Regionally extended shared socioeconomic pathways for the offshore wind industry in Finland.

Offshore wind energy is increasingly becoming an important part of European and global low-emission power systems. The aims of this paper are to create a shared understanding on the major drivers of offshore wind development in Finland and to explore how these drivers, and opportunities for the entire industry, may develop over the twenty-first century, under different global futures. This research develops extended shared socioeconomic pathway (SSP) narratives for the offshore wind industry by using a virtual participatory workshop with expert stakeholders. According to our results, the five key drivers shaping the prospects of offshore wind development are public acceptability of offshore energy, global and national demand for low-emission energy, technological development and relative competitiveness of offshore energy, availability of space and wind resources, and energy markets and transmission infrastructure. Nationally extended SSP narratives, building on these key drivers, describe a wide range of alternative future risks and opportunities for developing offshore energy. Under sustainable development (SSP1), offshore wind is likely to soon become a major source of energy in the area, if developed in a balanced manner alongside other uses of the marine space. Under fossil-fuelled development (SSP5), offshore wind grows slower and may experience rapid uptake only in the latter half of the century. Under the regional rivalry scenario (SSP3), the need for local energy sources drives the national energy policies and may create new opportunities for offshore wind. Under the inequality scenario (SSP4), local municipalities and the residents decide on locations of new wind turbines and the overall magnitude of future offshore wind. Supplementary Information: The online version contains supplementary material available at 10.1007/s40974-022-00252-7.

The Controlled Palatal Harvest (CPH) Technique for Harvesting a Palatal Subepithelial Connective Tissue Graft.

The use of methamphetamines is a significant public health concern not only in America but worldwide. The consequences of this drug's use are widespread, having major physiologic and psychological effects that are damaging to users' bodies and well-being. Meth use wreaks havoc on one's oral health, with the effects including demineralization of tooth surfaces, carious lesions, inflammation of the periodontium, and more. In addition to examining the neurotoxic effects that methamphetamines have on the brain, this article will discuss how dental professionals can approach treatment of individuals who are affected by this debilitating drug, utilizing a strategy that combines caries arrest with oral hygiene improvement and disease prevention. It will also review the use of various products to help establish a neutral oral pH and enhance enamel remineralization.

Age of first reported sexual experience among U.S. soldiers.

Studies show that the age of first sexual intercourse is directly correlated with risky sexual behavior among civilian populations. However, few studies have looked at the age of first intercourse and its consequence among soldiers. A study was conducted to examine the age of first sexual experience and sexual practices among soldiers surveyed at a large military post. The survey consisted of 31 fixed-choice items that focused on the soldiers' sexual knowledge, beliefs and behaviors. A total of 450 soldiers were included in the sample. Respondents were divided into three main categories by age groupings of first sexual experience as follows: under 14 years of age, between the ages of 14 to 17 years, and over 18 years. All values were analyzed using frequency distributions with calculations of means, standard deviations, and range. Results showed that soldiers who had their first sexual experience under the age of 14 were more likely to participate in risky sexual behaviors than those whose first sexual experience occurred when soldiers were over the age of 18.

Sonographic Identification of Tube Thoracostomy Study (SITTS): Confirmation of Intrathoracic Placement.

INTRODUCTION: Thoracostomy tubes (TT) are commonly placed in the management of surgical, emergency, and trauma patients and chest radiographs (CXR) and computed tomography (CT) are performed to confirm placement. Ultrasound (US) has not previously been used as a means to confirm intrathoracic placement of chest tubes. This study involves a novel application of US to demonstrate chest tubes passing through the pleural line, thus confirming intrathoracic placement. METHODS: This was an observational proof-of-concept study using a convenience sample of patients with TTs at a tertiary-care university hospital. Bedside US was performed by the primary investigator using first the low-frequency (5-1 MHz) followed by the high-frequency (10-5 MHz) transducers, in both 2-dimensional gray-scale and M-modes in a uniform manner. The TTs were identified in transverse and longitudinal views by starting at the skin entry point and scanning to where the TT passed the pleural line, entering the intrathoracic region. All US images were reviewed by US fellowship-trained emergency physicians. CXRs and CTs were used as the standard for confirmation of TT placement. RESULTS: Seventeen patients with a total of 21 TTs were enrolled. TTs were visualized entering the intrathoracic space in 100% of cases. They were subjectively best visualized with the high-frequency (10-5 MHz) linear transducer. Sixteen TTs were evaluated using M-mode. TTs produced a distinct pattern on M-mode. CONCLUSION: Bedside US can visualize the TT and its entrance into the thoracic cavity and it can distinguish it from the pleural line by a characteristic M-mode pattern. This is best visualized with the high-frequency (10-5 MHz) linear transducer.

Synthetic cannabinoid and cathinone use among US soldiers.

New hallucinogenic drugs of abuse, known generically as "spice" and "bath salts," have become readily available in the United States. Spice is one of many names that refers to a variety of synthetic cannabinoids that act on the body in a way similar to delta-9-tetrahydrocannabinol (THC). A large and complex variety of synthetic cannabinoids, most often cannabicyclohexanol, JWH-018, JWH-073, or HU-210, are used in an attempt to avoid the laws that make cannabis illegal, making synthetic cannabis a designer drug. Bath salts, on the other hand, is one of many names for a group of cathinone-containing hallucinogens that produces sympathomimetic effects in its users. Both have become popular among those seeking chemical euphorias with decreased chance of detection. Consequently, both have become a problem for maintaining mentally fit Soldiers, unit readiness, and morale in the US armed forces.

Eliminating common PACU delays.

This article discusses how one hospital identified patient flow delays in its PACU By using lean methods focused on eliminating waste, the team was able to improve patient flow. Lean thinking required the team to keep issues that were important to patients at top of mind. The improvements not only saved staff time, but they also helped the department prepare for the addition of six beds by focusing on methods to eliminate delays. The team, assigned by the vice president of surgical services, included a process engineer two decision support analysts, the PACU charge nurse, the nursing manager and ad hoc department nurses. The team recommended and implemented changes to improve operational effectiveness.