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Background: A recent study conducted at our tertiary hospital emergency department (ED) reviewed ED consultations and found that adolescents aged 16-18 years present significantly more often for trauma and psychiatric problems than adults over 18 years. Accidental injuries are one of the greatest health risks for children and adolescents. In view of the increased vulnerability of the adolescent population, this study aimed to further analyse trauma-related presentations in adolescents., Methods: We conducted a single-centre, retrospective, cross-sectional study of all adolescent trauma patients aged 16 to 18 years presenting to the adult ED at the University Hospital (Inselspital) in Bern, Switzerland, from January 2013 to July 2017. We analysed presentation data as well as inpatient treatment and cost-related data. Data of female and male patients were compared by univariable analysis. A comparison group was formed consisting of 200 randomly chosen patients aged 19-25 years old with the same presentation characteristics. Predictive factors for surgical treatment were obtained by multivariable analysis., Results: The study population included a total of 1,626 adolescent patients aged 16-18 years. The predominant causes for ED presentation were consistent within case and comparison groups for sex and age and were sports accidents, falls and violence. Male patients were more likely to need surgical treatment (OR 1.8 [95% CI: 1.2-2.5], p = 0.001) and consequently inpatient treatment (OR 1.5 [95% CI: 1.1-2.1], p = 0.01), associated with higher costs (median 792 Swiss francs [IQR: 491-1,598]). Other independent risk factors for surgical treatment were violence-related visits (OR 2.1 [95% CI: 1.3-3.5, p = 0.004]) and trauma to the upper extremities (OR 2.02 [95% CI: 1.5-2.8], p < 0.001). Night shift (OR 0.56 [95% CI: 0.37-0.86], 0.008) and walk-in consultations (OR 0.3 [95% CI: 0.2; 0.4, < 0.001] were preventive factors for surgical treatment., Conclusions: Male adolescents account for the majority of emergency visits and appear to be at higher risk for accidents as well as for surgical treatment and/or inpatient admission due to sports accidents or injuries from violence. We suggest that further preventive measures and recommendations should be implemented and that these should focus on sport activities and injuries from violence., (© 2024. The Author(s).)

Background: In many large hospitals in Switzerland, adolescents 16 years and older are treated in adult emergency departments (ED). There have been few publications about this specific patient population, especially in Switzerland. This study aims to provide an overview of emergency presentations of adolescents between 16-18 years of age when compared to adults and focuses on their principle complaints., Methods: We conducted a single-centre, retrospective, cross-sectional study of all patients aged 16 years and older presenting to the adult ED at the University Hospital (Inselspital) in Bern, Switzerland, from 2013 to 2017. This analysis gives an overview of emergency presentations of adolescents between 16-18 years of age in this time period and compares their consultation characteristics to those of adult patients., Results: Data of a total of 203,817 patients who presented to our adult ED between 2013 and 2017 were analysed. Adolescents account for 2.5% of all emergency presentations. The number of ED presentations in the reviewed time period rose for adults (+2368, 95% CI: 1695, 3041, p = 0.002 consultations more per year; +25% comparing 2013 with 2017), while adolescent presentations did not significantly increase ( p = 0.420). In comparison to adult patients, adolescents presented significantly more often during the night (39.1% vs. 31.5%, p < 0.001), as walk-ins (54.2% vs. 44.9%, p < 0.001), or with less highly acute complaints at triage (21% vs. 31%, p < 0.001). They were more likely to be discharged (70.8% vs. 52.2%, p < 0.001). We found a significant association between the two age groups and principle complaints. In comparison to adults, trauma and psychiatric problems were significantly more common among adolescents., Conclusions: Our data showed that complaints in adolescent patients under 18 years of age significantly differ from those in older patients. The artificial age cut-off therefore puts this vulnerable population at risk of receiving inadequate diagnostic testing and treatment adapted only for adults. Additional studies are needed on the reasons adolescents and young adults seek ED care, as this could lead to improvements in the care processes for this vulnerable population.

We present a sol-gel processed hematite-titania-based photoanode, which exhibits a photocurrent of up to 2.5 mA/cm 2 at 1.23 V RHE under simulated AM 1.5 G illumination (100 mW/cm 2 ) thanks to the addition of an amorphous cocatalyst with the nominal composition Fe 20 Cr 40 Ni 40 O x . To unveil the role of the cocatalyst interconnected to the photoanode, we performed impedance measurements. According to the one order of magnitude higher value for the capacitance associated with surface states ( C SS ) compared to the bare photoanode, the function of the catalyst-photoanode interface resembles that of a p-n-like junction. In addition, the charge transfer resistance associated with charge transfer processes from surface states ( R ct,ss ) was unchanged at potentials between 0.8 and 1.1 V RHE after adding the cocatalyst, indicating that the catalyst has a negligible effect on the hole transport to the electrolyte. The understanding of the role of oxygen evolution catalysts (OECs) in conjunction with the photoanodes is particularly important for water splitting because most OECs are studied separately at considerably higher potentials compared to the potentials at which photoanode materials are operated., Competing Interests: The authors declare no competing financial interest.

Nanocomposites represent an interesting class of materials because their applications are of multidisciplinary importance. Herein, interactions at the interface of heterostructures, leading to superior performance and sometimes to synergistic interactions, are highlighted. Although the types of junctions seem to be similar in different fields, the requirements for their function is device-dependent and thus no generally valid recipe can be utilized. Nonetheless, the overlap between research fields unveils the unique opportunity to combine the different knowledge and expertise as an inspiration to designing new composites for photoelectrochemical water splitting, photocatalysis, chemoresistive sensors, batteries, and composite multiferroics. A non-comprehensive overview is provided with focus on selected examples to highlight the concepts behind these nanojunctions., (© 2017 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.)

Water splitting with hematite is negatively affected by poor intrinsic charge transport properties. However, they can be modified by forming heterojunctions to improve charge separation. For this purpose, charge dynamics of TiO2:α-Fe2O3 nanocomposite photoanodes are studied using transient absorption spectroscopy to monitor the evolution of photogenerated charge carriers as a function of applied bias voltage. The bias affects the charge carrier dynamics, leading to trapped electrons in the submillisecond time scale and an accumulation of holes with a lifetime of 0.4 ± 0.1 s. By contrast, slower electron trapping and only few long-lived holes are observed in a bare hematite photoanode. The decay of the long-lived holes is 1 order of magnitude faster for the composite photoanodes than previously published for doped hematite, indicative of higher catalytic efficiency. These results illustrate the advantages of using composite materials to overcome poor charge carrier dynamics, leading to a 30-fold enhancement in photocurrent.