated promptly...
December 0: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/29872985/effect-of-salinity-stress-on-phenotypic-plasticity-yield-stability-and-signature-of-stable-isotopes-of-carbon-and-nitrogen-in-safflower
#5
Muhammad Iftikhar Hussain, Abdullah J Al-Dakheel
Salinity is one of the major factors contributing in land degradation, disturbance of soil biology, a structure that leads to unproductive land with low crop yield potential especially in arid and semiarid regions of the world. Appropriate crops with sufficient stress tolerance capacity and non-conventional water resources should have to be managed in a sustainable way to bring these marginal lands under cultivation for future food security. The goal of the present study was to evaluate salinity tolerant potential (0, 7, and 14 dS m-1 ) of six safflower genotypes that can be adapted to the hyper arid climate of UAE and its marginal soil...
June 5, 2018: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29781469/environmental-stewardship-the-nurse-s-role-in-sustainability
#6
Julie Kleber
With the largest body of employees in U.S. health care, the nursing profession is well positioned to tackle the challenges of waste reduction within hospital systems. The healthcare sector generates a massive amount of waste, contributing to environmental issues, such as air and water pollution. By unifying and engaging staff through shared governance models, nurses can reduce the overhead costs associated with waste management and help maintain fiscal integrity. Nurses have the ability to use their trusted skill sets and lead the way for sustainable, healthy communities and environments in which they serve...
June 1, 2018: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/29727986/towards-sustainable-mobile-systems-configurations-application-to-a-tuna-purse-seiner
#7
A García Rellán, C Vázquez Brea, P M Bello Bugallo
Fishing is one of the most important marine activities. It contributes to both overfishing and marine pollution, the two main threats to the ocean environment. In this context, the aim of this work is to investigate and validate methodologies for the identification of more sustainable operating configurations for a tuna purse seiner. The proposed methodology is based on a previous one applied to secondary industrial systems, taking into account the Integrated Pollution Prevention and Control focus, developed for the most potentially industrial polluting sources...
August 1, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29681027/terminology-services-standard-terminologies-to-control-health-vocabulary
#8
Fernán González Bernaldo de Quirós, Carlos Otero, Daniel Luna
Healthcare Information Systems should capture clinical data in a structured and preferably coded format. This is crucial for data exchange between health information systems, epidemiological analysis, quality and research, clinical decision support systems, administrative functions, among others. Structured data entry is an obstacle for the usability of electronic health record (EHR) applications and their acceptance by physicians who prefer to document patient EHRs using "free text". Natural language allows for rich expressiveness but at the same time is ambiguous; it has great dependence on context and uses jargon and acronyms...
April 22, 2018: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/29667510/air-quality-modeling-for-effective-environmental-management-in-the-mining-region
#9
Zunaira Asif, Zhi Chen, Yi Han
Air quality in the mining sector is a serious environmental concern and associated with many health issues. Air quality management in mining regions has been facing many challenges due to lack of understanding of atmospheric factors and physical removal mechanisms. A modeling approach called the mining air dispersion model (MADM) is developed to predict air pollutants concentration in the mining region while considering the deposition effect. The model takes into account the planet's boundary conditions and assumes that the eddy diffusivity depends on the downwind distance...
April 18, 2018: Journal of the Air & Waste Management Association
https://www.readbyqxmd.com/read/29656357/monitoring-oh-pcbs-in-pcb-transport-worker-s-urine-as-a-non-invasive-exposure-assessment-tool
#10
Yuki Haga, Motoharu Suzuki, Chisato Matsumura, Toshihiro Okuno, Masahiro Tsurukawa, Kazuo Fujimori, Narayanan Kannan, Roland Weber, Takeshi Nakano
In this study, we analyzed hydroxylated polychlorinated biphenyls (OH-PCBs) in urine of both PCB transport workers and PCB researchers. A method to monitor OH-PCB in urine was developed. Urine was solid-phase extracted with 0.1% ammonia/ methanol (v/v) and glucuronic acid/sulfate conjugates and then decomposed using β-glucuronidase/arylsulfatase. After alkaline digestion/derivatization, the concentration of OH-PCBs was determined by HRGC/HRMS-SIM. In the first sampling campaign, the worker's OH-PCB levels increased several fold after the PCB waste transportation work, indicating exposure to PCBs...
June 2018: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29600064/national-adoption-of-video-assisted-thoracoscopic-surgery-vats-lobectomy-the-italian-vats-register-evaluation
#11
Duilio Divisi, Luca Bertolaccini, Mirko Barone, Dario Amore, Desideria Argnani, Gino Zaccagna, Piergiorgio Solli, Gaetano Di Rienzo, Carlo Curcio, Roberto Crisci
Background: The expertise curve of video-assisted thoracoscopic surgery (VATS) lobectomies still stirs debate and controversy both because of the number of procedures to carry out and of the evaluation of the learning threshold. The purpose of our study was the examination of the variables related to the learning curve of the video-assisted approach, to establish what may be an expression of the technical maturity of the surgeon. Methods: The National Register for VATS lobectomy built in 2013 was used to collect data from 65 Thoracic Surgery Units...
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29595651/bronchoscopic-valve-placement-for-the-treatment-of-persistent-air-leaks
#12
Xiaojie Huang, Liren Ding, Hao Xu
Persistent air leaks (PALs) are associated with increased morbidity, prolonged hospital stay, and increased treatment costs. Endobronchial 1-way valves have been recently used as a potential less invasive treatment option. We sought to investigate the effects of valve therapy in treating this condition. The patients with evidence of continuous air leak flow whose chest tubes remained in place for more than 7 days were treated with bronchoscopic closure using 1-way valves. The source of the air leak was identified by the Chartis system...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29543729/energy-optimization-using-a-case-based-reasoning-strategy
#13
Alfonso González-Briones, Javier Prieto, Fernando De La Prieta, Enrique Herrera-Viedma, Juan M Corchado
At present, the domotization of homes and public buildings is becoming increasingly popular. Domotization is most commonly applied to the field of energy management, since it gives the possibility of managing the consumption of the devices connected to the electric network, the way in which the users interact with these devices, as well as other external factors that influence consumption. In buildings, Heating, Ventilation and Air Conditioning (HVAC) systems have the highest consumption rates. The systems proposed so far have not succeeded in optimizing the energy consumption associated with a HVAC system because they do not monitor all the variables involved in electricity consumption...
March 15, 2018: Sensors
https://www.readbyqxmd.com/read/29506813/parallels-in-safety-between-aviation-and-healthcare
#14
REVIEW
Claudia R Gerstle
Aviation and healthcare are complex industries and share many similarities: the cockpit and the operating theater, the captain and the surgeon. While North American commercial aviation currently enjoys a tremendous safety record, it was not always this way. A spike of accidents in 1973 caused 3214 aviation-related fatalities. Over the past 20years, the rate of fatal accidents per million flights fell by a factor of five, while air traffic increased by more than 86%. There have been no fatalities on a U.S. carrier for over 12years...
May 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29486436/anaerobic-digestion-of-orange-peel-in-a-semi-continuous-pilot-plant-an-environmentally-sound-way-of-citrus-waste-management-in-agro-ecosystems
#15
Demetrio A Zema, Adele Fòlino, Giovanni Zappia, Paolo S Calabrò, Vincenzo Tamburino, Santo Marcello Zimbone
The management of residues of citrus processing involves economic and environmental problems. In particular, the uncontrolled disposal of citrus processing waste near production sites can have heavy impacts on air, soil, surface water bodies and groundwater. Anaerobic digestion has been proposed as a viable alternative for citrus waste valorisation, if some problems, linked to the biochemical processes, are overcome. Although many experimental tests have studied the inhibitory effects of the high essential oil content of orange peel on biomethanisation processes, fewer experiences have been carried out in continuous or semi-continuous pilot digesters, more similar to the full-scale biogas plants, using real orange peel...
July 15, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29454209/reconciling-discrepancies-in-the-source-characterization-of-vocs-between-emission-inventories-and-receptor-modeling
#16
Jiamin Ou, Junyu Zheng, Zibing Yuan, Dabo Guan, Zhijiong Huang, Fei Yu, Min Shao, Peter K K Louie
Emission inventory (EI) and receptor model (RM) are two of the three source apportionment (SA) methods recommended by Ministry of Environment of China and used widely to provide independent views on emission source identifications. How to interpret the mixed results they provide, however, were less studied. In this study, a cross-validation study was conducted in one of China's fast-developing and highly populated city cluster- the Pearl River Delta (PRD) region. By utilizing a highly resolved speciated regional EI and a region-wide gridded volatile organic compounds (VOCs) speciation measurement campaign, we elucidated underlying factors for discrepancies between EI and RM and proposed ways for their interpretations with the aim to achieve a scientifically plausible source identification...
July 1, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29397929/analysis-of-patients-discharged-from-the-hospital-with-a-chest-tube-in-place
#17
J Matthew Reinersman, Mark S Allen, Shanda H Blackmon, Stephen D Cassivi, Francis C Nichols, Dennis A Wigle, K Robert Shen
BACKGROUND: Persistent air leak can complicate pulmonary resection, and one management option is dismissal with a chest tube in place. This study evaluated the rate of empyema and readmission after dismissal with a chest tube. METHODS: A retrospective review of our prospective database from January 2004 to December 2013 identified 236 patients who were discharged from our institution with an indwelling chest tube and attached one-way valve for air leak. Empyema was defined by leukocytosis or fever and undrained effusion on chest roentgenogram or computed tomography...
April 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29373855/toward-better-management-for-asthma-from-smart-inhalers-to-injections-to-wearables-researchers-are-finding-new-ways-to-improve-asthma-treatment
#18
Wudan Yan
Although asthma has been around since Hippocrates' time, more people are being diagnosed with the disease than ever before. Over the last 20 years, the global burden of asthma has increased by almost 30%, as more than 235 million people-most of them children-cope with the breathlessness and wheezing characteristic of the disease. In particular, cases have spiked in China and India, where pollution is reported to sometimes be deadly. Researchers with the Health Effects Institute, a Boston-based nonprofit that studies the health effects of pollution, recently reported that air pollution in India and China alone contributed to more than half of the four million deaths worldwide due to air pollution in 2015...
January 2018: IEEE Pulse
https://www.readbyqxmd.com/read/29349045/advantages-disadvantages-indications-contraindications-and-surgical-technique-of-laryngeal-airway-mask
#19
REVIEW
Anubhav Jannu, Ashim Shekar, Ramdas Balakrishna, H Sudarshan, G C Veena, S Bhuvaneshwari
The beauty of the laryngeal mask is that it forms an air tight seal enclosing the larynx rather than plugging the pharynx, and avoid airway obstruction in the oropharynx. The goal of its development was to create an intermediate form of airway management face mask and endotracheal tube. Indication for its use includes any procedure that would normally involve the use of a face mask. The laryngeal mask airway was designed as a new concept in airway management and has been gaining a firm position in anesthetic practice...
December 2017: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/29289283/the-presence-and-partitioning-behavior-of-flame-retardants-in-waste-leachate-and-air-particles-from-norwegian-waste-handling-facilities
#20
Nicolas A O Morin, Patrik L Andersson, Sarah E Hale, Hans Peter H Arp
Flame retardants in commercial products eventually make their way into the waste stream. Herein the presence of flame retardants in Norwegian landfills, incineration facilities and recycling sorting/defragmenting facilities is investigated. These facilities handled waste electrical and electronic equipment (WEEE), vehicles, digestate, glass, combustibles, bottom ash and fly ash. The flame retardants considered included polybrominated diphenyl ethers (∑BDE-10) as well as dechlorane plus, polybrominated biphenyls, hexabromobenzene, pentabromotoluene and pentabromoethylbenzene (collectively referred to as ∑FR-7)...
December 2017: Journal of Environmental Sciences (China)
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