Considerations for MR-linac bunker shielding design.

To show the considerations followed for MR-linac in shielding design for the first MR-linac in Mexico following the national clinical necessities.The National Council on Radiation Protection and Measurements (NCRP) 151 recommendations were followed for the shielding design for primary and secondary barriers and the door design. The calculations were made considering the clinical demands in the country, that is, intensity modulated (IMRT) and 3D conformal radiotherapy (3DC-RT) in 80%-20% proportion.

Electrographic Seizure Detection by Neuroscience Intensive Care Unit Nurses via Bedside Real-Time Quantitative EEG.

Objective: Our primary objective was to determine the performance of real-time neuroscience intensive care unit (neuro-ICU) nurse interpretation of quantitative EEG (qEEG) at the bedside for seizure detection. Secondary objectives included determining nurse time to seizure detection and assessing factors that influenced nurse accuracy.

Methods: Nurses caring for neuro-ICU patients undergoing continuous EEG (cEEG) were trained using a 1-hour qEEG panel (rhythmicity spectrogram and amplitude-integrated EEG) bedside display.

A Triage Model for Interhospital Transfers of Low Risk Intracerebral Hemorrhage Patients.

Objectives: Intracerebral hemorrhage comprises a large proportion of inter-hospital transfers to comprehensive stroke centers from centers without comprehensive stroke center resources despite lack of mortality benefit and low comprehensive stroke center resource utilization. The subset of patients who derive the most benefit from inter-hospital transfers is unclear. Here, we create a triage model to identify patients who can safely avoid transfer to a comprehensive stroke center.