catena-Poly[[chloridomercury(II)]-μ-1,4-diaza­bicyclo­[2.2.2]octane-κ2 N:N′-[chlorido­mercury(II)]-di-μ-chlorido]

In the title coordination polymer, [Hg2Cl4(C6H12N2)]n, each HgII center within the chain is four-coordinated by one terminal Cl atom, two bridging μ2-Cl atoms, and one N-atom donor from a μ2-1,4-diaza­bicyclo­[2.2.2]octane (μ2-daco) ligand in a distorted tetra­hedral geometry. The daco ligand acts as an end-to-end bridging ligand and bridges adjacent HgII centers, forming a chain running along [001]. Weak C—H⋯Cl hydrogen-bonding inter­actions link the chains into a three-dimensional network. Comparison of the structural differences with previous findings suggests that the space between the two N donors, as well as the skeletal rigidity in N-heterocyclic linear ligands, may play an important role in the construction of such supra­molecular networks

Diaqua­bis(benzyl­oxyacetato)copper(II)

In the title mononuclear complex, [Cu(C9H9O3)2(H2O)2], the CuII ion, located on an inversion center, is hexa­coordinated by four O atoms from two benzyl­oxyacetate ligands [Cu—O = 1.9420 (14) and 2.2922 (14) Å] and two water mol­ecules [Cu—O = 2.0157 (15) Å] in a distorted octa­hedral geometry. In the crystal structure, inter­molecular O—H⋯O hydrogen bonds link the mol­ecules into layers parallel to the bc plane

The appropriateness of single page of activation of the cardiac catheterization laboratory by emergency physician for patients with suspected ST-segment elevation myocardial infarction: a cohort study

<p>Abstract</p> <p>Background</p> <p>The early use of reperfusion therapy has a significant effect on the prognosis of patients with ST-segment elevation myocardial infarction (STEMI), and it is recommended that emergency department (ED) physicians activate the cardiac catheterization laboratory (CCL) as soon as possible to treat these patients. The aim of this study was to examine the appropriateness of emergency physician activation of the CCL for patients with suspected STEMI. Inappropriate activations (i.e., false positive activations) were identified according to a variety of criteria.</p> <p>Methods</p> <p>All patients with emergency physician CCL activations between August 2009 and April 2011 were included in the study. False positive cases were defined according to ECG criteria and cardiologists' reviews of patients' initial clinical information.</p> <p>Results</p> <p>ED physicians used a STEMI page to activate the CCL 117 times. According to reviews by cardiologists, this activation was appropriate 89.8% of the time (in 105/117 cases). Truly unnecessary activation (i.e., cases in which STEMI was not identified by the cardiologists, no clear culprit coronary artery was present, no significant coronary artery disease and cardiac biomarkers were negative) occurred 5.1% of the time (in 6/117 cases).</p> <p>Conclusions</p> <p>CCL activation was appropriate for most patients and was unnecessary in a relatively small percentage of cases. This result supports the current recommendation for CCL activation by emergency physicians. Such early activation is a key strategy in the reduction of door-to-balloon time.</p

An advanced biomass gasification technology with integrated catalytic hot gas cleaning. Part III: Effects of inorganic species in char on the reforming of tars from wood and agricultural wastes

Char is used directly as a catalyst for the catalytic reforming of tar during gasification. Experiments have been carried out to examine the effects of inorganics in char as a catalyst for the catalytic reforming of tar during the gasification of mallee wood, corn stalk and wheat straw in a pilot plant. The char catalyst was prepared from the pyrolysis of mallee wood at a fast heating rate. The catalytic activities of char and acid-washed char for tar reforming were compared under otherwise identical gasification conditions. For all biomass feedstocks tested for gasification, the tar contents in product gas could be drastically reduced by the catalyst, reaching a tar concentration level well below 100 mg/N m3. The acid-washed char also showed profound activity for tar reforming although its catalytic activity was definitely lower than the raw char. Both catalysts could effectively reform the aromatic ring systems (especially large aromatic ring systems with three or more fused benzene rings) in tars as is revealed using UV-fluorescence spectroscopy. The char itself was also partially gasified. After being used as a catalyst, the condensation of the aromatic rings and the accumulation of inorganic species led to drastic changes in char reactivity with O2 at 400 °C. The inorganic species in char tended to enhance the formation of H2 and CO during the reforming reactions in the catalytic reactor

A Photometric and Spectroscopic Study of the Short-Period Algol EW Bo\"{o}tis with a δ\delta Sct Pulsator

In this paper, we present TESS photometry and high-resolution spectra of the short-period Algol EW Boo. We obtained double-lined radial velocities (RVs) from the time-series spectra and measured the effective temperature of the primary star as $T_{\rm{eff,1}}$ = 8560 $\pm$ 118 K. For the orbital period study, we collected all times of minima available for over the last 30 years. It was found that the eclipse timing variation of the system could be represented by a periodic oscillation of 17.6 $\pm$ 0.3 years with a semi-amplitude of 0.0041 $\pm$ 0.0001 d. The orbital and physical parameters were derived by simultaneously analyzing the TESS light and RV curves using the Wilson-Devinney (WD) binary star modeling code. The component masses and radii were showed over 3% precision: $M_{1}$ = 2.67 $\pm$ 0.08 M$_{\odot}$, $M_{2}$ = 0.43 $\pm$ 0.01 M$_{\odot}$, $R_{1}$ = 2.01 $\pm$ 0.02 R$_{\odot}$, and $R_{2}$ = 1.35 $\pm$ 0.01 R$_{\odot}$. Furthermore, multiple frequency analyses were performed for the light-curve residuals from the WD model. As a result, we detected 17 pressure-mode pulsations in the region of 40.15 - 52.37 d$^{-1}$. The absolute dimensions and pulsation characteristics showed that the $\delta$ Sct pulsator was the more massive and hotter primary star of the EW Boo.Comment: 27 pages, 8 figures, Accepted for publication in A

The validity of the canadian triage and acuity scale in predicting resource utilization and the need for immediate life-saving interventions in elderly emergency department patients

<p>Abstract</p> <p>Background</p> <p>We evaluated the validity of the Canadian Triage and Acuity Scale (CTAS) in elderly emergency department (ED) patients. In particular, we examined the sensitivity and specificity of the CTAS for identifying elderly patients who received an immediate life-saving intervention in the ED.</p> <p>Methods</p> <p>We reviewed the medical records of consecutive patients who were 65 years of age or older and presented to a single academic ED within a three-month period. The CTAS triage scores were compared to actual patient course, including disposition, discharge outcome and resource utilization. We calculated the sensitivity and specificity of the CTAS triage for identifying patients who received an immediate intervention.</p> <p>Results</p> <p>Of the 1903 consecutive patients who were ≥ 65 years of age, 113 (5.9%) had a CTAS level of 1, 174 (9.1%) had a CTAS level of 2, 1154 (60.6%) had a CTAS level of 3, 347 (18.2%) had a CTAS level of 4, and 115 (6.0%) had a CTAS level of 5. As a patient's triage score increased, the severity (such as mortality and intensive care unit admission) and resource utilization increased significantly. Ninety-four of the patients received a life-saving intervention within an hour following their arrival to the ED. The CTAS scores for these patients were 1, 2 and 3 for 46, 46 and 2 patients, respectively. The sensitivity and specificity of a CTAS score of ≤ 2 for identifying patients for receiving an immediate intervention were 97.9% and 89.2%, respectively.</p> <p>Conclusions</p> <p>The CTAS is a triage tool with high validity for elderly patients, and it is an especially useful tool for categorizing severity and for recognizing elderly patients who require immediate life-saving intervention.</p