Fire Size and Fire Spread in Tunnels with Longitudinal Ventilation Systems.

The results and findings of three previous research projects are combined with new research to estimate the overall influence of longitudinal ventilation on fire size and spread in tunnels. Each of the three previous projects is briefly described. Combining the results of these three projects, together with knowledge of HGV fire behaviour in an experimental test, enables the estimation of the maximum fire size of a fire in a tunnel and the conditions under which it might spread to an adjacent vehicle, for a given longitudinal ventilation velocity. These results have been combined into a single computer model. Results are presented and discussed. It is concluded that, although it may greatly increase the heat release rate of a fire in a tunnel, increasing the ventilation velocity will tend to reduce the likelihood of the fire spreading to an adjacent vehicle, assuming no flame impingement

Dealing with communist past: The case of Romania

This article analyzes the significance of the activity of the Presidential Commission for the Analysis of the Communist Dictatorship in Romania (PCACDR) and the impact of its report on the basis of which the communist regime was condemned as criminal and illegitimate. The author also situates the Romanian case within the larger discussions on the role of overcoming a traumatic past in post-authoritarian democracies. PCADCR rejected outright the practices of institutionalized forgetfulness and generated a national debate about long-denied and occulted moments of the past. The Commission’s Final Report answered a fundamental necessity, characteristic of the post-authoritarian world, that of moral clarity. It set the ground for the revolutionizing of the normative foundations of the communal history, imposing the necessary moral criteria of a democracy that wishes to militantly defend its values

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700