23 research outputs found
Schmerzmanagement bei Kindern in der Schweiz
Zusammenfassung: Hintergrund: Schmerzen bei stationĂ€r aufgenommenen Kindern werden hĂ€ufig unzureichend behandelt. Bisher gab es keine Informationen zum Schmerzmanagement von KinderkrankenhĂ€usern in der Schweiz. Ziel der vorliegenden Studie war, den aktuellen Stand der Schmerzerfassung, -interpretation und -behandlung zu bestimmen. Studiendesign: Ein Fragebogen wurde an alle pĂ€diatrischen KrankenhĂ€user in der Schweiz gesendet. Ergebnisse: Insgesamt antworteten 27 von 45Einheiten (Antwortrate: 60%). Die meisten Abteilungen verwenden Schmerzerfassungstools (96%) und fĂŒhrten diesbezĂŒgliche Leitlinien ein (78%). Die Behandlung von Schmerzen erfolgt ebenfalls meist nach hausinterner Leitlinie (78%). Prozedurale und postoperative Schmerzen werden stets (100%) analgetisch behandelt. Bei FrĂŒhgeborenen und Kindern auf Intensivpflegestationen werden bei invasiven Eingriffen hĂ€ufig Analgetika (>â87%) verwendet. Auf Intensivstationen liegen in 44% diesbezĂŒgliche Leitlinien vor. ResĂŒmee: Der Nutzen eines effektiven Schmerzmanagements bei Kindern ist eindeutig belegt. Viele AnsĂ€tze zur Verbesserung werden in der Schweiz gut umgesetzt. Vor allem im internationalen Vergleich verbesserte sich das Schmerzmanagement. Es gibt aber noch Optimierungsmöglichkeiten. Beispielsweise besitzen weniger als die HĂ€lfte aller schweizerischen Intensivstationen eine Leitlinie fĂŒr die Behandlung von Schmerzen bei invasiven Eingriffe
GAIA: Composition, Formation and Evolution of the Galaxy
The GAIA astrometric mission has recently been approved as one of the next
two `cornerstones' of ESA's science programme, with a launch date target of not
later than mid-2012. GAIA will provide positional and radial velocity
measurements with the accuracies needed to produce a stereoscopic and kinematic
census of about one billion stars throughout our Galaxy (and into the Local
Group), amounting to about 1 per cent of the Galactic stellar population.
GAIA's main scientific goal is to clarify the origin and history of our Galaxy,
from a quantitative census of the stellar populations. It will advance
questions such as when the stars in our Galaxy formed, when and how it was
assembled, and its distribution of dark matter. The survey aims for
completeness to V=20 mag, with accuracies of about 10 microarcsec at 15 mag.
Combined with astrophysical information for each star, provided by on-board
multi-colour photometry and (limited) spectroscopy, these data will have the
precision necessary to quantify the early formation, and subsequent dynamical,
chemical and star formation evolution of our Galaxy. Additional products
include detection and orbital classification of tens of thousands of
extra-Solar planetary systems, and a comprehensive survey of some 10^5-10^6
minor bodies in our Solar System, through galaxies in the nearby Universe, to
some 500,000 distant quasars. It will provide a number of stringent new tests
of general relativity and cosmology. The complete satellite system was
evaluated as part of a detailed technology study, including a detailed payload
design, corresponding accuracy assesments, and results from a prototype data
reduction development.Comment: Accepted by A&A: 25 pages, 8 figure
Outbreak of CTX-M-15-producing Enterobacter cloacae associated with therapeutic beds and syphons in an intensive care unit
International audienceAn outbreak of extended-spectrum ÎČ-lactamase-producing Enterobacter cloacae (ESBL-ECL) occurred in our intensive care unit (ICU) and involved 18 patients (8 infected and 10 colonized). The mean age of patients was 69 years, and all infected patients had underlying medical conditions. Within hours' recognition of the spread of ESBL-ECL, the infection control team requested for staff education, reinforcement of infection control measures, and environmental screening. New transmissions were observed in the institution after weeks of enhanced infection control measures. Microbial swabbing revealed bacterial contamination of some mattresses and syphons with epidemiologic links between environmental, screening, and clinical isolates. This outbreak resulted in the temporary closure of the ICU for complete biocleaning