This application contains an adapted list of 152 injuries based on the revised AIS 1985 version , sorted by the six body regions of the Injury Severity Score , with their appropriate AIS severity level. In both Navarra and in Germany, trauma care is performed following the Advanced Trauma Life Support guidelines. In Navarra, emergency physicians perform resuscitations, whilst in Germany, it is done by a surgeon-directed trauma team. These are general surgeons with extensive experience in trauma care including fracture management . Therefore, the number of involved specialties, and subsequently doctors, is often lower than in Navarra. Brilej et al. also evaluated the quality of treatment of 155 severely injured patients treated in 2006–2007 at the General Hospital Celje using Trauma and Injury Severity Score and Revised Injury Severity Classification methodology.
MDU, AA and TG have developed the spatio-temporal statistical model and performed the model programming and fitting. They have also contributed to the writing of all the sections in this paper. Casado has made of all the linear interpolations to compute populations. IC, EA and NL have contributed to the design of the study, to interpret results and to the discussion and conclusions.
Hey everyone I am a recent university graduate and I have an engineering co-op offer to work in Pamplona, Spain for 9 months and so I am just looking for general advice from anyone who has ever lived/studied/worked there. Due to high levels of autonomy, the Basque government has invested large amounts of money into education. Not only has this prevented the Basque language from dying out, but it has also led to the Basque Country having one of the best education systems in the world. In fact, the only countries with higher per pupil-spending are Denmark and Austria.
Nearly 48 per cent of the Basque population has some form of tertiary or university qualification – a level on a par with Finland and Norway. Basque is a compulsory subject at all levels of school in the Basque Country. It is the language of instruction in some pre-primary and primary schools. Basque is taught in colleges and is the teaching language in certain university faculties in both the Basque Country and Navarra.
These findings should be taken into account for further improvement in the German prehospital setting. Helicopters as a mean for the transport of patients are widely used in Germany , mainly because of the traffic congestion at highways, while they are rarely used in Navarra. One reason that may contribute to the reduced use of helicopter resources in Navarra is the limited experience in health resource mobilization of the coordinator. Bad weather conditions in Navarra also prevent their use for the transport of trauma patients. Further investigation on the coordination and management of helicopters in Navarra should be undertaken. In Navarra, paramedic resources for patient transport are used more frequently than in Germany.
Giannadous and co-workers reported that the mortality rate for patients ≥65 years in England and Wales, in 2008, was significantly higher than in younger trauma patients . In the present study, Navarra patients were older than German ones which may explain the higher mortality found in this study (Fig.5). The overall results of this study show that the adjusted mortality rates of severely injured patients treated in Navarra and Germany are comparable. RISC II prognosis considered in this study display slightly lower predicted mortality than the actual mortality available from the NMTR.
After having identified some differences between the two trauma populations, the next step is to determine if there are regional distinctions in the treatment of trauma patients and the organization of trauma care. Most mechanisms of injury in both data registries were classified as blunt trauma, particularly in vehicle-related accidents and falls. However, more vehicle-related accidents and a high percentage of young injured patients were seen in the German data (Fig.3). Drunk driving, drowsy driving, and careless driving are several examples of the causes of motor vehicle accidents, and all of them are prominent in young men in general . The high percentage of young injured people in Germany compared to the observed in Navarra percentage may be due to the traffic culture and the relatively liberal speed limits on the German highways. In Navarra, the speed limit in highways is 100 km/h and 120 km/h in motorways.
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The first leg is to Alsasua, which is easily reached by train or bus from San Sebastian, both taking roughly 90 minutes. However, the Alsa bus stop in Alsasua is not marked but it is outside a residential home for elderly people on Calle Idertzagain. The second leg involves a 30 minute taxi ride from Alsasua, (+ , Taxi Goikoetxea – Spanish-speaking only) to Baquedano. If you have not put together a picnic, the bakeries and cafes along San Juan make for a good choice as Baquedano has no shops. Remember to arrange in good time the taxi ride back to Alsasua for the bus/train back.
In the development stages, the initial focus on diet, and its impact on disease prevention, was broadened to encompass certain lifestyle issues and other diseases beyond just cardiovascular disease and cancer. 3 An outline of the SUN study was designed during his sabbatical at Harvard. To explore this idea further, Professor Miguel Ángel Martínez travelled to the Harvard School of Public Health to learn about similar large cohort studies currently being conducted in the US, such as the Nurses’ Health Study and the Health Professionals’ Follow-up study. The SUN study began at the Universidad de Navarra’s Department of Preventive Medicine and Public Health and has since integrated other universities . Knoema, an Eldridge business, is the most comprehensive source of global decision-making data in the world. Our tools allow individuals and organizations to discover, visualize, model, and present their data and the world’s data to facilitate better decisions and better outcomes.
The rear suspension offers high lateral rigidity for better cornering, with long vertical axle travel to cope with heavy loads and rough tracks. So wherever you’re going and whatever you’re carrying, you’ll be sure finish every journey as you started it – relaxed and inspired. Limited slip differential distributes engine drag torque to the any rear wheel which has more traction to pull the car out of the mud.