5,760 research outputs found

    The Relationship between Doctor Communication and Patient Satisfaction in ICUs and PCUs

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    The relationship between doctor communication and patient satisfaction is understudied, and there is little information concerning Intensive Care Units (ICUs) and Progressive Care Units (PCUs), where doctors interact with more complex patients. Effective doctor-patient communication improves patient satisfaction and hospital ratings from the Centers for Medicare and Medicaid Services (CMS) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Medicare\u27s Hospital Value-Based Purchasing (VBP) Program evaluates and reimburses hospitals based on HCAHPS patient satisfaction surveys. The purpose of this retrospective quasi-experimental quantitative study was to examine the relationship between doctor communication and patient satisfaction of ICUs and PCUs in five central and eastern hospitals of a large healthcare system located in the Southeastern United States. The Donabedian structure-process-outcome theoretical framework was used in this study where structural factors (ICUs and PCUs) affect care processes (doctor communication), which affect health status outcomes (patient satisfaction). An ordinal logistic regression analysis of two research questions revealed a statistically significant relationship between doctor communication performance and patient satisfaction as measured by HCAHPS for ICUs and PCUs. Recommendations for future research include expanding into all hospital-based units and other hospital-based physician groups. This study may influence hospital best practices and enhance doctor communication tools to improve patient satisfaction. This study can potentially affect positive social change by enhancing the knowledge about doctor communication and its relationship to patient satisfaction

    The local adsorption geometry of benzenethiolate on Cu(1 0 0)

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    The local adsorption geometry of benzenethiolate in the ordered c(2 × 6) phase on Cu(1 0 0) has been investigated by a combination of S K-edge near-edge X-ray absorption fine structure (NEXAFS), normal incidence X-ray standing waves (NIXSW) and S 1s scanned-energy mode photoelectron diffraction (PhD). NEXAFS and PhD show that the molecular plane is tilted from the surface normal by 20 ± 15°, while NIXSW clearly identifies the S head-group as occupying the four-fold coordinated hollow sites. PhD shows the S atoms lies 1.34 ± 0.04 Å above the outermost Cu atomic layer, leading to a Cu–S bondlength of 2.25 ± 0.02 Å. The combination of the PhD and NIXSW results shows the Cu surface layer has an outward relaxation of 0.15 ± 0.06 Å. Possible origins for this large adsorbate-induced relaxation are discussed

    The importance of radiation as a means of controlling surface and internal temperatures of a semi-infinite solid

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    This problem is concerned with the temperature history of a semi-infinite solid bounded by one flat surface. Heat was applied by convection from a hot fluid to the flat surface of the solid which was originally at a uniform temperature. Heat was radiated from the flat surface to black space and conducted into the solid according to Fourier\u27s law. The temperature at the surface, and at several points beneath the surface, was determined as a function of time. A method for solution of such a problem is demonstrated here by the use of numerical analysis and the Royal McBee LGP 30 Digital Computer. The solution is applicable to all similar problems. The result demonstrates that radiation from the flat surface of the solid is very important because it results in depressing the surface temperature far below that of the hot fluid in contact with its one surface --Abstract, page iii

    Gavotte : Des Fees

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    https://digitalcommons.library.umaine.edu/mmb-ps/2868/thumbnail.jp

    The (2√3×3)rect. phase of alkylthiolate self-assembled monolayers on Au(111): a symmetry-constrained structural solution

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    Low-energy electron-diffraction (LEED) patterns of the Au(111)(2√3×3)rect.-butylthiolate surface phase (a structure also seen in longer alkane chain thiolate self-assembled monolayers) show missing diffracted beams characteristic of glide symmetry, but do not show the larger set of missing beams found in surface x-ray diffraction (SXRD). The difference can be attributed to the greatly enhanced role of multiple scattering in LEED, but the combination of symmetry constraints placed on possible structural models by the observed SXRD and LEED beam extinctions greatly reduces the number of possible structural models. Only three such models are identified, one of which is clearly incompatible with other published experimental data. The relative merits of the remaining models, both involving Au adatom-thiolate moieties, are discussed in the light of the results of previous experimental studies

    The Dragoons\u27 March

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    https://digitalcommons.library.umaine.edu/mmb-ps/2785/thumbnail.jp

    Mutation and Cloning Efficiency

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    The local adsorption site of methylthiolate on Au(1 1 1): Bridge or atop?

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    Measurements of the local adsorption geometry of the S head-group atom in the Au(1 1 1)(√3 × √3)R30°–CH3S surface have been made using normal incidence X-ray standing waves (NIXSW) and S 1s scanned-energy mode photoelectron diffraction on the same surface preparations. The results confirm that the local adsorption site is atop an Au atom in a bulk-continuation site with a S–Au bondlength of 2.42 ± 0.02 Å, and that there can be no significant fraction of coadsorbed bridging species as recently proposed in a combined molecular dynamics/experimental study by Mazzarello et al. [R. Mazzarello, A. Cossaro, A. Verdini, R. Rousseau, L. Casalis, M.F. Danisman, L. Floreano, S. Scandolo, A. Morgante, G. Scoles, Phys. Rev. Lett. 98 (2007) 016102]. The results do not, however, clearly distinguish the different local reconstruction (adatom) models proposed for this surface

    Local methylthiolate adsorption geometry on Au(111) from photoemission core-level shifts

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    The local adsorption structure of methylthiolate in the ordered Au(111)-(√3×√3)R30° phase has been investigated using core-level-shift measurements of the surface and bulk components of the Au 4f7/2 photoelectron binding energy. The amplitude ratio of the core-level-shift components associated with surface Au atoms that are, and are not, bonded to the thiolate is found to be compatible only with the previously proposed Au-adatom-monothiolate moiety in which the thiolate is bonded atop Au adatoms in hollow sites, and not on an unreconstructed surface, or in Au-adatom-dithiolate species
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