139 research outputs found

    Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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    Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

    Faba bean pathology (Manitoba) Ph. II : progress report

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    Includes progress reports for: Sept 1, l982-Aug 31, 1983; Sept 1, 1983-Aug 31, 1984; and Sept 1, 1984-Feb 28, 1985, which together constitute the final repor

    Short course on leadership and professional development for young psychiatrists and trainees in Kuala Lumpur, Malaysia

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    10.1111/j.1758-5872.2011.00135.xAsia-Pacific Psychiatry33157-15

    Unscented Kalman filter approach to tracking a moving interfacial boundary in sedimentation processes using three-dimensional electrical impedance tomography

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    The monitoring of solid–fluid suspensions under the influence of gravity is widely used in industrial processes. By considering sedimentation layers with different electrical properties, non-invasive methods such as electrical impedance tomography (EIT) can be used to estimate the settling curves and velocities. In recent EIT studies, the problem of estimating the locations of phase interfaces and phase conductivities has been treated as a nonlinear state estimation problem and the extended Kalman filter (EKF) has been successfully applied. However, the EKF is based on a Gaussian assumption and requires a linearized measurement model. The linearization (or derivation of the Jacobian) is possible when there are no discontinuities in the system. Furthermore, having a complex phase interface representation makes derivation of the Jacobian a tedious task. Therefore, in this paper, we explore the unscented Kalman filter (UKF) as an alternative approach for estimating phase interfaces and conductivities in sedimentation processes. The UKF uses a nonlinear measurement model and is therefore more accurate. In order to justify the proposed approach, extensive numerical experiments have been performed and a comparative analysis with the EKF is provided
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