Thermal buffering-controlled temperature variation between Mg-Al-rich rocks and migmatites.

It is well recognised that endothermic processes such as dehydration and partial melting have the potential to exert measurable effects on the maximum temperatures reached in metamorphic rock systems. We show migmatitic metapelitic and mafic granulites record temperatures of ~ 820 °C, while spatially associated refractory Mg-Al-rich granulites record temperatures between 865 °C and > 920 °C. These thermally contrasting samples are separated by ~ 1500 m, with no apparent intervening faults or shear zones to explain the apparent difference in peak metamorphic conditions.

A Decade of Achievements: International Society of Paediatric Oncology Baseline Nursing Standards.

The six International Society of Paediatric Oncology (SIOP) Baseline Nursing Standards provide the first evidence-based framework for assessing and improving pediatric oncology nursing practice settings in low-, middle-, and high-income countries. Over the past 10 years, the standards have been translated to six languages, endorsed by 13 organizations, surveyed at 101 hospitals in 54 countries, and initiatives have been documented at over 63 institutions in 31 countries. Going forward, the SIOP Nursing Network's Baseline Standards Special Interest Group has established a 5-year strategic plan to guide advocacy, research, and standards implementation through global multidisciplinary collaboration.

Reducing Falls in Hospitalized Children and Adolescents with Cancer and Blood Disorders: A Quality Improvement Journey.

Background: Falls in hospitalized pediatric patients represent a serious patient safety concern. Children and adolescents with cancer and blood disorders have inherent risk factors that increase the likelihood of injury from falls. The Hematology/Oncology (HO) and Stem Cell Transplant (SCT) inpatient units at Boston Children's Hospital embarked on a multiyear quality improvement journey to reduce inpatient falls in this population.

CritCom: assessment of quality of interdisciplinary communication around deterioration in pediatric oncologic patients.

Background: High-quality clinical care requires excellent interdisciplinary communication, especially during emergencies, and no tools exist to evaluate communication in critical care. We describe the development of a pragmatic tool focusing on interdisciplinary communication during patient deterioration (CritCom).

Methods: The preliminary CritCom tool was developed after a literature review and consultation with a multidisciplinary panel of global experts in communication, pediatric oncology, and critical care to review the domains and establish content validity iteratively.

Increasing COVID-19 Vaccination Rates for Children With Sickle Cell Disease.

Background: The COVID-19 vaccine is important for children with sickle cell disease (SCD). This quality improvement project's objective was to increase the proportion of children with SCD receiving ≥2 COVID-19 vaccine doses to ≥70% by June 2022.

Methods: We used the Model for Improvement framework.