Introduction: Chest trauma has a high incidence and pneumothorax is the most frequent finding. The literature is scarce on what to do with asymptomatic patients with pneumothorax due to penetrating chest trauma. The aim of this study was to evaluate what are the findings of the control radiography of patients with penetrating chest trauma who are not initially taken to surgery, and their usefulness in determining the need for further treatment. Methods: A retrospective cohort study was performed, including patients older than 15 years who were admitted for penetrating chest trauma between January 2015 and December 2017 and who did not require initial surgical management. We analyzed the results of chest radiography, the time of its acquisition, and the behavior decided according to the findings in patients initially left under observation. Results: A total of 1,554 patients were included, whose average age was 30 years, 92.5% were male and 97% had a sharp weapon wound. Of these, 186 (51.5%) had no alterations in their initial X-ray, 142 had pneumothorax less than 30% and 33 had pneumothorax greater than 30 %, hemopneumothorax or hemothorax. Closed thoracostomy was required as the final procedure in 78 cases, sternotomy or thoracotomy in 2 cases and discharged in 281. Conclusion: In asymptomatic patients with small or moderate pneumothorax and no other significant lesions, longer observation times, radiographs and closed thoracostomy may be unnecessary.
This study examined the correlations between highly entangled variables such as leadership, work environment, effective communication, reward fairness, and physical facilities for faculty members. The data was gathered from faculty members of educational institutions in Pakistan using a survey questionnaire, and the sampling method was purposive sampling. For this study, data was obtained from a varied group of education professionals from several places in Pakistan, each with a distinct degree of education and experience. This study demonstrates how independent factors affect faculty performance and can have a further impact on organizational productivity. The findings indicated that good organizational behavior had a considerable favorable influence on faculty performance. The paper reviews significant literature on the proposed factors and makes recommendations for further research.
The 19th century proved to be one of the most complicated periods in Spanish history for the Spanish Crown, as it faced both internal conflicts—the French War of Independence—and external conflict—the independence of what were its territories in most of America. France did not remain indifferent to this and always had a clear idea of where to draw the boundaries of what “belonged” to it. Thus, amid the wave of independence movements in the Spanish colonies, the French continued to produce rich cartography to establish these boundaries and settle their power over the new nations that were arising after the period of revolutions. The cartography of Rigobert Bonne, the last cartographer of the French king and the Revolution Era, and one of its disciples, Eustache Hérisson, represent the perfect witness to the changes over the borders of the Spanish colonies during the change of the century. This study aims to analyze such cartography, examine the rich toponyms it offers, and examine the changes in the boundaries created over time between both empires. The main cartography we will rely on will be that of Bonne, one of the most important cartographers of the 18th century, and his disciple Hérisson, a geographer engineer, who lived through the onset of the conflicts and always prioritized the French perspective and the interests of their nation.
Based on the density-functional theory (DFT) combined with nonequilibrium Green’s function (NGF), this paper investigates the effects of either single aluminum (Al) or single phosphorus (P) atom substitutions at different edge positions of zigzag-edged silicene nanoribbons (ZGNRs) in the ferromagnetic state on the spin-dependent transport properties and spin thermoelectric effects. It has been found that the spin polarization at the Fermi level can reach 100% or –100% in the doped ZSiNRs. Meanwhile, the spin-up Seebeck effect (for –100% case) and spin-down Seebeck effect (for 100% case) are also enhanced. Moreover, the spin Seebeck coefficient is much larger than the corresponding charge Seebeck coefficient at a special doping position and electron energy. Therefore, the study shows that the Al or P doped ZSiNRs can be used to prepare the ideal thermospin devices.
One of Indonesia’s main characteristics of tourism development is maritime tourism, which is synonymous with archipelagic countries. The diversity of maritime tourism offered by Indonesia will never end, so it needs to be considered more carefully and used relevantly to create sustainable tourism in Indonesia that provides broad benefits for the country. Many maritime tourism locations in Indonesia are beautiful but require more active promotion. The level of security and terrorism issues are a requirement that the government must consider. The novelty of this research describes the potential ecotourism development in the town of Makassar that stakeholders should consider in the formation of tourism policy. The research locations are in Makassar City, Samalona Island, Langkai Island, and Lanjukang Island. Ecotourism developed in the coastal areas of Makassar City, especially in Samalona, Lanjukang, and Langkai Islands, produces superior objects that collaborate elements of nature and society as the main attraction in the long term. Therefore, local governments need to strengthen monitoring of regional geopolitical developments in order to avoid security and terrorism problems that might cause inconvenience to tourists.
Dormancy is a state of lack of germination/sprouting in seed/tuber although required conditions (temperature, humidity, oxygen and light) are provided. Dormancy is based on hard seed coat dormancy or lack of supply and activity of enzymes (internal dormancy) necessary for germination/sprouting. Dormancy is an important factor limiting production in many field crops. Several physical and chemical pretreatments to production material (seed/tuber) are carried out for overcoming dormancy. Physical and physiological dormancy can be found together in some plants and this event makes it difficult to provide high frequency healthy seedling growth. Whereas, emerging of all production material (seed, tuber) sown/planted and forming healthy seedling are prerequisites of plant production.
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