With five wins on the bounce at the Le Mans 24 Hours, Toyota has banished its past misfortune at the event. And, as gazzasportscars writes, the Japanese manufacturer is keen to continue its success against increased competition in the Hypercar class ✍️
The Japanese giant needed convincing about sportscar racing. Then, once it was in, it suffered appalling luck at Le Mans. But now it’s a five-time 24 Hours winner and keen to continue its success against increased manufacturer competition in the Hypercar classThe word ‘Toyota’ written large across the nose of the two cars wasn’t necessarily what it seemed.
The Fuji 1000Km round of the World Endurance Championship in October 1983 was ground zero in the story of Toyota’s bid for glory at the Le Mans 24 Hours. No one could have predicted that it would take 35 years for the marque to bag the biggest prize in sportscar racing, or that its maiden victory in 2018 would be the first of five in a row.
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Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort studyObjective To determine whether long weekly work hours and shifts of extended duration (≥24 hours) are associated with adverse patient and physician safety outcomes in more senior resident physicians (postgraduate year 2 and above; PGY2+). Design Nationwide, prospective cohort study. Setting United States, conducted over eight academic years (2002-07, 2014-17). Participants 4826 PGY2+ resident physicians who completed 38 702 monthly web based reports of their work hours and patient and resident safety outcomes. Main outcome measures Patient safety outcomes included medical errors, preventable adverse events, and fatal preventable adverse events. Resident physician health and safety outcomes included motor vehicle crashes, near miss crashes, occupational exposures to potentially contaminated blood or other bodily fluids, percutaneous injuries, and attentional failures. Data were analysed with mixed effects regression models that accounted for dependence of repeated measures and controlled for potential confounders. Results Working more than 48 hours per week was associated with an increased risk of self-reported medical errors, preventable adverse events, and fatal preventable adverse events as well as near miss crashes, occupational exposures, percutaneous injuries, and attentional failures (all P|0.001). Working between 60 and 70 hours per week was associated with a more than twice the risk of a medical error (odds ratio 2.36, 95% confidence interval 2.01 to 2.78) and almost three times the risk of preventable adverse events (2.93, 2.04 to 4.23) and fatal preventable adverse events (2.75, 1.23 to 6.12). Working one or more shifts of extended duration in a month while averaging no more than 80 weekly work hours was associated with an 84% increased risk of medical errors (1.84, 1.66 to 2.03), a 51% increased risk of preventable adverse events (1.51, 1.20 to 1.90), and an 85% increased risk of fatal preventable adverse events (1.85, 1.05 to 3.26). Similarly, working on
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