OBJECTIVE To report on the use of Delirium Care Pathways to screen for and recognise delirium by Aged Care Services in Emergency Teams (ASETs) at five metropolitan hospitals in New South Wales, Australia. Knowledge of delirium and the use of Delirium Care Pathways are vital to ensure that older people presenting with delirium receive best practice care. METHODS An audit of 205 randomly select...

This article presents some of the characteristics of future service-oriented systems. Also, it focuses on a set of architecture and design drivers for these future serviceoriented systems that can help meet new expectations without sacrificing the loosely coupled, stateless, standards-based characteristics that have driven SOA adoption in many contexts. The article concludes with thoughts on th...

Six case histories of children referred and admitted to a psychiatric inpatient unit at a tertiary referral centre because of concerns about poor functioning and possible emotional abuse are presented. On initial assessment the children appeared to be well functioning and the impression was confirmed that their emotional needs were not being met by their parents. After detailed inpatient apprai...

An emphasis on research was established with the 1998 Council on Accreditation of Nurse Anesthesia Educational Programs (COA) requirement that all nurse anesthetists graduate with a master's level of education. Nursing research is essential to expand the profession's knowledge base and to establish a foundation for evidence-based practice. However, to date there are no existing data indicating ...

Thirty-four cases of asthma in children referred to outpatient clinics in Newcastle upon Tyne (16 cases) and London (18 cases) were reviewed. In both cities there was evidence of inappropriate diagnosis and treatment by general practitioners. One of the main factors seemed to be doctors' reluctance to use the word "asthma," even when a history of episodic wheezing strongly suggested the diagnos...

Fecal transplants are increasingly utilized for treatment of recurrent infections (i.e., Clostridium difficile) in the human gut and as a general research tool for gain-of-function experiments (i.e., gavage of fecal pellets) in animal models. Changes observed in the recipient's biology are routinely attributed to bacterial cells in the donor feces (~1011 per gram of human wet stool). Here, we e...