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With the assistance of digital pen and paper technology in the field of prehospital data reporting, it seems to be possible to fulfill the requirements of „documentation“ as well as the requirements of „quality management“. The aim of this study was to determine the „primary documentation quality“ (PDQ) of a data reporting system based on digital pen and paper technology (so-called DINO) within a helicopter emergency medical service (HEMS) over a 6-month period. The PDQ is defined as the proportion of prehospital documented data, which is primarily recorded correctly by the data reporting system. For the national uniform core dataset (so-called MIND2) the PDQ was 96.7%, for „checkbox“ and „numeric data fields“ the PDQ was 99.8% and 93.6%, respectively and for „vital data“ the PDQ was 96.7% [heart rate (HF), measurement of blood pressure] and 84.1% [peripheral oxygen saturation (SpO2), end tidal carbon dioxide concentration (etCO2), oxygen administration (O2)]. For „measurements“ the PDQ was 96.9% (time stamps) and 86.9% (time frames), for „drugs“ the PDQ was 43.6% (drug name) and 69.8% (drug dosage) and for“placement of infusion” 42% (infusion name) and 85.3% (infusion time), respectively. The average time for the „verification process“ after mission completion was 1.5±0.4 min/mission. The „primary documentation quality“ of prehospital mission data reporting with the assistance of a digital pen and paper based documentation system (DINO) has been shown to completely fulfill the requirements of rapid and safe data documentation in actual missions, even at this early stage of development. [ABSTRACT FROM AUTHOR]

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Continuous perfusion with oxygenated blood is required to supply isolated beating pig hearts. To meet physiological conditions the blood gas parameters pH, pO2 and pCO2 should correspond with values usually found in pigs, respectively. Controlling these parameters manually is a very time consuming task and is therefore done best by a control system consisting of gas blender, oxygenator and blood gas sensors. As this control system should be used with an transportable perfusion apparatus, this paper describes an approach where the gassing is realized only with air and oxygen. In this approach pO2 and pH are measured on blood side so that the control system can change oxygen concentration and gas flow adequately on the gas side.

Debates about the impacts of climate change necessarily exist within ethical debates and frameworks. This paper discusses the ethical foundations of three discourses concerning climate change: economics of climate change, climate protection as lifestyle, and carbon debt. These approaches are seen to be problematic because they are absolutist, hindering their inter - national acceptance. In contrast, human rights could provide a coherent and worldwide acceptable basis for the ethics of climate change. Here, five normative dimensions of human rights are identified and their possible contribution to a coherent and convincing climate policy is outlined. [ABSTRACT FROM AUTHOR]

To mitigate the dangerous impacts of climate change, anthropogenic CO2 emissions must be reduced drastically. In this context, carbon dioxide capture and storage (CCS) has been increasingly considered as an option. As a part of the energy and climate change package, the EU has for the first time provided a comprehensive legal framework for the regulation of CCS at the national level. CCS can also be implemented under the Clean Development Mechanism (CDM) of the Kyoto Protocol, which allows industrial countries to fulfil part of their emission reduction targets in developing countries. This paper explores this option, illustrating how elements of the legal framework proposed for CDM projects in the EU could be utilised, assuming CCS is approved for the CDM. Demonstration of large-scale feasibility and long-term security of storage is still lacking, however. The German Advisory Council on Environment therefore calls for a new law addressing research instead of comprehensive regulation of commercial use under the CCS directive of the EU. To nonetheless provide developing countries with access to CCS technology, promotion as part of technology transfer agreements is a possible alternative. [ABSTRACT FROM AUTHOR]

Copyright of Perspektiven der Wirtschaftspolitik is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Unlabelled: Currently, even in prehospital emergency medicine (PEM), continuous end-tidal CO2 monitoring is frequently used as a sensitive and non-invasive technique in ventilated patients. Due to its central role, the continuous measurement of exhaled CO2 provides immediate information about the status of three essential functions of the organism: ventilation, circulation, and metabolism., Methods: Recent literature, obtained by a computer-guided search (Winspirs), and product information of all currently available capnometry devices were reviewed in detail. Firstly, the theoretical background of different CO2-measurement methods and techniques is described. Secondly, indications and specific implications for the out-of-hospital use of capnometry are discussed. Thirdly, different monitoring systems suitable for pre-hospital care are evaluated., Results: There are two basic principles to reliably determine end-tidal CO2 (EtpCO2) that can be realised in portable monitors: qualitative measurements with a paper indicator and quantitative measurements using non-dispersive infrared spectroscopy. Capnography is a feature of more advanced units to provide the emergency physician with additional information by displaying EtpCO2 values versus time. Multiple indications for capnometry in emergency situations are listed, all related to the evaluation of patient's ventilation, circulation, and metabolism. Specific implications regarding mobility, ease of use, patient hygiene and accuracy of measurements are mentioned. Five units, each representing a different type of CO2 monitor, are described and evaluated for their use in PEM., Conclusions: Some current portable CO2 monitors allow fast and reliable measurement of EtpCO2 even in the out-of-hospital care of critically ill patients. However, the development of a new portable monitoring system comprising the three most important ventilation parameters (ventilation rate, EtpCO2 and peripheral O2 saturation) seems to be a promising step for the improvement of monitoring in out-of-hospital emergencies.

The use of CO2 gas as a contrast medium for visualizing blood vessels has been considerably facilitated by the development of a gas metering device for mechanical injection of CO2. The present paper describes the possibility of using CO2 not only for visualizing blood vessel morphology, but also for the diagnostic evaluation of the haemodynamics within the vessels. For this reason in vitro experiments with an artery simulation model were undertaken to examine the behaviour of injected gas bubbles. The information thus obtained was then translated to animal experiments.

Copyright of Züchtungskunde is the property of Verlag Eugen Ulmer and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)