Barriers and Facilitators of Suicide Risk Assessment in Emergency Departments: A Qualitative Study of Provider Perspectives

Objective To understand emergency department (ED) providers’ perspectives regarding the barriers and facilitators of suicide risk assessment and to use these perspectives to inform recommendations for best practices in ED suicide risk assessment. Methods Ninety-two ED providers from two hospital systems in a Midwestern state responded to open-ended questions via an online survey that assessed their perspectives on the barriers and facilitators to assess suicide risk as well as their preferred assessment methods. Responses were analyzed using an inductive thematic analysis approach. Results Qualitative analysis yielded six themes that impact suicide risk assessment. Time, privacy, collaboration and consultation with other professionals and integration of a standard screening protocol in routine care exemplified environmental and systemic themes. Patient engagement/participation in assessment and providers’ approach to communicating with patients and other providers also impacted the effectiveness of suicide risk assessment efforts. Conclusions The findings inform feasible suicide risk assessment practices in EDs. Appropriately utilizing a collaborative, multidisciplinary approach to assess suicide-related concerns appears to be a promising approach to ameliorate the burden placed on ED providers and facilitate optimal patient care. Recommendations for clinical care, education, quality improvement and research are offered

Silver/carbon codoped titanium dioxide photocatalyst for improved dye degradation under visible light

Herein, we report the synthesis of quartz supported TiO2 photocatalysts codoped with carbon and silver through the hydrolysis of titanium tetrachloride followed by calcination at 500°C. The prepared samples were characterized by UV-Vis diffuse reflectance spectroscopy, high resolution scanning electron microscopy (HRSEM), Raman spectroscopy, thermogravimetric analysis (TGA), X-ray photoelectron spectroscopy (XPS), and X-ray diffraction (XRD). Codoping of TiO2 with Ag and carbon resulted in an increase in the surface area of the photocatalyst and altered the ratio of the anatase to rutile phase. The absorption edge of all the doped TiO2 photocatalysts redshifted and the band gap was reduced. The lowest band gap of 1.95 eV was achieved by doping with 0.5% Ag. Doping TiO2 using carbon as the only dopant resulted in a quartz supported photocatalyst that showed greater photocatalytic activity towards methyl orange than undoped TiO2 and also all codoped TiO2 photocatalysts under visible light irradiation.IS

Reconstruction of sub-wavelength features and nano-positioning of gratings using coherent Fourier scatterometry

Optical scatterometry is the state of art optical inspection technique for quality control in lithographic process. As such, any boost in its performance carries very relevant potential in semiconductor industry. Recently we have shown that coherent Fourier scatterometry (CFS) can lead to a notably improved sensitivity in the reconstruction of the geometry of printed gratings. In this work, we report on implementation of a CFS instrument, which confirms the predicted performances. The system, although currently operating at a relatively low numerical aperture (NA = 0.4) and long wavelength (633 nm) allows already the reconstruction of the grating parameters with nanometer accuracy, which is comparable to that of AFM and SEM measurements on the same sample, used as reference measurements. Additionally, 1 nm accuracy in lateral positioning has been demonstrated, corresponding to 0.08% of the pitch of the grating used in the actual experiment

A new technique for elucidating β\beta-decay schemes which involve daughter nuclei with very low energy excited states

A new technique of elucidating $\beta$-decay schemes of isotopes with large density of states at low excitation energies has been developed, in which a Broad Energy Germanium (BEGe) detector is used in conjunction with coaxial hyper-pure germanium detectors. The power of this technique has been demonstrated on the example of 183Hg decay. Mass-separated samples of 183Hg were produced by a deposition of the low-energy radioactive-ion beam delivered by the ISOLDE facility at CERN. The excellent energy resolution of the BEGe detector allowed $\gamma$ rays energies to be determined with a precision of a few tens of electronvolts, which was sufficient for the analysis of the Rydberg-Ritz combinations in the level scheme. The timestamped structure of the data was used for unambiguous separation of $\gamma$ rays arising from the decay of 183Hg from those due to the daughter decays

Application of nano zinc oxide (nZnO) for the removal of triphenyltin chloride (TPT) from dockyard wastewater

The use of triphenyltin chloride (TPT), a persistent organic pollutant, as a biocide has led to serious contamination of the marine environment. The potential of nano zinc oxide (nZnO) for the removal of TPT from contaminated dockyard wastewater was investigated. The adsorption of TPT onto nZnO has been found to depend on the adsorbent dose, contact time, pH, stirring speed, and temperature. Equilibrium data fitted well with the Freundlich model and the experiments showed that 97.0% TPT removal was achieved by treating 0.643 mg·l-1 TPT contaminated dockyard wastewater with 0.5 g nZnO at optimal conditions. The kinetic data for the adsorption process obeyed a pseudo second-order kinetic model, suggesting that the adsorption process is chemisorption. The nZnO investigated in this study showed good potential for the removal of TPT from contaminated dockyard wastewater systems

A Three Dimensional Analysis of Au-Silica Core-Shell Nanoparticles Using Medium Energy Ion Scattering

The medium energy ion scattering (MEIS) facility at the IIAA Huddersfield has been used for the analysis of a monolayer of Au-silica core-shell nanoparticles deposited on Si substrate. Both spherical and rod shape particles were investigated and the spectra produced by 100 keV He+ ions scattered through angles of 90º and 125º were compared with the results of RBS-MAST [1] simulations performed on artificial 3D model cells containing the nanoparticles. The thickness of the silica shell, the diameter of the Au spheres, and the diameter and length of the Au nano-rods were determined from best fits of the measured set of MEIS spectra. In addition, the effect of ion irradiation on the silica shell and gold core was monitored by MEIS measurements in conjunction with RBS-MAST simulations. Ion bombardment was performed under largely different conditions, i.e., by 30 keV Ar+, 150 keV Fe+, or 2.8 MeV N+ ions in the dose range of 2×1015 - 2×1016 cm-2. Significant changes in the particle geometry can be observed due to ion beam-induced sputtering and recoil effects, the significance of which was estimated from full-cascade SRIM simulations. Rutherford backscattering spectrometry (RBS), Field emission scanning electron microscopy (FESEM), and Atomic Force Microscopy (AFM) techniques have been applied as complementary characterization tools to monitor the amount of gold and surface morphology on the un-irradiated and irradiated sample areas. We show that MEIS can yield spatial information on the geometrical changes of particulate systems at the nanometre scale

Свободные затухающие колебания трехслойной пластины

Запропоновано аналітичне рішення задачі про власні коливання еліпсоідальной і круглої тришарової пластини. Виведено формули для визначення основної частоти коливань з урахуванням розсіювання енергії. Дана методика визначення частоти може бути поширена на конструкції з будь-якою кількістю шарів.The analytical solution of the natural vibration’s problem of eliptic and circular sandwich plates is proposed in this paper. The formulas for determining the fundamental vibration’s frequency are derived with taking into account the energy of dissipation. The methodology for determining the frequency can be extended to construction with any number of layers.Предложено аналитическое решение задачи о собственных колебаниях элипсоидальной и круглой трехслойной пластины. Выведены формулы для определения основной частоты колебаний с учетом рассеяния энергии. Данная методика определения частоты может быть распространена на конструкции с любым количеством слоев