Identification of Hypertension Management-related Errors in a Personal Digital Assistant-based Clinical Log for Nurses in Advanced Practice Nurse Training

PurposeThe purposes of this study were to develop a taxonomy for detection of errors related to hypertension management and to apply the taxonomy to retrospectively analyze the documentation of nurses in Advanced Practice Nurse (APN) training.MethodWe developed the Hypertension Diagnosis and Management Error Taxonomy and applied it in a sample of adult patient encounters (N = 15,862) that were documented in a personal digital assistant-based clinical log by registered nurses in APN training. We used Standard Query Language queries to retrieve hypertension-related data from the central database. The data were summarized using descriptive statistics.ResultBlood pressure was documented in 77.5% (n = 12,297) of encounters; 21% had high blood pressure values. Missed diagnosis, incomplete diagnosis and misdiagnosis rates were 63.7%, 6.8% and 7.5% respectively. In terms of treatment, the omission rates were 17.9% for essential medications and 69.9% for essential patient teaching. Contraindicated anti-hypertensive medications were documented in 12% of encounters with co-occurring diagnoses of hypertension and asthma.ConclusionThe Hypertension Diagnosis and Management Error Taxonomy was useful for identifying errors based on documentation in a clinical log. The results provide an initial understanding of the nature of errors associated with hypertension diagnosis and management of nurses in APN training. The information gained from this study can contribute to educational interventions that promote APN competencies in identification and management of hypertension as well as overall patient safety and informatics competencies

Development and characterization of polymeric hollow fiber membrane with high CO2 separation performance

In this study, we prepared the polyimide based hollow fiber membrane with High CO2 permeance property. In other to prepare high permeable gas separation membrane, we synthesized novel polyimide material using 6FDA, Durene and PEG monomers. And then general property of the polyimide membrane is characterized using flat sheet type of membrane. The membranes were prepared under various controlled conditions such as retention time and concentration of the polymer. And then the hollow fiber membrane is also prepared and then characterized for confirmation of their potential. The Ionic liquid mainchain polymer is also developed to investigate the gas permeability and potential for utilization to coating materials of hollow fiber membrane. Polyimide with pendant ionic liquid (Im-PpC) membrane showed the high α(CO2/N2) value and the main chain polymer prepared by UV crosslinking with PEG & ILMP crosslinker also showed high α(CO2/N2). Please click Additional Files below to see the full abstract

Synthesis and characterization of PEEK containing imidazole moiety and effect of functional groups

Anion exchange membrane fuel cells (AEMFCs) are considered as one of the alternative power generation systems due to their high efficiency. Anion exchange membrane (AEM) is a key component in fuel cells for the transfer of anion which is effect to the performance of the fuel cell system. \Therefore, it needs to have high chemical, mechanical, and thermal stabilities, as well as excellent electrochemical properties. For these reasons, various types of novel polymeric materials have been developed for the anion exchange membrane fuel cells. Especially, hydrocarbon based polymer materials such as poly(arylene ether sulfone), poly(ether ether ketone)(PEEK), polybenzimidazole (PBI) have been fabricated for use as electrolytes in fuel cell systems. Also, a number of preparation methods have been developed to enhance the performance of fuel cell membranes. In this study, we modified the monomer by chemical modification reaction and we synthesized the PEEK based polymer with different amination degree. Also we compared the chemical stability of the PEEK based membrane with different functional groups such as ammonium and imidazolium. Finally, the effect of the contents of the anion exchange groups in the PEEK based polymer was evaluated in terms of morphology, water behavior, mechanical properties, chemical stability and ion conductivity. Please click Additional Files below to see the full abstract

Variation in leaf functional traits of the Korean maple (Acer pseudosieboldianum) along an elevational gradient in a montane forest in Southern Korea

Plant functional traits have been shown to be useful to understand how and why ecosystems and their components vary across environmental heterogeneity or gradients. This study investigated how plant functional (leaf) traits vary according to an elevation-associated environmental gradient. Environmental gradients (mean annual temperature and precipitation) were quantified, and leaf traits (leaf area, specific leaf area, leaf nitrogen, leaf phosphorus, leaf carbon, and leaf C/N ratio) of the understory woody plant species Acer pseudosieboldianum were examined across an elevational gradient ranging from 600 to 1200 m in a Baegunsan Mountain in Gwangyang-si, Jeollanam-do, South Korea. The results showed that mean annual temperature and precipitation decreased and increased along with elevation, respectively. Leaf area of the plant species decreased slightly with increasing elevation, while specific leaf area did not differ significantly. Leaf nutrients (nitrogen, phosphorus, and carbon concentrations) were higher at high elevations, but leaf C/N ratio decreased with elevation.This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT and Future Planning (NRF-2015R1C1A1A01053841), (2017-0994)

Triphenylarsonium-functionalised gold nanoparticles: potential nanocarriers for intracellular therapeutics.

This article is licensed under a Creative Commons Attribution 3.0 Unported Licence.Two new triphenylarsonium alkylthiolate precursors, a thiosulfate zwitterion and a thioacetate salt, have been structurally characterised and their cytotoxicity evaluated against PC3 cells. The arsonium compounds have been used to prepare gold nanoparticles decorated with triphenylarsonium groups.Sheffield Hallam University and Indian Institute of Science (NL)