A Case of Neuroleptic Malignant Syndrome in the Context of Lithium Toxicity and Aripiprazole Use.

Objective: Neuroleptic malignant syndrome (NMS) is a rare life-threatening condition that providers should be cognizant of when prescribing dopamine-receptor antagonists. Atypical antipsychotic agents were initially considered to have a lower risk of inducing the development of NMS compared with conventional antipsychotic. Considerable evidence, however, has suggested that atypical antipsychotics are associated with NMS, including the partial dopamine agonist, aripiprazole.

Experiential Learning in Patient Safety: A Multi-Center Study Examining Emergency Medicine Residents' Situational Awareness of Hazards via Simulation.

Introduction The 2016 Clinical Learning Environment Review established that experiential patient safety curricula for residents are uncommon. Moreover, these curricula do not incorporate non-technical skills linked to safety, such as situational awareness (SA). We developed an in-situ patient safety simulation exercise incorporating core SA concepts and subsequently assessed exercise feasibility and acceptability, and measured residents' safety SA.

The theory-practice gap and student nurses.

The theory-practice gap in nursing is a multi-factorial problem. Different types of knowledge are used in nursing; some have more credence and value than others. Learners are often underestimated by clinical staff, they can provide sophisticated care while being relatively inexperienced.

Plasma antioxidant potential in severe sepsis: a comparison of survivors and nonsurvivors.

Objective: To determine the plasma antioxidant potential of patients in the intensive care unit (ICU) with severe sepsis and secondary organ dysfunction and relate these findings to outcome.

Design: A prospective, cohort study.

Setting: A nine-bed ICU in a university teaching hospital.

Psychodynamic factors in the aetiology of compensation neurosis.

These three cases illustrate the importance of psychodynamic factors in the genesis of some cases of compensation neurosis, with the neurosis being seen as the expression of current and past rejections. These claimants had all experienced major early loss which they had denied; their rigid coping mechanisms focused upon hard work, reliability and providing, which enabled them to belong and feel valued. They decompensated when inability to work compromised these defences.