Notes

EAAT2 Appearance in the Hippocampus, Subiculum, Entorhinal Cortex and Exceptional Temporary Gyrus in Alzheimer's.
12 (95% confidence interval 0.60-7.50, P = 0.17). Collection of adverse events data was not a primary or secondary aim in any of the studies. We conclude that there is limited evidence to recommend the regular use of probiotics to minimise the risk of GBS colonisation. Results from ongoing studies are likely to add to the current existing evidence.
Handovers have been established as a valuable educational tool; nevertheless, a paucity of literature exists evaluating contributors to the educational experience. Our study aimed to investigate participants' educational experiences based on a paediatric handover, and the facilitators and barriers towards teaching and learning during this process.

A case study was conducted using semi-structured interviews. Data were collected exploring participants' perspectives of their educational experiences within a handover. An inductive, thematic content analysis was performed to identify key themes, assisted by nVivo software.

Four key themes contributing to the educational experience within a handover were identified related to the organisation of a handover, team dynamics, teaching and learning moments and tensions between the clinical tasks and education. A model is proposed aimed at optimising education within this context.

Our study identified contributing factors towards the educational experiences at handovers and provides strategies to optimise these.
Our study identified contributing factors towards the educational experiences at handovers and provides strategies to optimise these.
This study aimed to measure sound exposure during neonatal retrieval, determine whether this varied with mode of transport, and compare noise exposure to recommended levels in neonatal intensive care units. We also aimed to assess the acceptability of using a smartphone application to measure sound.

Neonatal retrieval service in Brisbane, Australia.

The Physics Toolbox Sensor Suite application was installed on a Samsung Galaxy S5 smartphone and calibrated for sound measurement. Data were collected during outbound, non-patient legs of 45 retrievals - 25 road, 11 fixed wing aircraft and 9 rotary aircraft journeys. Data were saved to cloud storage, then analysed using PostgreSQL database.

The median sound level was 83 dB (interquartile range 66-91; range 27-≥97 dB). Continuous equivalent sound (L
) was 90 dB across all journeys. Rotary transport was loudest (L
94 dB). Fixed wing (L
89 dB) and road (L
87 dB) journeys also resulted in significant sound exposure. Sound exceeded recommended levels (45 dB) for 99% of all journey time, regardless of the mode of transport.

Neonates encounter harmful sound levels during retrieval - louder than recommended levels for 99% of all retrieval time. Sounds levels were highest in rotary aircraft transport compared to fixed wing or road transport. It is feasible to use a calibrated smartphone application instead of a sound metre.
Neonates encounter harmful sound levels during retrieval - louder than recommended levels for 99% of all retrieval time. Sounds levels were highest in rotary aircraft transport compared to fixed wing or road transport. It is feasible to use a calibrated smartphone application instead of a sound metre.This is an Australia New Zealand Neonatal Network (ANZNN) wide survey to identify current practice and guide future practice improvement for the use of laryngeal mask airway (LMA) during neonatal resuscitation. An online questionnaire containing 13 questions was sent out to all tertiary neonatal centres (n = 29 units) and neonatal transport units (n = 4) within ANZNN. The non-tertiary (level-II) centres were not included. Response from a senior neonatologist at each centre was received and evaluated. Twenty-two services (67%) had LMA available; of that only, 40% felt the competency of staff to be adequate; and 59% had routine training in LMA use. During neonatal resuscitation, 68% units reported using LMA if endotracheal intubation was unsuccessful after two or more failed intubation attempts and only 18% used it before intubation if face mask ventilation was inadequate. This survey highlighted variations in practice across the tertiary neonatal centres in ANZNN network. check details One-third of the units lack LMA availability and the units with LMA, face concerns of underutilisation and lack of skills for its use.Fellowship examinations are a potentially stressful part of clinical training. While they may feel at the time to be a test of academic fortitude and endurance, they also establish the foundation knowledge essential for a career in paediatrics. We reflect on the important role of the study group in this process, and the far-reaching benefits of peer support and sticking together, for the exam and beyond.
Inappropriate use of telemetry frequently occurs in the inpatient, non-intensive care unit setting. Telemetry practice standards have attempted to guide appropriate use and limit the overuse of this important resource with limited success. Clinical-effectiveness studies have thus far not included care settings in which resident-physicians are the primary caregivers.

We implemented two interventions on general internal medicine units of an academic hospital. The first intervention, or nurse-discontinuation protocol, allowed nurses to trigger the discontinuation of telemetry once the appropriate duration had passed according to practice standards. The second intervention, or physician-discontinuation protocol, instituted a best-practice advisory that notified the resident-physician via the electronic medical record when the appropriate telemetry duration for each patient had elapsed and suggested termination of telemetry. Data collection spanned 8 months following the implementation of the nurse-discontinuaing literature by demonstrating the impact that nurse-managed protocols can have on telemetry use and by highlighting effective strategies to improve telemetry use by physicians in training.
These findings expand our understanding of telemetry use in the academic care setting in which trainees serve as the primary caregivers. Furthermore, these findings represent an important addition to the telemetry and patient monitoring literature by demonstrating the impact that nurse-managed protocols can have on telemetry use and by highlighting effective strategies to improve telemetry use by physicians in training.
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