Leveraging electronic medical records to evaluate a computerized decision support system for staphylococcus bacteremia.

Infectious disease specialists (IDS) improve outcomes of patients with Staphylococcus bacteremia, but immediate IDS access is not always guaranteed. We investigated whether a care-integrated computerized decision support system (CDSS) can safely enhance the standard of care (SOC) for these patients. We conducted a multicenter, noninferiority, interventional stepped-wedge cluster randomized controlled trial relying on the data integration centers at five university hospitals.

Habituation of the Interlimb Reflex (ILR) Over the Biceps Brachii Muscle After Electrical Stimuli Over the Sural Nerve.

Up to now relatively little is known about interlimb reflexes (ILR). Especially it is not well known whether ILR may habituate or not to subsequent stimuli. The main aim of the present investigation was to explore the short term habituation behavior of ILR.

The impact of rectification on the electrically evoked long-latency reflex of the biceps brachii muscle.

Long latency reflexes (LLR) were elicited electrically and obtained by full wave rectified and non-rectified data recordings in 10 healthy subjects. After single or train stimuli (sensory radial nerve; interstimulus interval 3ms) amplitude and peak latency values were measured over the bent biceps brachii (BB) muscle, either without or with 1.5kg weight load.

Facilitation and habituation of the startle reflex over the tonically active biceps brachii muscle contralateral to electrical stimuli.

The aim of the present investigation was to explore the impact of muscle contraction on startle reflex responses after electrical stimuli (single or trains of 3) and to study startle reflex habituation. The electromyogram was recorded over the tonically active biceps brachii muscle in 19 healthy subjects contralateral to electrical stimuli (9-12mA) that were delivered at 1.0 and 0.

The electrically evoked long latency reflex of the biceps brachii muscle: the impact of train stimuli, preceding stimuli, and voluntary muscle contraction.

Long latency reflex (LLR) responses were examined over the biceps brachii (BB) at different contraction levels after electrical single or train stimuli over the ipsilateral superficial radial nerve with an inter-stimulus interval of 3ms. Two constant motor waves were present, LLR2 with a peak latency value of 53±4ms and LLR3 with 85±10ms. LLR responses showed a significant increase (twofold) in amplitudes after train stimuli compared to up to a fourfold increase after train stimuli were combined with a weight load of 1.