These nanoparticles comprise a promising option to enhance the
response of carcinoma cells to therapy with ionising irradiation.”
“Aim of the study: The introduction of a paediatric Medical Emergency Team (pMET) was accompanied by integration of weekly in situ simulation team training into routine clinical practice. On a rotational basis, all key ward staff participated in team training, which focused on recognition of the deteriorating child, teamwork and early consultant review of patients with evolving critical illness. This study aimed to evaluate the impact of regular team training on click here the hospital response to deteriorating in-patients and subsequent patient outcome.
Methods: Prospective cohort study of all deteriorating in-patients of a tertiary paediatric hospital requiring admission to paediatric intensive care (PICU) the year before, and after, the introduction of pMET and concurrent team training.
Results: Deteriorating patients were: recognised more promptly (before/after pMET: median time 4/1.5 h, p < 0.001), more
often reviewed by consultants (45%/76%, p = 0.004), more often transferred to high dependency care (18%/37%, p = 0.021) and more rapidly escalated to intensive care (median time 10.5/5 h, p = 0.024). selleck chemical These improved responses by ward staff extended beyond direct involvement of pMET.
There was a trend towards fewer PICU admissions, reduced level of sickness Selleckchem LY2606368 at the time of PICU admission, reduced length of PICU stay and reduced PICU mortality. Introduction of pMET coincided with significantly reduced hospital mortality (p < 0.001).
Conclusions: These results indicate that lessons learnt by ward staff during regular in situ team training led to significantly improved recognition and management of deteriorating
in-patients with evolving critical illness. Integration of in situ simulation team training in clinical care has potential applications beyond paediatrics. (C) 2012 Elsevier Ireland Ltd. All rights reserved.”
“Enterococci are uncommon etiologic agents of central nervous system infections. We describe a case of nosocomial encephalitis and concurrent cerebellitis associated with Enterococcus faecium in a man, with extranodal natural killer/T-cell lymphoma, nasal type, who underwent high-dose chemotherapy and autologous peripheral blood stem cell transplantation. Brain magnetic resonance images showed lesions in the bihemispheral cerebellar cortex with swelling and several small lesions in both cerebral hemispheres. The blood and cerebrospinal fluid cultures were positive for vancomycin-resistant E. faecium. Vancomycin-resistant E. faecium can cause encephalitis and concurrent cerebellitis in an immunocompromised patient who underwent autologous peripheral blood stem cell transplantation.