Search

We describe 7 strategies our intensive care unit implemented to decrease the rate of hospital-acquired pressure ulcers. These strategies include the following: (1) restructured risk assessment and documentation, (2) translated numeric data into graphs for ease of understanding by staff, (3) increased staff awareness, (4) implemented 'turn rounds,' (5) increased prevalence assessments and redesigned structure of the skin team, (6) used evidence-based practice as a basis for care, and (7) created an Access database to track weekly prevalence. [ABSTRACT FROM AUTHOR]

Background: Linked datasets for trauma system monitoring should ideally follow patients from the prehospital scene to hospital admission and post-discharge. Having a well-defined cohort when using administrative datasets is essential because they must capture the representative population. Unlike hospital electronic health records (EHR), ambulance patient-care records lack access to sources beyond immediate clinical notes. Relying on a limited set of variables to define a study population might result in missed patient inclusion. We aimed to compare two methods of identifying prehospital trauma patients: one using only those documented under a trauma protocol and another incorporating additional data elements from ambulance patient care records., Methods: We analyzed data from six routinely collected administrative datasets from 2015 to 2018, including ambulance patient-care records, aeromedical data, emergency department visits, hospitalizations, rehabilitation outcomes, and death records. Three prehospital trauma cohorts were created: an Extended-T-protocol cohort (patients transported under a trauma protocol and/or patients with prespecified criteria from structured data fields), T-protocol cohort (only patients documented as transported under a trauma protocol) and non-T-protocol (extended-T-protocol population not in the T-protocol cohort). Patient-encounter characteristics, mortality, clinical and post-hospital discharge outcomes were compared. A conservative p-value of 0.01 was considered significant RESULTS: Of 1 038 263 patient-encounters included in the extended-T-population 814 729 (78.5 %) were transported, with 438 893 (53.9 %) documented as a T-protocol patient. Half (49.6 %) of the non-T-protocol sub-cohort had an International Classification of Disease 10th edition injury or external cause code, indicating 79644 missed patients when a T-protocol-only definition was used. The non-T-protocol sub-cohort also identified additional patients with intubation, prehospital blood transfusion and positive eFAST. A higher proportion of non-T protocol patients than T-protocol patients were admitted to the ICU (4.6% vs 3.6 %), ventilated (1.8% vs 1.3 %), received in-hospital transfusion (7.9 vs 6.8 %) or died (1.8% vs 1.3 %). Urgent trauma surgery was similar between groups (1.3% vs 1.4 %)., Conclusion: The extended-T-population definition identified 50 % more admitted patients with an ICD-10-AM code consistent with an injury, including patients with severe trauma. Developing an EHR phenotype incorporating multiple data fields of ambulance-transported trauma patients for use with linked data may avoid missing these patients., Competing Interests: Declaration of competing interest Matthew Miller reports financial support was provided by New South Wales Institute for Trauma and Injury Management (ITIM). If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Matthew Miller is supported in his PhD by an Australian Commonwealth Government Research Training Program (RTP) scholarship., (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

Objectives: To determine the diagnostic accuracy of a rapid host-protein test for differentiating bacterial from viral infections in patients who presented to the emergency department (ED) or urgent care center (UCC)., Methods: This was a prospective multicenter, blinded study. MeMed BV (MMBV), a test based on tumor necrosis factor-related apoptosis-inducing ligand (TRAIL), interferon gamma-inducible protein-10 (IP-10), and C-reactive protein (CRP), was measured using a rapid measurement platform. Patients were enrolled from 9 EDs and 3 UCCs in the United States and Israel. Patients >3 months of age presenting with fever and clinical suspicion of acute infection were considered eligible. MMBV results were not provided to the treating clinician. MMBV results (bacterial/viral/equivocal) were compared against a reference standard method for classification of infection etiology determined by expert panel adjudication. Experts were blinded to MMBV results. They were provided with comprehensive patient data, including laboratory, microbiological, radiological and follow-up., Results: Of 563 adults and children enrolled, 476 comprised the study population (314 adults, 162 children). The predominant clinical syndrome was respiratory tract infection (60.5% upper, 11.3% lower). MMBV demonstrated sensitivity of 90.0% (95% confidence interval [CI]: 80.3-99.7), specificity of 92.8% (90.0%-95.5%), and negative predictive value of 98.8% (96.8%-99.6%) for bacterial infections. Only 7.2% of cases yielded equivocal MMBV scores. Area under the curve for MMBV was 0.95 (0.90-0.99)., Conclusions: MMBV had a high sensitivity and specificity relative to reference standard for differentiating bacterial from viral infections. Future implementation of MMBV for patients with suspected acute infections could potentially aid with appropriate antibiotic decision-making., Competing Interests: Cesar A. Arias, Natasha Ballard, Karen C. Carroll, Andrea T. Cruz, Richard Gordon, Salim Halabi, Jeffrey D. Harris, Kristina G. Hulten, Theresa Jacob, Mark D. Kellogg, Adi Klein, Pninit Shaked Mishan, Sergey M. Motov, Octavia M. Peck‐Palmer, Leticia M. Ryan, Ma'anit Shapira, George S. Suits, Henry E. Wang, Alexandra Weissman, and Richard E. Rothman have no relevant conflict of interests to declare. Richard G. Bachur and Sheldon L. Kaplan participated in a scientific advisory board on health economic modeling for MeMed and were compensated for their time. Richard E. Rothman participated in a scientific board on health care economic modeling (without compensation). Richard G. Bachur, Sheldon L. Kaplan, and Richard E. Rothman participated in discussions with the U.S. Food and Drug Administration clearance and were involved in study design, patient recruitment, data collection and analysis, and drafting and revising the manuscript., (© 2024 The Authors. Journal of the American College of Emergency Physicians Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.)

The ecosystem and economy's reliance on clean water is influenced by various factors such as geology, topography, soil types, activities, and the presence of plants and animals. The Ghana Water Company is encountering difficulties in delivering water to consumers in the Ashanti Region due to the shortage of surface water resources, leading to water rationing in the area. Furthermore, poor waste disposal practices, illegal mining, use of fertilizers, and industrial activities have resulted in surface and groundwater source damage. Therefore, there is a need to implement a reliable, simple, and timely method to assess groundwater quality. This study aims to employ GIS and RS techniques to evaluate groundwater quality and potential in the Ashanti Region, Ghana. The Water Quality Index (WQI) was estimated using pH, Total Dissolve Solid (TDS), Chloride, Total Hardness (TH), Nitrate, Temperature, Turbidity, Iron, and Electrical Conductivity (EC). The study then used the WQI distribution to conduct a groundwater potential analysis to identify suitable areas for borehole placement. Digital thematic layers and maps were developed to expose the spatial distribution of water quality parameters, enabling the identification of groundwater pollution control and remedial measures. The study estimated the region's groundwater potential using an integrated GIS and Analytical Hierarchical Process (AHP) technique, grouping under excellent, good, fair, and poor potential. The WQI in the Ashanti Region ranged from 5.208 to 134.232, with 32.252% of the study area having an excellent WQI and 60.168% of the study area having a good WQI. Poor water quality covered 7.550% of the study area. The results showed that the GIS-based AHP approach accurately mapped the spatial distribution of WQI and Groundwater Potential Zones (GWPZ). This information is helpful to planners in water resource management in groundwater exploration and future planning. Policymakers and stakeholders must ensure that groundwater sources are protected from pollution., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors.)

The Practice Environment Scale of the Nursing Work Index, a widely used practice environment instrument, does not measure vital coworker interrelations. Team virtuousness measures coworker interrelations, yet the literature lacks a comprehensive instrument built from a theoretical foundation that captures the structure. This study sought to develop a comprehensive measure of team virtuousness built from Aquinas' Virtue Ethics Theory that captures the underlying structure. Subjects included nursing unit staff and master of business administration (MBA) students. A total of 114 items were generated and administered to MBA students. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were run on randomly split halves. Based on analyses, 33 items were subsequently administered to nursing unit staff. EFA and CFA were repeated on randomly split halves; CFA item loadings replicated EFA. Three components emerged from the MBA student data: integrity, α = .96; group benevolence, α = .70; and excellence, α = .91. Two components emerged from the nursing unit data: wisdom, α = .97; and excellence, α = .94. Team virtuousness varied significantly among units and correlated significantly with engagement. The two component instrument, named the Perceived Trustworthiness Indicator, is a comprehensive measure of team virtuousness built from a theoretical framework that captures the underlying structure, demonstrates adequate reliability and validity, and measures coworker interrelations on nursing units. Forgiveness and relational and inner harmony emerged as elements of team virtuousness, broadening understanding., Competing Interests: The authors declare no conflict of interest., (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)

Polymer colloids are complex materials that have the potential to be used in a vast array of applications. One of the main reasons for their continued growth in commercial use is the water-based emulsion polymerization process through which they are generally synthesized. This technique is not only highly efficient from an industrial point of view but also extremely versatile and permits the large-scale production of colloidal particles with controllable properties. In this perspective, we seek to highlight the central challenges in the synthesis and use of polymer colloids, with respect to both existing and emerging applications. We first address the challenges in the current production and application of polymer colloids, with a particular focus on the transition toward sustainable feedstocks and reduced environmental impact in their primary commercial applications. Later, we highlight the features that allow novel polymer colloids to be designed and applied in emerging application areas. Finally, we present recent approaches that have used the unique colloidal nature in unconventional processing techniques., Competing Interests: The authors declare no competing financial interest., (© 2023 The Authors. Published by American Chemical Society.)

Objectives: Nursing specialty certification validates nurses' mastery of specialty knowledge in disease management, education, or leadership above entry-level education and licensing. Research suggests direct relationships between nursing certifications and patient care quality. However, nurses' specialty certification rates are still low. This study aims to better understand nurses' perceptions of the facilitators and barriers in promoting nurses' desires and ability to obtain specialty certifications, which exclude advanced nursing practice roles, such as nurse practitioner or nurse midwife., Methods: This qualitative descriptive study took place virtually across the United States from May 2022 to September 2022. The study sample was a nested sample of a large national survey study. Among the nurses agreeing to be interviewed, a purposive sampling method was used to achieve maximum variation in diversity, such as years as a nurse, race, ethnicity, and certification status. Information saturation was used to gauge the sample size. Data were collected via in-depth virtual face-to-face interviews. The coding process was based on Colaizzi's method of data analysis., Results: Twenty nurses participated in the study. Five major themes emerged related to organizational culture and strategies to foster nurse specialty certifications. The five organizational strategies included 1) sharing resources, 2) a culture of ownership and a sense of belonging, 3) mentorship and role modeling, 4) recognizing nurses' efforts and accomplishments, and 5) cultivating a sense of meaning, purpose, and support., Conclusions: The findings indicate that organizational culture and leadership significantly promote continuing learning environments. Organizations need to develop an organizational culture that promotes nurses' specialty certifications. This study identified significant areas that are important to support nurses seeking certifications. Additional research is needed to evaluate which interventions significantly impact initial and continued certification levels, especially in the post-COVID-19 era., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Authors.)

There is a growing preference to move away from traditional petrochemical-based polymers toward biobased alternatives. Here, we report the microwave-assisted RAFT polymerization of several terpenoid acrylates (tetrahydrogeraniol, cyclademol, nopol, and citronellol). These biobased monomers give polymers with a broad range of glass transition temperatures and are excellent candidates to substitute oil-based (meth)acrylates in applications such as coatings and adhesives. First, the process was studied in miniemulsion, finding that all terpenoid acrylates showed a substantial increase in both polymerization rate and reaction control when microwave irradiation was applied. These observations were attributed to nonthermal microwave effects, namely, to changes in the kinetic coefficients under irradiation. The reactions were also carried out in solution, where an amplified nonthermal microwave effect was observed. The results indicate that nonthermal microwave effects allow RAFT polymerization of these terpenoid acrylates to proceed with both improved control and at higher polymerization rates compared to using conventional heating.

Cellulose nanocrystals (CNCs) are unique, lightweight materials that possess high elastic modulus and tensile strength, making them of great interest in the formation of nanocomposite materials. However, efficient design of the composite material is essential in translating the mechanical properties of the individual CNCs into the nanocomposite film. In this work, we demonstrate the formation of structured CNC/acrylic dispersions by physical blending of the anionic CNCs with charged acrylic latex particles. By blending with large cationic latex particles, the CNCs adsorbed onto the acrylic latex surface while blending with small latex particles led to the inverse structure. Films were cast from these dispersions and the physical properties were compared with the aim of understanding the influence of the initial structure of the hybrid dispersion on the structure of the final film. A significant difference in the mechanical properties was observed based on the position of the CNCs in the initial dispersion. Adsorption of latex particles onto the CNC surface led to a random distribution of nonconnected CNCs, which contributed little to improving the Young's modulus, while adsorption of CNC onto the latex led to a honeycomb CNC network and a large increase in the Young's modulus. This work underlines the importance of particle structure on the structure and mechanical properties of nanostructured films.

All reversible deactivation radical polymerization (RDRP) processes require a compromise between the rate of polymerization, which requires a high radical concentration, and retention of chain end functionality, which requires a low radical concentration. Here, we demonstrate that this compromise may be partially averted where fast deactivation of the propagating radical occurs. It is shown that, contrary to the predictions of classical reaction kinetics, when the probability density functions of the termination reactions are adjusted to take into account the time needed for radical diffusion, a reduction in the extent of termination can be expected if chain deactivation is rapid. We subsequently use this framework to explain experimental results in the copper(0)-mediated polymerization of acrylamide. The main concept put forward in the paper questions the commonly held assumptions of the limitations of RDRP processes and suggests the ability for a seemingly impossible level of control of radical reactions.

Radiation therapy (RT) plays a vital role in the treatment of brain cancers, but it frequently results in cognitive decline in the patients who receive it. Because the underlying mechanisms for this decline remain poorly understood, the brain is typically treated as a single, uniform volume when evaluating the toxic effects of RT plans. This ignorance represents a significant deficit in the field of radiation oncology, as the technology exists to manipulate dose distributions to spare regions of the brain, but there exists no body of knowledge regarding what is critical to spare. This deficit exists due to the numerous confounding factors that are frequently associated with radiotherapy, including the tumors themselves, other treatments such as surgery and chemotherapy, and dose gradients across the brain. Here, we present a case in which a 57-year-old male patient received a uniform dose of radiation across the whole brain, did not receive concurrent chemotherapy, had minimal surgical intervention and a small tumor burden, and received resting-state functional magnetic resonance imaging (fMRI) scans both before and after RT. To our knowledge, this is the first study on the effects of whole-brain radiotherapy on functional network organization, and this patient's treatment regimen represents a rare and non-replicable opportunity to isolate the effects of radiation on functional connectivity. We observed substantial changes in the subject's behavior and functional network organization over a 12-month timeframe. Interestingly, the homogenous radiation dose to the brain had a heterogeneous effect on cortical networks, and the functional networks most affected correspond with observed cognitive behavioral deficits. This novel study suggests that the cognitive decline that occurs after whole-brain radiation therapy may be network specific and related to the disruption of large-scale distributed functional systems, and it indicates that fMRI is a promising avenue of study for optimizing cognitive outcomes after RT.

In order to move away from traditional petrochemical-based polymer materials, it is imperative that new monomer systems be sought out based on renewable resources. In this work, the synthesis of a functional terpene-containing acrylate monomer (tetrahydrogeraniol acrylate, THGA) is reported. This monomer was polymerized in toluene and bulk via free-radical polymerizations, achieving high conversion and molecular weights up to 278 kg·mol -1 . The synthesized poly(THGA) shows a relatively low T g (-46 °C), making it useful as a replacement for low T g acrylic monomers, such as the widely used n-butyl acrylate. RAFT polymerization in toluene ([M] 0 = 3.6 mol·L -1 ) allowed for the well-controlled polymerization of THGA with degrees of polymerization (DP n ) from 25 to 500, achieving narrow molecular weight distributions ( D̵ ≈ 1.2) even up to high conversions. At lower monomer concentrations ([M] 0 = 1.8 mol·L -1 ), some evidence of intramolecular chain transfer to polymer was seen by the detection of branching (arising from propagation of midchain radicals) and terminal double bonds (arising from β-scission of midchain radicals). Poly(THGA) was subsequently utilized for the synthesis of poly(THGA)- b-poly(styrene)- b-poly(THGA) and poly(styrene)- b-poly(THGA)- b-poly(styrene) triblock copolymers, demonstrating its potential as a component of thermoplastic elastomers. The phase separation and mechanical properties of the resulting triblock copolymer were studied by atomic force microscopy and rheology.

The adsorption of colloidal particles to fluid interfaces is a phenomenon that is of interest to multiple disciplines across the physical and biological sciences. In this review we provide an entry level discussion of our current understanding on the physical principles involved and experimental observations of the adsorption of a single isolated particle to a liquid-liquid interface. We explore the effects that a variation of the morphology and surface chemistry of a particle can have on its ability to adhere to a liquid interface, from a thermodynamic as well as a kinetic perspective, and the impact of adsorption behaviour on potential applications. Finally, we discuss recent developments in the measurement of the interfacial behaviour of nanoparticles and highlight open questions for future research.

Polyurethane (PU)/acrylic waterborne hybrids are an attractive class of materials with wide application possibilities, but their synthesis typically requires significant quantities of solvent which has negative economic and environmental consequences. In this work, solvent-free and surfactant-free polyurethane (PU)/acrylic waterborne hybrids were obtained by synthesizing the PU prepolymer containing carboxylic groups directly in (meth)acrylic monomers that act as solvent. Then, the mixture is dispersed in water; the PU is chain-extended with diamines, and the (meth)acrylic monomers are polymerized. It was found that, against expectations, colloidal stability did not improve with the concentration of carboxylic groups that acted as stabilizing moieties. A combination of MALDI-TOF MS analysis and Monte Carlo simulations revealed that the highly heterogeneous compositions of the short chains of the PU prepolymer and their reaction with the chain-extender in the aqueous phase were responsible for lack of control of the colloidal properties. This problem was overcome by using more hydrophobic chain-extenders that decrease the fraction of PU chains in the water phase. In this way high-solid-content stable dispersions with controlled particle size were obtained. Finally, the properties of the PU/(meth)acrylic films were studied in terms of mechanical properties and water resistance.

The occurrence of intramolecular transfer to polymer in the radical polymerization of acrylic monomers has been extensively documented in the literature. Whilst it has been largely assumed that intramolecular transfer to polymer leads to short chain branches, there has been some speculation over whether the mid-chain radical can migrate. Herein, by the matrix-assisted laser desorption/ionization time of flight (MALDI-TOF) mass spectrometry (MS) of poly( n -butyl acrylate) synthesized by solution polymerization under a range of conditions, it is shown that this mid-chain radical migration does occur in the radical polymerization of acrylates conducted at high temperatures, as is evident from the shape of the molecular weight distribution. Using a mathematical model, an initial approximation of the rate at which migration occurs is made and the distribution of branching lengths formed in this scenario is explored. It is shown that the polymerizations carried out under a low monomer concentration and at high temperatures are particularly prone to radical migration reactions, which may affect the rheological properties of the polymer.

Although surfactants are known to play a vital role in polymerization reactions carried out in dispersed media, many aspects of their use are poorly understood, perhaps none more so than the vastly different action of ionic and nonionic surfactants in emulsion polymerization. In this work, we combine experimental measurements of emulsion polymerization of styrene with atomistic molecular dynamics simulations to better understand the behavior of surfactants at monomer/polymer-water interfaces. In a batch emulsion polymerization of styrene, the nonionic surfactant Disponil AFX 1080 leads to two nucleation periods, in contrast to the behavior observed for the ionic surfactant SDS. This can be explained by the absorption of the nonionic surfactant into the organic phase at the early stages of the polymerization reaction which is then released as the reaction progresses. Indeed, we find that the partition coefficient of the surfactant between the organic phase and water increases with the amount of monomer in the former, and preferential partitioning is detected to organic phases containing at least 55% styrene. Results from molecular dynamics simulations confirm that spontaneous dissolution of the non-ionic surfactant into a styrene-rich organic phase occurs above a critical concentration of the surfactant adsorbed at the interface. Above this critical concentration, a linear correlation between the amount of surfactant adsorbed at the interface and that absorbed inside the organic phase is observed. To facilitate this absorption into a completely hydrophobic medium, water molecules accompany the intruding surfactants. Similar simulations but with the ionic surfactant instead did not result in any absorption of the surfactant into a neat styrene phase, likely because of its strongly hydrophilic head group. The unusual partitioning behavior of nonionic surfactants explains a number of observable features of emulsion polymerization reactions which use nonionic surfactants and should help with future development of processes for improved control over polymerization.

We report combined experimental and computational studies aiming to elucidate the adsorption properties of ionic and nonionic surfactants on hydrophobic polymer surface such as poly(styrene). To represent these two types of surfactants, we choose sodium dodecyl sulfate and poly(ethylene glycol)-poly(ethylene) block copolymers, both commonly utilized in emulsion polymerization. By applying quartz crystal microbalance with dissipation monitoring we find that the non-ionic surfactants are desorbed from the poly(styrene) surface slower, and at low surfactant concentrations they adsorb with stronger energy, than the ionic surfactant. If fact, from molecular dynamics simulations we obtain that the effective attractive force of these nonionic surfactants to the surface increases with the decrease of their concentration, whereas, the ionic surfactant exhibits mildly the opposite trend. We argue that the difference in this contrasting behavior stems from the physico-chemical properties of the head group. Ionic surfactants characterized by small and strongly hydrophilic head groups form an ordered self-assembled structure at the interface whereas, non-ionic surfactants with long and weakly hydrophilic head groups, which are also characterized by low persistence lengths, generate a disordered layer. Consequently, upon an increase in concentration, the layer formed by the nonionic surfactants prevents the aprotic poly(ethylene glycol) head groups to satisfy all their hydrogen bonds capabilities. As a response, water molecules intrude this surfactant layer and partially compensate for the missing interactions, however, at the expense of their ability to form hydrogen bonds as in bulk. This loss of hydrogen bonds, either of the head groups or of the intruding water molecules, is the reason the nonionic surfactants weaken their effective attraction to the interface with the increase in concentration.

Recently, self-healing polymers based on disulfide compounds have gained attention due to the versatile chemistry of disulfide bonds and easy implementation into polymeric materials. However, the underlying mechanisms of disulfide exchange which induce the self-healing effect in poly(disulfide)s remain unclear. In this work, we elucidate the process of disulfide exchange using a variety of spectroscopic techniques. Comparing a model exchange reaction of 4-aminophenyl disulfide and diphenyl disulfide with modified reactions in the presence of additional radical traps or radical sources confirmed that the exchange reaction between disulfide compounds occurred via a radical-mediated mechanism. Furthermore, when investigating the effect of catalysts on the model exchange reaction, it could be concluded that catalysts enhance the disulfide exchange reaction through the formation of S-based anions in addition to the radical-mediated mechanism.

Despite significant efforts, the design of alkoxyamines for polymerization of methacrylic monomers in a well-controlled fashion with good retention of the active chain ends remains a challenge. Herein, the facile synthesis of several alkoxyamines, which are capable of achieving this long sought-after goal, is reported. Controlled homopolymerization of methyl methacrylate is achieved as determined by a linear increase in molecular weight with conversion and first-order rate plots for various alkoxyamine concentrations. The versatility of the alkoxyamines is further exemplified by the ability to control the homopolymerization of styrene and by synthesis of a block copolymer of a second methacrylate in an efficient chain extension process.

In a recent publication, Nakamura and co-workers studied the termination mechanism in the radical polymerization of acrylates. Contrary to conventional thinking, their conclusion is that termination is overwhelmingly by disproportionation. This finding impacts on a large body of the previous work in the polymerization of acrylic monomers which this work seeks to address. Analysis of the molecular weight distribution of acrylic polymers obtained under different polymerization conditions shows that termination by combination is the more probable mechanism for mutual termination of secondary radicals. It is proposed that in the experiments conducted by Nakamura and co-workers, backbiting plays a key role and their experimental data are reinterpreted, showing that they are more revealing with respect to the mode of termination of the midchain radical produced by backbiting, than to bimolecular termination of secondary radicals., (© 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

The practice environment is important to nurse satisfaction and patient outcomes. Laschinger and Leiter posited causal relationships by development and testing of the Nursing Worklife Model (NWLM). Using a secondary analysis of unit-level data (N = 3,203; medical, surgical, medical-surgical, critical-care, and step-down units) from the 2011 National Database for Nursing Quality Indicators®, hypothesized pathways of the NWLM were tested using structural equation modeling. Practice Environment subscales developed by Lake were used to operationalize model variables with job enjoyment being the outcome variable. Positive pathways identified in the original causal model were supported. However, using an iterative process, additional pathways were identified that improved model fit (comparative fit index = 0.99; root mean square error of approximation = 0.06; standardized root mean square residual = 0.002). Nurse manager ability, leadership, and support had direct links to job enjoyment as well as other elements of the model. Development of nurse managers is important to the retention of clinical nurses in the hospital setting., (© The Author(s) 2015.)

Controlled radical polymerization (CRP) and dye-sensitized solar cells (DSSCs) are two fields of research that at an initial glance appear to have little in common. However, despite their obvious differences, both in application and in scientific nature, a closer look reveals a striking similarity between many of the compounds widely used as control agents in radical polymerization and as redox couples in dye-sensitized solar cells. Herein, we review the various redox active compounds used and examine the characteristics that give them the ability to perform this dual function. In addition we explore the advances in the understanding of the structural features that enhance their activity in both CRP and DSSCs. It is hoped that such a comparison will be conducive to improving process performance in both fields., (© 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

Hypothesis: It has been reported that surfactants generated in-situ are more efficient than their preformed analogues in preparation of miniemulsions for application in miniemulsion polymerization but conflicting experimental evidence exists over their use. Herein, the potential of preparing miniemulsions using in-situ generated surfactants is evaluated using KOH/oleic acid as a model system., Experiments: The kinetics of miniemulsification using either preformed or in-situ generated potassium oleate were evaluated by monitoring the evolution of droplet size, pH and conductivity during miniemulsification using sonication. Subsequently, the kinetics of surfactant adsorption to the monomer/water interface were studied using dynamic interfacial tension measurements. Finally, the ability of in-situ generated potassium oleate to produce miniemulsions under low shear was evaluated under a range of conditions., Findings: No difference in the evolution of droplet size, pH or conductivity was observed between the two surfactant systems when sonication was applied. Dynamic interfacial tension measurements showed that using in-situ generated potassium oleate, interfacial tension is significantly lower initially, but at long times the two surfactant systems reach similar values. Low shear emulsification by in-situ generated potassium oleate resulted in a bimodal droplet distribution. Only at very low oil contents with high surfactant concentration is the number of nanometer sized droplets large enough to account for a miniemulsion polymerization mechanism., (Copyright © 2015 Elsevier Inc. All rights reserved.)

The effective stabilization of emulsions by solid particles, a phenomenon known as Pickering stabilization, is well known to be highly dependent on the wettability and the adhesion energy of the stabilizer employed at the liquid-liquid interface. We present a user-friendly computational model that can be used to determine equilibrium orientations and the adhesion energy of colloidal particles at interfaces. The model determines the free energy profile of particle adsorption at liquid-liquid interfaces using a triangular tessellation scheme. We demonstrate the use of the model, using a variety of anisotropic particles and demonstrate its ability to predict and explain experimental observations of particle behaviour at interfaces. In particular, we show that the concept of hydrophilic lipophilic balance commonly applied to molecular surfactants is insufficient to explain the complexity of the activity of colloidal particles at interfaces. In addition, we show the importance of the knowledge of the free energy adsorption profile of single particles at interfaces and the impact on overall free energy of emulsification of packed ensembles of particles. The delicate balance between optimization of adhesion energy, adsorption dynamics and particle packing is shown to be of great importance in the formation of thermodynamically stable emulsions. In order to use the model, the code is implemented by freely available software that can be readily deployed on personal computers., (Copyright © 2015 Elsevier Inc. All rights reserved.)

Surfactants are vital components of almost all heterogeneous polymerizations for maintaining colloidal stability, but they also play an important role in the kinetics and mechanism of particle nucleation. Despite many decades of research, the knowledge of adsorption-desorption surfactant kinetics and their application in (mini)emulsion polymerization is largely based on qualitative arguments. In this paper we show that the use of a quartz crystal microbalance with dissipation monitoring can provide quantitative information on both the adsorption equilibrium of ionic and nonionic surfactants, and also the kinetics of adsorption/desorption, that can be applied to the understanding of nucleation processes in (mini)emulsion polymerization. We show that surfactant dynamics and nucleation phenomena in (mini)emulsion polymerization are not dominated by diffusion phenomena linked to molecular size of surfactant as previously thought but rather are driven by the large differences in the rate of surfactant adsorption and desorption at the polymer-water interface. Finally, we show the application of this knowledge to explain the differences between nucleation processes for ionic and nonionic surfactants in emulsion polymerization.