•Successful discharge of Latino NICU families with LEP may be hindered by poor communication.•Question Prompt Lists (QPL) may improve communication between families and providers in the NICU.•An ...audio Question Prompt List (QPL) was well-received by providers and Latino NICU parents with LEP.
Research shows NICU Latino parents with limited English proficiency (LEP) feel less comfortable asking questions and participating in medical decision-making, which may negatively affect transition to community healthcare. Question prompt lists (QPL), suggested questions sometimes drawn from families and providers, can improve family-centered communication. We explored clinician and parent perceptions to inform development of and pilot a NICU discharge QPL.
Focus groups with NICU and primary care providers explored perceived educational needs of Latino parents LEP and barriers to effective transition to community healthcare. Semi-structured interviews with Latino parents LEP explored perceptions of knowledge gaps and recommendations to improve the transition process. A Spanish audio QPL for parents and an English written version for providers were developed and pilot tested for acceptability.
Provider focus groups (n = 27) and parent interviews (n = 19) identified themes: decreased parent activation, knowledge gaps, limited-use interpreters, unfamiliarity with healthcare system, and social isolation as barriers to smooth NICU-to-home transition. Providers (n = 11) and parents (n = 10) favored QPL introduction early in NICU admission, finding it useful to improve communication and transition processes for families.
Our QPL may address challenges faced by Latino parents LEP when transitioning home.
QPLs may improve Latino NICU infants’ healthcare outcomes.
Phthalide as an important value-added chemical can be fabricated through the hydrogenation of phthalic anhydride. However, the deactivation of metal supported catalysts for this reaction has limited ...its application. Herein, a series of NixCuy/Al2O3 alloy catalysts were prepared by a deposition-precipitation method and applied in the selective hydrogenation of PA to phthalide. Under mild reaction conditions (at 200 °C, 3 MPa H2), the optimal Ni9Cu1/Al2O3 catalyst shows the phthalic anhydride conversion of 91 % and phthalide selectivity of 97 %, respectively. Besides, this catalyst displays the good stability under five cycles without observing the obvious deactivation. The high efficiency of the Ni9Cu1/Al2O3 catalyst can be attributed to the electronic interaction of the two metals in NiCu alloy, which promotes the dissociation of H2 and suppresses the corrosion of alloy. This work reveals the electronic interaction between two metals, which provides a new avenue for rational design of alloy catalyst for selective hydrogenation of CO bonds.
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•The optimized NiCu alloy catalyst shows high hydrogenation activity and stability.•The Ni9Cu1/Al2O3 catalyst exhibit synergistic effect of two metals in alloys.•The doping of Cu in Ni facilitates the activation of CO bond.
•Phase-separated NiCuMn was synthesized via one-step electrochemical deposition.•Multicomponent heterostructures synergistically accelerate alkaline HER kinetics.•NiCuMn possesses overpotential of 17 ...and 62 mV to deliver 10 and 100 mA cm−2.
Constructing catalytic active sites to synergistically promote both Volmer and Heyrovsky/Tafel steps and understand the underlying mechanism are of paramount importance for designing the alkaline hydrogen evolution reaction (HER). Herein, a facile one-step electro-deposition strategy is developed to synthesize a novel phase-separated NiCu/NiMn(OH)2 nanocomposite (NiCuMn). Theoretical and experimental results demonstrate that low electronegativity Mn trigger the formation of low valence state Niδ+ in NiMn(OH)2 to accelerate the Volmer step while Cu can optimize the d-band center of NiCu alloy to facilitate the Heyrovsky/Tafel step. Benefiting from this steering of elementary steps by the synergistic components, the obtained NiCuMn nanocomposite achieves ultralow overpotential of 17 and 62 mV to drive 10 and 100 mA cm−2 in 1 M KOH, respectively, and ultrahigh turnover frequency of 0.78 s−1 at overpotential of 100 mV. Moreover, NiCuMn exhibits outstanding durability with a slight potential degradation after 10,000 cyclic voltammetric test. This study not only provides atomic-level insight into optimizing the elementary steps through dual sites synergies, but also introduces a new way to simply prepare advanced HER electrocatalysts and beyond.
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•A novel strong coupling ternary photocatalyst BMCN/300 was prepared by low-temperature annealing.•Annealing induces the activation of NiCu sites, makes Cu2O a high-density catalytic ...site.•In-situ DRIFT and DFT prediction reveal the catalytic pathways.•CO2 photocatalytic reduction to CH4 yields 165.3 µmol g−1h−1.
To achieve the “carbon neutrality” goal, a core-crust-based Cu2O/NiCu-MOF and graphite carbon–nitrogen (g-C3N4) strongly coupled ternary photocatalyst (BMCN/300) was prepared by using a simple low-temperature annealing induction effect and heterojunction interface engineering strategy. The BMCN/300 efficiently converts CO2 to CH4 (165.3 μmol h−1 g−1) and CO (51.3 μmol h−1 g−1) under simulated sunlight in the gas–solid mode without additional sacrifice agents and photosensitizer. The experimental and theoretical calculation results indicate that the annealing treatment achieves strong coupling between g-C3N4 and Cu2O/NiCu-MOF, promotes the migration of interface electrons to Cu2O/NiCu-MOF catalytic unit, NiCu sites are heat-activated to an electron-rich state under annealing induction, and Cu2O becomes a high density of photo-excited electron accepting catalyst sites. The strong coupling of Cu2O/NiCu is conducive to the formation of the key intermediate *CHO, thus achieving highly selective photocatalytic CO2 reduction to CH4.
This scoping literature review aims to identify how virtual visitation (VV) is currently being used in the Neonatal Intensive Care Unit (NICU), with a specific focus on the experiences and ...perceptions of parents and neonatal nurses, as well as research gaps.
Guided by the Joanna Briggs Institute method for conducting a scoping literature review, the PubMed, CINAHL, and Web of Science databases were utilized to identify articles answering the research questions. Gray literature was also identified through ProQuest, and the home websites of the two largest commercial virtual visitation vendors were explored for additional relevant information.
Following a comprehensive search, 12 articles were identified for inclusion in this scoping literature review. Overall, parents report positive experiences with VV, welcoming this technology in connecting to their infant. The experiences and perceptions of NICU nurses regarding the addition of VV to their practice environment are generally negative. With a paucity of research exploring the questions guiding this scoping review, research gaps are evident.
Virtual visitation in the NICU aids in connecting parents to their hospitalized infants. However, published literature reveals significant differences in the experiences and perceptions of parents and neonatal nurses for the use of VV in the NICU. Further research is warranted to understand the impact of VV in this specialized environment fully.
To assess the influence of racial and economic residential segregation of home or hospital neighborhood on very preterm birth morbidity and mortality in neonates born very preterm.
We constructed a ...retrospective cohort of n = 6461 infants born <32 weeks using 2010-2014 New York City vital statistics-hospital data. We calculated racial and economic Index of Concentration at the Extremes for home and hospital neighborhoods. Neonatal mortality and morbidity was defined as death and/or severe neonatal morbidity. We estimated relative risks for Index of Concentration at the Extremes measures and neonatal mortality and morbidity using log binomial regression and the risk-adjusted contribution of delivery hospital using Fairlie decomposition.
Infants whose mothers live in neighborhoods with the greatest relative concentration of Black residents had a 1.6 times greater risk of neonatal mortality and morbidity than those with the greatest relative concentration of White residents (95% CI 1.2-2.1). Delivery hospital explained more than one-half of neighborhood differences. Infants with both home and hospital in high-concentration Black neighborhoods had a 38% adjusted risk of neonatal mortality and morbidity compared with 25% of those with both home and hospital high-concentration White neighborhoods (P = .045).
Structural racism influences very preterm birth neonatal mortality and morbidity through both the home and hospital neighborhood. Quality improvement interventions should incorporate a framework that includes neighborhood context.
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