Clinical pathway intervention compliance and effectiveness when used in the treatment of patients with severe sepsis and septic shock at an Intensive Care Unit in Spain

The purpose of this quasi-experimental study was to assess levels of compliance with the intervention bundles contained in a clinical pathway used in the treatment of patients with severe sepsis and septic shock, and to analyze the pathway’s impact on survival and duration of hospital stays. We used data on 125 patients in an Intensive Care Unit, divided into a control group (N=84) and an intervention group (N=41). Levels of compliance increased from 13.1% to 29.3% in 5 resuscitation bundle interventions and from 14.3% to 22% in 3 monitoring bundle interventions. In-hospital mortality at 28 days decreased by 11.2% and the duration of hospital stay was reduced by 5 days. Although compliance was low, the intervention enhanced adherence to the instructions given in the clinical pathway and we observed a decline in mortality at 28 days and shorter hospital stays.

Fire-resistance, physical, and mechanical characterization of particleboard containing Oceanic Posidonia waste

In this work, particleboards manufactured with Oceanic Posidonia waste and bonded with cement are investigated. The particleboards are made with 3/1.5/0.5 parts of cement per part of Posidonia waste. The physical properties of bulk density, swelling, surface absorption, and dimensional changes due to relative humidity as well as the mechanical properties of modulus of elasticity, bending strength, surface soundness, perpendicular tensile strength and impact resistance are studied. In terms of the above properties, the best results were obtained for particleboards with high cement content and when the waste “leaves” are treated (crushed) before board fabrication, due to internal changes to the board structure under these conditions. Based on the results of fire tests, the particleboard is non-flammable without any fire-resistant treatment.