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"Discharge process"

Xiaoyan Ren, Jiawei Wang, Zhangquan Peng, Lehui Lu
The direct monitoring of trace water in real time during electrochemical cycles is of vital importance because water impurities are one of the causes of reduced lifetimes and capacity fading in Li-ion batteries. However, the most common Karl-Fischer titration lacks the ability to perform real-time monitoring of trace water while the battery is operating. Here, we demonstrate the use of nanosized coordination polymers as a sensing platform for the rapid and highly sensitive detection of water molecules, which gives a distinguishable turn-on fluorescence (FL) response toward water with a quantifiable detection range from 0 to 1...
January 7, 2018: Chemical Science
Alison P Duffy, Nina M Bemben, Jueli Li, James Trovato
BACKGROUND: The importance of medication reconciliation and the pharmacist's role within the interdisciplinary team at the point of transition to home hospice is understudied. A transitions of care pilot initiative was developed to streamline the transition for patients at end of life from inpatient cancer center care to home hospice. The initiative consisted of using a hospice discharge checklist, pharmacist-led discharge medication reconciliation in consultation with the primary team responsible for inpatient care, review of discharge prescriptions, and facilitation of bedside delivery of discharge medications...
January 1, 2018: American Journal of Hospice & Palliative Care
Cathrine Buaas Tverdal, Emilie Isager Howe, Cecilie Røe, Eirik Helseth, Juan Lu, Olli Tenovuo, Nada Andelic
OBJECTIVES: To describe the discharge process for patients with traumatic brain injury from a trauma hospital, and patient experience and satisfaction with care transition. Furthermore, to evaluate associations between discharge process and patient satisfaction and quality of care transition. DESIGN: Prospective-retrospective observational study. SUBJECTS/PATIENTS: Seventy-four patients admitted to ward or intensive care unit at a trauma referral hospital within 24 h of traumatic brain injury...
April 5, 2018: Journal of Rehabilitation Medicine
Chao Cui, Mingqiang Li, Xiaoliang Zhang
Rechargeable Ni-Zn batteries, with high safety, low cost and nontoxicity, can be expected to compete with lithium-ion batteries for market share. However, the issue of dissolution of zinc electrode largely limit the battery cycle life and remains unsolved. We designed a kind of graphene-ZnO hybrid electrode in which in-situ cutting of graphene into short nanoribbons can effectively anchor plenty of zinc atoms onto the surface of graphene. This not only thoroughly fixes the issue of dissolution of zinc electrode but also increases the specific surface areas of zinc and promotes chemical reaction rate of the charge-discharge processes...
April 4, 2018: Scientific Reports
Jose F Figueroa, Yevgeniy Feyman, Xiner Zhou, Karen Joynt Maddox
BACKGROUND: Patient experience is a key measure of hospital quality and is increasingly contained in value-based payment programmes. Understanding whether strategies aimed at improving care transitions are associated with better patient experience could help clinical leaders and policymakers seeking to improve care across multiple dimensions. OBJECTIVE: To determine the association of specific hospital care coordination and transition strategies with patient experience...
April 4, 2018: BMJ Quality & Safety
Soo Kim, Vinay I Hegde, Zhenpeng Yao, Zhi Lu, Maximilian Amsler, Jiangang He, Shiqiang Hao, Jason R Croy, Eungje Lee, Michael M Thackeray, Chris Wolverton
Embedding a lithiated cobalt oxide spinel (Li2Co2O4; or LiCoO2) component or a nickel-substituted LiCo1-xNixO2 analogue in structurally-integrated cathodes such as xLi2MnO3∙(1-x)LiM'O2 (M' = Ni/Co/Mn) has been recently proposed as an approach to advance the performance of lithium-ion batteries (LIBs). Here, we first revisit the phase stability and electrochemical performance of LiCoO2 synthesized at different temperatures using density functional theory (DFT) calculations. Consistent with previous studies, we find that the occurrence of low- and high-temperature structures (i...
April 4, 2018: ACS Applied Materials & Interfaces
Yanqiu Lu, Yijin Wu, Tian Sheng, Xinxing Peng, Zhenguang Gao, Shaojian Zhang, Li Deng, Rui Nie, Jolanta Swiatowska, Jun-Tao Li, Yao Zhou, Ling Huang, Xiaodong Zhou, Shi-Gang Sun
A composite consisting of cobalt and graphitic porous carbon (Co@GC-PC) is synthesized from bimetallic-metal-organic frameworks (MOFs) and employed as the sulfur host for high-performance Li-S batteries. Due to the presence of a large surface area (724 m2 g-1) and an abundance of macro/meso pores, the Co@GC-PC electrode is able to alleviate the debilitating effect originating from the volume expansion/contraction of sulfur species during the cycling process. Our In situ UV/Vis analysis indicates that the existence of Co@GC-PC promotes the adsorption of polysulfides during the discharge process...
April 4, 2018: ACS Applied Materials & Interfaces
Zhenmin Xiong, Lei Chen, Long Zhao, Yanming Zhao, Jingjie Feng, Chun Mao Huang, Youzhong Dong, Hui Zhang, Yang Wang, Quan Kuang, Qinghua Fan, Shenghong Liu, Siyuan Chen
A novel 3D interconnected NH4Fe0.6V2.4O7.4@C nanocomposite was in situ synthesized through a facile hydrothermal reaction at low temperature (98 °C), and its electrochemical performance as a cathode for sodium-ion batteries (SIBs) was investigated for the first time. Under the intercalation of Fe3+ and carbon-coating, as-prepared samples turned to 3D interconnected structures, which were composed of NH4Fe0.6V2.4O7.4 nanoparticles and carbon chains. The 3D interconnected NH4Fe0.6V2.4O7.4@0.5 wt%C nanocomposite exhibits a high discharge specific capacity of 306 mA h g-1 at a current density of 20 mA g-1 and a high-rate capacity of 130 mA h g-1 at 0...
April 3, 2018: Nanoscale
Sebastian Choi, Jaime Babiak
OBJECTIVE: To evaluate a recently implemented procedure of discharge medication reconciliation and patient counseling completed by pharmacists at a nursing facility. SETTING: This is a 138-bed nursing facility that houses long-term care residents as well as patients for subacute rehabilitation. PRACTICE DESCRIPTION: Discharge process involves the medical team (geriatrician, medical resident, medical students), social workers, and nurse coordinators...
April 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
Jesus M Casida, Pamela Combs, MaryKay Pavol, Kathleen T Hickey
Since the first use of an implantable ventricular assist device (VAD) nearly 3 decades ago, many VAD Centers in the United States expect patients and caregivers to manage the device and related care following hospital discharge. Despite this customary practice and the rapid advancements in VAD technology, no research data about the patient and caregiver preparations exist for self-management of VAD. This study explored the process of preparing patients and caregivers for VAD care before hospital discharge along with their perceived experiences of the discharge process...
March 28, 2018: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
Bram P Raphael, Maria Jorina, Mary Gallotto, Glendalis Grullon, Meghan Dalton, Melissa Takvorian-Bené, Christina Tascione, Carolyn Rosa, Jennifer McClelland, Megan Gray, Alexis K Potemkin, Courtney Glavin, Kathleen M Gura, Margaret K Murphy, Kierrah Leger, Judith Mahoney, Jessica Kerr, Al Ozonoff, Christopher P Duggan
BACKGROUND: Home parenteral nutrition (HPN) is a life-sustaining therapy for short bowel syndrome (SBS) and other severe digestive diseases, but complications are common. We evaluated a predischarge HPN hands-on training course to reduce complications in children with SBS, including hospital readmissions. METHODS: We conducted a prospective, nonrandomized controlled research study between April 1, 2014, and April 30, 2017. Eligible participants were children aged <18 years old with SBS and anticipated HPN dependence duration ≥6 months...
March 30, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
Michael C Gao, Paul B Martin, Julius Motal, Laura F Gingras, Christina Chai, Megan E Maikoff, Alex M Sarkisian, Nadine Rosenthal, Brian M Eiss
OBJECTIVE: To design and implement a discharge timeout checklist, and to assess its effects on patients' understanding as well as the potential impact on preventable medical errors surrounding hospital discharges to home. METHODS: Based on the structure successfully used for surgical procedures and using the Model for Improvement framework, we designed a discharge checklist to review and assess patients' understanding of discharge medications, catheters, home care plans, follow-up, symptoms, and who to call with problems after discharge...
April 2018: Quality Management in Health Care
Dong Suk Han, Rand Elshorafa, Sun Hee Yoon, Seonghun Kim, Hyunwoong Park, Ahmed Abdel-Wahab
A metal oxide-heterojunction photocatalyst is developed to harvest sunlight, store the energy in electrons, and apply the stored energy in water treatment. Light-absorbing nanoparticular and nanotubular TiO2 are hybridized with electron-storing WO3 at different weight ratios of TiO2 to WO3 (e.g., TW25 represents a composite of 25 wt% TiO2 and 75 wt% WO3). The ability of the TW composite to utilize the stored electrons is examined for the reduction of hexavalent chromium (Cr(vi)). In the photoelectrochemical (PEC) tests, irradiation using simulated sunlight (AM 1...
March 29, 2018: Photochemical & Photobiological Sciences
Maria Flink, Mirjam Ekstedt
Introduction and objective: Despite recent interest in care transitions, little is known about how patients are prepared for the self-management tasks following the hospitalization. The objective of the study was to explore how discharge information is prepared and provided to patients in the transition from hospital to home. Method: The discharge process at three hospitals in Sweden was observed over 12 days spread over ten weeks. In total, 30 discharge encounters were observed followed by interviews with patients and professionals...
November 13, 2017: International Journal of Integrated Care
Urszula Czuba, Robert Quintana, Marie-Claire De Pauw-Gillet, Maxime Bourguignon, Maryline Moreno-Couranjou, Michael Alexandre, Christophe Detrembleur, Patrick Choquet
Bioconjugation of enzymes on coatings based on polydopamine (PDA) layers is an appealing approach to control biological responses on biomedical implant surfaces. As alternative to PDA wet deposition, a fast, solvent-free, and dynamic deposition approach based on atmospheric-pressure plasma dielectric barrier discharge process is considered to deposit on metallic surfaces acrylic-based interlayers containing highly chemically reactive catechol/quinone groups. A biomimetic approach based on covalent immobilization of Dispersin B, an enzyme with antibiofilm properties, shows the bioconjugation potential of the novel plasma polymer layers...
March 25, 2018: Advanced Healthcare Materials
ShouYu Shen, YuHao Hong, FuChun Zhu, ZhenMing Cao, YuYang Li, FuSheng Ke, JingJing Fan, LiLi Zhou, LiNa Wu, Peng Dai, MingZhi Cai, Ling Huang, ZhiYou Zhou, JunTao Li, QiHui Wu, ShiGang Sun
Owing to high specific capacity of ∼250 mA h g-1 , lithium-rich layered oxide cathode materials (Li1+ x Niy Coz Mn(3- x-2 y-3 z)/4 O2 ) have been considered as one of the most promising candidates for the next-generation cathode materials of lithium ion batteries. However, the commercialization of this kind of cathode materials seriously restricted by voltage decay upon cycling though Li-rich materials with high cobalt content have been widely studied and show good capacity. This research successfully suppresses voltage decay upon cycling while maintaining high specific capacity with low Co/Ni ratio in Li-rich cathode materials...
April 4, 2018: ACS Applied Materials & Interfaces
Brian M Salata, Madeline R Sterling, Ashley N Beecy, Ajayram V Ullal, Erica C Jones, Evelyn M Horn, Parag Goyal
Given high rates of heart failure (HF) hospitalizations and widespread adoption of the hospitalist model, patients with HF are often cared for on General Medicine (GM) services. Differences in discharge processes and 30-day readmission rates between patients on GM and those on Cardiology during the contemporary hospitalist era are unknown. The present study compared discharge processes and 30-day readmission rates of patients with HF admitted on GM services and those on Cardiology services. We retrospectively studied 926 patients discharged home after HF hospitalization...
February 7, 2018: American Journal of Cardiology
Yaguang Zhang, Ning Du, Yifan Chen, Yangfan Lin, Jinwei Jiang, Yuanhong He, Yu Lei, Deren Yang
Si/C composite is one of the most promising candidate materials for next-generation lithium-ion battery anodes. Herein, we demonstrate the novel structure of carbon cages encapsulating porous Si synthesized by the reaction between magnesium silicide (Mg2 Si) and carbon dioxide (CO2 ) and subsequent acid washing. Benefitting from the in situ deposition through magnesiothermic reduction of CO2 , the carbon cage seals the inner Si completely and shows higher graphitization than that obtained from the decomposition of acetylene...
March 12, 2018: Nanoscale
Louise S van Galen, Daisy Vedder, Tom Boeije, Wilma Jansen, Nieke E Mullaart-Jansen, Donald L van der Peet, Ralph K L So, Prabath W B Nanayakkara
BACKGROUND: Although unscheduled readmissions are increasingly being used as a quality indicator, only few readmission studies have focused on surgical patient populations. METHODS: An observational study "CURIOS@" was performed at three centers in the Netherlands. Readmitted patients and treating doctors were surveyed to assess the discharge process during index admission and their opinion on predictability and preventability of the readmission. Risk factors associated with predictability and preventability as judged by patients and their doctor were identified...
March 8, 2018: Journal of Surgical Research
Mona Pauline Voie, Jorunn Tunby, Nina Strømsvik
AIM: To explore the collaboration challenges faced by neonatal intensive care unit (NICU) nurses and public health nurses when preparing premature infants for transition home and to explore the culture of cooperation between the two professional groups. METHOD: Qualitative individual interviews were undertaken with two NICU nurses and two public health nurses. A qualitative content analysis was used to analyse the data. FINDINGS: Three main themes were identified: different expectations and lack of communication between NICU nurses and public health nurses; responsibilities and interactions between the two professional groups were not clearly defined; and the public health nurses' competence was not recognised by the NICU nurses and parents...
March 7, 2018: Nursing Children and Young People
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