102 research outputs found
Intensive care medicine in Europe: perspectives from the European Society of Anaesthesiology and Intensive Care
No full textBACKGROUND: Anaesthesiology represents a rapidly evolving medical specialty in global healthcare, currently covering advanced peri-operative, pre-hospital and in-hospital critical emergency management (CREM), intensive care medicine (ICM) and pain management. The aim of the European Society of Anaesthesiology and Intensive Care (ESAIC) is to develop and promote a coordinated interdisciplinary and multidisciplinary European network of Anaesthesiology and Intensive Care Medicine (AICM) societies for improvement of patient safety and outcome, and to enhance political and public awareness of the role of anaesthesiologists all over Europe. The ESAIC promotes coordinated interdisciplinary and multidisciplinary care for severely compromised patients, based on the European training requirements (ETR) within the European Union of Medical Specialists (UEMS). METHODS: To define the current situation of AICM in Europe, a survey was sent in April 2019 to the ESAIC Council and the ESAIC National Anaesthesiologists Societies Committee (NASC) members. The survey posed questions regarding the year of foundation, the inclusion of ICM in the society name, and if, and to what extent, various kinds (postoperative, general, specific, mixed) of national ICUs are being run by differing medical specialties. The study data were compiled and analysed by the ESAIC Board, Council and NASC in December 2019. RESULTS AND CONCLUSION: Amongst the 42 European national societies surveyed (41 members of ESAIC-NASC plus Luxembourg), nineteen (45%) also include terms related to critical care medicine or ICM in their names, seven (17%) include terms related to reanimation and three (7%) to resuscitation. In recent years, several national societies revised their names to better reflect their gradual embrace of peri-operative medicine, ICM, CREM and pain management. Approximately 70% of ICU beds in Europe, and 100% in Scandinavia, are being run by anaesthesiologists, the remaining 30% being managed by physicians from other surgical or medical specialties. To emphasise future needs and resources of European AICM, the ESAIC drafted an ICM roadmap in terms of clinical practice, organisation of healthcare, interprofessional and interdisciplinary collaboration, patient safety, outcome and empowerment, professional working conditions, and changes in research, teaching and training required to meet future challenges and expectations
Anaesthesiology trainees and their needs: a Romanian perspective. Results from a European survey
No full textAnaesthesiology training is going through continuous transformations worldwide. Recent data from a European Survey on anaesthesiology postgraduate trainees and their concerns have been published for the first time, following an initiative by the European Society of Anaesthesiology. Among the responders of this survey, 10.8% were represented by Romanian trainees. The main needs of the Romanian anaesthesiology trainees who completed the questionnaire were, in descending order educational contents/EDAIC, technical skills, exchange programmes, residency workload, residency costs and autonomy transition. Another observation coming from the analysed data is that Romanian anaesthesiologists in training are highly concerned and interested in the field of intensive care medicine. The results also pinpoint to the high costs associated with continuous medical education, leading to a high incentive for workforce migration.info:eu-repo/semantics/publishedVersio
Does National Identity have an impact on Gender Equality? A Feminist-Constructivist analysis of Estonia´s identity formation process and its impact on Gender (In-)Equality today
No full textThe shift of mainstream International Relations after the collapse of the Soviet Union as well as societal changes challenged the way we see the world. This research is concerned with the, for the researcher most pressing issue of our social coexistence, (In-)equality. To further narrow down, the author engages with identity formation and the issue of gender in Estonia. After assessing the International Relations relevance of Feminist IR and pointing out Constructivist similarities ontological and epistemological assumptions are presented, where the author shares the Feminist claims of seeing states as the analytical unit in the international system but as a representational conglomeration of a population. Estonia´s transformation process, from a oppressed socialist society to economic liberalization will show a deeper connection to the population´s national identity. The methodological endeavour takes two indexes the Gender Equality Index and the World Value Survey and cross-analyses opinion with reality and finds correlation in the Socialist past influencing the opinion in Gender Equality. The comparative study with Slovenia shows ineffectiveness of Gender quotas and a general slow progress in terms of Gender Equality. Concluding, that the past and the constructed identity against the former Soviet ideology and the constructed national identity has an influence on Gender Equality
Angus Roxburgh, Vladimir Putin. Un ţar în căutarea unui nou imperiu (The Strongman: Vladimir Putin and the Struggle for Russia), translated by Alina Ștefănescu, Litera Publishing House, Bucharest, 2014
No full textThis present paper follows the English edition, published in 2011 by IB Tauris & Co. Ltd, London and New York. We consider this study to be important because we have to understand how all the levels of Russian policy have changed, especially after 1999. Also, the author explains how the relations escalated between Vladimir Putin and the Western world, how he has become increasingly authoritarian, how he defied the West and how the West defied him in return and how both of the sides failed to observe the concerns and fear of each other. These facts led to a carousel of mutual mistrust and missed opportunitie
SHPN models based simulation and control of mobile robotic systems integrated into A/DML
No full textVolatile Anaesthesia versus Total Intravenous Anaesthesia for Cardiac Surgery—A Narrative Review
No full textRecent research has contested the previously accepted paradigm that volatile anaesthetics improve outcomes in cardiac surgery patients when compared to intravenous anaesthesia. In this review we summarise the mechanisms of myocardial ischaemia/reperfusion injury and cardioprotection in cardiac surgery. In addition, we make a comprehensive analysis of evidence comparing outcomes in patients undergoing cardiac surgery under volatile or intravenous anaesthesia, in terms of mortality and morbidity (cardiac, neurological, renal, pulmonary)
Regional sepsis care in Catalonia:comparative insights from a secondary analysis of the European Sepsis Care Survey
No full textIncreasing the resources available in healthcare settings to improve the detection of sepsis can significantly reduce mortality rates. These resources could include advanced diagnostic tools, sepsis screening protocols and ongoing medical education for healthcare providers, ensuring they are equipped to identify sepsis in its early stages. Policies should advocate integrating sepsis detection systems into existing healthcare frameworks. The regional government of Catalonia has promoted such an action plan since its establishment in 2015. This action plan includes a programme called Sepsis Code, which was developed by seven scientific societies and the prehospital emergency department, and has been approved by healthcare policy stakeholders and implemented since 2017. Similar programmes have been implemented for other time-dependent diseases. The programme includes an organisational model according to hospital levels of care and locations, suggested training programmes (including an app), screening tools, and an automated registry.
This study aims to compare the quality of healthcare in Catalonia, a Spanish region with a programme for the rapid diagnosis and treatment of sepsis, with data from centres in the rest of the European Union.
Hospitals in Catalonia, a region with a sepsis management programme (Codigo Sepsis) promoted by healthcare policy, have higher rates of sepsis screening and standardised sepsis management
Digital Twin for a Multifunctional Technology of Flexible Assembly on a Mechatronics Line with Integrated Robotic Systems and Mobile Visual Sensor—Challenges towards Industry 5.0
No full textA digital twin for a multifunctional technology for flexible manufacturing on an assembly, disassembly, and repair mechatronics line (A/D/RML), assisted by a complex autonomous system (CAS), is presented in the paper. The hardware architecture consists of the A/D/RML and a six-workstation (WS) mechatronics line (ML) connected to a flexible cell (FC) and equipped with a six-degree of freedom (DOF) industrial robotic manipulator (IRM). The CAS has in its structure two driving wheels and one free wheel (2DW/1FW)-wheeled mobile robot (WMR) equipped with a 7-DOF robotic manipulator (RM). On the end effector of the RM, a mobile visual servoing system (eye-in-hand MVSS) is mounted. The multifunctionality is provided by the three actions, assembly, disassembly, and repair, while the flexibility is due to the assembly of different products. After disassembly or repair, CAS picks up the disassembled components and transports them to the appropriate storage depots for reuse. Disassembling or repairing starts after assembling, and the final assembled product fails the quality test. The virtual world that serves as the digital counterpart consists of tasks assignment, planning and synchronization of A/D/RML with integrated robotic systems, IRM, and CAS. Additionally, the virtual world includes hybrid modeling with synchronized hybrid Petri nets (SHPN), simulation of the SHPN models, modeling of the MVSS, and simulation of the trajectory-tracking sliding-mode control (TTSMC) of the CAS. The real world, as counterpart of the digital twin, consists of communication, synchronization, and control of A/D/RML and CAS. In addition, the real world includes control of the MVSS, the inverse kinematic control (IKC) of the RM and graphic user interface (GUI) for monitoring and real-time control of the whole system. The “Digital twin” approach has been designed to meet all the requirements and attributes of Industry 4.0 and beyond towards Industry 5.0, the target being a closer collaboration between the human operator and the production line
Modeling and control of an epidemic disease under possible complication
No full textWhen dealing with epidemic spread, a very common And dangerous situation is the presence of an epidemic disease and a complication, especially in an elderly population or a weakened one. In this case the complication, that alone is not, in general, a fatal disease, may become risky. The ad hoc resource allocation becomes a mandatory task, aiming at the most rationale control strategy. This is the aim of this work, in which a new model is introduced; five classes are considered: The susceptible one, the class of people that has got the immunity from the first dangerous disease (but not from the complication), the class of patients with first disease, the class of those in the risky situation of having both the diseases, and the category of individuals with only the second disease that can still caught the first serious one. Control actions are introduced, as vaccination and medication, studying the effects of the different strategies. Preliminary simulation results evidenced the effectiveness of the proposed approach, allowing to determine a control strategy that reduces the number of dead, with an efficient resource allocatio
EXPERIENCE OF ROMANIA IN THE ELABORATION AND IMPLEMENTATION OF THE DOMESTIC POLICIES OF EUROPEAN INTEGRATION: LESSONS FOR THE REPUBLIC OF MOLDOVA
No full textThis article represents an analysis of the experience of Romania in accession and integration of the state into the European Union. It is a tentative to identify Romanian domestic policies of European integration. In order to achieve this objective, the study is focused on analyzing the evolution of Romania accession negotiations, internal and external activities and problems of country’s European integration. Another important goal of the article was to identify some important conclusions for the European roadmap of the Republic of Moldova under the experience of Romania. The main lesson for the Republic of Moldova presented by the author is that for a successful European integration of the Republic of Moldova it is essential to prepare the country from inside by formulating and providing in practice concrete tasks and mechanisms in the internal policies of the country.European integration, internal policies, experience, accession, negotiations, lessons
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