Defibrillation with self-adhesive pads is the gold standard method during resuscitation as it allows minimal interruptions of chest compressions. Unfortunately, the implementation of the new recommendations often requires the purchase of new equipment. We have conducted a nationwide survey by telephone interviews with senior clinicians in order to investigate the current position of the implementation and to identify possible obstacles. We have audited 56 hospitals and 92 departments across the country and interviewed the senior consultants of the intensive care units (ICUs) and emergency departments (EDs). Only 6.5% of all responders were using hands-free defibrillation routinely at the time of the survey. According to 67.4% of respondents, purchasing of new equipment was not likely within 2 years. The major obstacle was the perceived higher costs (59.8%); however, the majority of clinicians (92.4%) were aware of the potential benefits of hands-free defibrillation. Our results suggest that the implementation of the new guidelines is slower than expected due to the unavailability of hands-free defibrillators. The major obstacle is the perceived cost-efficiency concerns. The need for an interim recommendation for safe delivery of defibrillation using hard paddles might be considered to enhance the chance of survival for a large number of patients.
Authors:Lajos Döbrőssy, Ágnes Cornides, Attila Kovács, and András Budai
South-East Europe at the beginning of the 21st century. Coll. Antropol. 2007, 31 (Suppl. 2), 7–10.
European Commission: Cancer screening in the European Union. Report on the implementation of the Council recommendation on
Authors:Jaroslav Kruis, Tomáš Koudelka, and Tomáš Krejčí
Kruis J., Koudelka T., Krejcí T. Efficient computer implementation of coupled hydrothermo-mechanical analysis, Mathematics and Computers in Simulation , Vol. 80, 2010, pp. 1578–1588, DOI
this way structured units implement a connected environment of data exchange, automation systems, manufacturing processes, services, and people. This environment represents the structural basis of smart industry. CPSs are building blocks in Industry 4
Authors:Ádám Freisinger, Judit Lám, Lilla Barki, Márton Király, and Éva Belicza
Nassaralla, C. L., Naessens, J. M., Chaudhry, R., et al.: Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Qual. Saf. Health Care, 2007, 16 (2), 90–94.
Murphy, E. M
The article deals with the various problems of an implementation of publication indicators on a departmental level in West-German universities. The German university system relies mostly on social and informal control mechanisms. Bibliometric indicators can provide adequate information for an effective social control in such a system. However, they will only be accepted and effective if they are valid, thoroughly reliable and robust. A successful adaptation of individual goals and behaviour depends largely on the particular interests and incentives of the faculty members across various departmental arrangements.
Authors:Dafna Gan, Avid Gal, Réka Könczey, and Attila Varga
, activists, and policymakers have searched ways to introduce sustainability into the education system, resulting in organizational change. Consequently, education for sustainable development (ESD) was developed and its implementation aims at changing
institutions – out of 900 institutional responses one third had a tiered system before 1999, and one fifth of these institutions started implementing the cycles in the first 3 years after their official adoption at the Bologna Process level. The provisions