Learning Organizational Culture in Greek Public Hospitals

© 2021 by the authors. Licensee MDPI, Basel, Switzerland. (1) Background: A learning organizational culture is crucial to the safety of patients and the quality of public health care. The aim of this study was to assess the learning organizational culture and capacity of Greek public hospitals. (2) Materials and Methods: A cross-sectional analysis was carried out in six public general hospitals and stratified sampling was used as the sampling technique. A total of 480 questionnaires were distributed to health care professionals and 380 valid questionnaires were returned (78% response rate). The comprehensive form of the Dimensions of Learning Organization Questionnaire (DLOQ), which was adapted and translated into Greek, was used for data collection in this survey. (3) Results: The level of learning organizational culture and capacity in the health units are very low. All seven dimensions of the learning organizational instrument are lower than the theoretically neutral median (3.0). Health care employees believe that the hospital’s existing culture and management practices do not foster and contribute to continuing learning, which is the fundamental aspect of self-development, department development and performance improvement. (4) Conclusions: Greek public hospitals need to adopt different types of leadership practices and culture in order to be able to facilitate organizational learning. Organizational learning (OL) is based on collaborative working, a culture that encompasses learning as participation in the organizational work practice. This transformation of culture should take place at all levels of learning to enhance results

Continuous and Periodic Expansion of CAG Repeats in Huntington's Disease R6/1 Mice

Huntington's disease (HD) is one of several neurodegenerative disorders caused by expansion of CAG repeats in a coding gene. Somatic CAG expansion rates in HD vary between organs, and the greatest instability is observed in the brain, correlating with neuropathology. The fundamental mechanisms of somatic CAG repeat instability are poorly understood, but locally formed secondary DNA structures generated during replication and/or repair are believed to underlie triplet repeat expansion. Recent studies in HD mice have demonstrated that mismatch repair (MMR) and base excision repair (BER) proteins are expansion inducing components in brain tissues. This study was designed to simultaneously investigate the rates and modes of expansion in different tissues of HD R6/1 mice in order to further understand the expansion mechanisms in vivo. We demonstrate continuous small expansions in most somatic tissues (exemplified by tail), which bear the signature of many short, probably single-repeat expansions and contractions occurring over time. In contrast, striatum and cortex display a dramatic—and apparently irreversible—periodic expansion. Expansion profiles displaying this kind of periodicity in the expansion process have not previously been reported. These in vivo findings imply that mechanistically distinct expansion processes occur in different tissues

Aerosol Delivery of Small Hairpin Osteopontin Blocks Pulmonary Metastasis of Breast Cancer in Mice

Metastasis to the lung may be the final step in the breast cancer-related morbidity. Conventional therapies such as chemotherapy and surgery are somewhat successful, however, metastasis-related breast cancer morbidity remains high. Thus, a novel approach to prevent breast tumor metastasis is needed.Aerosol of lentivirus-based small hairpin osteopontin was delivered into mice with breast cancer twice a week for 1 or 2 months using a nose-only inhalation system. The effects of small hairpin osteopontin on breast cancer metastasis to the lung were evaluated using near infrared imaging as well as diverse molecular techniques. Aerosol-delivered small hairpin osteopontin significantly decreased the expression level of osteopontin and altered the expression of several important metastasis-related proteins in our murine breast cancer model.Aerosol-delivered small hairpin osteopontin blocked breast cancer metastasis. Our results showed that noninvasive targeting of pulmonary osteopontin or other specific genes responsible for cancer metastasis could be used as an effective therapeutic regimen for the treatment of metastatic epithelial tumors

Glycerol Steam Reforming for Hydrogen Production over Nickel Supported on Alumina, Zirconia and Silica Catalysts

The aim of the work was to investigate the influence of support on the catalytic performance of Ni catalysts for the glycerol steam reforming reaction. Nickel catalysts (8 wt%) supported on Al2O3, ZrO2, SiO2 were prepared by the wet impregnation technique. The catalysts’ surface and bulk properties, at their calcined, reduced and used forms, were determined by ICP, BET, XRD, NH3-TPD, CO2-TPD, TPR, XPS, TEM, TPO, Raman, SEM techniques. The Ni/Si sample, even if it was less active for T <600 °C, produces more gaseous products and reveals higher H2 yield for the whole temperature range. Ni/Zr and Ni/Si catalysts facilitate the WGS reaction, producing a gas mixture with a high H2/CO molar ratio. Ni/Si after stability tests exhibits highest values for total (70%) and gaseous products (45%) glycerol conversion, YH2 (2.5), SH2 (80%), SCO2 (65%), H2/CO molar ratio (6.0) and lowest values for SCO (31%), SCH4 (3.1%), CO/CO2 molar ratio (0.48) among all samples. The contribution of the graphitized carbon formed on the catalysts follows the trend Ni/Si (I D /I G = 1.34) < Ni/Zr (I D /I G = 1.08) < Ni/Al (I D /I G = 0.88) and indicates that the fraction of different carbon types depends on the catalyst’s support nature. It is suggested that the type of carbon is rather more important than the amount of carbon deposited in determining stability. It is confirmed that the nature of the support affects mainly the catalytic performance of the active phase and that Ni/SiO2 can be considered as a promising catalyst for the glycerol steam reforming reaction

Glycerol Steam Reforming for Hydrogen Production over Nickel Supported on Alumina, Zirconia and Silica Catalysts

The aim of the work was to investigate the influence of support on the catalytic performance of Ni catalysts for the glycerol steam reforming reaction. Nickel catalysts (8 wt%) supported on Al2O3, ZrO2, SiO2 were prepared by the wet impregnation technique. The catalysts’ surface and bulk properties, at their calcined, reduced and used forms, were determined by ICP, BET, XRD, NH3-TPD, CO2-TPD, TPR, XPS, TEM, TPO, Raman, SEM techniques. The Ni/Si sample, even if it was less active for T <600 °C, produces more gaseous products and reveals higher H2 yield for the whole temperature range. Ni/Zr and Ni/Si catalysts facilitate the WGS reaction, producing a gas mixture with a high H2/CO molar ratio. Ni/Si after stability tests exhibits highest values for total (70%) and gaseous products (45%) glycerol conversion, YH2 (2.5), SH2 (80%), SCO2 (65%), H2/CO molar ratio (6.0) and lowest values for SCO (31%), SCH4 (3.1%), CO/CO2 molar ratio (0.48) among all samples. The contribution of the graphitized carbon formed on the catalysts follows the trend Ni/Si (I D /I G = 1.34) < Ni/Zr (I D /I G = 1.08) < Ni/Al (I D /I G = 0.88) and indicates that the fraction of different carbon types depends on the catalyst’s support nature. It is suggested that the type of carbon is rather more important than the amount of carbon deposited in determining stability. It is confirmed that the nature of the support affects mainly the catalytic performance of the active phase and that Ni/SiO2 can be considered as a promising catalyst for the glycerol steam reforming reaction

Enhancing CO2 methanation over Ni catalysts supported on sol-gel derived Pr2O3-CeO2: An experimental and theoretical investigation

Ni-based catalysts supported on sol-gel prepared Pr-doped CeO2 with varied porosity and nanostructure were tested for the CO2 methanation reaction. It was found that the use of ethylene glycol in the absence of H2O during a modified Pechini synthesis led to a metal oxide support with larger pore size and volume, which was conducive toward the deposition of medium-sized Ni nanoparticles confined into the nanoporous structure. The high Ni dispersion and availability of surface defects and basic sites acted to greatly improve the catalyst's activity. CFD simulations were used to theoretically predict the catalytic performance given the reactor geometry, whereas COMSOL and ASPEN software were employed to design the models. Both modelling approaches (CFD and process simulation) showed a good validation with the experimental results and therefore confirm their ability for applications related to the prediction of the CO2 methanation behaviour

Different reactor configurations for enhancement of CO2 methanation

Greenhouse gas emissions are a massive concern for scientists to minimize the effect of global warming in the environment. In this study, packed bed, coated wall, and membrane reactors were investigated using three novel nickel catalysts for the methanation of CO2. CFD modelling methodologies were implemented to develop 2D models. The validity of the model was investigated in a previous study where experimental and simulated results in a packed bed reactor were in a good agreement. It was observed that the coated wall reactor had poorer performance compared to the packed bed, approximately 30% difference between the results, as the residence time of the former was lower. In addition, two membrane configurations were proposed, including a membrane packed bed and membrane coated wall reactor. Additional studies were performed in the coated wall reactor revealing that lower flow rates lead to higher conversion values. As for the bed thickness the optimum layer was found to be 1 mm. In both membrane reactor configurations, the effect of the thickness of M1 membrane, which indicates the membrane for the removal of H2O, didn't show difference while the reduction of the thickness of M2 membrane, which indicates the membrane for the removal of CO2, H2 and H2O, showed better results in terms of conversion

Hydrogenation of carbon dioxide (CO2) to fuels in microreactors: a review of set-ups and value-added chemicals production

Climate change, the greenhouse effect and fossil fuel extraction have gained a growing interest in research and industrial circles to provide alternative chemicals and fuel synthesis technologies. Carbon dioxide (CO2) hydrogenation to value-added chemicals using hydrogen (H2) from renewable power (solar, wind) offers a unique solution. From this aspect this review describes the various products, namely methane (C1), methanol, ethanol, dimethyl ether (DME) and hydrocarbons (HCs) originating via CO2 hydrogenation reaction. In addition, conventional reactor units for the CO2 hydrogenation process are explained, as well as different types of microreactors with key pathways to determine catalyst activity and selectivity of the value-added chemicals. Finally, limitations between conventional units and microreactors and future directions for CO2 hydrogenation are detailed and discussed. The benefits of such set-ups in providing platforms that could be utilized in the future for major scale-up and industrial operation are also emphasized.</p