Beyond surgery: clinical and economic impact of Enhanced Recovery After Surgery programs.

Enhanced Recovery After Surgery (ERAS) is a perioperative management based on multimodality and multidisciplinary work. ERAS has been shown to have important clinical and economic benefits, but its spread remains slow worldwide. This manuscript reviews the overall program benefits and focuses on important aspects for implementation well beyond surgery. Implementation of ERAS pathways improves clinical outcomes and induces substantial economic gains. ERAS is the current surgical revolution

Consensus on Training and Implementation of Enhanced Recovery After Surgery: A Delphi Study.

Enhanced Recovery After Surgery (ERAS) is widely accepted in current surgical practice due to its positive impact on patient outcomes. The successful implementation of ERAS is challenging and compliance with protocols varies widely. Continual staff education is essential for successful ERAS programmes. Teaching modalities exist, but there remains no agreement regarding the optimal training curriculum or how its effectiveness is assessed. We aimed to draw consensus from an expert panel regarding the successful training and implementation of ERAS. A modified Delphi technique was used; three rounds of questionnaires were sent to 58 selected international experts from 11 countries across multiple ERAS specialities and multidisciplinary teams (MDT) between January 2016 and February 2017. We interrogated opinion regarding four topics: (1) the components of a training curriculum and the structure of training courses; (2) the optimal framework for successful implementation and audit of ERAS including a guide for data collection; (3) a framework to assess the effectiveness of training; (4) criteria to define ERAS training centres of excellence. An ERAS training course must cover the evidence-based principles of ERAS with team-oriented training. Successful implementation requires strong leadership, an ERAS facilitator and an effective MDT. Effectiveness of training can be measured by improved compliance. A training centre of excellence should show a willingness to teach and demonstrable team working. We propose an international expert consensus providing an ERAS training curriculum, a framework for successful implementation, methods for assessing effectiveness of training and a definition of ERAS training centres of excellence

Sposób uszlachetniania powierzchni szkieł sodowo-wapniowo-krzemianowych związkami glinu opis patentowy nr 202940 /

Tyt. z ekranu tyt.Nr zgłoszenia 380233.Data zgłoszenia 18 lipca 2006.Zgłoszenie ogłoszono 21 stycznia 2008 BUP 02/08.O udzieleniu patentu ogłoszono 31 sierpnia 2009 WUP 08/09.Dostępny także w wersji drukowanej.Tryb dostępu: Internet

The influence of recycled cullet on the mechanical resistance of glass packaging according to new surface coating methods

Wykorzystanie przez Pol-Am-Pack S.A. Oddział Huta Szkła „ORZESZE” w Orzeszu nowej instalacji do odzysku i uzdatniania stłuczki szklanej pozwoliło na znaczący wzrost wykorzystania stłuczki pochodzącej z selektywnej zbiórki odpadów w produkcji opakowań szklanych. Dzięki temu znacząco wzrosła ilość zagospodarowanych surowców wtórnych. Celem artykułu jest porównanie wytrzymałości mechanicznej opakowań szklanych przy różnych procentowych zawartościach stłuczki szklanej i przy wielu metodach ich uszlachetniania na gorąco i zimno. Rozważony będzie również aspekt technologiczny wpływu dodatku stłuczki szklanej na proces topienia szkła i redukcji surowców mineralnych stosowanych do sporządzania zestawu szklarskiego. Otrzymane wyniki wytrzymałościowe opakowań szklanych, produkowanych z różną zawartością procentową stłuczki w zestawie szklarskim, będą stanowić wytyczne do procesu produkcyjnego.Using a new recycling installation by Pol-Am-Pack S.A. The Glass Plant „ORZESZE” in Orzesze allows the possibility of increasing the amount of the consumption of glass cullet from selective waste sources in the production of glass containers. This step increases the possibilities of reusable waste management. The aim of the publication is a comparison of the mechanical resistance of glass containers at different percentage values of recycled culled material and different types of hot end and cold end coating. The technological aspect of the influence of recycled cullet on the melting process and the reduction of raw mineral materials in the glass batch preparation will also be considered. The achieved mechanical resistance results with a different cullet percentage content in the glass batch will be the base for the production process