293 research outputs found
Canadian Armed Forces Assistance to Law Enforcement and Civil Authorities
On November 24, 2022, Lieutenant Commander (LCDR) Heidi Straarup, Deputy Judge Advocate, Maritime Fleet Pacific, Royal Canadian Navy presented on Canadian Armed Forces Assistance to Law Enforcement and Civil Authorities. The presentation was followed by a question-and-answer period with questions from the audience and CASIS Vancouver executives. The key points discussed were the matters and processes in which the Canadian Armed Forces (CAF) will provide assistance to law enforcement, as well as the statutory authority to provide such assistance.
Received: 2023-01-27
Revised: 2023-03-0
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ACUTE INTESTINAL NECROSIS: THE PREOPERATIVE DIAGNOSTIC APPROACH:PARTICULARLY REFERENCES TO ACUTE VASCULAR INTESTINAL NECROSIS
”…occlusion of the mesenteric vessels is apt to be regarded asone of those conditions of which diagnosis is impossible, theprognosis hopeless and the treatment almost useless.”A. J. Cokkinis, 192
Cardiac troponins and volatile anaesthetics in coronary artery bypass graft surgery: A systematic review, meta-analysis and trial sequential analysis
BACKGROUND: Reports from animal studies indicate that volatile anaesthetics protect the myocardium against the effects of acute ischaemia-reperfusion injury by reducing infarct size. This cardioprotective effect in the clinical setting of coronary artery bypass graft (CABG) surgery, where the heart is subjected to global ischaemia-reperfusion injury, remains controversial. OBJECTIVE: The objective was to demonstrate that clinical studies investigating the cardioprotective effect of volatile anaesthetics on cardiac troponins in CABG are no longer warranted. We also investigated the effect of volatile anaesthetics on cardiac enzymes in off-pump cardiac surgery. DESIGN: Systematic review of randomised clinical trials, meta-analyses and trial sequential analysis (TSA). DATA SOURCES: Trials between January 1985 and March 2015 were obtained from electronic databases (Medline, Excerpta Medica Database (EMBASE), Cochrane Controlled Trial Register, abstracts from major anaesthesiology and cardiology journals and reference lists of relevant randomised trials and review articles. ELIGIBILITY CRITERIA: Relevant randomised clinical trials were included. We investigated the effect of volatile anaesthetics in both off-pump and on-pump CABG surgery with respect to troponin release [peak postoperative cardiac troponin I (cTnI) and cardiac troponin T (cTnT), cTnI/cTnT] and performed two separate meta-analyses. TSA was used to overcome the weakness of a type-1 error associated with repeated meta-analyses. RESULTS: From 30 studies, 2578 patients were pooled for the meta-analysis. The outcome significantly favours the use of peroperative volatile over non-volatile anaesthetics during on-pump CABG surgery with regard to peak postoperative cTnI (0.995 mg l; standard mean difference, 95% confidence interval, -1.316 to -0.673; P < 0.001). Meta-analysis of 11 off-pump studies showed no difference in peak postoperative cTnI (0.385 mg l; standard mean difference, 95% confidence interval, -0.857 to 0.087; P = 0.11). TSA indicated that the required information size for on-pump surgery was 1072 patients, and for off-pump surgery it was 1442; this latter figure has not yet been reached. CONCLUSION: Studies investigating the cardioprotective effect of volatile anaesthetics on cardiac troponins in on-pump CABG surgery are no longer warranted. This is not yet the case for off-pump surgery
Industrial Ammunition Stockpile Recovery: Saving Energy and Resources and Protecting the Environment
This article presents the opportunities for the disposal of ammunition in an economically and environmentally feasible way, focusing on post-conflict disposal of larger stocks of ammunition with a special view to the ongoing Ammunition Stockpile Destruction Programme in Afghanistan managed by the Afghanistan New Beginning Programme. The contents of the article are based on the experiences gathered under the umbrella of the research and development programmes Western European Armament Group European Cooperation for the Long-Term in Defence and European Union L’Instrument Financier pour L’Environnement (EU LIFE), together with a study carried out for NATO’s Maintenance and Supply Agency, followed by field studies on ammunition stockpile destruction in mine-action programmes
CLA og andre stoffer i mælk relateret til den humane sundhed - hvordan kan primærproducenten påvirke indholdet
Mælkens indhold af CLA er interessant ud fra en human ernæringssynsvinklen, idet flere undersøgelser har vist en positiv sammenhæng mellem indtag af CLA og risikoen for cancer. Der blev fundet en betydelig variation mellem bedrifter i mælkens indhold af CLA, og ikke noget entydigt billede af niveauet i konventionel og økologisk mælk. Resultater viser desuden at foderrationens sammensætning påvirker niveauet, men også at der synes at være en forskel mellem de enkelte køer
Svenska kyrkan efter millennieskiftet
Since the year 2000, the Church of Sweden is no longer a function within the Swedish state. It has become a free denomination which actualizes several borderland changes in the Swedish model of religion. The dissolution of the relationship with the state has been discussed and prepared for many years, and it became a reality at the turn of the millennium. The need for a defined relationship with the state or an interface, however, has not diminished, since the Church of Sweden is still the largest popular movement in the country. This change in relation has lead to an intensified cooperation between the Church of Sweden and other churches and denominations.Sedan år 2000 är Svenska kyrkan inte längre en funktion i svenska staten, utan ett fritt trossamfund. Denna relationsförändring aktualiserar en rad nya gränssnitt i den svenska religionsmodellen. Upplösningen av sammanhanget med staten har diskuterats och förberetts under många år och förverkligats i samband med millennieskiftet. Behovet av definierad relation till statsmakten, ett gränssnitt, minskade emellertid inte, eftersom Svenska kyrkan även efter nyårsmorgon 2000 var landets största folkrörelse. Relationsförändringen ledde till ett intensifierat samarbete med andra kyrkor och samfun
De fremmede kulturers pĂĄvirkning af udviklingen - I
Intet resumé
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