Focused Assessment with Sonography for Trauma (FAST) has been widely used and studied in blunt and penetrating trauma for the past 3 decades. Prior to FAST, invasive procedures such as diagnostic peritoneal lavage and exploratory laparotomy were commonly used to diagnose intra-abdominal injuries. Today, the FAST examination has evolved into a more comprehensive study of the abdomen, heart, thorax, inferior vena cava, among others, with many variations in technique, protocols and interpretation. Trauma management strategies such as laparotomy, endoscopy, computed tomography angiography, angiographic intervention, serial imaging and clinical observation have also changed over the years. This technique, at times, has managed to replace computed tomography and peritoneal lavage diagnosis, without producing delays in the surgical procedure. As such, the relationship between the patient’s clinical information and the results of the exam should be guided to guide therapeutic approaches in difficult to access settings such as intensive care units in war zones, rural or remote locations where other imaging methods are not available. This review will discuss the evolution of the FAST exam to its current status and evaluate its evolving role in the acute management of the trauma patient.
Based on the collective forest with common use rights, the social-ecological system analysis framework and autonomous governance theory proposed by Elinor Ostrom are introduced in the forest eco-economic system to analyze the interaction logic among the first-level subsystems and the secondary variables of the forest eco-economic system and the variables related to the autonomous governance of the system to explore the synergistic mechanisms affecting the forest eco-economic system. The results show that: in the case of information asymmetry, collective actions of governmental and non-governmental organizations will aggravate the dilemma of forest eco-economic synergistic development; actors extract forest resource units from the forest resource system to achieve economic benefits; and renewable resources of forest ecosystems can be sustained in the long term when the average extraction rate of humans from forest ecosystems does not exceed the average replenishment rate.
Energy shortages and environmental damage have become serious problems facing the society today. Biomass can be a renewable energy source, which large-scale development and utilization are of great significance to industry and social life. Biomass pyrolysis technology can achieve effective utilization of biomass energy. It is necessary to optimize the pyrolysis reaction technology and device for realize the industrialization and large-scale production of biomass energy.
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