INTRODUCTION Electronic patient records are becoming more common in critical care. As their design and implementation are optimized for single users rather than for groups, we aimed to understand the differences in interaction between members of a multidisciplinary team during ward rounds using an electronic, as opposed to paper, patient medical record. METHODS A qualitative study of morning ...

OBJECTIVES To investigate the association of ward-level differences in the odds of hospital-acquired pressure ulcers (HAPUs) with selected ward organisational variables and patient risk factors. DESIGN Multilevel approach to data from 2 cross-sectional studies. SETTINGS 4 hospitals in Norway were studied. PARTICIPANTS 1056 patients at 84 somatic wards. PRIMARY OUTCOME MEASURE HAPU. RE...

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In the treatment of superficial lesions with 8-13 MeV electrons, lead shields are often used to protect the underlying tissue. Measurements were made with film and ion chamber to analyse various aspects of external and internal shielding in electron beam therapy. Data were obtained on the thickness of lead required for shielding, the effect of blocking on dose-rate, electron-backscattering from...

to right heart failure, and is therefore a sign of impending disaster for many patients with common heart and lung diseases. We have known for a long time that hypoxia constricts lung vessels and causes pulmonary hypertension in acute experiments; this response may be important in disease as well. There are many theories about the mechanism of this hypoxic response, none of them generally accep...