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- Sartelli, Massimo, et al.
(författare)
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Ten golden rules for optimal antibiotic use in hospital settings: the WARNING call to action
- 2023
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Ingår i: WORLD JOURNAL OF EMERGENCY SURGERY. - 1749-7922. ; 18:1
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Forskningsöversikt (refereegranskat)abstract
- Antibiotics are recognized widely for their benefits when used appropriately. However, they are often used inappropriately despite the importance of responsible use within good clinical practice. Effective antibiotic treatment is an essential component of universal healthcare, and it is a global responsibility to ensure appropriate use. Currently, pharmaceutical companies have little incentive to develop new antibiotics due to scientific, regulatory, and financial barriers, further emphasizing the importance of appropriate antibiotic use. To address this issue, the Global Alliance for Infections in Surgery established an international multidisciplinary task force of 295 experts from 115 countries with different backgrounds. The task force developed a position statement called WARNING (Worldwide Antimicrobial Resistance National/International Network Group) aimed at raising awareness of antimicrobial resistance and improving antibiotic prescribing practices worldwide. The statement outlined is 10 axioms, or "golden rules," for the appropriate use of antibiotics that all healthcare workers should consistently adhere in clinical practice.
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- Stinner, B, et al.
(författare)
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Granulocyte-colony stimulating factor in the prevention of postoperative infectious complications and sub-optimal recovery from operation in patients with colorectal cancer and increased preoperative risk (ASA 3 and 4) - Protocol of a controlled clinical trial developed by consensus of an international study group Part three : individual patient, complication algorithm and quality management
- 2001
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Ingår i: Inflammation Research. - 1023-3830 .- 1420-908X. ; 50:5, s. 233-248
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Forskningsöversikt (refereegranskat)abstract
- General design: Presentation of a new type of a study protocol for evaluation of the effectiveness of an immune modifier (rhG-CSF, filgrastim): prevention of postoperative infectious complications and of sub-optimal recovery from operation in patients with colorectal cancer and increased preoperative risk (ASA 3 and 4). A randomised placebo controlled, double-blinded, single-centre study is performed at an University Hospital (n = 40 patients for each group). This part presents the course of the individual patient and a complication algorithm for the management of anastomotic leakage and quality management. Objective: In part three of the protocol, the three major sections include: - The course of the individual patient using a comprehensive graphic display, including the perioperative period, hospital stay and post discharge outcome. - A center based clinical practice guideline for the management of the most important postoperative complication anastomotic leakage - including evidence based support for each step of the algorithm. - Data management, ethics and organisational structure. Conclusions: Future studies with immune modifiers will also fail if not better structured (reduction of variance) to achieve uniform patient management in a complex clinical scenario. This new type of a single-centre trial aims to reduce the gap between animal experiments and clinical trials or - if it fails - at least demonstrates new ways for explaining the failures.
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- Vandenhove, H., et al.
(författare)
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Short rotation coppice for revaluation of contaminated land
- 2001
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Ingår i: Journal of Environmental Radioactivity. - 1879-1700. ; 56:1-2, s. 157-184
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Tidskriftsartikel (refereegranskat)abstract
- When dealing with large-scale environmental contamination, as following the Chernobyl accident, changed land use such that the products of the land are radiologically acceptable and sustain an economic return from the land is a potentially sustainable remediation option. In this paper, willow short rotation coppice (SRC) is evaluated on radiological, technical and economic grounds for W. European and Belarus site conditions. Radiocaesium uptake was studied in a newly established and existing SRC. Only for light-texture soils with low soil potassium should cultivation be restricted to soils with contamination levels below 100 370 kBq m(-2) given the TFs on these soils (5 x 10(-4) and 2 x 10(-3) m(2) kg(-1)) and considering the Belarus exemption limit for firewood (740 Bq kg(-1)). In the case of high wood contamination levels ( > 1000 Bq kg(-1)). power plant personnel working in the vicinity of ash conveyers should be subjected to radiation protection measures. For appropriate soil conditions, potential SRC yields are high. In Belarus, most soils are sandy with a low water retention, for which yield estimates are too low to make production profitable without irrigation. The economic viability should be thoroughly calculated for the prevailing conditions. In W. Europe, SRC production or conversion is not profitable without price incentives. For Belarus, the profitability of SRC on the production side largely depends on crop yield and price of the delivered bio-fuel. Large-scale heat conversion systems seem the most profitable and revenue may be considerable. Electricity routes are usually unprofitable. It could be concluded that energy production from SRC is potentially a radiologically and economically sustainable land use option for contaminated agricultural land.
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