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Code blue

Shady A Rehim, Stephanie DeMoor, Richard Olmsted, Daniel L Dent, Jessica Parker-Raley
BACKGROUND: Hospital action teams comprise interdisciplinary health care providers working simultaneously to treat critically ill patients. Assessments designed to evaluate communication effectiveness or "nontechnical" performance of these teams are essential to minimize medical errors and improve team productivity. Although multiple communication tools are available, the characteristics and psychometric validity of these instruments have yet to be systematically compared. OBJECTIVE: To identify assessments used to evaluate the communication or "nontechnical" performance of hospital action teams and summarize evidence to develop and validate these instruments...
October 19, 2016: Journal of Surgical Education
Encarni Marcos, Satoshi Tsujimoto, Aldo Genovesio
The estimation of space and time can interfere with each other, and neuroimaging studies have shown overlapping activation in the parietal and prefrontal cortical areas. We used duration and distance discrimination tasks to determine whether space and time share resources in prefrontal cortex (PF) neurons. Monkeys were required to report which of 2 stimuli, a red circle or blue square, presented sequentially, was longer and farther, respectively, in the duration and distance tasks. In a previous study, we showed that relative duration and distance are coded by different populations of neurons and that the only common representation is related to goal coding...
October 19, 2016: Journal of Neurophysiology
Andrew A M Ibey, Derek Andrews, Barb Ferreira
The authors present a case in which a physical anomaly with an infusion pump resulted in an unforeseen fault that the nurse's attempts to resolve unknowingly exacerbated. This case study presents the first report in the literature to detail the difficulty in recreating a patient safety event using smart pump logs, support server continuous quality improvement (CQI) data, and the drug order entry system to elucidate the clinical scenario. A 75-year-old male patient presented to a major teaching hospital and was admitted to the intensive care unit (ICU) with a massive gastrointestinal bleed and myocardial infarction, then stabilized...
December 2016: Drug Saf Case Rep
C Y Ma, H Y Ma, G J Ren, W Wang, W Chen, J X Lu, X Zou, L B Ma
This study determined the mitochondrial genome structure of the blue swimming crab (Portunus pelagicus), and elucidated its phylogenetic relationships among the species within the order Decapoda. The complete mitochondrial genome was 16,155 bp long, and contained 13 protein-coding genes, 22 transfer RNA genes, 2 ribosomal RNA genes, and 1 DNA control region. The gene order of the genome was the same as that found within the family Portunidae. Twenty-three genes were on the heavy strand and 14 were on the light strand...
August 19, 2016: Genetics and Molecular Research: GMR
Olesya Yu Shoeva, Hans-Peter Mock, Tatjana V Kukoeva, Andreas Börner, Elena K Khlestkina
Barley grain at maturity can have yellow, purple, blue, and black pigmentations which are suggested to play a protective role under stress conditions. The first three types of the colors are caused by phenolic compounds flavonoids; the last one is caused by phytomelanins, oxidized and polymerized phenolic compounds. Although the genetic basis of the flavonoid biosynthesis pathway in barley has been thoroughly studied, there is no data yet on its regulation in purple and black barley grains. In the current study, genetic model of Hordeum vulgare 'Bowman' near-isogenic lines (NILs) was used to investigate the regulation of the flavonoid biosynthesis in white, purple, and black barley grains...
2016: PloS One
Ana Luiza Mezzaroba, Marcos Toshiyuki Tanita, Josiane Festti, Claudia Maria Dantas de Maio Carrilho, Lucienne Tibery Queiroz Cardoso, Cintia Magalhães Carvalho Grion
OBJECTIVE: To evaluate the implementation of a multidisciplinary rapid response team led by an intensive care physician at a university hospital. METHODS: This retrospective cohort study analyzed assessment forms that were completed during the assessments made by the rapid response team of a university hospital between March 2009 and February 2014. RESULTS: Data were collected from 1,628 assessments performed by the rapid response team for 1,024 patients and included 1,423 code yellow events and 205 code blue events...
September 2016: Revista Brasileira de Terapia Intensiva
Junhui Huang, Qi Xue, Zhao Wang, Jianmin Gao
While color-coding methods have improved the measuring efficiency of a structured light three-dimensional (3D) measurement system, they decreased the measuring accuracy significantly due to lateral chromatic aberration (LCA). In this study, the LCA in a structured light measurement system is analyzed, and a method is proposed to compensate the error caused by the LCA. Firstly, based on the projective transformation, a 3D error map of LCA is constructed in the projector images by using a flat board and comparing the image coordinates of red, green and blue circles with the coordinates of white circles at preselected sample points within the measurement volume...
2016: Sensors
Zhehao Jin, Jin-Hee Kim, Sang Un Park, Soo-Un Kim
Two cDNAs for indole-3-glycerol phosphate lyase homolog were cloned from Polygonum tinctorium. One encoded cytosolic indole synthase possibly in indigoid synthesis, whereas the other encoded a putative tryptophan synthase α-subunit. Indigo is an old natural blue dye produced by plants such as Polygonum tinctorium. Key step in plant indigoid biosynthesis is production of indole by indole-3-glycerol phosphate lyase (IGL). Two tryptophan synthase α-subunit (TSA) homologs, PtIGL-short and -long, were isolated by RACE PCR from P...
September 1, 2016: Plant Cell Reports
Kubra Evren Sahin, Oktay Zeki Ozdinc, Suna Yoldas, Aylin Goktay, Selda Dorak
BACKGROUND: True alarm rate of the Code Blue cases is at a low level in the Dr. Behçet Uz Children's Hospital in İzmir. This study aims to analyse the use of the Code Blue alarm cases in the children's hospital. METHODS: This retrospective clinical study evaluated the age and the gender of the cases, the arriving time of the Code Blue team, the date and time of the Code Blue Call, the reasons of the Code Blue Call, and the verification which were all obtained from the Code Blue forms of the hospital dated between January 2014 and January 2015...
2016: World Journal of Emergency Medicine
Kim M Phan, Pamela V Lam, Bruce J Kimura
No abstract text is available yet for this article.
August 2016: Chest
Catherine Manning, James Kilner, Louise Neil, Themelis Karaminis, Elizabeth Pellicano
Typical adults can track reward probabilities across trials to estimate the volatility of the environment and use this information to modify their learning rate (Behrens et al., 2007). In a stable environment, it is advantageous to take account of outcomes over many trials, whereas in a volatile environment, recent experience should be more strongly weighted than distant experience. Recent predictive coding accounts of autism propose that autistic individuals will demonstrate atypical updating of their behaviour in response to the statistics of the reward environment...
August 6, 2016: Developmental Science
Mohammad El Mouzan, Abdullah Al Salloum, Ahmad Al Omer, Mansour Alqurashi, Abdullah Al Herbish
BACKGROUND: Information on LMS parameters and percentiles reference for Saudi children and adolescents is not available. OBJECTIVE: To report the L, M, and S parameters and percentile reference graphs for growth. DESIGN: Field survey of a population-based sample of Saudi school-age children and adolescents (5-18 years of age). SETTING: A stratified listing of the Saudi population. SUBJECTS AND METHODS: Data from the national study of healthy children were reanalyzed using the Lamba-Mu-Sigma (LMS) methodology...
July 2016: Annals of Saudi Medicine
Noemí Bahamontes-Rosa, María G Gomez-Lorenzo, Joël Lelièvre, Ane Rodriguez Alejandre, María Jesus Almela, Sonia Lozano, Esperanza Herreros, Francisco-Javier Gamo
BACKGROUND: Drugs that kill or inhibit Plasmodium gametocytes in the human host could potentially synergize the impact of other chemotherapeutic interventions by blocking transmission. To develop such agents, reliable methods are needed to study the in vitro activity of compounds against gametocytes. This study describes a novel assay for characterizing the activity of anti-malarial drugs against the later stages of Plasmodium falciparum gametocyte development using real-time PCR (qPCR)...
2016: Malaria Journal
Batel Liran-Hazan, Paul Miller
To determine whether and how learning is biased by competing task-irrelevant information that creates extraneous cognitive load, we assessed the efficiency of university students with a learning paradigm in two experiments. The paradigm asked participants to learn associations between eight words and eight digits. We manipulated congruity of the digits' ink color with the words' semantics. In Experiment 1 word stimuli were color words (e.g., blue, yellow) and in Experiment 2 color-related word concepts (e.g...
July 19, 2016: Quarterly Journal of Experimental Psychology: QJEP
S Chen, H M Ma, G S Chen, L Y Wang
In this study, the complete mitochondrial genome sequence of the Liuyang black goat was investigated, and phylogenetic relationships between the Liuyang black goat and other species of Caprinae were analyzed. The total length of the mitochondrial genome was 16,715 bp, which consisted of 33.50% A, 27.27% T, 25.98% C, and 13.25% G. The mitochondrial genome contained a major non-coding control region (D-loop region), two ribosomal RNA genes, 13 protein-coding genes, and 22 transfer RNA genes. Neighbor-joining and maximum-parsimony trees of Caprinae constructed using 13 mitochondrial protein-coding genes showed that the Liuyang black goat is phylogenetically closest to Hemitragus jemlahicus (the Himalayan tahr) and Blue sheep to form clade A...
2016: Genetics and Molecular Research: GMR
Huan-Cheng Chang, Mei-Chin Wang, Hung-Chang Liao, Shu-Fang Cheng, Ya-Huei Wang
Since 1989, blue-collar foreign workers have been permitted to work in Taiwanese industries. Most blue-collar foreign workers apply for jobs in Taiwan through blue-collar foreign workers' agencies. Because blue-collar foreign workers are not familiar with the language and culture in Taiwan, in occupational accident education and hazard prevention, the agencies play an important role in the coordination and translation between employees and blue-collar foreign workers. The purpose of this study is to establish the agencies' role in the occupational accidents education and hazard prevention for blue-collar foreign workers in Taiwan...
2016: International Journal of Environmental Research and Public Health
Yong Bai, Duc Do, Quan Ding, Jorge Arroyo Palacios, Yalda Shahriari, Michele Pelter, Noel Boyle, Richard Fidler, Xiao Hu
OBJECTIVE: Our previous studies have shown "code blue" events can be predicted by SuperAlarm patterns that are multivariate combinations of monitor alarms and laboratory test results co-occurring frequently preceding the events but rarely among control patients. Deploying these patterns to the monitor data streams can generate SuperAlarm sequences. The objective of this study is to test the hypothesis that SuperAlarm sequences may contain more predictive sequential patterns than monitor alarms sequences...
June 30, 2016: IEEE Transactions on Bio-medical Engineering
(no author information available yet)
This document contains final regulations that provide guidance to Blue Cross and Blue Shield organizations, and certain other organizations, on computing and applying the medical loss ratio and the consequences for not meeting the medical loss ratio threshold. The final regulations reflect the enactment of a technical correction to section 833(c)(5) of the Internal Revenue Code by the Consolidated and Further Continuing Appropriations Act of 2015. The final regulations affect Blue Cross and Blue Shield organizations, and certain other organizations involved in providing health insurance...
June 22, 2016: Federal Register
Angela C Blankenship, Richard P Fernandez, Brian F Joy, Julie C Miller, Aymen Naguib, Steven C Cassidy, Janet Simsic, Christina Phelps, Sheilah Harrison, Mark Galantowicz, Andrew R Yates
OBJECTIVE: To identify a cause for clinical deterioration, examine resuscitation efforts, and identify and correct system issues (thus improving outcomes) via a multidisciplinary code-review process soon after cardiopulmonary arrest. METHODS: Retrospective analysis of code events in a tertiary pediatric heart center from September 2010 to December 2013 and review of surgical-cardiac data from January 2010 to December 2013. RESULTS: A multidisciplinary team reviewed 47 code events, 16 of which (34%) were deemed potentially preventable...
July 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
Hina Walia, Dmitry Tumin, Sharon Wrona, David Martin, Tarun Bhalla, Joseph D Tobias
BACKGROUND: The management of acute pain presents unique challenges in the younger pediatric population. Although patient-controlled devices are frequently used in patients ≥6 years of age, alternative modes of analgesic delivery are needed in infants. OBJECTIVE: To examine the safety and efficacy of nurse-controlled analgesia (NCA) in neonates less than 1 year of age. METHODS: Data from patients <1 year of age receiving NCA as ordered by the Acute Pain Service at our institution were collected over a 5-year period and reviewed retrospectively...
2016: Journal of Pain Research
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