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https://www.readbyqxmd.com/read/28992624/how-to-train-to-discharge-a-dermatology-outpatient-a-review
#1
A Harun, Andrew Y Finlay, M Sam Salek, Vincent Piguet
BACKGROUND/AIMS: The decision to discharge is a critical and common outpatient consultation event. However, little guidance exists over how discharge decision-making can be taught. We aimed to provide educational recommendations concerning outpatient discharge decision-making. METHODS: Recommendations were drawn from prior interviews with 40 consultant dermatologists and 56 dermatology outpatients, and from the "traffic light" design discharge information checklist, developed using the Delphi technique...
October 10, 2017: Dermatology: International Journal for Clinical and Investigative Dermatology
https://www.readbyqxmd.com/read/28991385/an-ultrastable-and-high-performance-flexible-fiber-shaped-ni-zn-battery-based-on-a-ni-nio-heterostructured-nanosheet-cathode
#2
Yinxiang Zeng, Yue Meng, Zhengzhe Lai, Xiyue Zhang, Minghao Yu, Pingping Fang, Mingmei Wu, Yexiang Tong, Xihong Lu
Currently, the main bottleneck for the widespread application of Ni-Zn batteries is their poor cycling stability as a result of the irreversibility of the Ni-based cathode and dendrite formation of the Zn anode during the charging-discharging processes. Herein, a highly rechargeable, flexible, fiber-shaped Ni-Zn battery with impressive electrochemical performance is rationally demonstrated by employing Ni-NiO heterostructured nanosheets as the cathode. Benefiting from the improved conductivity and enhanced electroactivity of the Ni-NiO heterojunction nanosheet cathode, the as-fabricated fiber-shaped Ni-NiO//Zn battery displays high capacity and admirable rate capability...
October 9, 2017: Advanced Materials
https://www.readbyqxmd.com/read/28988804/the-experience-and-understanding-of-pain-management-in-recently-discharged-adult-trauma-patients-a-qualitative-study
#3
Helen Goldsmith, Andrea McCloughen, Kate Curtis
INTRODUCTION: Pain following injury is often intense, prolonged and debilitating. If poorly managed, this acute pain has the potential to delay rehabilitation and lead to chronic pain. Recent quantitative Australian research recommends implementing further information and interventions to improve trauma patient outcomes, however, to ensure effectiveness, exploration of the patient perspective is imperative to ensure the success of future pain management strategies. This study aimed to gain understanding about the experience of pain management using prescribed analgesic regimens of recently discharged adult trauma patients...
September 28, 2017: Injury
https://www.readbyqxmd.com/read/28980760/multicolor-fluorescent-supercapacitor-fiber
#4
Meng Liao, Hao Sun, Jing Zhang, Jingxia Wu, Songlin Xie, Xuemei Fu, Xuemei Sun, Bingjie Wang, Huisheng Peng
Fiber-shaped supercapacitors have attracted broad attentions from both academic and industrial communities due to the demonstrated potentials as next-generation power modules. However, it is important while remains challenging to develop dark-environment identifiable supercapacitor fibers for enhancement on operation convenience and security in nighttime applications. Herein, a novel family of colorful fluorescent supercapacitor fibers has been produced from aligned multi-walled carbon nanotube sheets. Fluorescent dye particles are introduced and stably anchored on the surfaces of aligned multi-walled carbon nanotubes to prepare hybrid fiber electrodes with a broad range of colors from red to purple...
October 5, 2017: Small
https://www.readbyqxmd.com/read/28964298/implementation-of-a-perioperative-surgical-home-protocol-for-pediatric-patients-presenting-for-adenoidectomy
#5
Vidya T Raman, Dmitry Tumin, Joshua Uffman, Arlyne K Thung, Candice Burrier, Kris R Jatana, Charles Elmaraghy, Joseph D Tobias
INTRODUCTION: The perioperative surgical home (PSH) is a patient-centered model designed to improve health, streamline the delivery of health care, and reduce the cost of care. Following the national introduction of PSH in 2014 by the ASA, adult hospitals have reported success with this model, with studies validating the benefits of PSH including reducing length of stay, lowering costs, and improving patient satisfaction. METHODS: Eligible patients, ranging in age from 16-35 months of age, were identified by the pre-admission testing (PAT) registered nurses (RNs) and faculty anesthesiologists upon review of the patient history...
October 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28957749/synthesis-and-characterization-of-three-dimensional-mos2-carbon-fibers-hierarchical-architecture-with-high-capacity-and-high-mass-loading-for-li-ion-batteries
#6
Xinyuan Shan, Shen Zhang, Na Zhang, Yujin Chen, Hong Gao, Xitian Zhang
Three-dimensional (3D) MoS2@carbon fibers (CFs) hierarchical architectures are successfully synthesized via a simple hydrothermal method and subsequent annealing. MoS2 nanoflakes are grown on the twine carbon fibers of the carbonized waste cotton cloth. The twine CFs can provide a short diffusion path for ions in electrolyte, enhance the specific surface area, and improve the conductivity of the 3D MoS2@CFs hierarchical architectures with high mass loading of 4.4mgcm(-2). The 3D MoS2@CFs hierarchical architectures as the electrode material can achieve a high reversible areal capacity (5...
September 21, 2017: Journal of Colloid and Interface Science
https://www.readbyqxmd.com/read/28948257/engineering-graphene-with-red-phosphorus-quantum-dots-for-superior-hybrid-anodes-of-sodium-ion-batteries
#7
Guang Zeng, Xiang Hu, Baolong Zhou, Junxiang Chen, Changsheng Cao, Zhenhai Wen
Red phosphorus (P) has been considered to be one of the most promising anode materials for sodium-ion batteries (SIBs) because of its highest theoretical capacity (∼2600 mA h g(-1)). For the first time, we report a reliable hydrothermal method for the preparation of red phosphorus quantum dots (RPQDs) with commercial red P as a source. Moreover, an effective strategy was designed to fabricate RPQDs/rGO nanohybrids for addressing the intrinsic issues of red P as anode materials for SIBs. Benefiting from the nanostructuring of red P and the coupling of RPQDs with rGO, the obtained nanohybrids not only promote electron and ion transfer, but also effectively enhance the electronic conductivity, restrain the aggregation of RPQDs and buffer the large volume changes of red phosphorus during the charge-discharge process...
October 5, 2017: Nanoscale
https://www.readbyqxmd.com/read/28936931/patient-perspectives-on-transitions-of-surgical-care-examining-the-complexities-and-interdependencies-of-care
#8
Maynor G González, Kristin N Kelly, Ann M Dozier, Fergal Fleming, John R T Monson, Adan Z Becerra, Christopher T Aquina, Christian P Probst, Bradley J Hensley, Nick Sevdalis, Katia Noyes
This study examined a thematic network aimed at identifying experiences that influence patients' outcomes (e.g., patients' satisfaction, anxiety, and discharge readiness) in an effort to improve care transitions and reduce patient burden. We drew upon the Sociology and Complexity Science Toolkit to analyze themes derived from 61 semistructured, longitudinal interviews with 20 patients undergoing either a benign or malignant colorectal resection (three interviews per patient over a 30-day after hospital discharge)...
October 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28936521/a-first-principles-study-of-spinel-znfe2o4-for-electrode-materials-in-lithium-ion-batteries
#9
Haoyue Guo, Yiman Zhang, Amy C Marschilok, Kenneth J Takeuchi, Esther S Takeuchi, Ping Liu
Zinc ferrite (ZnFe2O4) is a prospective lithium ion battery (LIB) material, owing to its large theoretical capacity (1000 mA h g(-1)). Here, we report a density functional study of the discharge process at an early stage from ZnFe2O4 up to LixZnFe2O4 (x = 2), aiming to provide a fundamental understanding of the mechanism. According to our calculations, with x increasing up to 1 the intercalation of Li(+) ions prefers octahedral 16c sites, which is accompanied by Zn(2+) ion displacement from tetrahedral 8a sites to 16c sites starting at x = 0...
October 4, 2017: Physical Chemistry Chemical Physics: PCCP
https://www.readbyqxmd.com/read/28932946/ready-to-go-home-patients-experiences-of-the-discharge-process-in-an-enhanced-recovery-after-surgery-eras-program-for-colorectal-surgery
#10
D Jones, R Musselman, E Pearsall, M McKenzie, H Huang, Robin S McLeod
BACKGROUND: With the adoption of enhanced recovery after surgery (ERAS) programs, patients are being discharged earlier and require more post-discharge teaching, educational materials, and information. OBJECTIVE: The purpose of this study is to assess satisfaction, discharge needs, and follow-up concerns of patients within an ERAS implementation program (iERAS). METHODS: Between 2012 and 2015, the iERAS program was undertaken at an academic hospital where 554 patients having elective colorectal surgery were enrolled...
September 20, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28932656/oxygen-rich-lithium-oxide-phases-formed-at-high-pressure-for-potential-lithium-air-battery-electrode
#11
Wenge Yang, Duck Young Kim, Liuxiang Yang, Nana Li, Lingyun Tang, Khalil Amine, Ho-Kwang Mao
The lithium-air battery has great potential of achieving specific energy density comparable to that of gasoline. Several lithium oxide phases involved in the charge-discharge process greatly affect the overall performance of lithium-air batteries. One of the key issues is linked to the environmental oxygen-rich conditions during battery cycling. Here, the theoretical prediction and experimental confirmation of new stable oxygen-rich lithium oxides under high pressure conditions are reported. Three new high pressure oxide phases that form at high temperature and pressure are identified: Li2O3, LiO2, and LiO4...
September 2017: Advanced Science (Weinheim, Baden-Wurttemberg, Germany)
https://www.readbyqxmd.com/read/28925924/in-situ-preparation-of-fe-sub-3-sub-o-sub-4-sub-in-a-carbon-hybrid-of-graphene-nanoscrolls-and-carbon-nanotubes-as-high-performance-anode-material-for-lithium-ion-batteries
#12
Yuewen Liu, Ahmad Hassan Siddique, Heran Huang, Qile Fang, Wei Deng, Xufeng Zhou, Huanming Lu, Z P Liu
A new conductive carbon hybrid combining both graphene nanoscrolls and carbon nanotubes (rGNSs-CNTs) is prepared, and used to host Fe3O4 nanoparticles through an in situ synthesis method. As an anode material for LIBs, the obtained Fe3O4@rGNSs-CNTs shows good electrochemical performance. At a current density of 0.1 A g-1, the anode material shows a high reversible capacity of 1232.9 mAh g-1 after 100 cycles. Even at a current density of 1 A g-1, it still achieves a high reversible capacity of 812.3 mAh g-1 after 200 cycles...
September 19, 2017: Nanotechnology
https://www.readbyqxmd.com/read/28920393/-survival-elongation-of-pseudomonas-aeruginosa-improves-power-output-of-microbial-fuel-cells
#13
Ting You, Jihua Liu, Rubing Liang, Jianhua Liu
The secondary metabolites, phenazine products, produced by Pseudomonas aeruginosa can mediate the electrons transfer in microbial fuel cells (MFCs). How increase the total electricity production in MFCs by improving the characteristics of Pseudomonas aeruginosa is one of research hot spots and problems. In this study, P. aeruginosa strain SJTD-1 and its knockout mutant strain SJTD-1 (ΔmvaT) were used to construct MFCs, and the discharge processes of the two MFCs were analyzed to determine the key factors to electricity yields...
April 25, 2017: Sheng Wu Gong Cheng Xue Bao, Chinese Journal of Biotechnology
https://www.readbyqxmd.com/read/28906101/sulfur-in-hyper-cross-linked-porous-polymer-as-cathode-in-lithium-sulfur-batteries-with-enhanced-electrochemical-properties
#14
Jing Hui Zeng, Ye Feng Wang, Si Qiong Gou, Lu Ping Zhang, Yu Chen, Jia Xing Jiang, Feng Shi
Sulfur was impregnated into hyper-cross-linked porous polymer (HCP) with a high specific area and unique porous structure. Compared to its inorganic or carbon counterparts, the HCP has a relatively high specific surface area of 1980 m(2) g(-1) with a total pore volume of 2.61 cm(3) g(-1), resulting in sulfur content in HCP/S of as high as 80 wt %. As a benefit of the unique HCP structure, the HCP/S composite exhibits a high initial discharge specific capacity (1333 mA h g(-1) at 0.2 C), high-rate property, and good cycling stability (658 mA h g(-1) after 120 cycles at 0...
October 11, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28884774/high-energy-asymmetric-supercapacitors-based-on-free-standing-hierarchical-co-mo-s-nanosheets-with-enhanced-cycling-stability
#15
Jayaraman Balamurugan, Chao Li, Shaik Gouse Peera, Nam Hoon Kim, Joong Hee Lee
Layered transition metal sulfides (TMS) are emerging as advanced materials for energy storage and conversion applications. In this work, we report a facile and cost-effective anion exchange technique to fabricate a layered, multifaceted, free standing, ultra-thin ternary cobalt molybdenum sulfide nanosheet (Co-Mo-S NS) architecture grown on a 3D porous Ni foam substrate. The unique Co-Mo layered double hydroxides are first synthesized as precursors and consequently transformed into ultra-thin Co-Mo-S NS. When employed as an electrode for supercapacitors, the Co-Mo-S NS delivered an ultra-high specific capacitance of 2343 F g(-1) at a current density of 1 mA cm(-2) with tremendous rate capability and extraordinary cycling performance (96...
September 21, 2017: Nanoscale
https://www.readbyqxmd.com/read/28881069/person-centred-discharge-education-following-coronary-artery-bypass-graft-a-critical-review
#16
Melanie Rushton, Michelle Howarth, Maria J Grant, Felicity Astin
AIMS AND OBJECTIVES: This critical review examines the extent that individualised education helps reduce depression, anxiety and improves self-care for people who've undergone Coronary Artery Bypass Graft surgery (CABG). BACKGROUND: Individualised discharge planning is increasingly important following cardiac surgery due to recurrent admissions as well as the issue of anxiety and depression, often due to lack of preparation. The hospital to home transition is fundamental in the recovery process...
September 7, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28840719/iso-oriented-nati2-po4-3-mesocrystals-as-anode-material-for-high-energy-and-long-durability-sodium-ion-capacitor
#17
Tongye Wei, Gongzheng Yang, Chengxin Wang
Sodium-ion capacitors (SIC) combine the merits of both high-energy batteries and high-power electrochemical capacitors as well as the low cost and high safety. However, they are also known to suffer from the severe deficiency of suitable electrode materials with high initial Coulombic efficiency (ICE) and kinetic balance between both electrodes. Herein, we report a facile solvothermal synthesis of NaTi2(PO4)3 nanocages constructed by iso-oriented tiny nanocrystals with a mesoporous architecture. It is notable that the NaTi2(PO4)3 mesocrystals exhibit a large ICE of 94%, outstanding rate capability (98 mA h g(-1) at 10 C), and long cycling life (over 77% capacity retention after 10 000 cycles) in half cells, all of which are in favor to be utilized into a full cell...
September 20, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28837013/six-change-ideas-that-significantly-minimize-alternate-level-of-care-alc-days-in-acute-care-hospitals
#18
Paula Chidwick, Jill Oliver, Daniel Ball, Christopher Parkes, Terri Lynn Hansen, Francesca Fiumara, Kiki Ferrari, Cindy Hawkswell, Karyn Lumsden
A significant issue affecting the healthcare system across Ontario is the number of patients admitted to hospitals that are then subsequently being designated alternate level of care (ALC). In 2016, 14.5% of Ontario in-patient beds were occupied by ALC-designated patients. Contributing to this phenomenon are ethical errors that can affect decision-making around discharge. Since 2012, William Osler Health System has redesigned their discharge process to eliminate ethical errors and align more fully with the Health Care Consent Act (HCCA) and the Public Hospitals Act (PHA)...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28832589/a-counseling-program-on-nuisance-bleeding-improves-quality-of-life-in-patients-on-dual-antiplatelet-therapy-a-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Simone Biscaglia, Elisabetta Tonet, Rita Pavasini, Matteo Serenelli, Giulia Bugani, Paolo Cimaglia, Francesco Gallo, Giosafat Spitaleri, Annamaria Del Franco, Giorgio Aquila, Francesco Vieceli Dalla Sega, Matteo Tebaldi, Carlo Tumscitz, Roberto Ferrari, Gianluca Campo
BACKGROUND: Nuisance bleeding is a major determinant of quality of life and drug discontinuation in patients on dual antiplatelet therapy (DAPT). However, no randomized trial has been focused on the impact of nuisance bleeding on quality of life. METHODS: BATMAN is an investigator-driven, randomized, controlled, single-center, open trial (NCT02554006). Four hundred and forty-eight consecutive patients with indication to at least 6 months of DAPT were randomized to: i) multimodal counseling program focused on nuisance bleedings (interventional arm); ii) usual discharge process (control arm)...
2017: PloS One
https://www.readbyqxmd.com/read/28782932/visualization-of-colloidal-nanocrystal-formation-and-electrode-electrolyte-interfaces-in-liquids-using-tem
#20
Zhiyuan Zeng, Wenjing Zheng, Haimei Zheng
Transmission electron microscopy (TEM) has become a powerful analytical tool for addressing unique scientific problems in chemical sciences as well as in materials sciences and other disciplines. There has been a lot of recent interest in the development and applications of liquid phase environmental TEM. In this Account, we review the development and applications of liquid cell TEM for the study of dynamic phenomena at liquid-solid interfaces, focusing on two areas: (1) nucleation, growth, and self-assembly of colloidal nanocrystals and (2) electrode-electrolyte interfaces during charge and discharge processes...
August 7, 2017: Accounts of Chemical Research
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