International comparisons of behavioral and emotional problems in preschool children: parents’ reports from 24 societies

International comparisons were conducted of preschool children’s behavioral and emotional problems as reported on the Child Behavior Checklist for Ages 1½–5 by parents in 24 societies (N¼19,850). Item ratings were aggregated into scores on syndromes; Diagnostic and Statistical Manual of Mental Disorders–oriented scales; a Stress Problems scale; and Internalizing, Externalizing, and Total Problems scales. Effect sizes for scale score differences among the 24 societies ranged from small to medium (3–12%). Although societies differed greatly in language, culture, and other characteristics, Total Problems scores for 18 of the 24 societies were within 7.1 points of the omnicultural mean of 33.3 (on a scale of 0–198). Gender and age differences, as well as gender and age interactions with society, were all very small (effect sizes<1%). Across all pairs of societies, correlations between mean item ratings averaged .78, and correlations between internal consistency alphas for the scales averaged .92, indicating that the rank orders of mean item ratings and internal consistencies of scales were very similar across diverse societies

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Development of Molecularly Imprinted Polymers to Target Polyphenols Present in Plant Extracts

The development of molecularly imprinted polymers (MIPs) to target polyphenols present in vegetable extracts was here addressed. Polydatin was selected as a template polyphenol due to its relatively high size and amphiphilic character. Different MIPs were synthesized to explore preferential interactions between the functional monomers and the template molecule. The effect of solvent polarity on the molecular imprinting efficiency, namely owing to hydrophobic interactions, was also assessed. Precipitation and suspension polymerization were examined as a possible way to change MIPs morphology and performance. Solid phase extraction and batch/continuous sorption processes were used to evaluate the polyphenols uptake/release in individual/competitive assays. Among the prepared MIPs, a suspension polymerization synthesized material, with 4-vinylpyridine as the functional monomer and water/methanol as solvent, showed a superior performance. The underlying cause of such a significant outcome is the likely surface imprinting process caused by the amphiphilic properties of polydatin. The uptake and subsequent selective release of polyphenols present in natural extracts was successfully demonstrated, considering a red wine solution as a case study. However, hydrophilic/hydrophobic interactions are inevitable (especially with complex natural extracts) and the tuning of the polarity of the solvents is an important issue for the isolation of the different polyphenols

Modelling Studies on the Synthesis of Superabsorbent Hydrogels Using Population Balance Equations

The synthesis of super-absorbent hydrogels is simulated using a kinetic model based upon population balance equations of generating functions. Dynamics in a batch reactor of properties such as the weight fraction of gel or average molecular weights of the soluble fraction can be predicted. This kinetic model neglects intramolecular cyclization reactions for simplicity (hence predictions can be valid only for very small amounts of crosslinker) but it can accommodate the operation with different kinds of crosslinking agents, namely bifunctional (e.g. N,N'-methylenebisacrylamide), trifunctional (e.g. trimethylolpropane triacrylate) and tetrafunctional (e.g. tetraallyloxyethane). The influence of the use of such different kinds of crosslinkers on the dynamics of gelation is discussed. It is also assessed the impacts of the rate propagation coefficient of the monofunctional monomer (typically acrylic acid), of the reactivity of the pendant double bonds (PDB) and of the initial composition on the dynamics of gel production. Some crucial details concerning the numerical solution of the two-point boundary value problems (TPBVP) associated with this simulation tool are also presented. Predictions of the proposed kinetic approach are compared with those obtained using the Theory of the Branching Processes which is not strictly valid with kinetically controlled polymerization systems such as those here considered. Important differences between the predictions of the two approaches are shown. Superabsorbent hydrogels were synthesized with a 2.5 L batch reactor and the experimental data are used to show that the simple kinetic model developed is able to capture the main features of this polymerization system

Mathematical Modeling of NMRP of Styrene - Divinylbenzene over the Pre and Post Gelation Periods Including Cyclization

Nitroxide-mediated polymerization of styrene-divinylbenzene has been modeled usinggenerating functions of length distributions, pseudo-kinetic propagations, and numericalfractionation with the crosslinking rate depending on generation. Cyclization reactions aretackled by balances of sequences, yielding fair predictions of the measured pendant doublebond concentration. With reduction in crosslinking, agreement for the experiments at 90 8Cbetween predicted and measured weight-average, molecular weight, and weight fraction of gelis observed. A much higher relative crosslinkingreactivity is observed at 130 8C as compared to90 8C, likely an effect of the chain mobility

Development of Cyclic Propagation Kinetics for Modeling the Nitroxide-mediated Radical Copolymerization of Styrene - Divinylbenzene

A kinetic model including the cyclic propagation (cyclization) is proposed for the nitroxide-mediated radical copolymerization of styrene-divinylbenzene. The method involves a balance of sequences of units, which connect a radical center and a pendant double bond present in the same polymer chain. The rate constant for cyclization was considered a function of the sequence length. Good agreement between the model predictions and experimental data for solution and suspension controlled copolymerizations was found. The rate constant of cyclization for the smallest ring (3 monomeric units) was estimated to be 700s(-1) at 90 degrees C, and the activation energy was estimated to be 32500calmol(-1)