211 research outputs found
sj-pdf-1-imr-10.1177_03000605221140310 - Supplemental material for Diagnostic accuracy of serum ascites albumin gradient (SAAG) in a contemporary unselected medical cohort
No full textSupplemental material, sj-pdf-1-imr-10.1177_03000605221140310 for Diagnostic accuracy of serum ascites albumin gradient (SAAG) in a contemporary unselected medical cohort by Mohsan Subhani, Abhishek Sheth, Naaventhan Palaniyappan, Peuish Sugathan, Emilie A Wilkes and Guruprasad P Aithal in Journal of International Medical Research</p
Galenicals in the treatment of crusted scabies
No full textCrusted scabies is rare. It is a therapeutic challenge, as the common drugs used against scabies are unsatisfactory. The successful use of galenicals in a 10-year-old girl with crusted scabies is reported
Advanced Practice Registered Nurse Led Transitional Care Program in an Accountable Care Organization
No full textabstract: Purpose: Reduce or prevent readmissions among heart failure (HF) patients and increase quality of life (QOL), self-care behavior (SCB) and satisfaction through an advanced practice registered nurse (APRN) led transitional care program (TCP) in collaboration with an Accountable Care Organization (ACO).
Background: Hospital readmissions place a heavy financial burden on patients, families, and health care systems. Readmissions can be reduced or prevented by providing a safe transition through care coordination and enhanced communication. Research demonstrates implementation of APRN led home visits (HV) along with telephonic follow-up are cost effective and can be utilized for reducing readmissions among HF patients.
Methods: A program was designed with an ACO and carried out in a family practice clinic with a group of seven HF patients older than 50 years who were at risk of readmission. Interventions included weekly HV with supplemental telephonic calls by the APRN student along with a physician assistant for 12 weeks. Readmission data was collected. QOL and SCB were measured using “Minnesota Living with Heart Failure Questionnaire” (MLHFQ) and “European Heart Failure Self-Care Behavior Scale” respectively. Data was analyzed using descriptive statistics and the Friedman Test.
Outcomes: There were no hospital readmissions at 30 days and the interventions demonstrated a positive effect on QOL, self-care management and satisfaction (χ2 = 30.35, p=.000). The intervention had a large effect on the outcome variables resulting in an increase in QOL and SCB scores post-intervention (ES= -1.4 and -2 respectively).
Conclusions: TCP designed with an ACO, carried out in a primary care setting has a positive effect on reducing hospital readmissions and improving QOL, SCBs, and patient satisfaction among HF patients. TCPs are not revenue generating at outset due to reimbursement issues, however future considerations of a multidisciplinary team approach with convenient workflow may be explored for long-term feasibility and sustainability.
Funding Source: American Association of Colleges of Nursing and the Centers for Disease Control and Prevention with support of the Academic Partners to Improve Health
Dissecting the Role of the Hole-Transport Layer in Cu2 AgBiI6 Solar Cells: An Integrated Experimental and Theoretical Study
No full textPerovskite-inspired materials (PIMs) provide low-toxicity and air-stable photo-absorbers for several possible optoelectronic devices. In this context, the pnictogen-based halides Cu2AgBiI6 (CABI) are receiving increasing attention in photovoltaics. Despite extensive studies on power conversion efficiency and shelf-life stability, nearly no attention has been given to the physicochemical properties of the interface between CABI and the hole transport layer (HTL), which can strongly impact overall cell operations. Here, we address this specific interface with three polymeric HTLs: poly(N,N′-bis(4-butylphenyl)-N,N′-bis(phenyl)benzidine) (poly-TPD), thiophene-(poly(3-hexylthiophene)) (P3HT), and poly(bis(4-phenyl)(2,4,6-trimethylphenyl)amine) (PTAA). Our findings reveal that devices fabricated with poly-TPD and P3HT outperform the commonly used Spiro-OMeTAD in terms of device operational stability, while PTAA exhibits worse performances. Density functional theory calculations unveil the electronic and chemical interactions at the CABI-HTL interfaces, providing new insights into observed experimental behaviors. Our study highlights the importance of addressing the buried interfaces in PIM-based devices to enhance their overall performance and stability
Mudi-chood: On the forearm
No full textMudi-Chood is a strange dermatosis affecting the nape of the neck and upper back of young women in Kerala State of south India. It was first described by us in 1972. Here we report one more such case recently seen by us
Entrance channel effects in fission of (TI)-T-197
No full textThe pre- and post-scission neutron multiplicities are measured for (16)O+(181)Ta and (19)F+(178)Hf systems where the same compound nucleus (197)Tl is formed at the same excitation energies (E(*)=72, 76, and 81 MeV). The measured pre-scission neutron multiplicities are found to be different for the two reactions and this difference in neutron yield increases with the excitation energy of the compound nucleus. The experimental pre-scission neutron yield is compared with predictions from the statistical model of compound nuclear decay containing the strength of nuclear viscosity as a free parameter. The magnitude of nuclear viscosity required to fit the experimental yield is found to be different for the two reactions. Because the two systems under consideration lie on the two sides of the Businaro-Gallone point, this observation indicates that the entrance channel mass asymmetry plays an important role in determining the number of neutrons emitted prior to scission in fusion-fission reactions
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