1,721,020 research outputs found
The medical point of view into a simulation project of management for safety and security in disasters and emergencies of industrial plants (Diem-Ssp Project)
No full textIndustrial mass casualty incidents are an unfortunate reality in the 21st century, but there are few situational training exercises to prepare and to cope with emergencies management. The Authors realized a project to carry out development of the activities devoted to face the complexities arising from emergencies in industrial plants. The DIEM-SSP is a simulation project working on two interoperable simulators, based on the IEEE 1516 High Level Architecture (HLA), used as test-bed on specific case studies. The project is aimed to study innovative emergency procedures and proper routing of critical patients with severe traumas toward the most suitable first aid facilities. The project takes into account the emergency procedures considering the human factor and the possibility of mistakes. It is aimed to test and validate these methodologies through a test-bed based on distributed and interoperable simulation. The Authors report the medical contribution in this project
Multidisciplinary development of a simulation of industrial plant disasters designed for improving safety through training and new procedures
No full textIndustrial accidents are an unfortunate reality, therefore there are just a limited number of situational training exercises to cope with the management of these kinds of emergencies. The authors propose a simulation approach for developing innovative response procedures during industrial crises integrated with start system triage model. The proposed simulator is based on an interoperable architecture using the new MS2G paradigm and it designed for being federated by IEEE 1516 HLA with other systems. The paper presents its use as test-bed on a specific case study conducting experiments over the SPIDER virtual platform developed by simulation team. In facts these experiments were based on two university classes that performed tests and training experiences on multiple target functions including mission time, detection, classification and securing of injured people. The analysis included also use of innovative procedures based on autonomous systems. The obtained results highlighted improvements on the learning curves with respect to specific target functions. These results confirm the potential of this approach as a training strategy that combines medical skills with engineering to improve reaction capabilities and situation awareness during industrial crises
A model of pilot study to assess the risk of exposure to surgical smokes for operating room personnel
No full textDuring the last decades the exposure to surgical smokes has been a long-standing concern both in open and laparoscopic surgery. The aim of this project is to assess the health risks for medical operating room (OR) personnel associated with surgical plumes derived from laparoscopic procedures. The purpose of this model is to check the correlation between the concentration of toxic elements derived from electrosurgical procedures in the operating setting air and the concentration of the same substances in urine and plasma of patients and operating staff. Moreover, it will be considered also the correlation between toxic concentration and time of exposure. The results of the study could be relevant to indicate if individual protection devices are efficacious to make the surgical procedure safe for patients and staff or if any adequacy has to be considered. Some unexpected difficulties delayed the expected results
Grasp laparoscopic surgery basic skills: A highly interactive online course model here
No full textRecent changes in surgical education and training have made the virtual learning environments more attractive than previously and have created opportunities for new instructional designs of medical curricula. The aim of this project is to show the results of a novel online elective programme to complement existing surgical undergraduate teaching methods. The training process was developed to enhance existing skills in the field of minimally invasive surgery among the students of the Bachelor Degree in Medicine and Surgery. Interventions were provided characterised on the one hand by the high quality of content and teaching methods, on the other hand by the strong interaction between teachers and students. The elective course created was delivered entirely online, password-protected, and was divided into 4 modules. 30 students enrolled in the fifth and sixth-year students of the UNIGE medical schools have significantly improved their knowledge on mini-invasive surgery after the course. The evaluation results demonstrated high levels of course functionality, effectiveness of its online content and high levels of satisfaction among medical students
The medical point of view into a simulation project of management for safety and security in disasters and emergencies of industrial plants (Diem-Ssp Project)
No full textIndustrial mass casualty incidents are an unfortunate reality in the 21st century, but there are few situational training exercises to prepare and to cope with emergencies management. The Authors realized a project to carry out development of the activities devoted to face the complexities arising from emergencies in industrial plants. The DIEM-SSP is a simulation project working on two interoperable simulators, based on the IEEE 1516 High Level Architecture (HLA), used as test-bed on specific case studies. The project is aimed to study innovative emergency procedures and proper routing of critical patients with severe traumas toward the most suitable first aid facilities. The project takes into account the emergency procedures considering the human factor and the possibility of mistakes. It is aimed to test and validate these methodologies through a test-bed based on distributed and interoperable simulation. The Authors report the medical contribution in this project
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
A multidisciplinary simulation tool for healthcare emergency management
No full textThe aim of this research is to propose a multidisciplinary and integrated solution for healthcare system analysis. The specific goal of the simulation model is the development of an analytical algorithm to support healthcare rescuers to define how to make optimal choices in the face of risk (or uncertainty). The methodological approach integrates three aspects: 1) triage algorithm, to assess patients' condition 2) multicriteria analysis, to define a ranking of hospitals and 3) emergency simulation. Medical staff, through the mathematical application of the triage algorithm, assesses patients' condition by assigning them a severity code. Then, through a multi-criteria approach a ranking of hospitals is defined. Thus, the decision maker can easily find the most suitable hospital where transfer patient. Finally, the model is simulated through Flexsim Software(c). The research tries to overcome the qualitative evaluation that characterize the traditional healthcare models. The model is implemented in a real case study concerning an emergency scenario in a petrochemical plant
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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