Planning, Designing, Building, and Moving a Large Volume Maternity Service to a New Labor and Birth Unit: Commentary and Experiences of Experts.

Three teams of perinatal expert nurses participated in planning and designing a new maternity unit, operationalizing the move to the new space, and evaluating care processes and workflows after the move. The hospitals involved were University of California, San Francisco Benioff Children's Hospital, Prentice Women's Hospital of Northwestern Memorial Healthcare in Chicago, IL, and Florida Hospital Orlando, Florida Hospital for Women. Although each team discussed specific details and lessons learned, there is remarkable consistency among the experiences of these teams and with the discussion of the process by the team at Mercy Hospital St.

[Treatment satisfaction of patients with borderline personality disorder in inpatient schema therapy].

Patients with severe and chronic psychiatric disorders, such as Borderline Personality Disorder (BPD), are hospitalized frequently, but we often find a high ambivalence regarding treatment in this group of patients. 31 patients with severe BPD participated in an inpatient Schema Therapy (ST) treatment program and evaluated both the intensive ST treatment program and group therapy elements regarding their treatment -satisfaction. A high global treatment satisfaction with the ST treatment program was demonstrated and we found a higher treatment satisfaction in patients with than without BPD specific symptom reductions.

Aortic dissection.

Aortic dissection is the most common catastrophic condition affecting the aorta. Its clinical presentation is variable and can mimic any number of medical and surgical conditions. The most prevalent symptom is excruciating chest pain.

Dissection of the aorta: a clinical update.

Aortic dissection is a catastrophic condition that occurs precipitously and is most commonly associated with a history of hypertension or cystic medial necrosis. Although the clinical presentation is quite variable, the heralding symptom is almost always severe chest or back pain. Aortic dissection is categorized as Type A if it involves the ascending thoracic aorta and Type B if it involves only the aorta distal to the left subclavian artery.

Ablative therapy in the treatment of tachyarrhythmias.

Ablative therapy for treatment of tachycarrhythmias has developed rapidly in recent years due to an increased understanding of electrophysiologic mechanisms of arrhythmogenesis and improved modalities of destroying or isolating arrhythmogenic tissue. Radiofrequency catheter ablation is currently the most frequently performed type of ablative therapy. Less commonly, surgical procedures are performed to eradicate arrhythmogenic tissue.