Community need sparked the concept for a freestanding emergency center. Key first steps: new legislation, construction, and education.
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Midwives' experience of managing emergencies during labour and birth in a community setting: a mixed-methods systematic review.
Women Birth
January 2025
National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford. Electronic address:
Background: For women at low risk of complications during labour and birth, in the United Kingdom, planned birth in a 'community' setting (at home or a freestanding midwifery unit) is generally safe, and intrapartum emergencies are uncommon. Limited exposure may affect midwives' experience of managing an emergency.
Aim: Identify and synthesise available evidence about midwives' experiences of managing intrapartum emergencies during labour in a community setting.
Remote epitaxy and exfoliation of vanadium dioxide via sub-nanometer thick amorphous interlayer.
Nat Commun
January 2025
Department of Materials Science & International Institute of Intelligent Nanorobots and Nanosystems, State Key Laboratory of Surface Physics, Fudan University, Shanghai, 200438, People's Republic of China.
The recently emerged remote epitaxy technique, utilizing 2D materials (mostly graphene) as interlayers between the epilayer and the substrate, enables the exfoliation of crystalline nanomembranes from the substrate, expanding the range of potential device applications. However, remote epitaxy has been so far applied to a limited range of material systems, owing to the need of stringent growth conditions to avoid graphene damaging, and has therefore remained challenging for the synthesis of oxide nanomembranes. Here, we demonstrate the remote epitaxial growth of an oxide nanomembrane (vanadium dioxide, VO) with a sub-nanometer thick amorphous interlayer, which can withstand potential sputtering-induced damage and oxidation.
View Article and Find Full Text PDFMissed Opportunity for Initial Diagnosis in Children With Complex Appendicitis.
Pediatr Emerg Care
December 2024
From the Department of Pediatric Surgery, Nationwide Children's Hospital, Columbus, OH.
Objectives: Delayed diagnosis of acute appendicitis in children may result in complex appendicitis with appendiceal perforation. Delayed diagnosis can result from missed opportunity for initial diagnosis (MOID) despite medical attention. Studies report MOID of less than 5% in pediatric emergency departments (EDs), but we hypothesized that many MOID occurs outside tertiary care facilities.
View Article and Find Full Text PDFAdvancing Membrane Biology: Single-Molecule Approaches Meet Model Membrane Systems.
BMB Rep
December 2024
Department of Physics, POSTECH, Pohang, Republic of Korea.
Model membrane systems have emerged as essential platforms for investigating membrane-associated processes in controlled environments, mimicking biological membranes without the complexity of cellular systems. However, integrating these model systems with single-molecule techniques remains challenging due to the fluidity of lipid membranes, including undulations and the lateral mobility of lipids and proteins. This mini-review explores the evolution of various model membranes ranging from black lipid membranes to nanodiscs and giant unilamellar vesicles as they adapt to accommodate electrophysiology, force spectroscopy, and fluorescence microscopy.
View Article and Find Full Text PDFPediatric Emergency Care Coordinator Presence and Pediatric Care Quality Measures.
JAMA Netw Open
December 2024
Department of Emergency Medicine, Massachusetts General Hospital, Boston.
Importance: Higher pediatric readiness has been associated with improved quality and outcomes of care for children. Pediatric emergency care coordinators (PECCs) are a component of pediatric readiness, but the specific association between PECCs and quality-of-care measures is undefined.
Objective: To examine the association between PECC presence and emergency department (ED) performance as reflected by quality-of-care measures.
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