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Sökning: WFRF:(Karlberg L.)

  • Resultat 81-88 av 88
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81.
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85.
  • Suserud, Björn-Ove, et al. (författare)
  • Do the right patients use the Ambulance Service in South-Eastern Finland
  • 2011
  • Ingår i: International Journal of Clinical Medicine. - : Scientific Research Publishing, Inc.. - 2158-284X .- 2158-2882. ; 2:5, s. 544-549
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Several Emergency Medical Systems use a criteria-based prioritization system for ambulance response. The emergency medical priority dispatching of ambulances was introduced in the 1980s. In a system of this kind, the operators at the medical emergency dispatch centers have to assess the patients’ symptoms and the need for ambulance response. The prioritization of the ambulance response is based on the seriousness of the patient’s symptoms, his/her current condition and, in the case of trauma, the trauma mechanism. The priority system is supposed to optimize the use of the ambulance service and to match and meet the patients’ needs with an adequate response from the ambulances. The aim of this study was to describe the dispatching and utilization of the ambulance service in a part of Finland. Results: There was a substantial divergence between the initial priority assigned and the patients’ medical status at the scene. The ambulance staff confirmed the need for ambulance transport for 65% of all the patients who were assigned an ambulance by the dispatch center. Conclusions: Using a criteria-based dispatch protocol, the dispatch operator works with a wider safety margin in the priority assessments for ambulance response than was actually confirmed by the ambulance personnel at the scene. In this sample, there may be some overuse of the ambulance service. According to the assessments made by the ambulance staff, 35% of the patients did not require ambulance transport. The emergency system has to accept and work with safety margins. At the same time, there must be a balance between a safety margin and a waste of limited resources.
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  • Yeh, Sonia, 1973, et al. (författare)
  • Evaluation of water use for bioenergy at different scales
  • 2011
  • Ingår i: Biofuels, Bioproducts and Biorefining. - : Wiley. - 1932-1031 .- 1932-104X. ; 5:4, s. 361-374
  • Tidskriftsartikel (refereegranskat)abstract
    • This perspective reviews water metrics for accounting total water demand to produce bioenergy at various spatial scales. Volumes of water abstracted, consumed, and altered are estimated to assess water requirements of a bioenergy product, providing useful tools for water resource management and planning at local, regional, and global scale. Blue-water use accounting, integrated over time and space, provides the most direct measurements of the effects of bioenergy production on freshwater allocation among various end-users, and on human and ecosystem health and well-being. Measurement of total water demand for crop evapotranspiration, which includes both blue and green water, communicates vital information of how land and water productivity supports/constrains bioenergy expansion, and helps identify potential areas to increase the productivity of agriculture through improved soil and water conservation, changes in crop choice, and improved crop management. Life-cycle water use accounting provides a useful comparison of water required for production and conversion of feedstock to various forms of energy, and opportunities to improve water use efficiency throughout the supply chain. In addition, life-cycle water use may be used to account for water use avoided as a result of displacement of products by coproducts of biofuel production; though these applications must be interpreted with caution. Local or regional conditions and the objective of the analysis at hand determine which water accounting metrics are most relevant and the relative importance of water use impact compared to other impacts, such as impacts to soil quality and biodiversity.
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  • Resultat 81-88 av 88
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