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.
In this paper, we introduce some certain fuzzy soft algebraic notions of generalized concepts in LA-Γ-semigroups and study some properties of their families.
Nowadays, more and more cars have begun to enter into innumerable families; the family car has become a necessity for Chinese households who have certain purchasing power. However, the ups and downs of oil prices have brought some impact on people's automobile consumption activities. Therefore, after collecting the information of the oil price and family car consumer, carried on through in-depth analysis of the relevant data with reasonable relationship, and then developed a suitable for China's national conditions and finished oil pricing model, thereby the National Development and Reform Commission have proposed the suggestion for China's refined oil pricing mechanisms and promoting the healthy development of new energy vehicles with specific measures. For question 1, through the problem analysis and information access, combined with the past and current situation of the domestic refined oil prices, we analyze the following seven factors: international crude oil prices, China's annual crude oil imports, China's annual crude oil exports, crude oil output in China, China's annual GDP per capita, China's annual consumption of crude oil, the total annual energy consumption in China, all have influence on China's refined oil prices. By monadic linear regression analysis, annual average prices of domestic refined oil products have a certain correlation with the various influencing factors, and then by multiple linear regression way eventually concluded the final relationship between oil prices and the influence factors, which compared with the current price, and make reasonable evaluation model. Through the establishment of various influencing factors and function of time, and using the evaluation model for refined oil product price to make reasonable forecast. According to this model, in order to predict refined oil product price as $122.15 per barrel in 2016. For question two, we basically sums up three key factor which influence the quantity of family vehicle: China's oil product prices, the annual GDP per capita, total road mileage. Through Excel to make the relationship curves of different quantity of family cars against influencing factors, and use Grey Forecasting method to forecast the quantity of family cars. And carries on the residual error test, it is used to conclude that the rationality of the model is highly. The number of private cars of the city of xi 'an is predicts that to 8.302 million vehicles by 2020. For question three, we discussed the relationship between international crude oil prices and domestic exports of crude oil export with domestic refined oil prices, through its multiple linear regressions to get the final pricing model. For question four, according to three previous established models, we proposed China's refined oil pricing mechanism proposal to the national development and Reform Commission: perfect price controls, deeper product market, and integration of resources consideration and environmental protection class tax types, adjust the consumption tax collection and Administration links, and improve the production cost accounting.
With the improvement of people's living standards, water heaters almost into the various households. In the energy-saving emission reduction has become the trend of the times today, saving energy and reducing carbon emissions is the most fashionable way of life. Air source heat pump water heaters are increasingly being used in people's lives. It is well known that it has many advantages, safety, energy saving, comfort, environmental protection, but there are some factors that affect its development and promotion. This paper mainly discusses the development history of air source heat pump technology at home and abroad, working principle, working flow, turbo technology at present stage, efficient heat exchange, and the research status of air source heat pump technology, such as new type refrigerant and dual frequency compression frequency conversion, then it discusses the application of air source heat pump technology, has the advantage, and finally discusses its application and the existence of two major problems and suggestions for improvement.
Purpose: This paper articulates a model that maximizes the use of e-HRM to achieve sustainable competitive advantage. It examines the indirect effects of e-HRM use on sustainable competitive advantage, through job satisfaction, employee performance, and perceived organizational politics. Design/methodology/approach: A survey approach was used to collect data from 30 organizations. A purposive sampling technique was used to select the study sample. The SPSS PROCESS Macro for running mediation analysis was used to analyze data. Findings: The findings show the indirect effect of e-HRM on sustainable competitive advantage through job satisfaction, employee performance, and perceived organizational politics. Job satisfaction has the biggest effect on achieving strategic outcomes. For organizational excellence, e-HRM use should complement other HRM practices. Practical implications: Management should pay attention to employee outcomes during the implementation of e-HRM. This study broadens the scope of the interaction between e-HRM use and sustainable competitive advantage. This study was conducted in a developing economy and demonstrated that the effects of e-HRM use on sustainable competitive advantage are not limited to developed economies. Originality/value: This study is one of the pioneering efforts to develop a model that maximizes organizational outcomes in developing countries. In addition, this study contributes to the understanding of intervening variables necessary to enhance information technology’s potential within the HR function.
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