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.
The project of returning farmland to forest is a new project of increasing farmers' income, ecological efficiency and
benefiting the country. The key to the success of returning farmland to forest project is to strictly control the key technologies such as regional planning, forest species selection, tree species selection, good seedling, structural configuration, meticulous soil preparation, serious planting, tending and management. According to the actual
situation of Yuanling County, suitable for the tree, choose the market prospects, fast-growing tree species afforestation,
reasonable adjustment of forest structure, ecological benefits and economic benefits simultaneously, take high-
quality high-yield and efficient forestry development. Returning farmland to forest project has played huge ecological benefits, economic and social benefits.
Financial shocks have an incredible socioeconomic effect on both developed and developing countries. Various recent studies demonstrated that bad public governance impacted public health across all nations. In fact, this study aims to use panel data for 21 countries from the Middle East and North Africa (MENA) region over the period 2000–2020 to scrutinize the effect of both governance and financial crises on public health. We use the generalized method of moments (GMM) approach to carry out the empirical analysis. The objective of using this method is to deal with the issue of endogeneity between exogen variables. Results outline that there is a significant positive association between public governance indicators and public health. Moreover, we found a strong negative association between financial shocks and public health. Thus, the direct negative impact of financial crisis on public health could be mitigated by the indirect positive impacts via institutions and good public governance. This study gives insights to policymakers to take appropriate measures to decrease the severity of the financial shocks and improve healthcare services.
The erudite priest Marciano Di Leo (1751–1819), a prominent personality in the historical and geographical panorama of his time, not only in his home territory, authored a vast literary and poetic production but also tried his hand at producing some maps, referring to a province of the Kingdom of Naples. At a time when the principles of geodetic cartography had become increasingly known, even locally, hand in hand with improvements in technology and accuracy of measurements, the author reflected on the historical narratives of the progress of the European (and Neapolitan) Enlightenment and translated them into an unpublished manuscript of statistical, historical, and geographical nature, accompanied by numerous maps of various scales. The rediscovery of a largely unknown—and therefore not very thorough—minor cartographic production underscores the spread, even in more marginal contexts, of the most innovative ideas and increasingly precise scientific foundations in the cartographic-mathematical representation of the territory. It also illustrates the role of a number of intellectuals in the service of the political choices of their time, in an attempt—often unrealized—to bring about a decisive change of course in public administration, in accordance with Enlightenment ideals and in the spirit of reform that spread throughout Europe thanks to the French Revolution.
Introduction: Growth, yield and quality of okra (Abelmoschus esculentus (L.) Moench) are related to fertilizer application, being nitrogen (N) the most outstanding, due to its direct relationship with photosynthesis and vegetative growth of the plant. Objective: The objective was to evaluate the agronomic and productivity characteristics of okra as a function of N dose. Materials and methods: The study was conducted at the experimental area of Campus Gurupi, the Universidad Federal de Tocantins (UFT), Brazil, in two planting periods (autumn/winter and spring/summer). The experimental design used was randomized block design (RBD) with six treatments (50, 100, 150, 150, 200 and 250 kg N ha-1) and four replications. Urea was used as a source of N. The characteristics evaluated were: productivity, average fruit mass, height and plant chlorophyll index. Results: Productivity and plant height were superior in the fall/winter crop. Mean fruit mass and chlorophyll index were not influenced by planting time. For productivity, a linear response was obtained with increasing dose up to the limit of the N dose used (250 kg ha-1), with a mean value higher than 14 t of fruit. Mean mass and plant height responded linearly to increasing N dose. Nitrogen affected the chlorophyll index, with maximum values of 45.96 and 47.19, observed in the two evaluation periods. Conclusion: Planting time and N content in the soil interacted with plant height, being favorable in the period without precipitation. N influenced all the characteristics, demonstrating the importance of nitrogen fertilization in the development of okra plants.
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