Europe continues to be affected by Russia’s aggression against Ukraine, which has brought about high inflation rates, surging energy prices and general geopolitical instability. All of these notonly impact the purchasing power of consumers but also disrupt markets and global supply chains. Despite this, the findings of this year’s report show that e-commerce still continues to grow. In fact, the turnover in European B2C e-commerce increased from €849bn in 2021 to €899bn in 2022, even though the growth rate did decrease from 12% in 2021 to 6% in 2022. That said, thegrowth rate for 2023 is forecast to slightly increase to 8%, with the turnover in European B2C e-commerce also continuing its positive growth tendency.
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Introduction Quality improvement in prehospital emergency medical services (EMS) can only be achieved by high-quality research and critical appraisal of current practices. This study examines current opportunities and barriers in EMS research in the Netherlands.
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Purpose: Resuscitation quality and pace depend on effective team coordination, which can be facilitated by adequate leadership. Our primary aim was to assess the influence of trauma team leader experience on resuscitation pace. Second, we investigated the influence of injury severity on resuscitation pace. Methods: The trauma team leaders were identified (Staff trauma surgeon vs Fellow trauma surgeon) and classified from video analysis during a 1-week period. Resuscitations were assessed for time to the treatment plan, total resuscitation time, and procedure time. Furthermore, patient and resuscitation characteristics were assessed and compared: age, gender, Injury Severity Score, Glasgow Coma Scale < 9, and the number (and duration) of surgical procedures during initial resuscitation. Correlations between total resuscitation time, Injury Severity Score, and time to treatment plan were calculated. Results: After adjustment for the time needed for procedures, the time to treatment plan and total resuscitation time was significantly shorter in resuscitations led by a Staff trauma surgeon compared to a Fellow trauma surgeon (median 648 s (IQR 472-813) vs 852 s (IQR 694-1256); p 0.01 resp. median 1280 s (IQR 979-1494) vs 1535 s (IQR 1247-1864), p 0.04). Surgical procedures were only performed during resuscitations led by Staff trauma surgeons (4 thorax drains, 1 endotracheal intubation, 1 closed fracture reduction). Moreover, a significant negative correlation (r: - 0.698, p < 0.01) between Injury Severity Score and resuscitation time was found. Conclusion: Experienced trauma team leaders may positively influence the pace of the resuscitation. Moreover, we found that the resuscitation pace increases when the patient is more severely injured.
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Events:Project meetings & trainings with the COMMITTED partners•Kick-off meeting at Hanze University of Applied Sciences, Groningen, 5 April 2022•Partner meeting & training at Technical University of Applied Sciences Würzburg-Schweinfurt, Wurzburg, 12- 14 Dec. 2022•Partner meeting & training at Moravian College Olomouc, 31 May – 2 June 2023•Partner meeting at Lappeenranta-Lahti University of Technology LUT, Kouvola, 18 Sept. 2023•Final partner meeting at Budapest Business University, Budapest, 18 March 2024Trainings for university staff and SMEs:•Deemed export compliance pilot training for university staff,1 Feb. 2024, IBS Hanze. •Deemed export compliance pilot training for SMEs, 12 Feb. 2024, IBS Hanze.Conference presentations:Project pitch at Conference of the Centre of Expertise Entrepreneurship, Hanze, May 21, 2024Workshops:Deemed export workshop at the annual Enterprise Europe Network (EEN) consortium day on June 27, 2024The proposed project will help companies, policy makers and university researchers and students involved in international projects for which export compliance is applicable, recognize the risks related to the dissemination/use of data, R&D results and other products of international cooperation. Such items regulated by export control regimes require preparedness and understanding what is necessary to comply with the rules, in order to prevent infringement, which can have profound negative consequences for all parties involved. EU calls for tailored guidance to address those distinct challenges (2021/821 Regulation) and the proposed project is inline with this need.