Fibre Reinforced Plastic

Fiber Reinforced Plastic Another and more grounded approach is being created in the journey to have increasingly solid structures, combined with the appearance of improved composite materials. Another methodology that uses fiber fortified plastic (FRP) is at the focal point of the progressing headways. The FRP strategy is better than earlier materials since the composite material has better mechanical properties. The FRP, along these lines, discovers more use in a scope of structures, including brick work dividers, shafts, pieces and sections, among others.Advertising We will compose a custom article test on Fiber Reinforced Plastic explicitly for you for just $16.05 $11/page Learn More Improving and adjusting strengthened solid structures is normally extremely trying for urban designers. The continually developing plan codes, just as common occasions that lead to wearing out of strengthened solid structures because of ecological introduction modifies most solid structures. Scaffolds and other common structu res typically present a great deal of issues with regards to keeping up, updating or restoring them. Making substitutions of crumbled structures is an exorbitant exercise that requires work and new materials. This disadvantage is intensified by the way that supplanting these structures disturbs people groups day by day lives. Resultantly, it is prudent to do retrofitting as an update choice on the structures. While picking the strategy for reinforcing the structures, one needs to think about various variables. It is foremost to consider the quality required for the structure before choosing the fortifying strategy. Furthermore, it is imperative to think about the adjustment in the solidness of the part to be reinforced. It is likewise astute to think about the natural conditions around the part to be reinforced. At long last, the multifaceted nature of the state of the part ought to be utilized to decide the fortifying technique to be utilized. Considering the above contemplations, outside parts are exceptionally helpful for reinforcing concrete basic individuals. This requires the utilization of FRP composite, which is clung to the pressure face. One can likewise utilize steel plates for solid structures. There has been expanding inclination for FRP composites instead of steel plates as frameworks for fortifying cement. This is on the grounds that FRP composites have higher solidarity to weight proportion contrasted with steel. Additionally, FRP composites can be handily taken care of and introduced. In explicit, FRP composites are adaptable enough to fit into complex plans. At long last, FRP composites are desirable over steel plates since they are increasingly impervious to ecological conditions.

The Growth of Tourism

Universal air charges are falling. An ever increasing number of managers are offering occasion qualifications. Obviously, the quantity of individuals who travel to colorful occasion goals over the world is on the ascent. The travel industry has seen enormous development in the course of the most recent couple of years. What's more, it would appear that it will proceed with this upward pattern. So what are the preferences and burdens of this pattern? The development in the travel industry segment has numerous points of interest. In numerous pieces of the world the travel industry has made a greater number of employments than some other industry. The travel industry causes nations to gain significant outside exchange.Tourism has likewise helped in the conservation of numerous legacy structures and fine arts which would, something else, have passed on suddenly and completely. For instance, numerous ethnic Indian move structures would have kicked the bucket in the event that they hadnâ⠂¬â„¢t got the support of remote voyagers. The travel industry advances social comprehension. As individuals travel to different nations, they get a chance to find out about different societies and convictions. Intercultural understanding is in every case useful for worldwide agreement. On the other side, the travel industry has a few hindrances as well. In numerous nations, especially those in the immature world, ourism has prompted the foundation of some ethically faulty practices. For instance, numerous visitor hotspots in Asia and Latin America are currently equivalent with prostitution and illicit betting. Traveler hotspots are additionally tormented by issues like robbery, damaged asking and medication misuse. In any case, these burdens are nothing contrasted with the focal points and it doesn’t take a great deal of endeavors to see that travel industry has a bigger number of advantages than downsides. Offer on print Share on facebook Share on stumbleupon Share on twitt er Share on email Share on gmail More Sharing Services

A Review of College Term Paper Help

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Hero Myth †Achilles Essay

The idea of the legend is as old as fantasy itself. Since forever the two ideas have developed together. Fantasies tell stories of the undertakings of man, as often as possible the child of a divine being or goddess and a human, who is blessed with extraordinary guarantee and bound to perform incredible accomplishments. Regularly these accomplishments include demonstrations of salvage, war or security. This courageous fantasy is established in the perfect of familial sentiment. Especially during puberty it supports and communicates the recognizable proof of the conscience with romanticized symbolism. The legend fantasies have been utilized for quite a long time to instruct and prepare adolescents as parts of establishments and gatherings. One case of a legend is Achilles, put on the map through Homer’s epic Illiad. While we may not take a gander at legends today in indistinguishable manners from our antiquated progenitors, the saint fantasy is as yet fit as a fiddle in our way of life today. Achilles was the saint of the Trojan war as related by Homer in the Illiad. He was the mightiest of the Trojan warriors. He started life as a mythical being, the child of Peleus, the ruler of the Myrmidons and a human, and Thetis who was a Nereid. The Myrmidons were incredible warriors, exceptionally talented and courageous. Nereids are ocean sprites being the girls of Nereus and Doris. Thetis was worried that her child was a human. In this manner she endeavored to make him everlasting. There are two accounts of how she wet about this. The lesser-realized story is that she consumed him in a fire daily and afterward mended his injuries with an enchanted ambrosia. The more notable story is that she held him firmly by the heel and submersed him in the waterway Styx. This made his whole body immune with the exception of the spot on his heel where she held him while he was in the waterway. During Achilles’ childhood, a diviner named Calchas forecasted that Troy would not fall without assistance from Achilles. Realizing that he would bite the dust on the off chance that he went to Troy, Thetis sent Achilles to the court of Lycomedes in Scyros. He was covered up there in the appearance of a little youngster. While at the court he had a sentiment with Deidameia who was the little girl of Lycomedes. The outcome was a child who was named Pyrrhus. The mask at long last reached a conclusion when Odysseus uncovered Achilles by setting arms and defensive layer among a presentation of female articles of clothing and chose Achilles when he was the main â€Å"female† to be keen on the war hardware. Achilles at that point eagerly joined Odysseus on the excursion to Troy. He drove a large group of his father’s Myrmidon troops notwithstanding his utor Phoenix and his companion Patroclus. Once in Troy, Achilles immediately picked up the notoriety for being an undefeatable warrior. One of his most remarkable accomplishments was the catch of 23 Trojan towns. One of these was Lyrnessos where he claimed a war reward as a lady named Briseis. The focal activity of the Illiad was started when Agamemnon, the pioneer of the Greeks, had to surrender his war-prize lady, Chryseis, by a prophet of Apollo. As pay for the loss of Chryseis, Agamemnon took Briseis from Achilles. Along these lines irritated, Achilles would not keep battling for the Greeks. With Achilles’ withdrawal from the activity, the war began to go seriously for the Greeks and they offered enormous reparations to attempt to bait back their most prominent warrior. Achilles kept on declining to rejoin the war, in any case, he agreed to permit his dear companion Patroclus to wear his arms and protective layer and battle in his place. The following day Hector, a Trojan legend, confused Patroclus with Achilles and killed Patroclus. Achilles was immersed with rage at Hector and devoured by pain for his friend’s demise. Thetis went to Hephaestus and acquired fantastic new protective layer for Achilles. Achilles recommenced battling and slaughtered Hector. Not happy with Hector’s demise, Achilles utilized his chariot to drag the body before the dividers of Troy and declined the carcass burial service ceremonies. Hector’s father Priam, the ruler of Troy, went subtly to the Greek camp to ask the arrival of the body. At last, Achilles yielded and permitted Priam to take Hector’s remains. After Hector’s demise time began to run out for Achilles. He kept on battling nobly and murdered numerous Trojans just as their partners. In the end, Paris, who was another of Priam’s children, enrolled the guide of Apollo and injured Achilles in his shaky area †the heel †with a bolt. This caused Achilles passing. The suffering legend from the tale of Achilles has to do with the idea of the Achilles’ heel. An Achilles’ heel has come to imply that in spite of by and large quality, there is a human shortcoming that can prompt one’s destruction. While the first fantasy alludes to a physical shortcoming, in present day times it has come to reference different kinds of character defects or characteristics that can cause ruination. The idea of the saint has changed to some degree in our cutting edge culture. Rather than brave individuals who evade patterns and conventions so as to support their families, countries or societies, today we will in general love individuals like games figures and on-screen characters. While we have the incidental government or political pioneer, for example, Winston Churchill, Martin Luther King or Nelson Mandela, the vast majority of what you find out about is who is getting the most cash because of their games or acting capacity. The idea of the games figure saint can have some legitimacy as these figures do once in a while defeat extraordinary chances and perform brave accomplishments on the cutting edge â€Å"battlefield†, I. e. , the games field. Be that as it may, this is nothing contrasted with the accomplishments of the antiquated legends. Legend fantasies are amazing stories from old occasions. So ground-breaking are they that they cross societies and ages, proceeding to impact us today. Achilles was one of the extraordinary legends of antiquated occasions as the mightiest warrior of the Trojan war. While who we group as a saint has changed in our advanced social orders, we despite everything look to the idea today. We show youngsters saints as a strategy to rouse them. We look to our legends as grown-ups to give us direction and to give us something to control our deepest desires. While present day legends may not be of Achilles’ status, they stay a necessary piece of our societies.

Antipsychotic Medication Chronic Mental Disorders

Question: Examine about the Antipsychotic Medication for Chronic Mental Disorders. Answer: Presentation Non-adherence with antipsychotic prescription happens in all the constant mental issue. It is related to social disengagement, shame, wretchedness, negative considerations, and intellectual hindrance. Non-adherence to prescription augmentations the danger of backslide, re-hospitalization, self-damage, and brings down the personal satisfaction. The issues with non-adherence to antipsychotic meds are not taking the meds, avoiding the meds, not taking the suggested doses, and at times taking abundance medicine. The mediations to address up the adherence issues require parcel of tolerance and endeavors (Simpson et al., 2006). The basis is to improve the personal satisfaction of the patients and diminishing the signs which are the prime obligation of the medical caretakers just as the specialists. Mediations to bother the adherence are psycho training, psychosocial intercessions, antipsychotic infusions, updates, and money related help. The nursing mediations to expand adherence are end u p being useful in decreasing the signs and side effects to a bigger degree. To assist the patient with adhering to the counter insane prescriptions require nursing intercessions just as the help from family (Day et al., 2015). The degree of non-adherence to antipsychotic meds is for the most part found in antipsychotic issue like Schizophrenia. In spite of the fact that the non-adherence is increasingly reliant fair and square of signs and side effects. Survey of writing Notwithstanding the revelation of antipsychotic drugs, a large portion of the individuals with insane disarranges stay unwell. Non-adherence to prescription is the significant issue. Non-adherence is basic to all the insane patients everywhere throughout the world and is the significant purpose for rehashed hospitalization and backslides. Studies have appeared with in the primary year of treatment around half quits taking the antipsychotic prescription and around 75% stops in the following year. Hypothetically, it is seen improving adherence improve the viability be that as it may, examines show tending to the non-adherence has demonstrated better result in patients (Kronish, Edmondson, Cohen, 2012). Numerous meta-investigation examines show non-adherence is influenced by factors like individual, the earth, and the medicinal services administrations (Coleman et al., 2012). Singular variables are negative pondering clinical treatment, short sickness, substance misuse and so on. Natura l elements are poor helpful relationship, and poor after release care. Treatment factors incorporate drug type, course of organization, and high portion. Different elements are age, ethnicity, conjugal status, proficiency, family, and disposition. Orderly audit of prescription adherence in regards to contemplates directed from 1980 to 2000 explains compelling mediation (Barnes et al., 2008). They recommend consolidating training alongside social or rousing methodology or bolster administrations increment adherence. It has lead to transient adherence yet at the same time the long haul adherence mediations are not fruitful. Studies state the basic and best intercession is to phone customers to remind them for arrangements. Psychological conduct treatment when added to consistence treatment had been demonstrated productive. Consistence treatment comprises 4 to 5 meetings including CBT, persuading interviews, psycho training focusing on helpful relations, and customers knowledge. Confirmations recommend mediations that are cooperating, organizing individual considerations and convictions, and concentrating on shoppers conviction about treatment achieves compelling adherence (Vrijens et al., 2012). All the discoveries have comprehe nded the momentary adherence yet adherence for a significant stretch is as yet uncertain. Perception, investigation, and assessment Watching the investigations of 1980-1999, it very well may be finished up psychoeducation has little impact on adherence until they are done with social and subjective intercessions. In the previous decades significance was given to settle the intellectual hindrances more. It included SMS updates, telephonic mediations by medical caretakers and subjective adaption preparing. Improved correspondence innovation and to lessen the weight of clinical treatment was the focal point of study in past decades. Studies after 2000 state network mediation and family intercession realizes an attractive positive adherence in the patients. In this decade customer, network attendants, and family were incorporated to expand the adherence to the antipsychotic drugs. Giving administration preparing to the attendants and instructing the relatives about the conditions and prescription was concentrated broadly to get attractive outcomes. The methodology was an aggregate one in order to show signs of improv ement results. On investigating the examinations it tends to be seen the examinations in 1980-1999 was concentrates just on customer. In this the all the measures were taken uniquely on the purchaser to build adherence. The premise was medicine and adherence. In the multi decade the center included customer, family, and the medical attendants. This endeavor and approach was progressively productive to the patients as there were not over pressurized and troubled. The methodology tended to adherence as well as like help, love, and care to the patient (Buckley et al., 2009). Subsequently, it was hard to break down which parts were basic to build adherence. The intercessions depended on adherence as well as on improving the personal satisfaction of the patients. Further, it tends to be seen that the investigations were heterogeneous in configuration along these lines drawing out the result was troublesome. The roundabout proportions of adherence such as self report, specialist report and guardian repor t were less dependable than the immediate estimates like electronic records, measure of the drug levels, and pill tallies. The abstract reports were overestimating the adherence. Assessing the inquires about, a few ends can be made. First is the intercessions that are for long span and comprise of more meetings, and particularly the ones that centers just around adherence appears to give more fruitful improvement than the mediations those are for brief lengths. Second is executing critical thinking mediations that comprises of specialized guides improve the adherence even in serious incessant conditions like Schizophrenia. Third is the impacts of inspiration meeting in consistence treatment is reasonable in giving positive outcomes. Despite the fact that, the inspiration toward the end in the buyers for a brief span (Richardson, McCabe Priebe, 2013). At long last, apparently the heterogeneity of elements identified with non-adherence calls for independently custom-made ways to deal with advance adherence. Confirmations show non-adherence brings about bothersome poor results so quality work is still to be done around there. The issue must be comprehended on re liable premise. More investigation and profound intercessions that keep going for a more drawn out timeframe are required for such insane patients. References Barnes T.R.E., Leeson V.C., Mutsatsa S.H., et al. (2008) Duration of untreated psychosis and social capacity: 1-year follow-up investigation of first-scene schizophrenia. The British Journal of Psychiatry 193, 203209 Buckley P.F., Foster A., Patel N.C., et al. (2009) Adherence to Mental Health Treatment. Oxford University Press, Oxford, NY Coleman C.I., Limone B., Sobieraj D.M., et al. (2012). Dosing recurrence and prescription adherence in interminable infection [Review]. J Manage Care Pharm, 18:527539. Day J.C., Bentall R.P., Roberts C., Randall F., Rogers A., Cattell D., Healy D., Rae P., Power C. (2015). Perspectives toward antipsychotic drug the effect of clinical factors and associations with wellbeing experts. Curve Gen Psychiatry, 62: 717-724 Kronish I.M., Edmondson D., Li Y., Cohen B.E. (2012). Posttraumatic stress issue and prescription adherence: results from the Mind Your Heart Study. J Psychiatr Res, 46:15951599. Richardson M., McCabe R., Priebe S. (2013). Are perspectives towards prescription adherence related with drug adherence practices among patients with psychosis? A precise audit and meta examination. Soc Psychiatry Psychiatr Epidemiol, 48:649657. Simpson S.H., Eurich D.T., Majumdar SR., et al. (2006). A meta-examination of the relationship between adherence to tranquilize treatment and mortality. BMJ; 333:15. Vrijens B,, De Geest S., Hughes D.A., et al. (2012). Another scientific categorization for depicting and characterizing adherence to drugs. Br J Clin Pharmacol, 73:69170

Branches Of The Federal Government Of The United States Of America - 550 Words

Branches Of The Federal Government Of The United States Of America (Essay Sample) Content: BRANCHES OF THE FEDERAL GOVERNMENT STUDENT NAME: SAMUEL MUTHUI NAME OF THE UNIVERSITY DATE: 12/10/2018 The federal government of the United States of America (U.S.A) is made up of three branches as per the constitution of the country. The branches are namely the executive, the legislature and the judiciary. The executive refers to the president and other senior workers usually about 5000000. The legislature, also called the house of representation and the senate is made up of the elected members and nominated members. The third branch, the judiciary is made up of all the courts. The legislature This is the arm of government which makes laws and confirms or throw-outs presidential appointments. It has also been given the mandate to declare war if need be [USA official site 2018]. According to the constitution the legislature consists of two houses. The houses are namely the senate and the house of representation. The house of representatives consists of 435 elected members from all the 50 states of the country. It also consists of unelected members who represent the District of Columbia and its territories. The senate consists of the elected senators usually 100 in number. An elected senator serves for a period of 6 years per term however no limit of the number of terms one can serve Wood (Gordon s. 1998). The judiciary It is a branch of the federal government which interprets the law. It also applies the low to individual situations. It consists of the Supreme Court which is the highest court in the country and other federal courts. The judiciary is headed by the chief justice. Supreme Court is the highest court in the country. The judges of the Supreme Court are appointed by the president and approved by the legislature. Supreme Court is made up of nine (9) members. The nine include the chief justice and other 8 associate justices. A minimum of six judges is required in order to come up with a court’s decision through voting. If the number is even and the case results in a tie then the lower court’s decision decides. There is no fixed period that a justice can serve. A jud...

Australian Ambulance Services Essay - 1650 Words

Australian Ambulance Services (Essay Sample) Content: Australian ambulance services adult cardiac arrest clinical practice guidelines are created according to best practice using credible evidenceAuthorClass NameProfessorInstitution AffiliationCity/StateDateIntroductionAmbulance Victoria has been providing ambulance services in Victoria since 2008 serving a population of more than 5.5 million peopleADDIN CSL_CITATION { "citationItems" : [ { "id" : "ITEM-1", "itemData" : { "author" : [ { "dropping-particle" : "", "family" : "Report", "given" : "", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" } ], "container-title" : "2012-2013 Annual report", "id" : "ITEM-1", "issued" : { "date-parts" : [ [ "2012" ] ] }, "title" : "Ambulance Victoria 2012-2013 annual report", "type" : "article-journal" }, "uris" : [ "/documents/?uuid=fe67ccd2-79ee-4299-a82b-e9f88ab556ab" ] } ], "mendeley" : { "formattedCitation" : "(Report 2012)", "plainTextFormattedCitation" : "(Report 2012)", "previouslyFormattedCitation" : "(Repor t 2012)" }, "properties" : { "noteIndex" : 0 }, "schema" : "https://github.com/citation-style-language/schema/raw/master/csl-citation.json" }(Report 2012). Because of the large size it reaches on, and the critical nature of the services ambulance and first aiders offer, it is important that they operate under universally accepted and verified guidelines. This would ensure that there is standardisation in service delivery among medical personnel, to avoid adverse effects that could result in a confused system. Ambulance Victoria is one among the Australian ambulance services that operates under stipulated guidelines. The working paper sets to analyze whether guidelines used by Australian ambulance services are based on best practice. With reference to Chapter 2 of the Clinical Practice Guidelines for Ambulance and MICA Paramedics, the working paper will analyze ROSC management under cardiac arrest as a clinical practice guideline. The paper will begin with a review of the stipulated protocol for ROSC management as outlined in the Clinical Practice Guidelines for Ambulance and MICA Paramedics before selecting one element in the and assessing its relevance to other literary material, The working paper will the conclude with a recap of the findings from the correlation of the guidelines with literature review.Analysis of ROSC guidelines in the handbookReturn of spontaneous circulation (ROSC) management is carried out after one has just had a cardiac arrest and involves resuming of cardiac activity with an aim of having a respiratory effect. According to the guidelines, it is recommended that the paramedic initiates ROSC management through in a sequence of four steps: unintubated, perfusion mix, therapeutic cooling and finally transport ADDIN CSL_CITATION { "citationItems" : [ { "id" : "ITEM-1", "itemData" : { "author" : [ { "dropping-particle" : "", "family" : "Victoria", "given" : "Ambulance", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" } ] , "chapter-number" : "Cardiac Ar", "container-title" : "Clinical Practice Guidelines for Ambulance and MICA Paramedics", "edition" : "Revised", "id" : "ITEM-1", "issued" : { "date-parts" : [ [ "2014" ] ] }, "page" : "19-25", "publisher" : "Ambulance Victoria", "publisher-place" : "Doncaster, Victoria", "title" : "Clinical Practice Guidelines for Ambulance and MICA Paramedics", "type" : "chapter" }, "uris" : [ "/documents/?uuid=2e3c4447-f39d-452c-b8b6-4aada789f4ee" ] } ], "mendeley" : { "formattedCitation" : "(Victoria 2014)", "plainTextFormattedCitation" : "(Victoria 2014)", "previouslyFormattedCitation" : "(Victoria 2014)" }, "properties" : { "noteIndex" : 0 }, "schema" : "https://github.com/citation-style-language/schema/raw/master/csl-citation.json" }(Victoria 2014). The following section discusses the four steps as outlined in the guideline: * UnintubatedThe unitubated step is initiated when the GCS (Glasgow Coma Score) Collapses. It may fall or rise. In case it rises to 10/60 t he paramedic is required to initiate endotracheal intubation notably if the coma persists despite initial oxygenation efforts. In case it falls below 10/60, it is required that 10/60it is usually no therapeutic cooling. It is recommended that the paramedic follows Rapid Sequence Intubation in the event that coma persists despite the oxygenation attempts. This would ensure safety in delivery of services. * Perfusion managementIn the second step, the perfusion management is done to maintain blood pressure, usually at above 120mmHg or the default patientà ¢Ã¢â€š ¬s blood pressure if it can be determined. The action recommended for paramedics is to use normal saline and adrenaline infusions. The recommended general care for adrenaline infusion is 50mcg per minute to manage the patients. It is stressed that the paramedic should ensure that the delivery system if fully operational. Alternatively, the infusion could be in the form of adrenaline infusion in which case 3 milligram of adrena line is added to make 50 milliliters with 5 percent dextrose or normal saline. Then it is stipulated that the patientà ¢Ã¢â€š ¬s heart rate be monitored. The precaution at thus step is that the paramedic should not administer amiodarone unless in the occurrence of a breakthrough in ventricular fibrillation or ventricular tachycardia. * Therapeutic coolingIt is initiated by occurrence of any of these conditions: the patient is intubated, the patientà ¢Ã¢â€š ¬s ROSC has collapsed to more than 10/60, the temperature of the patient has risen to above 34.5 degrees Celsius, there is no pulmonary oedema and when the cardiac arrest in due to other causes other than bleeding. The recommended protocol for paramedics at this stage is to assess the patient temperature and perform sedation or paralysis using either midazolam or pancuronium both intravenously. The recommended dose of midazolam is 1-5 milligram while the recommended dose of pancuronium is 8 milligram. The subject should then be placed on a rapid infusion of up to 2000 milliliters of normal saline intravenously. The process should, however, be ceased on the occurrence of acute pulmonary oedema and the patient treated for oedema. The patientà ¢Ã¢â€š ¬s temperature should, in all cases, be maintained at 32-34 degrees Celsius at all times in this step. * TransportThis is the fourth step in the ROSC management protocol. The paramedic is recommended to make an early notification to the appropriate receiving hospital about the state of the patient. If available, it is recommended that the patient be placed on a 12-lead electrocardiogram.DiscussionGuidelines used by resuscitation ambulances are based on best practice. This section will analyse the relevance of the stated argument by examining therapeutic cooling, the third step in ROSC management. The analysis will draw on the medical literature and current research as the basis to support the guidelines. The discussion will be based on factors used in forming th e guideline that will be listed and given an insight. 1 Technique for initiating hypothermiaIn the guideline, it is recommended that the patientà ¢Ã¢â€š ¬s temperature be maintained at 32-34 degrees Celsius. This was to be done using infusions, particularly normal saline. In a different study, it was found out that cold-fluid infusion was the most commonly used technique accounting for 80 percent of all the techniques used for initiation of therapeutic hypothermia after out-of-hospital cardiac arrest ADDIN CSL_CITATION { "citationItems" : [ { "id" : "ITEM-1", "itemData" : { "DOI" : "10.1111/j.1399-6576.2009.02021.x", "ISSN" : "1399-6576", "PMID" : "19549271", "abstract" : "BACKGROUND: Therapeutic hypothermia (TH) after cardiac arrest protects from neurological sequels and death and is recommended in guidelines. The Hypothermia Registry was founded to the monitor outcome, performance and complications of TH.\n\nMETHODS: Data on out-of-hospital cardiac arrest (OHCA) patients admitte d to intensive care for TH were registered. Hospital survival and long-term outcome (6-12 months) were documented using the Cerebral Performance Category (CPC) scale, CPC 1-2 representing a good outcome and 3-5 a bad outcome.\n\nRESULTS: From October 2004 to October 2008, 986 TH-treated OHCA patients of all causes were included in the registry. Long-term outcome was reported in 975 patients. The median time from arrest to initiation of TH was 90 min (interquartile range, 60-165 min) and time to achieving the target temperature ( or =34 degrees C) was 260 min (178-400 min). Half of the patients underwent coronary angiography and one-third underwent percutaneous coronary intervention (PCI). Higher age, longer time to return of spontaneous circulation, lower Glasgow Coma Scale at admission, unwitnessed arrest and initial rhythm asystole were all predictors of bad outcome, whereas time to initiation of TH and time to reach the goal temperature had no significant association. Bleeding re quiring transfusion occurred in 4% of patients, with a significantly higher risk if angiography/PCI was performed (2.8% vs. 6.2%P=0.02).\n\nCONCLUSIONS: Half of the patients survived, with 90% having a good neurological function at long-term follow-up. Factors related to the timing of TH had no apparent association to outcome. The incidence of adverse events was acceptable but the risk of bleeding was increased if angiography/PCI was performed.", "author" : [ { "dropping-particle" : "", "family" : "Nielsen", "given" : "N", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Hovdenes", "given" : "J", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Nilsson", "given" : "F", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Rubertsson", "given" : "S",...