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.
This paper presents a coupling of the Monte Carlo method with computational fluid dynamics (CFD) to analyze the flow channel design of an irradiated target through numerical simulations. A novel series flow channel configuration is proposed, which effectively facilitates the removal of heat generated by high-power irradiation from the target without necessitating an increase in the cooling water flow rate. The research assesses the performance of both parallel and serial cooling channels within the target, revealing that, when subjected to equivalent cooling water flow rates, the maximum temperature observed in the target employing the serial channel configuration is lower. This reduction in temperature is ascribed to the accelerated flow of cooling water within the serial channel, which subsequently elevates both the Reynolds number and the Nusselt number, leading to enhanced heat transfer efficiency. Furthermore, the maximum temperature is observed to occur further downstream, thereby circumventing areas of peak heat generation. This phenomenon arises because the cooling water traverses the target plates with the highest internal heat generation at a lower temperature when the flow channels are arranged in series, optimizing the cooling effect on these targets. However, it is crucial to note that the pressure loss associated with the serial structure is two orders of magnitude greater than that of the parallel structure, necessitating increased pump power and imposing stricter requirements on the target container and cooling water pipeline. These findings can serve as a reference for the design of the cooling channels in the target station system, particularly in light of the anticipated increase in beam power during the second phase of the China Spallation Neutron Source (CSNS Ⅱ).
This study aims to investigate the effectiveness of community involvement in waste management through participatory research. Its objective is to bridge the theoretical underpinnings of participatory research with its practical implementation, particularly within the realm of waste management. The review systematically analyzes global instances where community engagement has been incorporated into waste management initiatives. Its principal aim is to evaluate the efficacy of participatory strategies by scrutinizing methodologies and assessing outcomes. To achieve this, the study identified 74 studies that met rigorous criteria through meticulous search efforts, encompassing various geographical locations, cultural contexts, and waste management challenges. In examining the outcomes of participatory research in waste management, the study explores successful practices, shortcomings, and potential opportunities. Moving beyond theoretical discourse, it provides a detailed analysis of real-world applications across various settings. The evaluation not only highlights successful engagement strategies and indicators but also critically assesses challenges and opportunities. By conducting a comprehensive review of existing research, this study establishes a foundation for future studies, policy development, and the implementation of sustainable waste management practices through community engagement. The overarching goal is to derive meaningful insights that contribute to a more inclusive, effective, and globally sustainable approach to waste management. This study seeks to inform policymaking and guide future research initiatives, emphasizing the importance of community involvement in addressing the complexities of waste management on a global scale.
With the purpose of knowing the phytosocilogy of weeds associated to a carrot crop (Daucus carota L.) under conditions of the municipalities of Ventaquemada and Jenesano-Boyacá, one lot per municipality destined to carrot cultivation was selected and a W-shaped layout was made covering an area of 500 m2. Relative density, relative frequency, relative dominance and the importance value index (IVI) were calculated, as well as the Alpha and Beta diversity indices for the sampled areas. A total of 6 families and 11 species were counted, of which 63.64% were represented by annual plants and 36.36% by perennial plants. The class Liliopsida (Monocotyledon) was represented by the Poaceae family. The Magnoliopsida class (Dicotyledon) was represented by the following families: Asteraceae, Brassicaceae, Boraginaceae, Leguminosaceae, Polygonaceae, the last one being the one with the highest number of species. The species R. crispus and P. nepalense were the ones with the highest values of Importance Value Index (IVI) with 0.953 and 0.959, respectively. According to the Shannon-Wiener diversity and Simpson’s dominance indices, the evaluated areas presented a low species diversity and a high probability of dominant species. The results obtained can serve as a basis and tool for carrot growers in the evaluated areas to define management plans for the associated weeds and thus optimize yields in this crop.
Chinese municipalities have developed a large stock of capital assets during a period of rapid growth and urbanization, but have yet to modernize asset management practices. Cities face challenges such as premature decline of fixed assets and spiking liabilities related to operating and maintaining assets. This paper evaluates the asset management practices in three selected small cities and towns in China, using a benchmarking assessment tool followed by an in-depth field assessment. The paper finds that overall performance is below half the international benchmark for good practice in all three cities. Management practices are considerably more advanced for land than for buildings and infrastructure. Key deficiencies in data availability and reporting, governance, capacity, and financial management indicate increased risks for local government finance and the delivery of public services. For small cities and towns where public revenues are often uncertain and limited, urban public services will be at risk of deterioration unless good asset management practices are put in place. The paper recommends strategic actions for upper and lower levels of government, to advance local asset management practices and facilitate the reform agenda.
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