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This book provides a quick, easy-to-access, weight-based guide to resuscitation of infants and children. It includes medication dosing in resuscitation situations, endotracheal tube size and positioning, and emergency management of seizures, asthma, anaphylaxis and electrolyte disorders. The formatting, content and presentation have been carefully considered to achieve this aim and to make it a valuable resource. Weight-based guidelines are presented for 2–80 kg, in a clear colour-coded format. The information for each weight is presented over two pages. It provides everything you need in a resuscitation setting at a glance, including tables for resuscitation, endotracheal tube size, and induction and paralytic drugs. Information on drugs used in severe asthma, status epilepticus and electrolyte abnormalities is also included. Layout is the same irrespective of the weight selected which helps readers to become familiar with this resource. Infusion guidelines are also provided, although many institutions may have these preprogrammed in their infusion pumps. The book is spiral bound with sturdy laminated pages, making it waterproof and durable. It is easy to turn to the weight needed and access the information required in a timely fashion. The first three pages contain Advanced Paediatric Life Support (APLS) algorithms for basic and advanced life support, and status epilepticus. This is an excellent resource for medical and nursing staff working with sick infants and children, be that frequently or occasionally, in an inpatient ward setting, mixed emergency department or paediatric emergency department. It provides clear, easily accessible important information in a visually appealing format. The section on electrolyte abnormalities is particularly useful. It could also be used as a resource for education and specifically simulation – APLS Australia have already adopted it for this use.

BackgroundImplementation of a comprehensive advance care planning (ACP) intervention package offered to nursing homes (NH) as part of a cluster-randomized trial (BEVOR) during the Covid-19 pandemic led to intensified efforts...

Yang, X.; Ni, L.-K.; Tong, F.-M., and Zhang, H.-Y., 2019. Optimal management and allocation of superior resources in port industries. In: Gong, D.; Zhu, H., and Liu, R. (eds.), Selected Topics in Coastal Research: Engineering, Industry, Economy, and Sustainable Development. Journal of Coastal Research, Special Issue No. 94, pp. 500–504. Coconut Creek (Florida), ISSN 0749-0208.As marine trade and the shipments expand day by day, the port scale also increasingly enlarges; the resource staffing of port industries obviously increases; as valuable resources, the security management facilities equipped by port industries and authorities are wasteful and low in the customs clearance efficiency. Taking port industries and authorities as study cases, this paper describes the allocation and utilization of management resources of port industries, and proposes reasonable measures for optimization collocation of resources in order to reduce operating costs. The findings show that there is a big gap in the resource allocation structure and the customs clearance time between China and those developed countries. There are also different nature and allocation bodies of resources of the two. Driven by the conventions, policies, orders and markets, it is possible to achieve optimal allocation of resources, and reduce the consumption of human and financial resources. This paper provides a theoretical basis for optimizing security inspection and management of resources of port industries.

Methods for categorizing the scale and severity of medication errors corrected by pharmacy staff during admission medication reconciliation using complete medication history continue to evolve. We established a rating scale that is effective for generating error reports to health system quality leadership. These reports are needed to quantify the value of investment in transitions-of-care pharmacy staff. All medication errors that were reported by pharmacy staff in the admission medication reconciliation process during a period of 6 months were eligible for inclusion. Complete medication history data source was utilized by admitting providers and all pharmacist staff and a novel medication error scoring methodology was developed. This methodology included: medication error category, medication error type, potential medication error severity, and medication non-adherence. We determined that 82 medication errors were detected from 72 patients and assessed that 74 of these errors may have harmed patients if they were not corrected through pharmacist intervention. Most of these errors were dosage discrepancies and omissions. With hospital system budgets continually becoming leaner, it is important to measure the effectiveness and value of staff resources to optimize patient care. Pharmacists performing admission medication reconciliation can detect subtle medication discrepancies that may be overlooked by other clinician types. This methodology can serve as a foundation for error reporting and predicting the severity of adverse drug events.

Aims and method To examine research productivity of staff working across 57 National Health Service (NHS) mental health trusts in England. We examined research productivity between 2010 and 2012, including funded portfolio studies and all research (funded and unfunded).Results Across 57 trusts there were 1297 National Institute for Health Research (NIHR) studies in 2011/2012, involving 46 140 participants and in the same year staff in these trusts published 1334 articles (an average of only 23.4 per trust per annum). After correcting for trust size and budget, the South London and Maudsley NHS Foundation Trust was the most productive. In terms of funded portfolio studies, Manchester Mental Health and Social Care Trust as well as South London and Maudsley NHS Foundation Trust, Oxford Health NHS Foundation Trust and Cambridgeshire and Peterborough NHS Foundation Trust had the strongest performance in 2011/2012.Clinical implications Trusts should aim to capitalise on valuable staff resources and expertise and better support and encourage research in the NHS to help improve clinical services.

When a supportive teacher-student relationship is set up, in which the student is helped towards becoming a self-motivated, self-directed learner, then the ground is ready for the use of a number of teaching methods and the provision of opportunities which will promote the student’s learning. Previous models of clinical supervision presumed that students learnt through a process of absorption. Good, well-targetted teaching procedures should be used in clinic to ensure that the student’s time is productive, and that valuable staff resources are used efficiently and effectively. It is better to have less time in clinic, with good teaching, than a longer time not used purposefully.

Sharne Rolfe brings an excellent discussion of attachment principles, research and applications to an exceedingly important topic, the relationships between child care teachers/providers and young children. It is a important resource for the current and next generation of early childhood professionals and researchers, and it will be a key resource for the growing international discussion about child care teacher/provider and child relationships.' Helen H. Raikes, PhD, The Gallup Organization, and Society for Research in Child Development Consultant, Administration for Children and Families, USA a timely synthesis of current knowledge concerning attachment and its implications for contemporary practice.highly relevant for use in college and university early childhood programs and a valuable resource for directors and staff in children's services'Alan Hayes, Professor of Early Childhood Studies, Macquarie University particularly valuable in highlighting the crucial importance of taking a relationship-based approach when working with young children.'Pam Linke, Manager, Centre for Parenting, Child and Youth Health, South Australia This accessible and lively exploration of the importance of attachment for infants, young children and their parents, should be essential reading for all professional caregivers and for policy makers concerned with the mental health and well being of our future generation.' Ruth Schmidt Neven, Director, Centre for Child and Family DevelopmentIn heated debates about whether childcare damages young children, attachment theory has been seen as anti-childcare'. Rolfe rethinks this perception, demonstrating instead that understanding attachment is essential to good childcare practice. Rethinking Attachment offers a thorough explanation of attachment theory and explains how security, autonomy and resilience in young children can be promoted in childcare settings through a sound understanding of attachment principles.With examples drawn from practice, Rolfe examines the relationships between children and their carers, between parents and carers, and between carers themselves. She also shows how secure attachment relationships with parents and carers influence transitions to childcare, preschool and school.