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Herein is discussed tunable absorption and emission properties of AgxCuyInS2 quantum dots involving wurtzite to chalcopyrite phase transformation dependent on Ag+ dopant content.

We report a facile and low temperature synthesis of Ga- and In-doped CdS nanoparticles from molecular precursors. Diethyldithiocarbamate complexes of Cd(ii), Ga(iii), and In(iii), were synthesised and decomposed in tandem through solventless thermolysis, producing Ga- or In-doped CdS. The resultant M xCd 1−xS 1+0.5x (where M = Ga/In at x values of 0, 0.02, 0.04, 0.06, 0.08 and 0.1) particulate powder was analysed by powder X-ray diffraction, which showed that both Ga (through all doping levels) and In (at doping levels xCd 1−xS 1+0.5x materials were examined by UV-Vis absorption and photoluminescence spectroscopies respectively. All materials were found to exhibit excitonic emission, corresponding to band gap energies between 2.7 and 2.9 eV and surface defect induced emission which is more prominent for Ga than for In doping. Additionally, moderate doping slows down charge carrier recombination by increasing the lifetimes of excitonic and surface state emissions, but particularly for the latter process.

Purpose This integrative review aimed to identify and synthesis literature on analysis techniques and methodological approaches used to analyse consumer measures in mental health research. Design/methodology/approach The review included papers published up to January 2020 across seven databases: CINAHL, Web of Science, Medline, PsycINFO, EMBASE, Scopus and Google Scholar. Data search and extraction was conducted according to the recommended guidelines for conducting review by Cochrane and Joanna Briggs Institute. Mixed method synthesis was used to integrate both qualitative and quantitative data into a single synthesis. Findings The initial search yielded a total of 2,282 papers. A total of 32 papers were included in the synthesis. Most of the included papers (25/32; 78.12%) focused on psychometric properties, whereas 14% (5/32) targeted analysis techniques, and 6.3% (2/32) addressed methodological justification. The measurement models (e.g. psychometric properties) were analysed through validity and reliability testing as part of instrument development and adaptation. The structural models were analysed using techniques such as structural equation modelling, multivariable regression models, intraclass correlation coefficient and partial least squares–structural equation modelling. Practical implications Although consumer-reported instruments are analysed using techniques involving linear, hierarchical and longitudinal effects, no attempt has been given to procedures that applied complex data mining or machine learning. Consumer researchers, clinicians and quality management are encouraged to apply rigorous analysis techniques to critically evaluate consumer outcome measures. Originality/value This review provides evidence on the analysis techniques in mental health research to inform the training of mental health professionals, students and quality assessment practitioners.

Background Evidence-based clinical practice is an inherent component of mental health professional practice in developed countries. However, little is known about professional perspectives of evidence-based practice in mental in developing countries such as Ghana. This paper describes the processes involved in the delivery of best practice in Ghana. The paper reports on a realistic evaluation of mental health nurses and allied health professionals’ views on the evidence-based therapeutic process in Ghana. Methods A purposive sample of 30 mental health professionals (MHPs) was recruited to participate in semi-structured, in-depth interviews. Thematic analysis was used to analyse the data. A program theory of Context + Mechanism = Outcome (CMO) configuration was developed from the analysis. Results The thematic analysis identified two contexts, mechanism and outcome configurations (themes): 1) technical competency stimulates evidence-based mental health services, and 2) therapeutic relationship building ensures effective interaction. The study demonstrates that contextual factors (technical competencies and therapeutic relationship building) together with mechanisms (intentional and unintentional) help to promote quality in mental health service provision. However, contextual factors such as a lack of sign language interpreters yielded unintended outcomes including barriers to communication with providers for consumers with hearing impairment and those from linguistic minority backgrounds. Conclusion Government stakeholders and policymakers should prioritise policies, periodic monitoring and adequate financial incentives to support the mechanisms that promote technical competence in MHPs and the building of therapeutic relationship.

Trombe walls provide a passive source of heating and ventilation for buildings. However, Trombe walls can also cause overheating during hot and sunny weather conditions. In this work, we investigate the potential of a multifunctional Trombe wall design, comprising a tinted acrylic sheet submerged in a water wall that functions as a thermal storage medium. The tinted acrylic sheet absorbs incident light, which is then converted to heat and absorbed by the water. The proposed Trombe wall can function as a tinted semi-transparent window to add aesthetic value. Furthermore, heated water rises to the top of the Trombe wall where it can be removed, which provides the dual benefit of preventing overheating and providing a source of preheated water for applications within the building. Experimental results performed on a laboratory-scale Trombe wall prototype showed that the percentage of solar-simulated light energy incident onto the Trombe wall prototype, over a period of five hours, that was stored as thermal energy in the water increased from 60.3% to 83.2% when tinted glass was inserted in the water storage wall. Furthermore, the temperature of the water at the top of the Trombe wall reached ~56 °C, which is suitable to be used as pre-heated water in building applications.

The crystal structure of the cis isomer of cis-bis(L-DOPA-κ2 N,O)copper(II) monohydrate (L-DOPA is 3,4-dihydroxy-L-phenylalanine) (CuLD), [Cu(C9H10NO4)2]·H2O, is a singular example of a structurally characterized, homoleptic, crystalline metal L-DOPA complex. CuLD crystallizes in the space group P21, with Z′ = 2. The two independent molecules are square planar, and are interconnected by a linear hydrogen-bonded chain containing 12 independent hydrogen bonds. The copper ions in both molecules have weak apical intermolecular Cu...O interactions [2.739 (2) and 2.973 (2) Å] with catechol –OH groups. A survey of the Cambridge Structural Database suggested that cis and trans isomers of Cu(NH2–C–CO2)2 amino acid complexes are equally likely to occur. 12 strong O—H...O and N—H...O hydrogen bonds stabilize an unusual linear arrangement of the Cu complexes. The Cu...Cu′ distances along the chain are nearly equal [5.0739 (3) and 5.1107 (3) Å] and the Cu...Cu′...Cu angles are nearly linear [176.75 (1)°]. The MATCH procedure available in the Oxford University Crystals for Windows package was used to carry out a detailed analysis of the relationship between the two independent molecules. MATCH has some particular advantages in studying the details of pseudosymmetry, which include: (i) no atomic-order requirements; (ii) the pseudosymmetry matrix is readily available, which allows quick insight into the symmetry elements involved and their location; and (iii) the differences between molecular centroids, as well as between all atomic positions and torsion angles, are listed. A tutorial presentation is designed to attract new users to the technique. In the present case, a search for a pseudosymmetric relationship between the two independent molecules showed that they are related by a pseudo-42 axis along the crystallographic c direction. A detailed analysis shows that the pseudo-42 symmetry is disrupted by torsions about the CH2—C(ipso) bonds, and that there is no supergroup that can be used to describe the crystal structure.

High temperature solar receivers can convert concentrated solar power to heat to drive chemical production or mechanical cycles to produce electricity. Transparent windows with selective coatings that reflect thermal radiation can be used to cover receivers to improve their efficiency. However, in parabolic dish concentrators (PDC) these windows can reflect or absorb incoming solar radiation, and may actually reduce the efficiency and power output from PDC receivers. In this work numerical analysis shows that one-dimensional transparent photonic crystal heat mirrors (TPCHMs), which have the form of a modified dielectric mirror, can be designed to be highly transmissive to solar radiation but highly reflective towards thermal radiation. Results show that TPCHMs can be designed to provide significant enhancements to PDC receiver efficiencies operating at lower solar concentration ratios. Specifically, numerical analysis shows efficiency improvements of at least 62%, and 193% compared to either open-face receivers or the case when the receiver window is coated with a transparent conducting oxide film at operating temperatures of 1000 K and 1500 K, respectively. These results suggest that TPCHM covers have potential for enhancing the performance of smaller PDC systems operating at relatively low solar concentration ratios.

There is potential to significantly reduce CO 2 emissions by increasing the efficiency and reducing the duty cycle of HVAC systems by using smart booster fans and dampers. Smart booster fans fit in the vents within a home, operating quietly on low power (2W) to augment HVAC systems and improve their performance. In this study, a prototype duct system is used to measure and evaluate the ability for smart booster fans and dampers to control airflow to different vents for the purpose of increasing the efficiency of HVAC systems. Four case studies were evaluated: an HVAC system (1) without any fans or dampers, (2) with a fan installed in one vent, but without any dampers, (3) with dampers installed at the vents, but without any fans, and (4) with both fan and dampers installed. The results from both the experimental and numerical evaluation show that the smart booster fan and dampers can significantly improve the airflow at a vent that is underperforming. For example, the airflow at the last vent in a ducting branch was increased from 17 to 37 CFM when a smart booster fan was installed at this vent. Results from the numerical analysis show that for the case of an underperforming vent during the winter season the HVAC running time may be reduced from 24 hr/day to 5.6 hr/day. Furthermore, results from the numerical analysis show the HVAC running time is further reduced to 4.5 hr/day for cases 3 and 4.

Actions to protect against biodiversity loss and climate change will require a framework that addresses synergies between these interrelated issues. In this study we present methods for identifying areas important for the implementation of nature-based climate solutions and biodiversity conservation by intersecting high resolution spatial data for carbon storage and terrestrial connectivity. We explored the spatial congruence of carbon and connectivity in Ontario, Canada and examined effectiveness of current protected areas coverage. We found a weak positive relationship between carbon stocks and terrestrial connectivity; however, our maps revealed large hotspots, with high values of both indices, throughout the boreal forest and northern peatlands and smaller, isolated hotspots in the settled landscapes of the south. Location of hotspots varied depending on whether we considered forest or soil carbon. Further, our results show that current protected and conserved areas in Ontario only cover 13% of landscapes with the highest values for both carbon storage and connectivity. Protection or restoration of areas that maximize the co-benefits of carbon storage and connectivity would make significant contributions towards ambitious national targets to reduce greenhouse gas emissions and conserve biodiversity.

The COVID-19 pandemic has been shown to cause enormous psychological burden among health care workers, including first responders. However, psychological well-being of first responders, essential in the fight against COVID-19 pandemic, has often been ignored. We performed the first meta-analysis to explore the prevalence of 1) depression, 2) anxiety, and 3) stress among first responders for medical emergencies during the COVID-19 pandemic.A comprehensive search was conducted in Embase, CINAHL, Web of Science, PsychInfo, PubMed, and the WHO COVID-19 database from 2020. The Freeman-Tukey double-arcsine transformation model in R-software determined the pooled prevalence and Comprehensive Meta-Analysis for associated factors of depression, anxiety, and stress with corresponding 95% confidence intervals (CI). The Cochrane Q, τWe identified 765 records, from which 17 studies were included with 8096 first responders. The pooled prevalence was 31% (95% CI = 21%-41%) for depression; 67% (95% CI = 64%-70%) for mild depression, 24% (95% CI = 17%-31%) for moderate depression, and 16% (95% CI = 4%-34%) for severe depression. The pooled prevalence for anxiety was 32% (95% CI = 20%-44%); 60% (95% CI = 46%-73%) for mild anxiety, 27% (95% CI = 14%-42%) for moderate anxiety, and 14% (95% CI = 7%-22%) for severe anxiety. The pooled prevalence for stress was 17% (95% CI = 4%-34%); 58% (95% CI = 38%-77%) for mild stress, 22% (95% CI = 5%-44%) for moderate stress, and 19% (95% CI = 5%-37%) for severe stress. The prevalence of depression was 37% (95% CI = 25%-52%) for paramedics, 28% (95% CI = 12%-54%) for EMS personnel and 22% (95% CI = 13%-33%) for police. Similarly, the prevalence of anxiety was 38% (95% CI = 20%-60%) for paramedics, 28% (95% CI = 11%-53%) for EMS personnel, and 19% (95% CI = 10%-32%) for police. Married responders were likely at risk for depression (1.50, 95% CI = 1.26-1.78) and anxiety (1.94, 95% CI = 1.62-2.33), while unmarried responders were less likely at risk for depression (0.67, 95% CI = 0.56-0.79) and anxiety (0.50, 95% CI = 0.43-0.63).High prevalence of depression, anxiety, and stress during the COVID-19 pandemic among first responders for medical emergencies emphasizes the need for monitoring their psychological well-being. Early assessment and management of mild depression, anxiety, and stress among first responders are crucial in preventing progression into moderate and severe types.

WHAT IS KNOWN ON THIS SUBJECT?: The physical health of people with serious mental illness (SMI) is an issue of growing concern in New Zealand and internationally. Metabolic syndrome is prevalent among people with severe mental illness and increases the likelihood of developing cardiovascular disease and diabetes. No previous international research has investigated rates of metabolic monitoring in specialist mental health services and in primary care. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Rates of metabolic monitoring are low in this specialist mental health service and in primary care. Primary care nurses are positive in their views of their role in providing care for people with mental illness, and would value further education in this area. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Services need to consider ways in which nurses can be supported to improve rates of metabolic monitoring. Guidelines may have a role to play in improved monitoring but need service-level support in order to be effective. ABSTRACT: Introduction People with serious mental illness experience significant disparities in their physical health compared with the general population. One indicator of health impairment is metabolic syndrome, which increases the likelihood of developing cardiovascular disease and diabetes. No international studies have reported both primary care and mental health nurses' rates of metabolic monitoring among people with serious mental illness, and no New Zealand studies have investigated rates of metabolic monitoring. Aim To evaluate metabolic monitoring practices within one of New Zealand's 20 district health board regions. Method An audit of clinical records in primary care (n = 46) and secondary care (n = 47) settings and a survey of practice nurses were conducted. A survey was sent to 127 practice nurses with a response rate of 19% (n = 24). Data were analysed using descriptive statistics. Results Rates of metabolic monitoring were low in both services. Survey participants expressed positive views towards physical health monitoring and confidence in relating to mental health consumers. Rates of treatment of metabolic abnormalities were low, and communication between primary and secondary services was limited. Conclusion Despite existence of guidelines and protocols, metabolic monitoring rates in both primary and secondary health services are low. Incorporating metabolic monitoring systems into service delivery, supported by appropriate tools and resourcing, is essential to achieve better clinical outcomes for people experiencing mental illness.

Microalgae has potential for large-scale biofuel production and CO2 remediation, however its growth is energy intensive and easily hindered by contamination, unsuitable conditions, and photosaturation. To mitigate these problems the solar irradiance can be partitioned into photosynthetically active radiation (PAR) and photosynthetically inactive radiation (non-PAR). The PAR can be used for algae growth in a photobioreactor under controlled conditions. The non-PAR can be used to generate electricity in photovoltaic (PV) cells to power the photobioreactor. We present numerical analysis of a luminescent solar spectrum splitter (SSS) that partitions the solar irradiance into PAR and non-PAR to simultaneously power algae cultivation systems and PV cells, respectively. The SSS directs non-PAR to PV cells with emission losses of 6%, and an optical efficiency of 73%. Furthermore, the Shockley-Queisser efficiency limit for non-PAR is calculated to be 24% and the SSS enables a non-PAR conversion efficiency of 15.8% for direct solar irradiance. This is enough power to provide for the cultivation and harvesting processes in the photobioreactor. Results show the generated power can also be used to increase algae growth by 9.3%. The luminescent SSS enables self-powered photobioreactors with increased utilization of space and solar radiation, and higher net energy gain ratios.

Four 3d-4f hetero-polymetallic complexes [Fe2Ln2((OCH2)3CR)2(O2CtBu)6(H2O)4] (where Ln = La (1 and 2) and Gd (3 and 4); and R = Me (1 and 3) and Et (2 and 4)) are synthesized and analyzed using elemental analysis, Fourier transform infrared spectroscopy, thermogravimetric analysis, and SQUID magnetometry. Crystal structures are obtained for both methyl derivatives and show that the complexes are isostructural and adopt a defective dicubane topology. The four heavy metals are connected with two alkoxide bridges. These four precursors are used as single-source precursors to prepare rare-earth orthoferrite pervoskites of the form LnFeO3. Thermal decomposition in a ceramic boat in a tube furnace gives orthorhombic LnFeO3 powders using optimized temperatures and decomposition times: LaFeO3 formed at 650 °C over 30 min, whereas GdFeO3 formed at 750 °C over 18 h. These materials are structurally characterized using powder X-ray diffraction, Raman spectroscopy, scanning electron microscopy, energy-dispersive X-ray map spectroscopy, and SQUID magnetometry. EDX spectroscopy mapping reveals a homogeneous spatial distribution of elements for all four materials consistent with LnFeO3. Magnetic measurements on complexes 1-4 confirm the presence of weak antiferromagnetic coupling between the central Fe(III) ions of the clusters and negligible ferromagnetic interaction with peripheral Gd(III) ions in 3 and 4. Zero-field-cooled and field-cooled measurements of magnetization of LaFeO3 and GdFeO3 in the solid-state suggest that both materials are ferromagnetic, and both materials show open magnetic hysteresis loops at 5 and 300 K, with Msat higher than previously reported for these nanomaterials. We conclude that this is a new and facile low temperature route to these important magnetic materials that is potentially universal, limited only by what metals can be programmed into the precursor complexes.

Interventions for acute ischaemic stroke require brain imaging. Computerised tomography (CT) scanning is the most common method used. In this study, the aim was to investigate the CT workload of acute stroke in an Irish level 3 hospital, seeing approximately 200 acute strokes per year. A time frame for data collection: 17th of October 2017–17th of October 2018 was selected. Data were collected from ordering and viewing radiology systems and the Symphony Emergency Department (ED) system. Acute stroke CT brain scans were examined under numerous parameters including arrival time and time in CT scanner. Data were used to calculate ‘time to CT’ and to examine how this varied depending on the time of day. Scans were categorised into 5 time periods. All CT brains and other CT scans, after hours, in the same period were analysed. Data were collected on 3739 CT Brain scans, 215 were acute stroke scans. One hundred twenty-four acute stroke scans were performed after hours. Acute stroke scans accounted for 9.4% of all out-of-hour CT scans, rising to 14.8% Monday to Friday. Median time to CT in acute stroke patients: period 1 00:30 mins, period 2 00:34 mins, period 3 00:49 mins, period 4 00:34 mins, and period 5 00:39 mins. Acute stroke imaging constitutes a relatively small portion of the out-of-hour CT workload. Due to the emergency status of these scans, providing an acute stroke radiology service requires radiology staff to operate with extremely short response times 24 h a day.

Solar-driven evaporation is a promising technology with many potential applications including desalination, power generation, purification, sterilization and phase separation. Recently, much resear...

BACKGROUND: Secondary traumatic stress (STS) may occur in the caretakers of individuals who have experienced traumatic events or are suffering and, when severe, may be associated with posttraumatic stress disorder (PTSD) at a diagnostic level due to STS. For respiratory therapists (RTs), the incidence of STS and PTSD at a diagnostic level due to STS has not been examined. We assessed the prevalence of self-reported STS and PTSD at a diagnostic level due to STS in licensed RTs. METHODS: Licensed RTs who were members of the American Association for Respiratory Care completed the Secondary Traumatic Stress Scale (STSS) based on feelings experienced over the preceding 30 days and 12 months. Results were evaluated on the basis of primary patient population (neonatal/pediatric vs adult), years of experience, and usual work location (ambulatory care, acute care, or ICU) using the McNemar chi-square analysis and the Fisher exact test. RESULTS: 201 licensed and practicing RTs completed the survey. 92% of the respondents worked ≥ 30 h/week, 75% worked in ICUs, 67% worked primarily with adults, and 89% had been in practice ≥ 6 years. PTSD at a diagnostic level due to STS was common in all respondents, occurring in 36% based on experiences from the prior 30 days and in 32% based on experiences from the prior 12 months. CONCLUSIONS: No difference in PTSD at a diagnostic level due to STS was noted between RTs caring for neonatal/pediatric versus adult patients or between RTs based on years of work experience or based on work environment. STS and PTSD at a diagnostic level due to STS was common in RTs.

In phase I development, CDX-3379, an anti-ErbB3 monoclonal antibody, showed promising molecular and antitumor activity in head and neck squamous cell carcinoma (HNSCC), alone or in combination with cetuximab. Preliminary biomarker data raised the hypothesis of enhanced response in tumors harboring FAT1 mutations. This phase II, multicenter trial used a Simon 2-stage design to investigate the efficacy of CDX-3379 and cetuximab in 30 patients with recurrent/metastatic, HPV-negative, cetuximab-resistant HNSCC. The primary endpoint was objective response rate (ORR). Secondary endpoints included ORR in patients with somatic FAT1 mutations, progression-free survival (PFS), overall survival (OS), and safety. Thirty patients were enrolled from March 2018 to September 2020. The ORR in genomically unselected patients was 2/30 (6.7%; 95% confidence interval [CI], 0.8–22.1). Median PFS and OS were 2.2 (95% CI: 1.3–3.6) and 6.6 months (95% CI: 2.7–7.5), respectively. Tissue was available in 27 patients including one of two responders. ORR was 1/10 (complete response; 10%; 95% CI 0.30–44.5) in the FAT1-mutated versus 0/17 (0%; 95% CI: 0–19.5) in the FAT1-wildtype cohorts. Sixteen patients (53%) experienced treatment-related adverse events (AEs) ≥ grade 3. The most common AEs were diarrhea (83%) and acneiform dermatitis (53%). Dose modification was required in 21 patients (70%). The modest ORR coupled with excessive, dose-limiting toxicity of this combination precludes further clinical development. Dual ErbB3-EGFR inhibition remains of scientific interest in HPV-negative HNSCC. Should more tolerable combinations be identified, development in an earlier line of therapy and prospective evaluation of the FAT1 hypothesis warrant consideration.

Extreme high synchrotron peaked blazars (EHBLs) are amongst the most powerful accelerators found in nature. Usually the synchrotron peak frequency of an EHBL is above $10^{17}\,$Hz, i.e., lies in the range of medium to hard X-rays making them ideal sources to study particle acceleration and radiative processes. EHBL objects are commonly observed at energies beyond several TeV, making them also powerful probes of gamma-ray absorption in the intergalactic medium. During the last decade, several attempts have been made to increase the number of EHBL detected at TeV energies and probe their spectral characteristics. Here we report new detections of EHBLs in the TeV energy regime, each at a redshift of less than 0.2, by the High Energy Stereoscopic System (H.E.S.S.). Also, we report on X-ray observations of these EHBLs candidates with Swift XRT. In conjunction with the very high energy observations, this allows us to probe the radiation mechanisms and the underlying particle acceleration processes., Proceedings of the 37th International Cosmic Ray Conference (ICRC 2021)

The preparation of high-quality copper indium sulphide, CuInS2 photo-absorber material with tunable properties for efficient, low-cost, thin film solar cells using scalable methods remains a challenge. In order to address this, high quality off-stoichiometric undoped and Mn, Ni and Agdoped CuInS2 (CIS) thin films have been deposited onto glass substrates by aerosol-assisted chemical vapour deposition (AACVD) using metal diethyldithiocarbamate precursors at temperatures of 350, 400 and 450 °C. Data from powder X-ray diffraction (p-XRD), Raman spectroscopy and scanning electron microscopy-energy dispersive X-ray spectroscopy (SEMEDS) suggest a correlation of morphology and composition of tetragonal phase (chalcopyrite and copper-gold-type) sulphur-deficient microcrystalline CIS thin films. For undoped thin films, nearinfrared optical absorption and emission with tunable band gap between 1.32 and 1.42 eV are likely associated with donor-acceptor pairs involving deep or shallow electronic states such as sulphur vacancies (VS), indium-copper anti-sites (InCu) and indium interstitials (Ini) as donors and copper vacancies (VCu′) as acceptors. Whilst Mn-doped thin films exhibit minimal tunable properties, Ni and Ag-doped films exhibit tunable morphology, composition and near-infrared absorption for small dopant content. Though further studies are required to explore the defect chemistry, these results show the utility of AACVD in tuning structural, morphological and optical properties of undoped, Mn, Ni and Ag-doped CIS thin films.Keywords: copper indium sulphide, AACVD, doped thin films, tunable optical properties, photovoltaic material.

Over the first 2 months of 2021, vaccination coverage of staff at Hull Teaching Hospitals with BNT162b2 increased from 8.3% to 82.5% and was associated with a significant reduction in symptomatic and asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) cases. The proportion of positive lateral flow tests from asymptomatic screening was maintained over this period.

Psychiatric advance directives (PADs) allow service users to participate in their own mental health care in the event that they have a future mental health crisis and are deemed incompetent to make decisions, but few patients complete these documents. This Open Forum reports on factors that have helped or hindered completion of PADs in New Zealand. Perceived barriers to completion include resource limitations, procedural issues, access and storage problems, and mistrust between clinicians and service users regarding implementation. Having management and nursing "champions" of the process and organizing outreach meetings for all interested parties appear to aid completion. Targeted education and training promote creation and use of PADs, address negative attitudes, and assist service users in creating these documents. Information technology support is vital to having PADs uploaded and accessed in medical records.

Aims and objectives To identify the point prevalence of indwelling urinary catheters (IDCs) in adult inpatients in acute care hospitals, and to describe the indications for IDC insertion based on patient age, gender, specialty and hospital. Background Catheter-associated urinary tract infections (CAUTIs) are preventable healthcare-associated infections. IDC duration is the strongest predictor of CAUTI, and little is known about characteristics of patients who receive an IDC. Design Two single-day point prevalence surveys collected baseline patient data as part of a larger pre-post control-intervention study. Methods Surveys were conducted at four acute care hospitals in NSW, Australia, for all adult patients. Data collection included IDC presence, insertion details and urine culture collection. Point prevalence data were linked with electronically extracted patient demographic data. This study is presented in line with STROBE checklist (See Supplementary File 1). Result Data from 1,630 patients were analysed, with 196 patients (12%) identified as having an IDC on the survey dates. IDC prevalence rates were higher in males (13%) than in females (11%). Critical care had the highest rate of patients with IDCs (42%). Urine cultures were collected in 70 patients with an IDC (43%). Conclusions Findings indicated similar rates of IDC use in males and females, and there was no significant difference in age between patients with or without an IDC. However, indication for IDC varied by patient age and gender. High rates of urine culture collection may represent routine collection. Relevance to clinical practice IDC use is found across genders, all age groups and specialties. Nurses should be aware that any of their patients may have an IDC and be particularly aware of certain indications based on patient age and gender. Routine urine culture collection is not advised, and instead, nurses should be guided by clinical decision-making tools.

Background With the advent of time sensitive treatments like thrombolysis and thrombectomy for acute ischaemic stroke, it would be expected that stroke CT would place an increased demand on CT services out of hours. Our aim is to demonstrate the change in the workload distribution in the investigation and management of acute stroke over the last year. Methods Data was collected from the radiology systems used in our hospital (NIMIS/PACS). Firstly, CT multiphase angiograms done between 17/10/2017 and 17/10/2018 were examined, followed by all FAST-positive CT brains in the same period. Arrival times for FAST positive patients were collected from the ED Symphony system. These details were used to calculate time to CT and time to report in hours and minutes. Scans were categorised into 5-time windows, in and out of hours. The process was repeated for CT brain and all other CT scans for comparison. Results 58.14% of all FAST-positive CT scans were performed out of hours. FAST positive scans accounted for 9.49% of all out of hour CT scans, this rose to 20% when examining the out of hour scans from Monday to Friday. The most common indication for non-FAST positive CT was trauma. There was a higher likelihood of receiving a CTA during hours as opposed to out of hours, (73.33% vs 66.94%). Median time to CT in FAST positive patients: window 1 – 30mins, window 2 – 49mins, window 3 – 49mins, window 4 – 34mins, window 5 – 39mins. Conclusion Stroke CT will continue to increase the out of hours work load for CT departments across the country especially with our ageing population. It is vital that services, particularly in level 3 stroke centres, are adequately equipped in terms of staffing to meet the highest standard of care in the management of acute stroke.

A series of novel alkylxanthato iron(III) precursors [Fe(S2COR)3] (R = n-butyl, (1); 2-butyl, (2); 2-methoxyethyl, (3); and 2-ethoxyethyl (4)) have been synthesised and their single crystal X-ray structures have been studied. The complexes were used as single-source precursors for the deposition of iron sulfide thin films as well as nanostructured powders using spin coating technique and solventless thermolysis respectively. Cubic pyrite was obtained using n-butyl xanthato iron(III) and 2-butyl xanthato iron(III) complexes in the temperature range of 200 to 300 °C. Structural and morphological investigations using XRD and SEM have been performed to ascertain the crystallinity and morphology of as-prepared thin films and nanostructures. The elemental composition was determined using energy dispersive X-ray (EDX) spectroscopy. The optical band gap energies of pyrite thin films produced by these methods were direct with estimated values in the range 1.6 to 2.3 eV.

Ambient-air-stable methylammonium lead iodide (MAPI) perovskite thin films have been fabricated via one-step aerosol-assisted chemical vapor deposition (AACVD) from a pseudohalide Pb(SCN)2 precursor. We compare both the bulk and surface properties of the perovskite films grown using AACVD with those made by the widely used spin-coating method. Films with larger grain sizes and much better stability in ambient air can be obtained by AACVD. By adding excess MAI to the precursor solution, MAPI films with negligible PbI2 impurities, as determined by X-ray diffraction, are obtained. The AACVD-grown MAPI films retain high phase purity with limited PbI2 formation after aging in air for approximately one month. The films exhibit an optical band gap energy of ca. 1.55 eV and the expected nominal bulk stoichiometry (within error). In addition to probing bulk properties, we utilize X-ray photoelectron spectroscopy (XPS) to scrutinize the surface characteristics in detail. We find that the use of excess MAI results in formation of neutral CH3NH2 molecules at the surface. With aging time in air, the concentrations of iodine and nitrogen drop with respect to lead but these changes are less severe in the AACVD-grown films compared to the counterparts made by spin coating. Near-ambient pressure XPS is utilized to examine the surface stability of AACVD-grown films on exposure to 9 mbar H2O vapor. The formation of CH3NH2 molecules at the surface is observed, and the MAPI phase remains largely intact. The CH3NH2 molecules may passivate the surfaces and protect MAPI from degradation, providing a rationale for the observed stability of MAPI films fabricated from Pb(SCN)2 with excess MAI.