Improving prehospital traumatic shock care: implementation and clinical effectiveness of a pragmatic, quasi-experimental trial in a resource-constrained South African setting.

Objectives: This project seeks to improve providers' practices and patient outcomes from prehospital (ie, ambulance-based) trauma care in a middle-income country using a novel implementation strategy to introduce a bundled clinical intervention.

Design: We conduct a two-arm, controlled, mixed-methods, hybrid type II study.

Setting: This study was conducted in the Western Cape Government Emergency Medical Services (EMS) system of South Africa.

Perinatal outcomes of pregnancies with twin-anemia polycythemia sequence complicating twin-to-twin transfusion syndrome using different twin-anemia polycythemia sequence diagnostic criteria.

Objective: To investigate whether the presence of twin-anemia polycythemia sequence (TAPS) with twin-to-twin transfusion syndrome (TTTS) or post-laser TAPS would change outcomes using different TAPS diagnostic criteria.

Methods: TTTS cases undergoing laser surgery between 2012 and 2020 were included. Groups included pre-laser TTTS-only compared to TTTS + TAPS, and no post-laser TAPS compared to post-laser TAPS.

Medical Improvisation Training for all Medical Students: 3-Year Experience.

Introduction: Effective communication has been shown to improve patients' health outcomes. This study utilizes medical improvisation techniques to teach communication skills to an entire medical school class.

Methods: Required workshops were held for entering third-year students from 2005 to 2017.

Effect of Thermal Treatment on Crystallinity of Poly(ethylene oxide) Electrospun Fibers.

Post-process thermal treatment of electrospun fibers obtained from poly(ethylene oxide) (PEO) water and methanol solutions was examined. PEO fibers from methanol solution showed larger diameters as observed by scanning electron microscopy. Fibers both from water and methanol solutions exhibited a significant dimensional stability and surface cracking during the specific exposure time after thermal treatments at 40, 50, and 60 °C.

[Disaster Control and Civil Protection in Germany].

The train crash of Bad Aibling/Germany in February 2016 and the terrorist attacks of the recent years in Europe have demonstrated the urgent need to be prepared for such disastrous events. Disaster preparedness and disaster control are very important governmental duties, as are civil protection and civil defense. In Germany the responsibility for those tasks are divided between the 16 "Länder" and the Federation.