Multisite luminescence of rare earth doped TiO2 anatase nanoparticles

Eu3+, Sm3+ and Tb3+ ions have been incorporated into anatase TiO2 nanocrystals via hydrolytic sol–gel method. Pure anatase phase was confirmed with XRD and TEM measurements. Band gap energies change slightly with rareearth incorporation, from 3.32 eV for undoped TiO2 to 3.15 eV, 3.25 eV and 3.29 eV for Tb3+, Sm3+ and Eu3+doped TiO2. Photoluminescence of Eu3+ and Sm3+ originated from three different sites in TiO2 nanocrystals have been identified with the laser-excited site-selective spectroscopy measurements at 10 K. One site exhibits broad emission peaks, which are ascribed to the distorted lattice site near the surface. Other two sites, associated with the inner lattice, show significantly sharper fluorescence lines as a consequence of an ordered crystalline environment. The emission decays of Eu3+ and Sm3+ have similar values for inner-lattice sites and longer lifetimes for near-surface sites. The luminescence of Tb3+doped TiO2 nanocrystals was immeasurably weak

Mediate evaluation of replicating a Training Program in Nonverbal Communication in Gerontology

OBJECTIVE Replicating the training program in non-verbal communication based on the theoretical framework of interpersonal communication; non-verbal coding, valuing the aging aspects in the perspective of active aging, checking its current relevance through the content assimilation index after 90 days (mediate) of its application. METHOD A descriptive and exploratory field study was conducted in three hospitals under direct administration of the state of São Paulo that caters exclusively to Unified Health System (SUS) patients. The training lasted 12 hours divided in three meetings, applied to 102 health professionals. RESULTS Revealed very satisfactory and satisfactory mediate content assimilation index in 82.9%. CONCLUSION The program replication proved to be relevant and updated the setting of hospital services, while remaining efficient for healthcare professionals

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700