122 research outputs found
A Unique LnIII{[3.3.1]GaIII Metallacryptate} Series That Possesses Properties of Slow Magnetic Relaxation and Visible/Near‐Infrared Luminescence
A new family of [3.3.1] metallacryptates with the general composition [LnGa6(H2shi)(Hshi)(shi)7(C5H5N)] (Ln‐1; shi3−=salicylhydroximate; Ln = Pr, Nd, Sm–Yb) has been synthesized and characterized. Ln‐1 display both interesting magnetic and luminescent properties. Sm‐1 has sharp emission bands in the visible and the near‐infrared (NIR) regions with quantum yield values (QSmL) of 1.64(9) and 5.5(2).10−2 %, respectively. Tb‐1 exhibits a weak green emission (QTbL=1.89(3).10−1 %) while Pr‐1, Nd‐1, Ho‐1, Er‐1, and Yb‐1 possess emission bands in the NIR range with QPrL=3.7(2).10−3 %, QNdL=1.71(5).10−1 %, QHoL=1.1(2).10−3 %, QErL=7.1(2).10−3 % and QYbL=0.65(3) %. Nd‐1, Dy‐1, and Yb‐1 display slow magnetization relaxation in an applied field, where only Dy‐1 has been observed to follow an Orbach process (Ueff=12.7 K). The combination of NIR emission with magnetic properties makes Nd‐1 and Yb‐1 attractive candidates as smart materials addressable in two manners.A two‐for‐one scaffold: A new LnIII‐encapsulating metallamacrocyclic scaffold was synthesized and structurally determined to resemble cryptands. This metallacryptand can bind a wide variety of LnIII ions of different natures and demonstrates the ability to sensitize their characteristic emissions in the visible and/or near‐infrared. Slow magnetic relaxation was also observed for selected LnIII.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/145255/1/chem201801355.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/145255/2/chem201801355_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/145255/3/chem201801355-sup-0001-misc_information.pd
Integrated care at home reduces unnecessary hospitalizations of community-dwelling frail older adults: a prospective controlled trial.
Care of frail and dependent older adults with multiple chronic conditions is a major challenge for health care systems. The study objective was to test the efficacy of providing integrated care at home to reduce unnecessary hospitalizations, emergency room visits, institutionalization, and mortality in community dwelling frail and dependent older adults.
A prospective controlled trial was conducted, in real-life clinical practice settings, in a suburban region in Geneva, Switzerland, served by two home visiting nursing service centers. Three hundred and one community-dwelling frail and dependent people over 60 years old were allocated to previously randomized nursing teams into Control (N = 179) and Intervention (N = 122) groups: Controls received usual care by their primary care physician and home visiting nursing services, the Intervention group received an additional home evaluation by a community geriatrics unit with access to a call service and coordinated follow-up. Recruitment began in July 2009, goals were obtained in July 2012, and outcomes assessed until December 2012. Length of follow-up ranged from 5 to 41 months (mean 16.3). Primary outcome measure was the number of hospitalizations. Secondary outcomes were reasons for hospitalizations, the number and reason of emergency room visits, institutionalization, death, and place of death.
The number of hospitalizations did not differ between groups however, the intervention led to lower cumulative incidence for the first hospitalization after the first year of follow-up (69.8%, CI 59.9 to 79.6 versus 87 · 6%, CI 78 · 2 to 97 · 0; p = .01). Secondary outcomes showed that the intervention compared to the control group had less frequent unnecessary hospitalizations (4.1% versus 11.7%, p = .03), lower cumulative incidence for the first emergency room visit, 8.3%, CI 2.6 to 13.9 versus 23.2%, CI 13.1 to 33.3; p = .01), and death occurred more frequently at home (44.4 versus 14.7%; p = .04). No significant differences were found for institutionalization and mortality.
Integrated care that included a home visiting multidisciplinary geriatric team significantly reduced unnecessary hospitalizations, emergency room visits and allowed more patients to die at home. It is an effective tool to improve coordination and access to care for frail and dependent older adults.
Clinical Trials.gov Identifier: NCT02084108 . Retrospectively registered on March 10(th) 2014
Integrated care at home reduces unnecessary hospitalizations of community-dwelling frail older adults: a prospective controlled trial
Connecting Terminal Carboxylate Groups in Nine-Coordinate Lanthanide Podates: Consequences on the Thermodynamic, Structural, Electronic, and Photophysical Properties
Luminescent lanthanide small molecules, polymetallic dendrimer complexes, MOF and metallacrowns for biological imaging: from fundamental research to applications
International audienc
Tuning of Photophysical Properties of Near-Infrared Emitting Zn16Ln Metallacrowns
International audienc
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