The implementation of low-flow anesthesia at a tertiary pediatric center: A quality improvement initiative.

Introduction: Anesthesia machines have evolved over the years to excel in delivering low-flow anesthesia (<1 L fresh gas flow) in a closed-circuit system, with the obvious benefits being decreased costs and reduced emissions of greenhouse gases. At a pediatric hospital that provides over 25 000 anesthetics a year, a quality improvement project was initiated with the aim of decreasing the amount of sevoflurane used per anesthetic by 20% over the course of a year.

Methods: Three Plan-Do-Study-Act cycles involving gathering comparative data, departmental education, improvement updates on our huddle board, and intraoperative confirmation rounds were completed.

Use of instant messaging predicts self-report but not performance measures of inattention, impulsiveness, and distractibility.

We examined how young adults' use of instant messaging, text messaging, and traditional reading related to their self-reported experience of distractibility and impulsiveness and to their performance on computerized tasks designed to assess inattention and impulsive responses to visual stimuli. Participants reported their media use and completed self-report measures of impulsiveness (i.e.

Evaluation of sorbent amendments for in situ remediation of metal-contaminated sediments.

The present study evaluated sorbent amendments for in situ remediation of sediments contaminated with two divalent metals. A literature review screening was performed to identify low-cost natural mineral-based metal sorbents and high-performance commercial sorbents that were carried forward into laboratory experiments. Aqueous phase metal sorptivity of the selected sorbents was evaluated because dissolved metals in sediment porewater constitute an important route of exposure to benthic organisms.

Electronic media use, reading, and academic distractibility in college youth.

Activities that require focused attention, such as reading, are declining among American youth, while activities that depend on multitasking, such as instant messaging (IMing), are increasing. We hypothesized that more time spent IMing would relate to greater difficulty in concentrating on less externally stimulating tasks (e.g.

Impulse control disorders in adult psychiatric inpatients.

Objective: The authors' goal was to examine the prevalence of impulse control disorders in psychiatric inpatients.

Method: They used the Minnesota Impulsive Disorders Interview, a semistructured clinical interview assessing pathological gambling, trichotillomania, kleptomania, pyromania, intermittent explosive disorder, compulsive buying, and compulsive sexual behavior, to screen 204 consecutively admitted psychiatric inpatients. One hundred twelve of the inpatients were women (54.