Apart from department size, the latter may also be influenced by systemic problems connected with increased workload, financial and time pressure such as the DRG system which was only operative in Germany.
They are systemic, organisational and connected to how the high volume of work is managed and the audit culture that limits the time available to do quality work, all in the context of the cuts that are placing increasing demands on services.
Secondary endpoint was the absence of local or systemic side effects connected with the use of the BAG.
Endpoints were the absence of infection recurrence/persistence at follow-up, no need for further surgery whenever during follow-up and absence of local or systemic side effects connected with the BAG use.
Simply put, what's missing is a systemic connection between all these initiatives an enabling mechanism that allows us to not only connect the dots, but also to see ourselves, and the significance of our work, from the whole.
The proximal and distal ports of the pulmonary artery catheter and the systemic artery catheter were connected to strain-gauge manometers that provided continuous measurements of right atrial, pulmonary, and systemic arterial pressures, respectively.
Lifeline damage assessment provides a good example to show how physical, organisational and systemic vulnerabilities are intimately connected one to the other.
As systemic risk of highly connected financial firms in the CDS (or any other) financial markets is not priced into their holding of capital and collateral, we design a super-spreader tax based on eigenvector centrality of the banks which can mitigate potential socialized losses.
Interventional lung assist (iLA; Novalung, GmbH, Talheim, Germany), a pumpless arterio-venous extracorporeal membrane for CO2 removal, was connected without systemic anticoagulation.
Importantly, some of the genes regulating hormonal stimuli and stress response were also identified as NP-responsive and connected with systemic acquired response (SAR), an enhanced immunity in tissues remote from the initial infection site [ 19, 20].
