Quality in emergency departments: a study on 3,285,440 admissions

INTRODUCTION: A multi-centre study has been conducted, during 2005, by means of a questionnaire posted on the Italian Society of Emergency Medicine (SIMEU) web page. Our intention was to carry out an organisational and functional analysis of Italian Emergency Departments (ED) in order to pick out some macro-indicators of the activities performed. Participation was good, in that 69 ED (3,285,440 admissions to emergency services) responded to the questionnaire. METHODS: The study was based on 18 questions: 3 regarding the personnel of the ED, 2 regarding organisational and functional aspects, 5 on the activity of the ED, 7 on triage and 1 on the assessment of the quality perceived by the users of the ED. RESULTS AND CONCLUSION: The replies revealed that 91.30% of the ED were equipped with data-processing software, which, in 96.83% of cases, tracked the entire itinerary of the patient. About 48,000 patients/year used the ED: 76.72% were discharged and 18.31% were hospitalised. Observation Units were active in 81.16% of the ED examined. Triage programmes were in place in 92.75% of ED: in 75.81% of these, triage was performed throughout the entire itinerary of the patient; in 16.13% it was performed only symptom-based, and in 8.06% only on-call. Of the patients arriving at the ED, 24.19% were assigned a non-urgent triage code, 60.01% a urgent code, 14.30% a emergent code and 1.49% a life-threatening code. Waiting times were: 52.39 min for non-urgent patients, 40.26 min for urgent, 12.08 for emergent, and 1.19 for life-threatening patients.

Radiocarbon impact in a nearby tree of a light-water VVER type nuclear power plant, Paks, Hungary

Tree-ring series were collected for radiocarbon analyses from the vicinity of Paks nuclear power plant (NPP) and a background area (Dunaföldvár) for a 10-yr period (2000–2009). Samples of holocellulose were prepared from the wood and converted to graphite for accelerator mass spectrometry (AMS) 14C measurement using the MICADAS at ETH Zürich. The 14C concentration data from these tree rings was compared to the background tree rings for each year. The global decreasing trend of atmospheric 14C activity concentration was observed in the annual tree rings both in the background area and in the area of the NPP. As an average of the past 10 yr, the excess 14C emitted by the pressurized-water reactor (PWR) NPP to the atmosphere shows only a slight systematic excess (~6‰) 14C in the annual rings. The highest 14C excess was 13‰ (in 2006); however, years with the same 14C level as the background were quite frequent in the tree-ring series.