25 research outputs found

    Blunt chest trauma: bony injury in the thorax

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    Acute toxicity of water-accommodated fraction and chemically enhanced WAF of bunker C oil and dispersant to a microalga Tetraselmis tetrathele

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    This study assessed the toxicity of water-accommodated fraction (WAF) and chemically enhanced WAF (CEWAF) of bunker C oil and dispersant (DISP) to a microalga, Tetraselmis tetrathele. The 72-h median effective concentration (72-h EC50) of CEWAF and DISP were determined at 3.30 % and 2.40 %, respectively. The no observed effect concentration (NOEC) of CEWAF to T. tetrathele was at 2.0 % and lowest observed effect concentration (LOEC) was at 3.0 % while NOEC and LOEC of DISP to T. tetrathele were determined at 1.0 % and 2.0 %, respectively. The addition of dispersant to oil increased the amount of total PAH present in the CEWAF test solutions. DISP alone was highly toxic, and the toxicity of CEWAF was primarily caused by the presence of dispersant.This study was funded by the Japanese Society for the Promotion of Science-Asian CORE Program, Department of Science and Technology–Student Science Institute and the Research Institute for Humanity and Nature and the UPV-Oil Spill Response Program 07-03 Project

    Challenges and satisfaction in cardiothoracic surgery residency programmes: Insights from a Europe-wide survey

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    OBJECTIVES: The increasing complexity of surgical patients and working time constraints represent challenges for training. In this study, the European Association for Cardio-Thoracic Surgery Residents' Committee aimed to evaluate satisfaction with current training programmes across Europe. METHODS: We conducted an online survey between October 2018 and April 2019, completed by a total of 219 participants from 24 countries. RESULTS: The average respondent was in the fourth or fifth year of training, mostly on a cardiac surgery pathway. Most trainees follow a 5-6-year programme, with a compulsory final certification exam, but no regular skills evaluation. Only a minority are expected to take the examination by the European Board of Cardiothoracic Surgery. Participants work on average 61.0 ± 13.1 h per week, including 27.1 ± 20.2 on-call. In total, only 19.7% confirmed the implementation of the European Working Time Directive, with 42.0% being unaware that European regulations existed. Having designated time for research was reported by 13.0%, despite 47.0% having a postgraduate degree. On average, respondents rated their satisfaction 7.9 out of 10, although 56.2% of participants were not satisfied with their training opportunities. We found an association between trainee satisfaction and regular skills evaluation, first operator experience and protected research time. CONCLUSIONS: On average, residents are satisfied with their training, despite significant disparities in the quality and structure of cardiothoracic surgery training across Europe. Areas for potential improvement include increasing structured feedback, research time integration and better working hours compliance. The development of European guidelines on training standards may support this
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