The Essential Elements of a Risk Governance Framework for Current and Future Nanotechnologies

Societies worldwide are investing considerable resources into the safe development and use of nanomaterials. Although each of these protective efforts is crucial for governing the risks of nanomaterials, they are insufficient in isolation. What is missing is a more integrative governance approach that goes beyond legislation. Development of this approach must b

Service Quality Perceptions and Customer Satisfaction: Evaluating the Role of Culture

The authors examine the influence of culture on the measurement of service quality and satisfaction in dentists’ office settings. Respondents from the United States, Canada, and Japan participated in a 2 × 2 factorial experiment in which the authors manipulated both expectations (high/low) and service performance (high/low) in a series of scenarios. With partial metric invariance, latent mean comparisons revealed that regardless of expectations, Japanese respondents reported lower quality perceptions and satisfaction ratings when performance was high and higher satisfaction ratings when performance was low than did their U.S. and Canadian counterparts. Thus, there is some evidence that Japanese consumers are more conservative in their evaluations of superior service but are less critical (or more forgiving) of inferior service. The authors also discuss managerial implications and future research directions

Long-Term Survival and Quality of Life in Non-Surgical Adult Patients Supported with Veno-Arterial Extracorporeal Oxygenation

Background: The use of veno-arterial extracorporeal membrane oxygenation (VA ECMO) for hemodynamic support is on the rise. Not much is known about the impact of extracorporeal membrane oxygenation (ECMO) and its complications on long-term survival and quality of life. Methods: In this single-center, cross-sectional study, we evaluated the survival and quality of life in patients treated with VA ECMO between May 2009 and July 2019. Follow-up was conducted between November 2019 and January 2020. Results: Overall, 118 patients were evaluated in this study. Of the 37 patients who were alive at hospital discharge, 32 answered the EuroQol-5 dimensional—5-level questionnaire (EQ-5D-5L). For patients discharged alive from the hospital, mean survival was 8.1 years, 8.4 years for cardiogenic shock, and 5.0 years for patients with refractory cardiac arrest. EQ-5D-5L index value of ECMO survivors was not significantly different from the general age-matched population. Neurologic complications and major bleeding during index hospitalization limit long-term quality of life. Conclusions: Patients treated with VA ECMO have high in-hospital mortality, with extracorporeal membrane oxygenation cardio-pulmonary resuscitation patients being at higher risk of early death. However, once discharged from the hospital, most patients remain alive with a reasonable quality of life

EXPERIMEDIA: D2.1.2: First scenarios and requirements

This deliverable provides an early first iteration on the Scenarios informing the EXPERIMEDIA project, and the Requirements we derive from them. The document provides the EXPERIMEDIA developers will an initial set of functionalities expected to be supported by the facility during the connectivity phase, to be included in the V1.0 release. The document further develops the needs of the three driving scenarios of (live and augmented, live and 3D, and live and online) along with technologies and working practices necessary to support the experimental lifecycle. The document considers the implications of the initial results of methodology D2.1.1 and provides initial requirements for security and data protection from WP