Cerebrovascular complications and outcomes of critically ill adult patients with infective endocarditis.

Background: Neurological complications are associated with poor outcome in patients with infective endocarditis (IE). Although guidelines recommend systematic brain imaging in the evaluation of IE patients, the association between early brain imaging findings and outcomes has never been evaluated in critically ill patients. We aimed to assess the association of CT-defined neurological complications with functional outcomes of critically ill IE patients.

A Simplified Electroencephalography Montage and Interpretation for Evaluation of Comatose Patients in the ICU.

Unlabelled: Electroencephalography (EEG) is one of the main tools for diagnosis and prognostication of encephalopathy. Our two objectives were to assess: 1) the reliability of intensivists' interpretations (one trained intensivist and nonexpert intensivists) on specific EEG patterns and 2) the feasibility of performing simplified EEG by a trained intensivist in ICU.

Design: Prospective, single-center study.

Usefulness of lactate albumin ratio at admission to predict 28-day mortality in critically ill severely burned patients: A retrospective cohort study.

Introduction: Lactate albumin ratio (LAR) has been used as a prognostic marker associated with organ failure in critically ill septic patients. LAR and its association with outcomes has never been studied in burned patients. The aim of this study was to evaluate the ability of LAR to predict 28-day mortality.

Crystal structure and Hirshfeld surface analysis of -2,5-di-methyl-piperazine-1,4-diium tetra-chlorido-cobaltate(II).

In the title mol-ecular salt, (CHN)[CoCl], the complete dication is generated by crystallographic inversion symmetry and the piperazine ring adopts a chair conformation with the pendant methyl groups in equatorial orientations. The complete dianion is generated by crystallographic twofold symmetry. In the crystal, the (CHN) and [CoCl] ions are linked by N-H⋯Cl and C-H⋯Cl hydrogen bonds, thereby forming a two-dimensional supra-molecular network.

Association of Standard Electroencephalography Findings With Mortality and Command Following in Mechanically Ventilated Patients Remaining Unresponsive After Sedation Interruption.

Context: Delayed awakening after sedation interruption is frequent in critically ill patients receiving mechanical ventilation.

Objectives: We aimed to investigate the association of standard electroencephalography with mortality and command following in this setting.

Design, Setting, And Patients: In a single-center study, we retrospectively analyzed standard electroencephalography performed in consecutive mechanically ventilated patients remaining unresponsive (comatose/stuporous or unable to follow commands) after sedation interruption.

Sepsis and septic shock in France: incidences, outcomes and costs of care.

Background: Sepsis is one of the leading causes of death worldwide. The associated incidence, mortality and trends do not differ greatly between documented reports. The purpose of this study was to provide an in-depth description of patients with sepsis and septic shock hospitalized in France from 2010 to 2015 and to explore the temporal trends of their clinical characteristics, costs and outcomes.

Using the Knowledge to Action Framework to Describe a Nationwide Implementation of the WHO Surgical Safety Checklist in Cameroon.

Background: Surgical safety has advanced rapidly with evidence of improved patient outcomes through structural and process interventions. However, knowledge of how to apply these interventions successfully and sustainably at scale is often lacking. The 2019 Global Ministerial Patient Safety Summit called for a focus on implementation strategies to maintain momentum in patient safety improvements, especially in low- and middle-income settings.

Synthesis, crystal structure and Hirshfeld surface analysis of a polymeric bis-muthate(III) halide complex, (CHN)[BiCl]·2HO.

The synthesis and the crystal structure of a new halide-bridged polymer, namely -poly[bis-(1,2,3-benzotriazolium) [[tetra-chlorido-bis-muth(III)]-μ-chlorido] dihydrate], {(CHN)[BiCl]·2HO} are reported. The structure comprises polyanionic zigzag chains of formula [(BiCl)] running along the axis direction. The 1,2,3-benzotriazolium cations are linked between these polymer chains, the water mol-ecules, giving rise to left- and right-handed helical chains.

1-(2,3-Di-methyl-phen-yl)piperazine-1,4-diium tetra-chlorido-cuprate(II).

In the title salt, (C12H20N2)[CuCl4], the Cu(II) atom occupies a general position in a flattened tetra-hedral environment by Cl ligands, characterized by Cl-Cu-Cl angles of 134.04 (3) and 137.18 (4)°.

Bis[1-(2,3-di-methyl-phen-yl)piperazine-1,4-diium] bis-(oxonium) cyclo-hexa-phosphate dihydrate.

In the title compound, 2C12H20N2 (2+)·2H3O(+)·P6O18 (6-)·2H2O, a protonated water mol-ecule bridges the centrosymmetrical anionic P6O18 ring via O-H⋯O hydrogen bonds. The centrosymmetric hydrogen-bonded rings formed by four oxonium cations and four phosphate anions can be described by an R 4 (8)(36) graph-set motif. The ring motifs are connected by hydrogen bonds into inorganic layers perpendicular to [100].

Poly[bis-(piperazine-1,4-diium) [(μ4-cyclo-hexa-phosphato)dilithium] tetra-hydrate].

In the title compound, {(C4H12N2)2[Li2(P6O18)]·4H2O} n , the phosphate ring anion, located around an inversion center, adopts a chair conformation. Adjacent P6O18 rings are linked via corner-sharing by LiO4 tetra-hedra, generating anionic porous {[Li2(P6O18)](4-)} n layers parallel to (101). The piperazine-1,4-diium cations occupy the pores and develop hydrogen bonds with the inorganic framework.

Dilithium disodium nickel(II) cyclo-hexa-phosphate dodeca-hydrate, Li(2)Na(2)NiP(6)O(18)·12H(2)O.

The crystal structure of Li(2)Na(2)NiP(6)O(18)·12H(2)O is characterized by the presence of six-membered P(6)O(18) (6-) phosphate ring anions (inter-nal symmetry -1) having a chair conformation and three different cations, viz. Li(+), Na(+) and Ni(2+), to counterbalance the anionic charge. All atoms are in general positions except for nickel, which lies on a special position with site symmetry 2.

The one-dimensional coordination polymer poly[tetra-kis-[(4-chloro-phen-yl)methanaminium] [cadmate-μ-cyclo-hexa-phospho-rato]].

Cyclo-hexa-phospho-ric acid (P(6)O(18)H(6)) reacts with cadmium carbonate and 4-chloro-benzyl-amine (CBA) to give the mononuclear title complex, (C(7)H(9)ClN)(4)[Cd(P(6)O(18))](n), in which the Cd(II) atom, lying on an inversion centre, has an octa-hedral coordination built of six O atoms of two centrosymmetric P(6)O(18) rings. Each P(6)O(18) ligand acts as a bridge, linking two Cd(II) atoms and forming an anionic coordination polymer [Cd(P(6)O(18))(4-)](n) extending along [010]. Adjacent polymeric chains are connected through N-H⋯O and C-H⋯O hydrogen bonds, generating a three-dimensional supra-molecular network.

Bis(4-chloro-benzyl-ammonium) tetra-kis(2,6-diethyl-anilinium) cyclo-hexa-phosphate tetra-hydrate.

In the crystal of the title hydrated mol-ecular salt, 2C(7)H(9)ClN(+)·4C(10)H(16)N(+)·P(6)O(18) (6-)·4H(2)O, the packing consists of a three-dimensional O-H⋯O and N-H⋯O hydrogen-bonded network resulting from the association of anionic layers built up from centrosymmetric cyclohexaphosphate ions and water mol-ecules and the two types of organic cations.

5-Chloro-2-methoxy-anilinium nitrate.

The title salt, C(7)H(9)ClNO(+)·NO(3) (-), exhibits extensive hydrogen bonding between the ammonium functional group and the nitrate anion. A two-dimensional network of bifurcated N-H⋯O hydrogen bonds generates corrugated layers in the bc plane. The organic mol-ecules are stacked in a parallel orientation as a result of π-π inter-actions, with an inter-ring distance of 3.

The use and practice of body substance precautions in sports physiotherapy.

This study examined the use of Universal Precautions in the management of bleeding sports injuries. A survey was used which asked questions on: demographics, hepatitis B vaccination, first aid practices and frequency of blood contact. The national sample consisted of 1800 Australian Physiotherapy Association National Sports Physiotherapy Group members.