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https://www.readbyqxmd.com/read/28549165/impact-of-antimicrobial-stewardship-for-pediatric-outpatient-parenteral-antibiotic-therapy
#1
Adam L Hersh, Jared Olson, Chris Stockmann, Emily A Thorell, Elizabeth D Knackstedt, Lawanda Esquibel, Susan Sanderson, Andrew T Pavia
We developed an outpatient parenteral antibiotic therapy (OPAT) stewardship program in a freestanding children's hospital to improve the appropriateness of OPAT prescribing. Introduction of the program enabled expert review of nearly 90% of the patients being prepared for discharge with OPAT and was associated with a 24% reduction in OPAT use.
May 26, 2017: Journal of the Pediatric Infectious Diseases Society
https://www.readbyqxmd.com/read/28546300/implementation-of-pharmacy-services-at-freestanding-emergency-departments-and-urgency-centers
#2
Rachel Root, Paul Krogh, Kristi Gullickson, Barbara Hintzen, Martha Christophersen, Steven Kastendieck, Matt Kresl
No abstract text is available yet for this article.
June 1, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28538057/an-airway-risk-assessment-score-for-unplanned-extubation-in-intensive-care-pediatric-patients
#3
Atul Vats, Clara Hopkins, Kelly M Hatfield, Jia Yan, Robert Palmer, Pinar Keskinocak
OBJECTIVE: As a result of a workshop to identify common causes of unplanned extubation, Children's Healthcare of Atlanta developed a scoring tool (Risk Assessment Score) to stratify patients into groups of low, moderate, high, and extreme risk. This tool could be used to institute appropriate monitoring or interventions for patients with high risks of unplanned extubation to enhance safety. The objective of this study is to test the hypothesis that the Risk Assessment Score will correlate with the occurrence rate of unplanned extubation in pediatric patients...
May 20, 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28537309/rehybridization-induced-charge-density-oscillations-in-the-long-range-corrugated-silicene
#4
Agata Podsiadły-Paszkowska, Mariusz Krawiec
Freestanding silicene is a one-atom-thick two-dimensional material composed of Si atoms arranged in a honeycomb lattice that is related to graphene. Its low-buckled atomic structure facilitates the functionalization of silicene. We report on an alternative method of functionalization which utilizes one-dimensional long-range periodic structural deformation of silicene, and leads to rehybridization-induced sublattice-polarized charge density oscillations. The charge density modulation follows the structural deformation of silicene, and features opposite phases in different sublattices...
May 24, 2017: Physical Chemistry Chemical Physics: PCCP
https://www.readbyqxmd.com/read/28526858/expression-and-activity-of-the-bioh-esterase-of-biotin-synthesis-is-independent-of-genome-context
#5
Xinyun Cao, Lei Zhu, Zhe Hu, John E Cronan
BioH is an α/β-hydrolase required for synthesis of the pimelate moiety of biotin in diverse bacteria. The bioH gene is found in different genomic contexts. In some cases (e.g., Escherichia coli) the gene is not located within a biotin synthetic operon and its transcription is not coregulated with the other biotin synthesis genes. In other genomes such as Pseudomonas aeruginosa the bioH gene is within a biotin synthesis operon and its transcription is coregulated with the other biotin operon genes. The esterases of pimelate moiety synthesis show remarkable genomic plasticity in that in some biotin operons bioH is replaced by other α/ß hydrolases of diverse sequence...
May 19, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28500515/outpatient-mid-urethral-tissue-fixation-system-sling-for-urodynamic-stress-urinary-incontinence-3-year-surgical-and-quality-of-life-results
#6
Ryoko Nakamura, Masahiro Yao, Yoshiko Maeda, Akiko Fujisaki, Yuki Sekiguchi
INTRODUCTION: To evaluate the clinical effectiveness and quality of life (QOL) of outpatient mid-urethral tissue fixation system sling (TFS) procedures for urodynamic stress urinary incontinence (SUI) at 3-year follow-up. METHODS: We analyzed 50 mid-urethral TFS sling operations between 2007 and 2012 at Yokohama Motomachi Women's Clinic LUNA. The primary outcome was success defined as a negative 24-h pad test, negative cough and Valsalva stress test, and no re-treatment for SUI...
May 12, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28494148/raman-spectroscopy-of-lattice-matched-graphene-on-strongly-interacting-metal-surfaces
#7
Dmitry Yu Usachov, Valery Yu Davydov, Vladimir S Levitskii, Viktor O Shevelev, Dmitry Marchenko, Boris V Senkovskiy, Oleg Yu Vilkov, Artem G Rybkin, Lada V Yashina, Evgueni V Chulkov, Irina Yu Sklyadneva, Rolf Heid, Klaus-Peter Bohnen, Clemens Laubschat, Denis V Vyalikh
Regardless of the widely accepted opinion that there is no Raman signal from single-layer graphene when it is strongly bonded to a metal surface, we present Raman spectra of a graphene monolayer on Ni(111) and Co(0001) substrates. The high binding energy of carbon to these surfaces allows formation of lattice-matched (1 × 1) structures where graphene is significantly stretched. This is reflected in a record-breaking shift of the Raman G band by more than 100 cm(-1) relative to the case of freestanding graphene...
May 18, 2017: ACS Nano
https://www.readbyqxmd.com/read/28493668/photothermal-effect-induced-negative-photoconductivity-and-high-responsivity-in-flexible-black-phosphorus-transistors
#8
Jinshui Miao, Bo Song, Qing Li, Le Cai, Suoming Zhang, Weida Hu, Lixin Dong, Chuan Wang
This paper reports negative photoconductivity mechanism in flexible black phosphorus (BP) transistors built on freestanding polyimide film. Near-infrared laser (λ = 830 nm) excitation leads to significantly suppressed device on-state current with a very high responsivity of up to 53 A/W. The underlying mechanism of the negative photoconductivity is attributed to the strong photothermal effect induced by the low thermal conductivity of polyimide substrate used. The heat generated by the infrared light illumination results in enhanced phonon scattering, reduced carrier mobility, and consequently negative photocurrent...
May 11, 2017: ACS Nano
https://www.readbyqxmd.com/read/28488415/a-bistable-microelectromechanical-system-actuated-by-spin-crossover-molecules
#9
Maria D Manrique-Juarez, Fabrice Mathieu, Victoria Shalabaeva, Jean Cacheux, Sylvain Rat, Liviu Nicu, Thierry Leïchlé, Lionel Salmon, Gábor Molnár, Azzedine Bousseksou
We report on a bistable MEMS device actuated by spin-crossover molecules. The device consists of a freestanding silicon microcantilever with an integrated piezoresistive detection system, which was coated with a 140 nm thick film of the [Fe(HB(tz)3 )2 ] (tz=1,2,4-triazol-1-yl) molecular spin-crossover complex. Switching from the low-spin to the high-spin state of the ferrous ions at 338 K led to a reversible upward bending of the cantilever in agreement with the change in the lattice parameters of the complex...
May 10, 2017: Angewandte Chemie
https://www.readbyqxmd.com/read/28486385/validation-of-the-vasoactive-inotropic-score-in-pediatric-sepsis
#10
Amanda M McIntosh, Suhong Tong, Sara J Deakyne, Jesse A Davidson, Halden F Scott
OBJECTIVES: To assess the validity of Vasoactive-Inotropic Score as a scoring system for cardiovascular support and surrogate outcome in pediatric sepsis. DESIGN: Secondary retrospective analysis of a single-center sepsis registry. SETTING: Freestanding children's hospital and tertiary referral center. PATIENTS: Children greater than 60 days and less than 18 years with sepsis identified in the emergency department between January 2012 and June 2015 treated with at least one vasoactive medication within 48 hours of admission to the PICU...
May 8, 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28485975/binder-free-n-and-o-rich-carbon-nanofiber-anodes-for-long-cycle-life-k-ion-batteries
#11
Ryan A Adams, Jia-Min Syu, Yunpu Zhao, Chieh-Tsung Lo, Arvind Varma, Vilas G Pol
Carbon nanofibers produced by electrospinning of polyacrylonitrile polymer and subsequent carbonization were tested as freestanding potassium-ion anodes. The effect of oxygen functionalization on K-ion carbon anode performance was tested for the first time via plasma oxidation of prepared carbon nanofibers. The produced materials exhibited exceptional cycling stability through the amorphous carbon structuring and 1-dimensional architecture accommodating significant material expansion upon K+ intercalation, resulting in a stable capacity of 170 mAh g-1 after 1900 cycles at 1C rate for N-rich carbon nanofibers...
May 9, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28474863/freestanding-gold-graphene-oxide-manganese-oxide-microsupercapacitor-displaying-high-areal-energy-density
#12
Ahiud Morag, James Y Becker, Raz Jelinek
Microsupercapacitors are touted as one of the promising "next frontiers" in energy-storage research and applications. Despite their potential, significant challenges still exist in terms of physical properties and electrochemical performance, particularly attaining high energy density, stability, ease of synthesis, and feasibility of large-scale production. We present new freestanding microporous electrodes comprising self-assembled scaffold of gold and reduced graphene oxide (rGO) nanowires coated with MnO2 ...
May 5, 2017: ChemSusChem
https://www.readbyqxmd.com/read/28469457/outcomes-of-surgeries-performed-in-physician-offices-compared-with-ambulatory-surgery-centers-and-hospital-outpatient-departments-in-florida
#13
Robert L Ohsfeldt, Pengxiang Li, John E Schneider, Ivana Stojanovic, Cara M Scheibling
BACKGROUND: The proportion of outpatient surgeries performed in physician offices has been increasing over time, raising concern about the impact on outcomes. OBJECTIVE: To use a private insurance claims database to compare 7-day and 30-day hospitalization rates following relatively complex outpatient surgical procedures across physician offices, freestanding ambulatory surgery centers (ASCs), and hospital outpatient departments (HOPDs). METHODS: A multivariable logistic regression model was used to compare the risk-adjusted probability of hospitalization among patients after any of the 88 study outpatient procedures at physician offices, ASCs, and HOPDs over 2008-2012 in Florida...
2017: Health Services Insights
https://www.readbyqxmd.com/read/28463868/application-of-primary-care-guideline-for-chronic-low-back-pain-in-the-emergency-department
#14
Rebeca M Tacy, Sherry Donaworth, Kathleen Ballman
Chronic low back pain (CLBP) is a primary care condition that overflows into the emergency department (ED). No ED-specific practice guideline exists for the management of patients with CLBP in the ED setting. Back pain is a common chief complaint, with cases of CLBP making up to 50% of the patients seen with back pain in an urban, freestanding ED affiliated with a multicampus health system in the Midwest where 25% of patients live below the poverty line and 21.8% do not have primary care. Kolcaba's Theory of Comfort guides the implementation of an evidence-based practice application project...
April 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28462070/ion-beam-profiling-from-the-interaction-with-a-freestanding-2d-layer
#15
Ivan Shorubalko, Kyoungjun Choi, Michael Stiefel, Hyung Gyu Park
Recent years have seen a great potential of the focused ion beam (FIB) technology for the nanometer-scale patterning of a freestanding two-dimensional (2D) layer. Experimentally determined sputtering yields of the perforation process can be quantitatively explained using the binary collision theory. The main peculiarity of the interaction between the ion beams and the suspended 2D material lies in the absence of collision cascades, featured by no interaction volume. Thus, the patterning resolution is directly set by the beam diameters...
2017: Beilstein Journal of Nanotechnology
https://www.readbyqxmd.com/read/28448222/patient-experience-and-process-measures-of-quality-of-care-at-home-health-agencies-factors-associated-with-high-performance
#16
Laura M Smith, Wayne L Anderson, Lisa M Lines, Cristalle Pronier, Vanessa Thornburg, Janelle P Butler, Lori Teichman, Debra Dean-Whittaker, Elizabeth Goldstein
We examined effects of provider characteristics on home health agency performance on patient experience of care (Home Health CAHPS) and process (OASIS) measures. Descriptive, multivariate, and factor analyses were used. While agencies score high on both domains, factor analyses showed that the underlying items represent separate constructs. Freestanding and Visiting Nurse Association agencies, higher number of home health aides per 100 episodes, and urban location were statistically significant predictors of lower performance...
April 27, 2017: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/28448024/synthesis-of-hydrogels-with-antifouling-properties-as-membranes-for-water-purification
#17
Thien N Tran, Sankara N Ramanan, Haiqing Lin
Hydrogels have been widely utilized to enhance the surface hydrophilicity of membranes for water purification, increasing the antifouling properties and thus achieving stable water permeability through membranes over time. Here, we report a facile method to prepare hydrogels based on zwitterions for membrane applications. Freestanding films can be prepared from sulfobetaine methacrylate (SBMA) with a crosslinker of poly(ethylene glycol) diacrylate (PEGDA) via photopolymerization. The hydrogels can also be prepared by impregnation into hydrophobic porous supports to enhance the mechanical strength...
April 7, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/28447097/rapid-large-area-fabrication-of-multiscale-through-hole-membranes
#18
Dongha Tahk, Sang-Min Paik, Jungeun Lim, Seokyoung Bang, Soojung Oh, Hyunryul Ryu, Noo Li Jeon
There are many proposed mechanisms by which single cells can be trapped; among them is the through-hole membrane for the characterization of individual microorganisms. Due to the small scale of the fabricated pores, the construction of through-hole membranes on a large scale and with relatively large areas faces many difficulties. This paper describes novel fabrication methods for a large-area, freestanding micro/nano through-hole membrane constructed from versatile membrane materials using through-hole membranes on a microfluidic chip (THMMC)...
April 27, 2017: Lab on a Chip
https://www.readbyqxmd.com/read/28443940/facile-processes-for-producing-robust-transparent-conductive-platinum-nanofiber-mats
#19
Seongpil An, Yong Il Kim, Sumit Sinha-Ray, Min-Woo Kim, Hong Seok Jo, Mark T Swihart, Alexander L Yarin, Sam S Yoon
Mechanically robust freestanding platinum (Pt) nanofiber (NF) meshes are of great interest in applications where the corrosion resistance, malleability, and stability of a pure platinum structure must be combined with high surface area for catalysis. For photoelectrochemical applications, transparent electrodes are desirable. Several 1-dimensional (1D) Pt-based materials have been developed, but energy-intensive fabrication techniques and unsatisfactory performance have limited their practical implementation in next-generation photoelectrochemical applications...
May 11, 2017: Nanoscale
https://www.readbyqxmd.com/read/28443860/fabrication-of-large-area-polymer-microfilter-membranes-and-their-application-for-particle-and-cell-enrichment
#20
Javier Alejandro Hernández-Castro, Kebin Li, Anne Meunier, David Juncker, Teodor Veres
A vacuum assisted UV micro-molding (VAUM) process is proposed for the fabrication of freestanding and defect-free polymer membranes based on a UV-curable methacrylate polymer (MD 700). VAUM is a highly flexible and powerful method for fabricating low cost, robust, large-area membranes over 9 × 9 cm(2) with pore sizes from 8 to 20 μm in diameter, 20 to 100 μm in thickness, high aspect ratio (the thickness of the polymer over the diameter of the hole is up to 15 : 1), high porosity, and a wide variety of geometrical characteristics...
April 26, 2017: Lab on a Chip
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