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Practice Transformation

Bo Huang, Hirokazu Kobayashi, Tomokazu Yamamoto, Takaaki Toriyama, Syo Matsumura, Yoshihide Nishida, Katsutoshi Sato, Katsutoshi Nagaoka, Masaaki Haneda, Wei Xie, Yusuke Nanba, Michihisa Koyama, Fenglong Wang, Shogo Kawaguchi, Yoshiki Kubota, Hiroshi Kitagawa
Ru is an important catalyst in many types of reactions. Specifically, Ru is well known as the best monometallic catalyst for oxidation of carbon monoxide (CO) and has been practically used in residential fuel cell systems. However, Ru is a minor metal, and the supply risk often causes violent fluctuations in the price of Ru. Here, we report performance-improved and cost-reduced solid-solution alloy nanoparticles of the Cu-Ru system for CO oxidation. Over the whole composition range, all the CuxRu1-x nanoparticles exhibit significantly enhanced CO oxidation activities, even at 70 at% inexpensive Cu, compared to Ru nanoparticles...
December 5, 2018: Angewandte Chemie
Rahul Malhotra, Mary Ann C Bautista, Andre Matthias Müller, Su Aw, Gerald Choon Huat Koh, Yin-Leng Theng, Stephen James Hoskins, Chek Hooi Wong, Chunyan Miao, Wee-Shiong Lim, Chetna Malhotra, Angelique Chan
The juxtaposition of a young city-state showing relative maturity as a rapidly aging society suffuses the population aging narrative in Singapore and places the "little red dot" on the spotlight of international aging. We first describe population aging in Singapore, including the characteristic events that shaped this demographic transition. We then detail the health care and socioeconomic ramifications of the rapid and significant shift to an aging society, followed by an overview of the main aging research areas in Singapore, including selected population-based data sets and the main thrust of leading aging research centers/institutes...
December 4, 2018: Gerontologist
Ana Clara Camarotti, Gabriela Wald, Alejandro Capriati, Ana Lía Kornblit
This article presents a model for building a comprehensive community response to adolescent health problems. The approach is comprehensive in that it includes prevention and promotion, assistance and protection, and involves different sectors and areas of the State and the community. We describe the conceptual framework and principles of the model, developed based on debates regarding health promotion and collective health as well as the work experiences of the research team in different communities in Argentina over the last 15 years...
July 2018: Salud Colectiva
Elitiele Ortiz Dos Santos, Leandro Barbosa de Pinho, Adriane Domingues Eslabão, Rafael Gil Medeiros, Talita Portella Cassola
The objective of this article is to discuss the empowerment evaluation as a theoretical and methodological framework and its applications to the health area. This is a theoretical article that presents the conceptual and methodological aspects and the principles of the empowerment evaluation. This evaluation is regarded as an approach that allows the participation of interest groups in the process, in order to improve the qualification and transformation of the knowledge and practices of the context evaluated...
November 29, 2018: Revista da Escola de Enfermagem da U S P
Habib Chouchane, Afef Najjari, Mohamed Neifar, Hanen Cherif, Refka Askri, Fatma Naili, Hadda Imene Ouzari, Ameur Cherif
The production, characterization and potential application in heavy metals and dyes removal of a novel heteropolysaccharide-protein named, gpHb, produced by an haloarchaeal strain Halogeometricum borinquense strain A52 were investigated. The highest gpHb yield of 13.96 ± 0.32 g/L was produced under optimized conditions by response surface methodology. We focused on the characteristics and flocculation performance of gpHb. An important attribute of protein with 16 protein types identified that occupied a total content of 50...
December 5, 2018: Environmental Technology
Dawna L Cato, John R Bowles, Veronica Carmack, Fuyang Liu, Mary T McFadden
As global leaders, US nurses will have an increasingly recognized role and responsibility in shaping health care in all countries. They should be at the forefront of changing and improving health systems to achieve universal health. Currently, a major health care reform is underway that requires a shift in the professional nursing footprint of China's nurse leaders. These leaders must garner knowledge capital to reinforce ethics, regulations, and standards; use current best practices; implement a comprehensive performance evaluation process; and capture the spirit of caring within their health care environments...
January 2019: Nursing Administration Quarterly
Dawna L Cato, Kathy Walker, Deborah Aders, Fuyang Liu, Mary T McFadden
As a result of recent global health events, US health care leaders are strengthening international relationships to share best practices, health research, and support of workforce capacity. The Institute for Healthcare Improvement, the National Academies of Sciences, Engineering, and Medicine, the American Nurses Credentialing Center, and the Joint Commission International have all committed to expanding their vision and mission to improve health and health care globally. To support excellence in international health care delivery, the authors embarked on a Chief Nursing Officer (CNO) US Healthcare Immersion Program...
January 2019: Nursing Administration Quarterly
W D Chanaka Udayanga, Andrei Veksha, Apostolos Giannis, Teik-Thye Lim
A comprehensive study was conducted to evaluate the fuel properties of the char produced from pyrolysis of municipal sludge (MS) and industrial sludge (IS) at different pyrolysis temperatures (500-700 °C). A detailed characterisation of the char was performed to investigate the impact of the decomposition and the accumulation of organic and inorganic compounds during pyrolysis on the fuel properties of the derived char. Increase in pyrolysis temperature increased the fuel ratios especially in the MS-derived char...
January 2019: Waste Management
Margo Greenwood
The relationship that Indigenous Peoples have to the Canadian healthcare system makes the system's weaknesses and complexities obvious. The long-standing lack of consideration to the historical and contemporary realities of Indigenous Peoples has resulted in miscommunication, misunderstanding, mistrust and racism. Health leaders, including health authorities, across the province are thus challenged to ensure that culturally safe environments are available and culturally safe practices are being used. This article begins with an overview of contemporary social political contexts in which Indigenous individual and collective realities are situated...
December 4, 2018: Healthcare Management Forum
Yinghong Xiao, Ming Zhang, Yunting Fan, Qicheng Zhang, Yuli Wang, Wenwen Yuan, Ninglin Zhou, Jianfei Che
A novel drug carrier is constructed by compositing hydrophilic hydroxypropyl-β-cyclodextrins (HP-β-CD) and carboxylated graphene nanomaterial (GO-COOH). Fourier transform infrared spectroscopy confirms that the two materials are successfully combined via chemical bonds. Further, a crosslinking agent of glutaraldehyde is applied to fabricate composite GO-COO-HP-β-CD nanospheres, as demonstrated by an atomic force microscope. Dexamethasone (DEX) is selected as the model drug, and the drug loading efficiency and water solubility of the nanospheres greatly increased...
November 28, 2018: Colloids and Surfaces. B, Biointerfaces
Guanglan Di, Zhiliang Zhu, Hua Zhang, Jianyao Zhu, Yanling Qiu, Daqiang Yin, Stephan Küppers
ZnO grafted amorphous Fe2 O3 matrix (ZnO/Fe2 O3 ) was coupled with g-C3 N4 to synthesize heterojunction photocatalysts with a loosened multilayered structure. The ZnO/Fe2 O3 /g-C3 N4 exhibited enhanced photocatalytic performance in the degradation of sulfamethazine under visible-light irradiation (λ > 420 nm), with an optimum photocatalytic degradation rate approximately 3.0, 2.4 times that of pure g-C3 N4 and binary ZnO/g-C3 N4 . Moreover, the target sulfonamides spiked in actual surface water samples could be efficiently photodegraded by ZnO/Fe2 O3 /g-C3 N4 after 8 h of irradiation, demonstrating its practical potential...
November 27, 2018: Journal of Colloid and Interface Science
Juan M Bolivar, Alexander Mannsberger, Malene S Thomsen, Günter Tekautz, Bernd Nidetzky
Oxidative O2 -dependent biotransformations are promising for chemical synthesis, but their development to an efficiency required in fine chemical manufacturing has proven difficult. General problem for process engineering of these systems is that thermodynamic and kinetic limitations on supplying O2 to the enzymatic reaction combine to create a complex bottleneck on conversion efficiency. We show here that continuous flow (micro)reactor technology offers a comprehensive solution. It does so by expanding the process window to the medium pressure range (here: ≤ 34 bar) and thus enables biotransformations to be conducted in a single liquid phase at boosted concentrations of the dissolved O2 (here: up to 43 mM)...
December 4, 2018: Biotechnology and Bioengineering
Karlee D Fellner
Decolonizing may be conceptualized through the interconnected processes of deconstructing colonial ideologies and their manifestations, and reconstructing colonial discourse through Indigenous counter'narratives. Given that the field of psychology is firmly rooted in colonial systems of thought, it is integral that professionals in psychology and allied disciplines engage in meaningful, beneficial work with Indigenous communities through actively decolonizing and Indigenizing research, practice, and education...
December 4, 2018: American Journal of Community Psychology
Lisa Gonzalez
BACKGROUND: Recent discourse generates a more thorough understanding of what clinical reasoning entails. Although numerous strategies prioritize clinical reasoning development, teaching and evaluating the thinking involved in clinical reasoning remains a struggle for nurse educators, particularly regarding clinical education. METHOD: In response, the author developed a concept-based clinical reasoning teaching method with weekly themes, lessons, and learning activities adapted from Tanner's clinical judgment model and Lasater's Clinical Judgment Rubric...
December 1, 2018: Journal of Nursing Education
Zulfiqar Ahmed, Christine Mai, Katherine G Skinner, Myron Yaster
Dr. Estela Melman (1939-present), Professor in the Department of Anesthesiology, the American British Cowdray Medical Center, Mexico, is an influential pioneer who has shaped the scope and practice of pediatric anesthesia in Mexico and throughout the world. Her early work to reintroduce neural blockade into routine pediatric anesthetic care, particularly the caudal approach to the epidural space, helped to transform current anesthesia practice. Based on a series of interviews held with Dr. Melman between 2016 and 2017, this article reviews the remarkable career of a pioneering pediatric anesthesiologist...
December 2018: Paediatric Anaesthesia
Hangyu Zhou, Binju Wang, Fei Wang, Xiaojuan Yu, Lixin Ma, Aitao Li, Manfred T Reetz
Hydroquinone (HQ) is produced commercially from benzene by multi-step Hock-type processes with equivalent amounts of acetone as side-product. We describe an efficient biocatalytic alternative using the cytochrome P450-BM3 monooxygenase. Since the wildtype enzyme does not accept benzene, a semi-rational protein engineering strategy was developed. Highly active mutants were obtained which transform benzene in a one-pot sequence first into phenol and then regioselectively into HQ without any overoxidation. A computational study shows that the chemoselective oxidation of phenol by the P450-BM3 variant A82F/A328F leads to the regioselective formation of an epoxide intermediate at the C3=C4 double bond, which departs from the binding pocket and then undergoes fragmentation in aqueous medium with exclusive formation of HQ...
December 4, 2018: Angewandte Chemie
Hugo López-Fernández, Pedro Duque, Sílvia Henriques, Noé Vázquez, Florentino Fdez-Riverola, Cristina P Vieira, Miguel Reboiro-Jato, Jorge Vieira
Useful insight into the evolution of genes and gene families can be provided by the analysis of all available genome datasets rather than just a few, which are usually those of model species. Handling and transforming such datasets into the desired format for downstream analyses is, however, often a difficult and time-consuming task for researchers without a background in informatics. Therefore, we present two simple and fast protocols for data preparation, using an easy-to-install, open-source, cross-platform software application with user-friendly, rich graphical user interface (SEDA; http://www...
December 3, 2018: Interdisciplinary Sciences, Computational Life Sciences
Francesco Saliu, Simone Montano, Maria Grazia Garavaglia, Marina Lasagni, Davide Seveso, Paolo Galli
Microplastics are recognized as a growing threat for the marine environment that may even affect areas generally considered pristine. In this work we surveyed the microplastic contamination in the Faafu Atoll (Maldives, Indian Ocean) across twelve sampling station, located either inside or outside the reef rim. Sediments and seawater samples were collected. Despite the remoteness of the atoll, the scarce local population and low touristic annual afflux, the detected average abundance were 0.32 ± 0.15 particles/m3 in the surface water and 22...
November 2018: Marine Pollution Bulletin
Putney Pyles, Kimberly Pelland, Vicki Crowningshield, Brenda Jenkins, Lauren Capizzo
Healthcare reform efforts implemented to optimize primary and specialty care delivery require practices to undertake considerable transformation. To support change efforts, many private insurers and federal and state health-reform efforts provide practices and clinicians with access to practice-transformation facilitators. Healthcentric Advisors provides practice-transformation support and technical assistance to practices in Rhode Island and across New England. From this work we know that strategies and approaches to support transformation and achievement of program recognitions differ by practice characteristics, resource access, and patient panels...
December 3, 2018: Rhode Island Medical Journal
Pamela Donlan
The delivery of effective 21st-century multidisciplinary healthcare requires that clinicians focus on patient needs and concerns and are able to communicate compassionately and appropriately so that patient-practitioner trust is engendered. To develop interpersonal skills among healthcare providers, health professions education programs must build student competencies in the affective domain of learning. This paper seeks to investigate the efficacy of some of the contemporary strategies used to present and assess affective domain learning in health professions education, including the think-pair-share technique, reflective journaling, simulation and role play, motivational interviewing, and structured controversy...
2018: Journal of Allied Health
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