Objective: The purpose of this study was with a multifaceted intervention model improve the nutritional status of elderly people living in residential homes to increase their energy intake and to maintain improvements over time. Setting: Three different municipal residential homes in the south-east of Sweden. Participants: The study population consisted of 67 elderly people. A within-subjects d...

The European Working Time Directive (EWTD) limits excessive night shifts and restricts the working week to no more than 48 hours. The underlying rationale is to minimise the health risks to all workers. Here we debate the impact of night rotas for doctors-in-training on patient safety and medical education; when the EWTD was agreed these topics may not have been considered, either systematicall...

I’m awake. Had my anchor sleep, but I’m still groggy and trying to be civil to the people around me, the ones that really care about me, my family. It’s the first morning after my last night shift as a full-time emergency physician. I’m not retiring, just done with nights and slowing down. “No nights after age (blank)” is not a group policy where I work... it’s my own choice, and thankfully sup...

When epidemic cholera appeared in Haiti in October 2010, the medical community there had virtually no experience with the disease and needed rapid training as the epidemic spread throughout the country. We developed a set of training materials specific to Haiti and launched a cascading training effort. Through a training-of-trainers course in November 14-15, 2010, and department-level training ...

AIMS To identify good and bad behaviors by bar staff in aggressive incidents, the extent these behaviors apparently reflect aggressive intent, and the association of aggressive staff behavior with level of aggression by patrons. DESIGN, SETTING AND PARTICIPANTS Data on staff behavior in incidents of aggression were collected by 148 trained observers in bars and clubs on Friday and Saturday ni...

OBJECTIVES This study examined the use of seclusion and mechanical restraint from 1990 to 2000 and the rate of staff injuries from patient assaults from 1998 to 2000 in a state hospital system. METHODS Records of patients older than 18 years who were civilly committed to one of the nine state hospitals in Pennsylvania were included in the analyses. Two databases were used in each of the nine ...

The aim of the present study was to evaluate the basic life support skills of doctors in a hospital resuscitation team and to identify potential factors affecting those skills. Twelve anesthesiology residents were induced in this study. Each doctor was asked to perform mouth-to-mouth ventilation for 10 minutes and then chest compression for another 10 minutes on a Laerdal Skillmeter Resusci-Ann...