Synnytys maantiellä

Ambu­lanssi sai kiireel­lisen ensi­hoi­to­teh­tävän koo­dilla B791, syn­nytys. Ensi­hoi­tajien saa­puessa nai­sella oli kivu­liaita supis­tuksia muu­taman mi­nuutin vä­lein. Lisäa­vuksi häly­tettiin lääkä­riyk­sikkö

Ikämiehellä taas poissaolokohtaus

Seitsemissäkymmenissä olevalla miehellä oli toistuvia poissaolokohtauksia. Huolestunut vaimo soitti hätäkeskukseen

Myrkytyspotilaan kirurginen hoito

Ensihoitoyksikkö sai hälytyksen myrkytyksen vuoksi. Yksikkö ehti hieman huonovointisen, mutta rauhallisen ja asiallisen potilaan luo muutamassa minuutissa

Äkillinen hengenahdistus iski kotisohvalla

Vaimo toi tupakoivan keski-ikäisen miehen sairaalan päivystykseen äkillisesti alkaneen kovan hengenahdistuksen takia. Hengitystaajuus oli tulovaiheessa 40/min ja veren happisaturaatio 80 %. Mies oli ollut aiemmin terve

Hydrolytic degradation of polylactide/polybutylene succinate blends with bioactive glass

Polylactides (PLAs) have been vastly studied for biomedical engineering applications, but their rigidness limits their use. Blending them with more flexible polymers, such as polybutylene succinate (PBSu), results in softer materials, expanding the range of possible applications. However, the biopolymers lack bioactivity, which can be overcome by adding bioactive glass. Combining the inorganic phase with the organic phase (especially with blends) results in a complex material. Therefore, understanding the hydrolytic degradation of each component is crucial. In this context, we report on processing polylactide and polybutylene succinate (PLA/PBSu) blends and their composites (30 wt% of bioactive glass 13-93, BaG). The impact of blending and compounding with BaG on the final product’s molecular weight and mechanical properties and the BaG dispersion in the polymer matrices was assessed. In addition, in vitro degradation in PBS was studied. While the degradation of the polymer was assessed by GPC, the BaG dissolution was quantified by ICP-OES. Blending decreased the initial mechanical properties and molecular weight, and compounding with BaG further decreased the initial mechanical properties. During the immersion in PBS, blending accelerated the loss of mechanical properties and molecular weight, while BaG accelerated the degradation of PLA-containing materials but had little effect on PBSu. Blending and compounding with BaG enabled us to produce materials with a wide range of mechanical properties: bending strength of 34–125 MPa, shear strength of 22–47 MPa and bending modulus of 1.1–3.9 GPa. The selection of tailorable properties of these polymer/BaG composites enables their application for tissue engineering of bone to soft tissue.Peer reviewe

Elvytys vanhainkodissa

Ensihoito hälytettiin elvytykseen vanhainkotiin. Hälytysviestissä kerrottiin, että potilaalla on voimassa oleva ei elvytetä -päätös (DNR)

Nuoren naisen sydämenpysähdys

Nuori nainen nousi sängystä ylös, kaatui ja meni elottomaksi. Puoliso kuuli kolahduksen, soitti hätäkeskukseen ja aloitti paineluelvytyksen keskuksen ohjeiden mukaisesti

Learning Collaborative Clinical Reasoning in Healthcare Education : An Integrative Review

Background: Collaborative clinical reasoning (CCR) occurs when two or more healthcare professionals reflect and negotiate an issue regarding patient's situation or care. This represents a crucial learning goal that needs to be achieved during healthcare education. Purpose: To describe the characteristics of and the pre-conditions for learning collaborative clinical reasoning in healthcare education. Method: An integrative review was conducted. A systematic search was carried out in May 2020 (updated in August 2022) in four databases (CINAHL, Pubmed/Medline, Scopus and Eric/EBSCO). Thirty-three peer-reviewed research articles met the inclusion criteria and were included into a data quality appraisal and analysis. The data was analysed with inductive content analysis. Results: The characteristics of learning collaborative clinical reasoning were described using the following categories: 1) the collaborative clinical reasoning learning method 2) the collaborative clinical reasoning learning environment and 3) the collaborative clinical reasoning learners. The pre-conditions for learning collaborative clinical reasoning were described using the following categories: 1) the learning situation when learning collaborative clinical reasoning, 2) interaction when learning collaborative clinical reasoning and 3) clinical context when learning collaborative clinical reasoning. The learning situation includes the pedagogical preparation before the learning of collaborative clinical reasoning. The interaction consists of facilitation, feedback and peer communication during the learning of collaborative clinical reasoning. The clinical context utilized in the learning of collaborative clinical reasoning needs to be realistic and familiar for the students. Conclusions: The results indicate that interventions enhancing collaboration and clinical reasoning apply a variety of learning methods, however there are certain characteristics of and pre-conditions for learning collaborative clinical reasoning to be considered.Peer reviewe