Background:Well-designed and functioning emergency medical service(EMS)can provide equitable access to emergency care to im-prove health issues,especially in low-and middle-income countries where the majority of death...Background:Well-designed and functioning emergency medical service(EMS)can provide equitable access to emergency care to im-prove health issues,especially in low-and middle-income countries where the majority of deaths are due to conditions that could be treated with emergency care.To address this gap,this study explored the contextually appropriate development process in addition to the system architecture,which is lacking in Global South EMS research.Method:This study was a thematic analysis of the development of EMS systems in six Asian countries.Experts in emergency care were selected through convenience sampling.Each country described and evaluated its EMS system using a standardized form with 102 EMS items that cover the emergency care system in terms of leadership,governance,financing,community-based activities,prehospital care,and quality assessment.From the descriptions,various themes were extracted focusing on the developmental perspective of EMS in Asia.Result:The study identified the domain of the developmental focus,best practices,and future strategies for EMS in the Asian region.The identified areas for developmental focus are governance,multidisciplinary collaboration,communication/coordination,community partic-ipation,decentralization,equitable access,supply-demand balance,and quality assurance activities.Conclusion:Countries under investigation achieved progress in planning,implementing,and sustaining EMS through varied strategies in the mentioned focal areas that can be emulated by other countries in this region.Further,their development levels varied according to the extent to which each country realized the development principles identified in this study.展开更多
Charge density wave(CDW) in kagome materials with the geometric frustration is able to carry unconventional characteristics.Recently, a CDW has been observed below the antiferromagnetic order in kagome FeGe, in which ...Charge density wave(CDW) in kagome materials with the geometric frustration is able to carry unconventional characteristics.Recently, a CDW has been observed below the antiferromagnetic order in kagome FeGe, in which magnetism and CDW are intertwined to form an emergent quantum ground state. However, the CDW is only short-ranged and the structural modulation originating from it has yet to be determined experimentally. Here we realize a long-range CDW order by post-annealing process,and resolve the structure model through single crystal X-ray diffraction. Occupational disorder of Ge resulting from short-range CDW correlations above T_(CDW) is identified from structure refinements. The partial dimerization of Ge along the c axis is unveiled to be the dominant distortion for the CDW. Occupational disorder of Ge is also proved to exist in the CDW phase due to the random selection of partially dimerized Ge sites. Our work provides useful insights for understanding the unconventional nature of the CDW in FeGe.展开更多
Pancreatic trauma remains a challenge to a trauma surgeon even with extensive advancement in medicine.The mortality and morbidity associated with this injury remain high.A high index of suspicion,mechanism of injury,a...Pancreatic trauma remains a challenge to a trauma surgeon even with extensive advancement in medicine.The mortality and morbidity associated with this injury remain high.A high index of suspicion,mechanism of injury,and early identification hold key in the final outcome.The management of pancreatic injury should involve a multidisciplinary team comprising of trauma surgeons,radiologists,and gastroenterologists.This review highlights the burden of the pancreatic injury and its management.展开更多
基金supported by the Japan Society for the Promotion of Science KAKENHI(19 K09403)the funding body did not play any role in the study or preparation of the manuscript.
文摘Background:Well-designed and functioning emergency medical service(EMS)can provide equitable access to emergency care to im-prove health issues,especially in low-and middle-income countries where the majority of deaths are due to conditions that could be treated with emergency care.To address this gap,this study explored the contextually appropriate development process in addition to the system architecture,which is lacking in Global South EMS research.Method:This study was a thematic analysis of the development of EMS systems in six Asian countries.Experts in emergency care were selected through convenience sampling.Each country described and evaluated its EMS system using a standardized form with 102 EMS items that cover the emergency care system in terms of leadership,governance,financing,community-based activities,prehospital care,and quality assessment.From the descriptions,various themes were extracted focusing on the developmental perspective of EMS in Asia.Result:The study identified the domain of the developmental focus,best practices,and future strategies for EMS in the Asian region.The identified areas for developmental focus are governance,multidisciplinary collaboration,communication/coordination,community partic-ipation,decentralization,equitable access,supply-demand balance,and quality assurance activities.Conclusion:Countries under investigation achieved progress in planning,implementing,and sustaining EMS through varied strategies in the mentioned focal areas that can be emulated by other countries in this region.Further,their development levels varied according to the extent to which each country realized the development principles identified in this study.
基金the National Natural Science Foundation of China (Grant No.12204298)the National Natural Science Foundation of China (Grant No.12074242)+4 种基金the National Natural Science Foundation of China (Grant No.12174334)the National Natural Science Foundation of China (Grant Nos.52272265,U1932217,11974246,and 12004252)the Science and Technology Commission of Shanghai Municipality (Grant No.21JC1402600)the Zhejiang Provincial Natural Science Foundation of China (Grant No.LQ23A040009)supported by the Deutsche Forschungsgemeinschaft (DFG,German Research Foundation) (Grant No.406658237)。
文摘Charge density wave(CDW) in kagome materials with the geometric frustration is able to carry unconventional characteristics.Recently, a CDW has been observed below the antiferromagnetic order in kagome FeGe, in which magnetism and CDW are intertwined to form an emergent quantum ground state. However, the CDW is only short-ranged and the structural modulation originating from it has yet to be determined experimentally. Here we realize a long-range CDW order by post-annealing process,and resolve the structure model through single crystal X-ray diffraction. Occupational disorder of Ge resulting from short-range CDW correlations above T_(CDW) is identified from structure refinements. The partial dimerization of Ge along the c axis is unveiled to be the dominant distortion for the CDW. Occupational disorder of Ge is also proved to exist in the CDW phase due to the random selection of partially dimerized Ge sites. Our work provides useful insights for understanding the unconventional nature of the CDW in FeGe.
文摘Pancreatic trauma remains a challenge to a trauma surgeon even with extensive advancement in medicine.The mortality and morbidity associated with this injury remain high.A high index of suspicion,mechanism of injury,and early identification hold key in the final outcome.The management of pancreatic injury should involve a multidisciplinary team comprising of trauma surgeons,radiologists,and gastroenterologists.This review highlights the burden of the pancreatic injury and its management.
