More patients were discharged at the end of shifts, particularly triage level III patients. The ED LOS for patients whose final mTOR inhibition disposition was discharge decreased significantly. (C) 2013 Elsevier Inc. All rights reserved.”
“Randomized controlled trial which aimed

to verify whether the use of vascular ultrasound (VUS) increases assertiveness in the use of peripheral venous catheter in children, and the catheter dwell time, when compared to traditional puncture. Data were collected after approval of theethical merit. Children and adolescents undergoing VUS-guided peripheral intravenous (GVUS) or puncture guided by clinical assessment of the venous conditions(CG) were included in the study. Significance level was set at p <= 0.05. The sample was composed of 382 punctures, 188 (49.2%) in VUS Gand 194 (50.8%) in CG, performed in 335 children. Assertiveness was found in 73 (71.6%) GVUS catheters and in 84 (71.8%) of the CG (p=0.970), and catheter dwell time presented a median of less than one day in both groups (p=0.121), showing nostatistically significant difference. VUS did not significantly influence the results of the dependent variables investigated. ClinicalTrials.gov

NCT00930254.”
“The corallivorous crown-of-thorns starfish (COTS), Acanthaster planci, is recognised as a major cause of coral reef degradation throughout much of the Pacific Ocean. However, the effects of COTS on the high diversity reefs in Indonesia have been largely overlooked. In 2007, high densities of COTS were observed in two regions of Indonesia: Aceh and Halmahera. URMC-099 Densities of COTS ranged from 0 to 52 starfish 2,000 m(2) across 24 sites in Aceh and from 0 to 18 starfish 2,000 m(2) at 10 sites in Halmahera. HER2 inhibitor Mortality rates of Acropora spp. were very high at affected sites: over 50 % of colonies had been

killed at seven of the 16 affected sites. A review of historical sources going back to 1969 suggests that COTS have damaged many reefs throughout Indonesia, including much activity within the Indonesian section of the Coral Triangle. Furthermore, the data suggest that COTS activity has increased rapidly since 2000. Very little of this activity has been reported in the primary literature, and there is a general lack of awareness in Indonesia of COTS as a potential cause of reef degradation. This lack of awareness, combined with limited monitoring efforts, means that damage caused by COTS is often attributed to other causes, such as destructive fishing, bleaching or tsunami. COTS are clearly a major source of coral mortality in Indonesia of which scientists and government need to be more cognizant.”
“Elevated Na+ concentration ([Na+]) in the cerebrospinal fluid (CSF) contributes to the development of salt-sensitive hypertension. CSF is formed by the choroid plexus (CP) in cerebral ventricles, and [Na+] in CSF is controlled by transporters in CP.