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"Discharge process"

Danny George Thomas, Lia Bradley, Ashley Servi, Suzanne Reilly, Jennifer Niskala Apps, Michael McCrea, Thomas Hammeke
INTRODUCTION: Children increasingly are being seen in the emergency department for a concussion, or mild traumatic brain injury (mTBI). A key aim of the ED visit is to provide discharge advice that can help parents to identify an evolving neurosurgical crisis, facilitate recovery, and prevent reinjury. The present study examined parents' knowledge of symptoms and recall of discharge instructions after their adolescent's mTBI and the effect of supplementing written discharge instructions with verbal instruction and reinforcement...
May 17, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Lei Wang, Yifan Dong, Kangning Zhao, Wen Luo, Shuo Li, Liang Zhou, Liqiang Mai
Interconnected LiCuVO4 networks were synthesized through a facile surfactant-assisted approach. Detailed investigations on the lithium storage mechanism manifest that metallic Cu nanoparticles are generated in situ during the first discharge process and remain mostly intact in the following cycles, thereby enhancing conductivity of the electrode. The interconnected networks with submicron sized primary particles endow the LiCuVO4 with a large amount of active sites and thus high capacitive charge storage. Benefiting from a peculiar structure, the resultant interconnected LiCuVO4 networks deliver extraordinary rate performance (216 mA h g(-1) up to 10 A g(-1)) and ultralong cycling stability (∼85% capacity retention after 5000 cycles at 5 A g(-1))...
May 24, 2017: Physical Chemistry Chemical Physics: PCCP
Meredith Gilliam, Sarah L Krein, Karen Belanger, Karen E Fowler, Derek E Dimcheff, Gabriel Solomon
BACKGROUND: Incomplete or delayed access to discharge information by outpatient providers and patients contributes to discontinuity of care and poor outcomes. OBJECTIVE: To evaluate the effect of a new electronic discharge summary tool on the timeliness of documentation and communication with outpatient providers. METHODS: In June 2012, we implemented an electronic discharge summary tool at our 145-bed university-affiliated Veterans Affairs hospital...
2017: SAGE Open Medicine
Alan Molinari, Philipp M Leufke, Christian Reitz, Subho Dasgupta, Ralf Witte, Robert Kruk, Horst Hahn
Electric field tuning of magnetism is one of the most intensely pursued research topics of recent times aiming at the development of new-generation low-power spintronics and microelectronics. However, a reversible magnetoelectric effect with an on/off ratio suitable for easy and precise device operation is yet to be achieved. Here we propose a novel route to robustly tune magnetism via the charging/discharging processes of hybrid supercapacitors, which involve electrostatic (electric-double-layer capacitance) and electrochemical (pseudocapacitance) doping...
May 10, 2017: Nature Communications
Merve Iliksu, Abhishek Khetan, Shuo Yang, Ulrich Simon, Heinz Pitsch, Dirk Uwe Sauer
The role of lithium salts in determining the discharge capacity of Li-O2 batteries has been highlighted in several recent studies, however, questions pertaining to their effect on the cathode surface and in the solution phase still remain unanswered. We conducted galvanostatic discharge experiments with different compositions of a binary mixture of 1M of LiNO3 and LiTFSI in tetraglyme (TEGDME) as the electrolyte and analyzed the discharge products using techniques such as FT-IR, Raman Spectroscopy and SEM. It was observed that there is a non-linear correlation between the electrolyte composition and the first discharge capacity, with the highest discharge capacity achieved with the electrolyte composition as 0...
May 9, 2017: ACS Applied Materials & Interfaces
Bitao Dong, Mingyan Li, Sheng Chen, Dawei Ding, Wei Wei, Guoxin Gao, Shujiang Ding
Nickel hydroxide (Ni(OH)2) has drawn intense research interest due to its high theoretical specific capacitance as one of the promising next generation electrode materials for supercapacitors, however, the practical applications of Ni(OH)2 is hindered by its lower cycling life. To overcome the inherent defects, herein we demonstrate a unique interconnect honeycomb structure of g-C3N4 and Ni(OH)2 synthesized by an environmental-friendly one-step method. In this work, g-C3N4 support a perpendicular charge transporting direction in charge-discharge process, which is beneficial for electron diffusion...
May 9, 2017: ACS Applied Materials & Interfaces
Ting Deng, Wei Zhang, Oier Arcelus, Jin-Gyu Kim, Javier Carrasco, Seung Jo Yoo, Weitao Zheng, Jiafu Wang, Hongwei Tian, Hengbin Zhang, Xiaoqiang Cui, Teófilo Rojo
Cobalt hydroxide is a promising electrode material for supercapacitors due to the high capacitance and long cyclability. However, the energy storage/conversion mechanism of cobalt hydroxide is still vague at the atomic level. Here we shed light on how cobalt hydroxide functions as a supercapacitor electrode at operando conditions. We find that the high specific capacitance and long cycling life of cobalt hydroxide involve a complete modification of the electrode morphology, which is usually believed to be unfavourable but in fact has little influence on the performance...
May 8, 2017: Nature Communications
Yuanyuan Guo, Xiaoqiao Zeng, Yu Zhang, Zhengfei Dai, Haosen Fan, Ying Huang, Weina Zhang, Hua Zhang, Jun Lu, Fengwei Huo, Qingyu Yan
Three-dimensional nanoporous carbon frameworks encapsulated Sn nanoparticles (Sn@3D-NPC) are developed by a facile method as an improved lithium ion battery anode. The Sn@3D-NPC delivers a reversible capacity of 740 mAh g(-1) after 200 cycles at a current density of 200 mA g(-1), corresponding to a capacity retention of 85% (against the second capacity) and high rate capability (300 mAh g(-1) at 5 A g(-1)). Compared to the Sn nanoparticles (SnNPs), such improvements are attributed to the 3D porous and conductive framework...
May 12, 2017: ACS Applied Materials & Interfaces
Zhengping Zhou, Hua Zhang, Yan Zhou, Hui Qiao, Ashim Gurung, Roya Naderi, Hytham Elbohy, Alevtina L Smirnova, Huitian Lu, Shuiliang Chen, Qiquan Qiao
A hierarchical mesoporous carbon foam (ECF) with an interconnected micro-/mesoporous architecture was prepared and used as a binder-free, low-cost, high-performance anode for lithium ion batteries. Due to its high specific surface area (980.6 m(2)/g), high porosity (99.6%), light weight (5 mg/cm(3)) and narrow pore size distribution (~2 to 5 nm), the ECF anode exhibited a high reversible specific capacity of 455 mAh/g. Experimental results also demonstrated that the anode thickness significantly influence the specific capacity of the battery...
May 3, 2017: Scientific Reports
Jennifer W Caceres, Scott M Alter, Richard D Shih, Jimmy D Fernandez, Frederick K Williams, Richard Paley, William Benda, Lisa M Clayton
OBJECTIVES: Patients are 30% less likely to be readmitted or visit the emergency department if they have a clear understanding of their discharge instructions. A standardized approach to a hospital discharge plan has not been universally implemented, however. Our goal was to increase patients' comprehension of discharge instructions by implementing a standardized patient-centered discharge planning protocol that uses a physician team member to explain these plans. METHODS: This was a prospective study that included all of the patients discharged from an inpatient medical teaching service in a community-based hospital during the study period...
May 2017: Southern Medical Journal
Beril Cakir, Stephanie Kaltsounis, Katherine D' Jernes, Sara Kopf, Julea Steiner
OBJECTIVES: Healthcare expenditures in the United States have increased exponentially and hospital care accounts for one-third of these costs. Approximately 18% of hospitalized Medicare beneficiaries are being readmitted to the hospital within 30 days. Engaging patients in the discharge process can help better identify patients' postdischarge needs and implement more effective readmission prevention strategies. The objective of our study was to identify the factors that contribute to hospital readmission as seen from patients' perspectives in a large urban community hospital...
May 2017: Southern Medical Journal
Luiza Kerstenetzky, Matthew J Birschbach, Katherine F Beach, David R Hager, Korey A Kennelty
INTRODUCTION: Patients transitioning from the hospital to a skilled nursing home (SNF) are susceptible to medication-related errors resulting from fragmented communication between facilities. Through continuous process improvement efforts at the hospital, a targeted needs assessment was performed to understand the extent of medication-related issues when patients transition from the hospital into a SNF, and the gaps between the hospital's discharge process, and the needs of the SNF and long-term care (LTC) pharmacy...
April 7, 2017: Research in Social & Administrative Pharmacy: RSAP
Xiang Deng, Wenxiang Shi, Jaka Sunarso, Meilin Liu, Zongping Shao
Sodium ion batteries (SIBs) are considered one of the most promising alternatives for large-scale energy storage due largely to the abundance and low cost of sodium. However, the lack of high-performance cathode materials at low cost represents a major obstacle toward broad commercialization of SIB technology. In this work, we report a green route strategy that allows cost-effective fabrication of carbon-coated Na2FePO4F cathode for SIBs. By using vitamin C as a green organic carbon source and environmentally friendly water-based polyacrylic latex as the binder, we have demonstrated that the Na2FePO4F phase in the as-derived Na2FePO4F/C electrode shows a high reversible capacity of 117 mAh g(-1) at a cycling rate of 0...
May 5, 2017: ACS Applied Materials & Interfaces
Meera V Ragavan, David Svec, Lisa Shieh
BACKGROUND: Reducing delays for patients who are safe to be discharged is important for minimising complications, managing costs and improving quality. Barriers to discharge include placement, multispecialty coordination of care and ineffective communication. There are a few recent studies that describe barriers from the perspective of all members of the multidisciplinary team. STUDY OBJECTIVE: To identify the barriers to discharge for patients from our medicine service who had a discharge delay of over 24 hours...
April 27, 2017: Postgraduate Medical Journal
R van Seben, S E Geerlings, B M Buurman
When patients are transferred from the hospital to other health care settings, responsibility for the patient is transferred from the treating physician, nurse, paramedic or pharmacist at the hospital to the next health care provider. Good patient handovers from hospital to other healthcare settings are essential to ensure continuity of care. However, handovers are often delayed or incomplete and the patient is barely involved in her or his own transfer. Risks related to an incomplete handover may be considerable...
2017: Nederlands Tijdschrift Voor Geneeskunde
Xiangyang Zhou, Sanmei Chen, Juan Yang, Tao Bai, Yongpeng Ren, Hangyu Tian
A facile process is developed to prepare SnO2-based composites through using metal-organic frameworks (MOFs) as precursors. The nitrogen-doped graphene wrapped okra-like SnO2 composites (SnO2@N-RGO) are successfully synthesized for the first time by using Sn-based metal-organic frameworks (Sn-MOF) as precursors. When utilized as an anode material for lithium-ion batteries, the SnO2@N-RGO composites possess a remarkably superior reversible capacity of 1041 mA h g(-1) at a constant current of 200 mA g(-1) after 180 charge-discharge processes and excellent rate capability...
April 13, 2017: ACS Applied Materials & Interfaces
Nelleke van Sluisveld, Anke Oerlemans, Gert Westert, Johannes Gerardus van der Hoeven, Hub Wollersheim, Marieke Zegers
BACKGROUND: Evidence indicates that suboptimal clinical handover from the intensive care unit (ICU) to general wards leads to unnecessary ICU readmissions and increased mortality. We aimed to gain insight into barriers and facilitators to implement and use ICU discharge practices. METHODS: A mixed methods approach was conducted, using 1) 23 individual and four focus group interviews, with post-ICU patients, ICU managers, and nurses and physicians working in the ICU or general ward of ten Dutch hospitals, and 2) a questionnaire survey, which contained 27 statements derived from the interviews, and was completed by 166 ICU physicians (21...
April 4, 2017: BMC Health Services Research
Xiaojie Zhang, Dongsheng Li, Guang Zhu, Ting Lu, Likun Pan
Recently sodium ion batteries (SIBs) as a new energy storage system have attracted enormous interests. Unfortunately, the development of high-performance electrode materials for SIBs is restricted owing to the large volume change during sodium insertion and extraction. In this work, porous CoFe2O4 nanocubes (PCFO-NCs) were prepared simply by annealing metal-organic frameworks and used as anode materials for SIBs. The PCFO-NCs exhibit a high initial Coulombic efficiency of 68.8% and a maximum reversible capacity of 360mAhg(-1) after 50 cycles at the current density of 50mAg(-1), as well as good rate capability and excellent cycling stability at high current density...
March 27, 2017: Journal of Colloid and Interface Science
Yuxiang Hu, Bin Luo, Delai Ye, Xiaobo Zhu, Miaoqiang Lyu, Lianzhou Wang
Rechargeable aluminum-ion batteries (AIBs) are attractive new generation energy storage devices due to its low cost, high specific capacity, and good safety. However, the lack of suitable electrode materials with high capacity and enhanced rate performance makes it difficult for real applications. Herein, the preparation of 3D reduced graphene oxide-supported SnS2 nanosheets hybrid is reported as a new type of cathode material for AIBs. The resultant material demonstrates one of the highest capacities of 392 mAh g(-1) at 100 mA g(-1) and good cycling stability...
March 29, 2017: Advanced Materials
Peiyuan Zeng, Jianwen Li, Ming Ye, Kaifeng Zhuo, Zhen Fang
Co9 S8 is considered a promising candidate as the anode material in lithium-ion batteries (LIBs) because of its remarkable electrical conductivity, high theoretical capacity, and low cost. However, the practical application of Co9 S8 is greatly restricted because of its poor cycling stability and rate performance, which result mainly from the large volume expansion and dissolution of the polysulfide intermediates during the charge/discharge process. In this report, Co9 S8 embedded in N-rich carbon hollow spheres are successfully designed and synthesized through an in situ pyrolysis and sulfurization process, employing the well-known ZIF-67 as the precursor and ethanethiol as the sulfur source...
April 3, 2017: Chemistry: a European Journal
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