A Quality Improvement-based Approach to Implementing a Remote Monitoring-Based Bundle in Transitional Care Patients for Heart Failure.

Background: Congestive heart failure (HF) is a leading cause of hospitalization and readmission, leading to increased health care utilization and cost. This is complicated by high incidence, prevalence, and hospitalization rates among racial and ethnic minorities, with a widening in the mortality disparity gap. Remote patient monitoring (RPM) has the potential to proactively engage patients after discharge to optimize medication management and intervene to avoid rehospitalization.

Telehealth-based transitional care management programme to improve access to care.

Background: The transition from hospital to home is a vulnerable time for patients and families that can be improved through care coordination and structured discharge planning.

Local Problem: Our organisation aimed to develop and expand a programme that could improve 30-day readmission rates on overall and disease-specific populations by assessing the impact of a telehealth outreach by a registered nurse (RN) after discharge from an acute care setting on 30-day hospital readmission.

Methods: This is a prospective observational design conducted from May 2021 to December 2022 with an urban, non-academic, acute care hospital in Westchester County, New York.

Impact of Catalyst Geometry on Diffusion and Selective Catalytic Reduction Kinetics under Elevated Pressures.

In marine diesel engine applications, selective catalytic reduction (SCR) upstream of the turbocharger may become the preferred technology when dealing with high sulfur fuels and low exhaust gas temperatures. The target nitrogen oxide reductions in combination with minimum ammonia slip and reduced gas diffusion rates under elevated pressures require understanding of the impact of catalyst geometry on the SCR kinetics. The extent, trends, and sources for this observation are elucidated in this work by systematic testing of catalysts with equal geometry and/or intrinsic activity.

The Significance of Lewis Acid Sites for the Selective Catalytic Reduction of Nitric Oxide on Vanadium-Based Catalysts.

The long debated reaction mechanisms of the selective catalytic reduction (SCR) of nitric oxide with ammonia (NH3 ) on vanadium-based catalysts rely on the involvement of Brønsted or Lewis acid sites. This issue has been clearly elucidated using a combination of transient perturbations of the catalyst environment with operando time-resolved spectroscopy to obtain unique molecular level insights. Nitric oxide reacts predominantly with NH3 coordinated to Lewis sites on vanadia on tungsta-titania (V2 O5 -WO3 -TiO2 ), while Brønsted sites are not involved in the catalytic cycle.