Optimising gout treatment: insights from a nurse-led cohort study.

Objectives: Currently, gout management, particularly urate-lowering therapy (ULT), is often suboptimal. Nurses successfully manage various diseases including gout. As gout prevalence is rising, and rheumatologists and general practitioners face shortages, a new approach is imperative.

Dataset of smart heat and water meter data with accompanying building characteristics.

The data presented were sourced from 34,884 commercial smart heat meters and 10,765 commercial smart water meters, spanning a timeframe of up to 5 years (2018-2022). All data primarily originated from single-family houses in Aalborg Municipality, Denmark. Furthermore, comprehensive building characteristics were collected for each building, where available, from the Danish Building and Dwelling Register (BBR) and Energy Performance Certificate (EPC) input data.

Rethinking limb tourniquet conversion in the prehospital environment.

We have highlighted the issue of overuse of tourniquets and described why tourniquet conversion and replacement should be taught and done in the prehospital setting.

The Nord2000 prediction method for road traffic noise-outline and validation, and application in environmental noise mapping.

In 2006, the Nord2000 method for predicting traffic noise exposure of road neighbors was published. Subsequently, in 2007, the Danish Environmental Protection Agency made it the official method to be applied in cases involving decision making by environmental authorities. Since then, the method has been amended and computation software has been thoroughly debugged.

Warning: Tourniquets Risk Frostbite in Cold Weather.

We sought to better understand the frostbite risk during first-aid tourniquet use by reviewing information relevant to an association between tourniquet use and frostbite. However, there is little information concerning this subject, which may be of increasing importance because future conflicts against near-peer competitors may involve extreme cold weather environments. Historically, clinical frostbite cases with tourniquet use occurred in low frequency but in high severity when leading to limb amputation.

Exploring Tourniquet Conversion in Simulation to Develop Concepts and Hypotheses.

Background: Compared with those of tourniquet application, tourniquet conversion concepts are underdeveloped. The purpose of this project was to develop tourniquet conversion concepts and generate hypotheses.

Methods: One person performed 100 tests of tourniquet application and conversion.

Effects of Donning and Wearing Personal Protective Equipment on Tourniquet Use and Conversion.

Background: We sought to gather data about the effects of personal protective equipment (PPE) use on tourniquet interventions by preliminarily developing a way to simulate delay effects, particularly on time and blood loss. Such knowledge might aid readiness. Field calls to emergency departments may indicate donning of PPE before patient arrival.

Conversion: Simulated Method of Exchanging Tourniquet Use for Pressure Dressing Use.

Background: Given little data to assess guidelines, we sought a way to exchange one type of intervention, field tourniquet use, for another, use of a pressure dressing. The study purpose was to test performance of controlling simulated bleeding with a stepwise procedure of tourniquet conversion.

Methods: An experiment was designed to assess 15 tests of a caregiver making tourniquet-dressing conversions.

Biological therapy and international travel: A questionnaire survey among Danish patients with rheumatic disease.

Objective: To describe travel activities, preparations, and health problems encountered by patients with arthritis receiving biological therapy.

Methods: A travel survey was conducted in a Danish rheumatology outpatient clinic by distribution of a semistructured questionnaire to 300 consecutive patients with arthritis.

Results: Among the 273 (91%) patients returning the questionnaire, a history of traveling outside Denmark was reported by 203 (74%) respondents and outside Europe by 92 (34%).

Step Duration Effects on Blood Loss in Simulated Designs of Tourniquet Use Procedure.

Background: We sought new knowledge by further developing a model of using calculations in the simulation of a first-aid task. The purpose of this study was to develop the model to investigate the performance of tourniquet use in its component steps.

Methods: We aimed to design an experiment on a desktop computer by mathematically manipulating simulated data in tourniquet use.

Interoperable Readiness to Use Tourniquets by One's Familiarity With Different Models.

Background: We investigated interoperability for a first aid provider to perform simulated use of three tourniquet models of maximal, moderate, and minimal familiarity.

Methods: The experiment was focused on the tourniquets used by an expert who rendered aid on a manikin by using three models of tourniquet with different extents of familiarity: The familiarity with Combat Application Tourniquet (C-A-T) was maximal; that for Special Operations Forces Tactical Tourniquet (SOFTT) was moderate, and that for Military Emergency Tourniquet (MET) was minimal. Each model had a band-and-rod design.

Deliberate Practice in Combat Application Tourniquet Placement by Loop Passage.

Background: We sought opportunities to develop learning practices of individual first aid providers. In this study, we simulated deliberate practice in placing limb tourniquets.

Methods: This study comprised tourniquet uses by two experienced persons.

Ease of Use of Emergency Tourniquets on Simulated Limbs of Infants: Deliberate Practice.

Background: To investigate questions about application of emergency tourniquets in very young children, we investigated practices of Combat Application Tourniquet (C-A-T) use on a simulated infant-sized limb to develop ways to improve readiness for caregiving.

Methods: This study was conducted as investigations of C-A-Ts used by two individuals in deliberate practice. The practice setup simulating a limb of infants aged 3-5 months included a handrail (circumference, 5.

Limb Tourniquet Configuration: Preliminary Investigation of Problems and Principles.

Background: A tourniquet's readiness during emergencies depends on how it is configured. We investigated configuration so ways of improving readiness can be developed.

Methods: This study was conducted at the Institute of Surgical Research in 2018 as sequential investigations by one user of Combat Application Tourniquets (C-A-Ts) in a band-and-rod design.

Use Your Noodle to Simulate Tourniquet Use on a Limb With and Without Bone.

Background: The purpose of this study was to simulate first aid by mechanical use of a limb tourniquet on a thigh with and without bone to better understand best caregiving practices.

Methods: Two investigators studied simulated first aid on a new pool "noodle," a plastic cylinder with a central air tunnel into which we inserted a wood dowel to simulate bone. Data were gathered by group (study and control, n = 12 each).

Study of Tourniquet Use in Simulated First Aid: User Judgment.

Background: The purpose of this study was to survey the judgments of tourniquet users in simulation to discern opportunities for further study.

Methods: The study design constituted two parts: questions posed to four tourniquet users and then their tourniquet use was surveyed in simulated first aid, where the users had to decide how to perform among five different cases. The questions addressed judged confidence, blood volumes, a reason bleeding resumes, regret of preventable death, hemorrhage assessment, need for side-by-side use of tourniquets, shock severity, predicting reliability, and difference in blood losses.

New and Established Models of Limb Tourniquet Compared in Simulated First Aid.

Background: The performance of a new tourniquet model was compared with that of an established model in simulated first aid.

Methods: Four users applied the Combat Application Tourniquet (C-A-T), an established model that served as the control tourniquet, and the new SAM Extremity Tourniquet (SXT) model, which was the study tourniquet.

Results: The performance of the C-A-T was better than that of the SXT for seven measured parameters versus two, respectively; metrics were statistically tied 12 times.

Laboratory Model of a Collapsible Tube to Develop Bleeding Control Interventions.

Background: To develop knowledge of mechanical control of bleeding in first aid, a laboratory model was set up to simulate flow through a blood vessel. A collapsible tube was used to mimic an artery in two experiments to determine (1) the extent of volumetric flow reduction caused by increases in the degree of compression of the vessel and (2) the extent of flow reduction caused by increases in the length of compression.

Methods: Water was used in vertical tubing.

Systematic review of prehospital tourniquet use in civilian limb trauma.

Background: Military enthusiasm for limb tourniquet use in combat casualty care has resulted in acceptance by the trauma community for use in the prehospital care of civilian limb injuries. To date, there has been no report synthesizing the published data on civilian tourniquet use. The objective of this systematic review was to compile and analyze the content and quality of published data on the civilian use of tourniquets in limb trauma.

Assessment of User, Glove, and Device Effects on Performance of Tourniquet Use in Simulated First Aid.

Background: The effects of users, glove types, and tourniquet devices on the performance of limb tourniquet use in simulated first aid were measured.

Materials And Methods: Four users conducted 180 tests of tourniquet performance in eight glove groups compared with bare hands as a control.

Results: Among tests, 99% (n = 179) had favorable results for each of the following: effectiveness (i.

Unwrapping a First Aid Tourniquet From Its Plastic Wrapper With and Without Gloves Worn: A Preliminary Study.

Background: The purpose of this study was to gather data about unwrapping a packaged limb tourniquet from its plastic wrapper while wearing different types of gloves. Because already unwrapped tourniquets require no time to unwrap, unwrapping data may provide insights into the issue of having tourniquets unwrapped when stowed in a first aid kit of a Serviceperson at war.

Materials And Methods: In a laboratory setting, 36 tests of nine glove groups were performed in which four people, gloved and ungloved, unwrapped tourniquets.

Bleeding Control With Limb Tourniquet Use in the Wilderness Setting: Review of Science.

The purpose of this review is to summarize tourniquet science for possible translation to wilderness settings. Much combat casualty data has been studied since 2005, and use of tourniquets in the military has changed from a last resort to first aid. The US Government has made use of tourniquets a health policy aimed to improve public access to bleeding control items.