The results suggest that the prevalence of Asperger syndrome in first-episode psychosis is considerably higher than that in the general population. Clinicians working in early intervention teams need to be alert to the possibility of Asperger syndrome when assessing patients.
y The SNAP-2: EPICCS collaborators are listed in Supplementary material.
AbstractBackground: Decisions to admit high-risk postoperative patients to critical care may be affected by resource availability. We aimed to quantify adult ICU/high-dependency unit (ICU/HDU) capacity in hospitals from the UK, Australia, and New Zealand (NZ), and to identify and describe additional 'high-acuity' beds capable of managing high-risk patients outside the ICU/HDU environment. Methods: We used a modified Delphi consensus method to design a survey that was disseminated via investigator networks in the UK, Australia, and NZ. Hospital-and ward-level data were collected, including bed numbers, tertiary services offered, presence of an emergency department, ward staffing levels, and the availability of critical care facilities. Results: We received responses from 257 UK (response rate: 97.7%), 35 Australian (response rate: 32.7%), and 17 NZ (response rate: 94.4%) hospitals (total 309). Of these hospitals, 91.6% reported on-site ICU or HDU facilities. UK hospitals
Therapeutic hypothermia is used to reduce mortality and morbidity following cardiac arrest. It is increasingly being used to cover a variety of indications including primary out-of-hospital ventricular fibrillation (VF) and non-VF cardiac arrests, in-hospital cardiac arrests and cardiac arrests of secondary cause. We have studied indications, techniques, efficiency, outcomes and complications of post-cardiac arrest cooling processes used in routine clinical practice in intensive care units in the north west of England. Survival at hospital discharge post-VF arrest was 53% in this multicentre cohort and all survivors at discharge had good or fair neurological recovery. This study confirms that our cooling and rewarming practices are effective and similar to those described in current literature, and meet standards set by the International Liaison Committee for Resuscitation (ILCOR).
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