An ageing population and rising healthcare costs are challenging cost-efficient hospital systems wanting to adapt, employing novel organisational structures designed to merge diverse skill sets. This needs not only physician and nursing leadership but also new models of care. Anaesthetists have expanded their role into the broader multidisciplinary field of peri-operative medicine, emphasising collaboration and safety in health teams. A greater focus on patient-centred care and shared decision making, along with validated metrics to quantify quality improvement activities, have emphasised the importance of comfort, patient satisfaction and quality of life after surgery. Shared decision-making is more likely to be manifest in a flat hierarchy in which each member of the team brings their own experience and skills to optimise patient care. Successful surgery is best achieved by a coordinated, multidisciplinary team, embedded in a culture of collaboration and safety.
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http://dx.doi.org/10.1111/anae.14869 | DOI Listing |
Plants (Basel)
December 2024
Jingjiang College, Jiangsu University, Zhenjiang 212013, China.
Heat waves (HW) are projected to become more frequent and intense with climate change, potentially enhancing the invasiveness of certain plant species. This study aims to compare the physiological and photosynthetic responses of the invasive and its native congener under simulated heat wave conditions (40.1 °C, derived from local historical data).
View Article and Find Full Text PDFToxics
November 2024
Guangzhou Vocational College of Technology & Business, Guangzhou 511442, China.
Geogenic arsenic (As) contamination in groundwater poses a significant public health risk in many regions worldwide. Previous studies have reported hydrogen peroxide (HO) concentrations ranging from 5.8 to 96 μmol L in rainwater, which may contribute to the oxidation and removal of As.
View Article and Find Full Text PDFToxics
November 2024
Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200336, China.
Non-targeted screening (NTS) technology has been showing significant potential in identifying contaminants of emerging concern (CECs) in water and has attracted great attention in academia in recent years. It is a method that analyzes samples without pre-selecting substances, enabling the detection and identification of unknown compounds, which is crucial for environmental health and public protection. This study uses the Bibliometrix package in R 4.
View Article and Find Full Text PDFNutrients
December 2024
Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, MD 20814, USA.
: Sixty-eight percent of service members are living with overweight or obesity, some who may not consult a healthcare provider when they decide to lose weight. Instead, they often turn to weight-loss dietary supplements for self-care solutions. The purpose of this case series study was to examine the label accuracy and quality of select weight-loss dietary supplements sold on or near US military bases across the country.
View Article and Find Full Text PDFMicroorganisms
November 2024
Jingjiang College, Jiangsu University, Zhenjiang 212013, China.
Global climate change and invasive plants significantly impact biodiversity and ecosystem functions. This study focuses on the effects of progressive warming on microbial communities within the invasion community, simulated through six stages of invasion progression, from minimal to dominant presence alongside native , in bulk soils collected from a natural habitat and cultivated under controlled greenhouse conditions. Utilizing high-throughput sequencing and microbial community analysis on 72 samples collected from the invasion community, the shifts in soil microbiota under varying warming scenarios were investigated (+0 °C, +1.
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